Fundamentals Exam 1 set 4
Which of the following is an accurate guideline for the use of PPE? - CORRECT
ANSWER-Replace gloves if they are visibly soiled.
A client comes to the emergency department with major burns over 40% of his body. Although all
of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for
Infection? - CORRECT ANSWER-Intact skin and mucous membranes protect against microbial
invasion.
A nurse is preparing an operation theater for a surgical procedure. Which of the following points
regarding the principles of surgical asepsis should the nurse keep in mind when preparing
sterilized surgical instruments? - CORRECT ANSWER-A commercially packaged surgical item is
not considered sterile if past expiry date.
A nurse prefers to use an alcohol-based hand rub when providing care for patients. In which case
is this practice contraindicated? - CORRECT ANSWER-The nurse is caring for a client with a C.
difficile infection.
A nurse working in a high-risk area of the health care facility is receiving an annual vaccination.
Employees working in which areas need to prove their immunization status? Select all that apply. -
CORRECT ANSWER-• Dialysis
• Pediatrics
• Transplantation
A nurse is about to enter the room of a client with a strain of influenza A. The nurse prepares to
don her PPE. Which would be appropriate? Select all that apply. - CORRECT ANSWER-gloves,
gown, mask with facial shield
After teaching an inservice presentation about hand hygiene and the use of soap and water or an
alcohol-based handrub, the nurse determines that the education was successful when the group
identifies which situation(s) as appropriate for using an alcohol-based handrub? Select all that
apply. - CORRECT ANSWER-• after touching a client's clean wound dressing
• between contacts with a contaminated body surface and another site on the same client
• after touching a client's bedside table to remove his meal tray
A nurse is administering prescribed tuberculosis (TB) drugs to a client with HIV. The client's
recovery chart, however, shows that the microorganisms have developed drug-resistant strains.
What other infectious disease has developed drug-resistant strains? - CORRECT
ANSWER-Gonorrhea
A nurse is caring for a client with contact dermatitis and respiratory distress. The client has an
x-ray ordered. What care should the nurse take when transporting the client with infectious
disease to the x-ray unit? Select all that apply. - CORRECT ANSWER-• Line the surface of the
wheelchair with a clean sheet.
• Use personal protective equipment as used in client care.
A nurse is caring for a client who is diagnosed with tuberculosis. Which nursing intervention
promotes infection control based on the QSEN competency of safety? - CORRECT ANSWER-The
nurse places the client in a private room with monitored negative air pressure.
Which of the following is an accurate guideline for the use of PPE? - CORRECT
ANSWER-Replace gloves if they are visibly soiled.
A client comes to the emergency department with major burns over 40% of his body. Although all
of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for
Infection? - CORRECT ANSWER-Intact skin and mucous membranes protect against microbial
invasion.
A nurse is preparing an operation theater for a surgical procedure. Which of the following points
regarding the principles of surgical asepsis should the nurse keep in mind when preparing
sterilized surgical instruments? - CORRECT ANSWER-A commercially packaged surgical item is
not considered sterile if past expiry date.
A nurse prefers to use an alcohol-based hand rub when providing care for patients. In which case
is this practice contraindicated? - CORRECT ANSWER-The nurse is caring for a client with a C.
difficile infection.
A nurse working in a high-risk area of the health care facility is receiving an annual vaccination.
Employees working in which areas need to prove their immunization status? Select all that apply. -
CORRECT ANSWER-• Dialysis
• Pediatrics
• Transplantation
A nurse is about to enter the room of a client with a strain of influenza A. The nurse prepares to
don her PPE. Which would be appropriate? Select all that apply. - CORRECT ANSWER-gloves,
gown, mask with facial shield
After teaching an inservice presentation about hand hygiene and the use of soap and water or an
alcohol-based handrub, the nurse determines that the education was successful when the group
identifies which situation(s) as appropriate for using an alcohol-based handrub? Select all that
apply. - CORRECT ANSWER-• after touching a client's clean wound dressing
• between contacts with a contaminated body surface and another site on the same client
• after touching a client's bedside table to remove his meal tray
A nurse is administering prescribed tuberculosis (TB) drugs to a client with HIV. The client's
recovery chart, however, shows that the microorganisms have developed drug-resistant strains.
What other infectious disease has developed drug-resistant strains? - CORRECT
ANSWER-Gonorrhea
A nurse is caring for a client with contact dermatitis and respiratory distress. The client has an
x-ray ordered. What care should the nurse take when transporting the client with infectious
disease to the x-ray unit? Select all that apply. - CORRECT ANSWER-• Line the surface of the
wheelchair with a clean sheet.
• Use personal protective equipment as used in client care.
A nurse is caring for a client who is diagnosed with tuberculosis. Which nursing intervention
promotes infection control based on the QSEN competency of safety? - CORRECT ANSWER-The
nurse places the client in a private room with monitored negative air pressure.
