Question 1

The nurse has just changed a client's surgical dressing.Which action by the nurse would follow standard precaution guidelines for proper disposal of contaminated materials?

Accepted Answer

A) The old dressing is discarded in the trash can. 
B) The unsoiled disposable gown is removed and discarded in the hazardous waste container. 
C) The gloves are discarded in the trash can. 
D) The mask is discarded in the trash can. 
A) The old dressing is discarded in the trash can. 
B) The unsoiled disposable gown is removed and discarded in the hazardous waste container. 
C) The gloves are discarded in the trash can. 
D) The mask is discarded in the trash can.

Question 2

Which equipment would the nurse not place in the sharps container?

Accepted Answer

A) Scalpels 
B) Lancets 
C) Bloody bandage 
D) Needles 
A) Scalpels 
B) Lancets 
C) Bloody bandage 
D) Needles

Question 3

Why is it critically important for the nurse to document all client care activities in the medical record?

Accepted Answer

A) To facilitate continuity of care 
B) To promote effective care 
C) To meet legal and accreditation requirements 
D) To prove care was completed 
E) To provide data for research and reimbursement 
A) To facilitate continuity of care 
B) To promote effective care 
C) To meet legal and accreditation requirements 
D) To prove care was completed 
E) To provide data for research and reimbursement

Question 4

The nurse working in the emergency department is caring for a client who has projectile vomiting.The nurse is wearing personal protective equipment (PPE).How would the nurse properly discard the PPE?

Accepted Answer

A) All PPE would be discarded in the hazardous waste container whenever leaving the client's room,and new PPE would be donned when returning to the room. 
B) The nurse could wear the same PPE if only leaving the room briefly and discard in the hazardous waste container when the client is transferred to the floor. 
C) The nurse removes the PPE and places it just inside the room to put back on when reentering the client's room,then discards into the hazardous waste container when the client is transferred. 
D) If the PPE is soiled,the nurse discards it when leaving the room,but if it is not visibly contaminated,the nurse can reapply the same PPE when reentering the client's room. 
A) All PPE would be discarded in the hazardous waste container whenever leaving the client's room,and new PPE would be donned when returning to the room. 
B) The nurse could wear the same PPE if only leaving the room briefly and discard in the hazardous waste container when the client is transferred to the floor. 
C) The nurse removes the PPE and places it just inside the room to put back on when reentering the client's room,then discards into the hazardous waste container when the client is transferred. 
D) If the PPE is soiled,the nurse discards it when leaving the room,but if it is not visibly contaminated,the nurse can reapply the same PPE when reentering the client's room.

Question 5

The nurse assists a health care provider with the collection of cerebrospinal fluid via a lumbar puncture.Which would not be included in the nurse's documentation of this procedure?

Accepted Answer

A) Specimen collection and disposition 
B) Health care provider's contamination of first needle,requiring the nurse to obtain a second needle 
C) Client response during and after the procedure 
D) Sterile technique followed throughout the collection process 
A) Specimen collection and disposition 
B) Health care provider's contamination of first needle,requiring the nurse to obtain a second needle 
C) Client response during and after the procedure 
D) Sterile technique followed throughout the collection process

Question 6

The nurse is called into a client's room by the unlicensed assistive personnel (UAP),who informs the nurse that the obstetric client has no pulse or respirations and has profuse vaginal bleeding.Which is the priority action by the nurse?

Accepted Answer

A) Apply gloves and assess the client for pulse and respirations. 
B) Assess the client for pulse and respirations,instruct UAP to notify code team while donning personal protective equipment,and begin CPR. 
C) Quickly assess pulse and respirations,next assess for bleeding,call for the code team,and then apply personal protective equipment before beginning CPR. 
D) Apply gown,gloves,mask,and goggles,then assess client for pulse,respirations,and bleeding. 
A) Apply gloves and assess the client for pulse and respirations. 
B) Assess the client for pulse and respirations,instruct UAP to notify code team while donning personal protective equipment,and begin CPR. 
C) Quickly assess pulse and respirations,next assess for bleeding,call for the code team,and then apply personal protective equipment before beginning CPR. 
D) Apply gown,gloves,mask,and goggles,then assess client for pulse,respirations,and bleeding.

Question 7

Nurses must care for several clients during each shift.Which action by the nurse demonstrates appropriate hand hygiene?

Accepted Answer

A) Putting on gloves 
B) Washing hands with soap and water 
C) Wiping hands off when entering room 
D) Using the client's soap on hands 
A) Putting on gloves 
B) Washing hands with soap and water 
C) Wiping hands off when entering room 
D) Using the client's soap on hands

Exam 1: Foundational Skills

The nurse has just changed a client's surgical dressing.Which action by the nurse would follow standard precaution guidelines for proper disposal of contaminated materials?

Which equipment would the nurse not place in the sharps container?

Why is it critically important for the nurse to document all client care activities in the medical record?

The nurse working in the emergency department is caring for a client who has projectile vomiting.The nurse is wearing personal protective equipment (PPE).How would the nurse properly discard the PPE?

The nurse assists a health care provider with the collection of cerebrospinal fluid via a lumbar puncture.Which would not be included in the nurse's documentation of this procedure?

The nurse is called into a client's room by the unlicensed assistive personnel (UAP),who informs the nurse that the obstetric client has no pulse or respirations and has profuse vaginal bleeding.Which is the priority action by the nurse?

Nurses must care for several clients during each shift.Which action by the nurse demonstrates appropriate hand hygiene?

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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