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STUVIA 2024/2025AEI On-Campus Simulation
: A sterile field becomes contaminated if the nurse turns his or her back to it. Any item that comes into
contact with a sterile field must be sterile. Reaching over a sterile field contaminates the sterile field.
Any items below waist level are considered contaminated. - ✔✔3A group of nurses are reviewing
information about asepsis. Which statement by the group demonstrates the need for additional
review?
: After rinsing the hands, the nurse would dry the hands using paper towels, wiping from the fingertips
toward the forearms. Once dry, the nurse would then use another clean paper towel to turn off the
water at the faucet to prevent clean hands from coming in contact with the soiled surface. The
fingernails are cleaned before the hands are rinsed. The hands are dried using clean paper towel. An
alcohol-based sanitizer or hospital-provided lotion can be used after handwashing and drying, if
desired. - ✔✔The nurse is performing hand washing using soap and water after providing client care.
The nurse has performed hand hygiene using soap and water. What action would the nurse take
next?
"Can you show me the hospital policy for when to wear gloves?"
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When there is any doubt, the facility resources should be consulted for verification of existing policies
regarding transmission-based and standard precautions. This question prevents the nurse from
arguing with the charge nurse, too. Gloves are not required for every client interaction. - ✔✔18The
charge nurse confronts a new nurse about not wearing gloves into a client's room. The client is not on
transmission-based precautions. How does the new nurse best respond?
"I am required to wear a gown for certain infections that are easily passed to others."
The client needs a matter-of-fact response that does not make him or her feel dirty, guilty, or
confused. The nurse teaches the client in a direct way that some infections are easier to spread,
making additional precautions necessary for everyone's protection. It is dismissive to say it is policy or
just that there i - ✔✔The client asks the nurse why the nurse wears a disposable gown every time
she enters the client's room. What is the nurse's best response?
"I notice you did not wear the required PPE."
It is incorrect to confront the provider in a confrontational or accusatory manner. Once the nurse
states that this behavior has been observed, the nurse and provider can have a discussion - ✔✔The
new nurse notes a health care provider enter a client's room without the correct personal protective
equipment (PPE). What does the nurse say to the health care provider?
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, STUVIA 2024/2025
1)Place the graduated collection container under the drain outlet.
2)Remove the cap from the bulb.
3)Empty the bulb's contents into the collection chamber.
4)Wipe the outlet of the bulb with a sterile gauze pad.
5)Fully compress the bulb.
6)Replace the cap on the bulb - ✔✔The nurse is caring for a Jackson-Pratt drain. Place in order,
from first to last, the actions the nurse will perform. Use all options.
1)Remove jewelry
2)Check the product label for the correct amount to use
3)Apply the product
4)Rub the hands together, covering all surfaces of the hands and fingers
5)Ensure that the hands are dry - ✔✔A nurse is preparing to perform hand hygiene using an
alcohol-based handrub. Place the following steps in the correct order. Use all options.
1)Turn on the faucet and adjust the force and temperature of the water.
2)Wet the hands and wrists.
3)Apply soap.
4)Wash the palms and backs of the hands for at least 20 seconds.
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5)Pat the hands dry with a paper towel.
6)Turn the faucet off with a paper towel. - ✔✔The nurse is preparing to perform handwashing. Place
the following steps in the correct order. Use all options.
1)Unfasten the ties.
2)Touching only the inside of the gown, pull away from the torso.
3)Keeping hands on the inner surface of the gown, pull gown from arms.
4)Turn gown inside out.
5)Fold or roll the gown into a bundle.
6)Discard the gown. - ✔✔Place in correct order the steps for removing a gown. Use all options.
15 sec - ✔✔A nurse is preparing to use an alcohol-based handrub for hand hygiene. After applying
the appropriate amount of product, the nurse would rub the hands together for at least how long?
A client who is comatose is at greatest risk for developing a pressure injury due to the inability to turn
or move in bed. This client needs to be turned regularly to prevent development of a pressure injury.
The other clients have no restrictions for movement and would not be at great risk for developing a
pressure injury. An older client who is bedridden (not a factor with COPD) would also be at high risk
for developing a pressure injury due to age-related skin alterations. - ✔✔4Which client would be at
greatest risk for developing a pressure injury?
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