Question 1

When the following concepts are compared,which is most important in maintaining a safe,aseptic environment?

Accepted Answer

A)  Performing a surgical hand scrub 
B)  Applying a sterile gown 
C)  Recognizing the importance of following aseptic principles 
D)  Applying a mask and protective eyewear 
A)  Performing a surgical hand scrub 
B)  Applying a sterile gown 
C)  Recognizing the importance of following aseptic principles 
D)  Applying a mask and protective eyewear C

Question 2

The nurse is preparing to insert a urinary catheter.The package is dry but shows signs of yellowing inside the plastic wrapper,as if the package was wet at one time.What should the nurse do?

Accepted Answer

A)  Use the package because it is dry at present. 
B)  Consider the outer package contaminated,but the inner package sterile. 
C)  Discard the entire package as contaminated. 
D)  Open the package and consider the 2.5 cm (1-inch)border as contaminated. 
A)  Use the package because it is dry at present. 
B)  Consider the outer package contaminated,but the inner package sterile. 
C)  Discard the entire package as contaminated. 
D)  Open the package and consider the 2.5 cm (1-inch)border as contaminated. C

Question 3

A patient requires a sterile dressing change for a mid-abdominal surgical incision.An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to

Accepted Answer

A)  put sterile gloves on before opening sterile packages. 
B)  discard items that may have been in contact with the area below waist level. 
C)  place the povidone-iodine bottle well within the sterile field. 
D)  place sterile items on the very edge of the sterile drape. 
A)  put sterile gloves on before opening sterile packages. 
B)  discard items that may have been in contact with the area below waist level. 
C)  place the povidone-iodine bottle well within the sterile field. 
D)  place sterile items on the very edge of the sterile drape. B

Question 4

A type I hypersensitivity to latex is evident if the nurse assesses

Accepted Answer

A)  localized swelling. 
B)  skin redness and itching. 
C)  runny eyes and nose and cough. 
D)  tachycardia,hypotension,and wheezing. 
A)  localized swelling. 
B)  skin redness and itching. 
C)  runny eyes and nose and cough. 
D)  tachycardia,hypotension,and wheezing.

Question 5

Which of the following is an appropriate technique for the nurse to use when performing sterile gloving?

Accepted Answer

A)  Put the glove on the nondominant hand first. 
B)  Interlock the hands after both gloves are applied. 
C)  Pull the cuffs down on both gloves after gloving. 
D)  Grasp the outside cuff of the other glove with the gloved hand. 
A)  Put the glove on the nondominant hand first. 
B)  Interlock the hands after both gloves are applied. 
C)  Pull the cuffs down on both gloves after gloving. 
D)  Grasp the outside cuff of the other glove with the gloved hand.

Question 6

The nurse is applying for a job at a local hospital.She wants to look her best for the interview and decides to wear artificial nails.She does this knowing that artificial nails

Accepted Answer

A)  are appropriate in the critical care unit setting as long as the nurse washes her hands frequently. 
B)  can lead to fungal growth under the nail. 
C)  can actually lower the bacterial count on the hands because they cover the natural nail. 
D)  are banned only in areas where patients are critically ill. 
A)  are appropriate in the critical care unit setting as long as the nurse washes her hands frequently. 
B)  can lead to fungal growth under the nail. 
C)  can actually lower the bacterial count on the hands because they cover the natural nail. 
D)  are banned only in areas where patients are critically ill.

Question 7

Medical asepsis and surgical asepsis both begin with

Accepted Answer

A)  proper hand hygiene. 
B)  applying gloves. 
C)  donning a gown. 
D)  applying a cap. 
A)  proper hand hygiene. 
B)  applying gloves. 
C)  donning a gown. 
D)  applying a cap.

Question 8

An appropriate principle of surgical asepsis is that

Accepted Answer

A)  the entirety of a sterile package is sterile once it is opened. 
B)  all of the draped table,top to bottom,is considered sterile. 
C)  an object held below the waist is considered contaminated. 
D)  if the sterile barrier field becomes wet,the dry areas are still sterile. 
A)  the entirety of a sterile package is sterile once it is opened. 
B)  all of the draped table,top to bottom,is considered sterile. 
C)  an object held below the waist is considered contaminated. 
D)  if the sterile barrier field becomes wet,the dry areas are still sterile.

Question 9

Nurses commonly use surgical asepsis in which of the following situations? (Select all that apply.)

Accepted Answer

A)  In labour and delivery areas 
B)  When inserting an intravenous catheter 
C)  When treating patients with surgical incisions or burns 
D)  When inserting a urinary catheter 
E)  When dressing a MRSA-positive wound 
A)  In labour and delivery areas 
B)  When inserting an intravenous catheter 
C)  When treating patients with surgical incisions or burns 
D)  When inserting a urinary catheter 
E)  When dressing a MRSA-positive wound

Question 10

Which patient may the nurse suspect will be at risk for a latex allergy?

Accepted Answer

A)  Patient with food allergies 
B)  Patient with diabetes 
C)  Patient with arthritis 
D)  Patient with hypertension 
A)  Patient with food allergies 
B)  Patient with diabetes 
C)  Patient with arthritis 
D)  Patient with hypertension

Question 11

When performing sterile aseptic procedures,the nurse must create a sterile field.Which of the following are included in principles of surgical asepsis? (Select all that apply.)

Accepted Answer

A)  All items used within a sterile field must be sterile. 
B)  A 5-cm border around the edges is considered unsterile. 
C)  If two sterile objects touch,they are both considered unsterile. 
D)  A sterile object or filed becomes contaminated by prolonged exposure to air. 
A)  All items used within a sterile field must be sterile. 
B)  A 5-cm border around the edges is considered unsterile. 
C)  If two sterile objects touch,they are both considered unsterile. 
D)  A sterile object or filed becomes contaminated by prolonged exposure to air.

Question 12

When removing the mask after an aseptic procedure,what should the nurse do first?

Accepted Answer

A)  Remove gloves. 
B)  Untie top strings of mask. 
C)  Untie bottom strings of mask. 
D)  Untie top strings and let mask hang. 
A)  Remove gloves. 
B)  Untie top strings of mask. 
C)  Untie bottom strings of mask. 
D)  Untie top strings and let mask hang.

Question 13

The patient has just had a tracheostomy tube placed and is expectorating copious amounts of sputum that he coughs forcefully from his tracheostomy tube.The patient also is suspected of having methicillin-resistant Staphylococcus aureus (MRSA)in his sputum.The nurse is preparing to suction the patient to clear his airway.Which of the following will the nurse need to wear if following routine practices? (Select all that apply.)

Accepted Answer

A)  Mask 
B)  Goggles 
C)  Gown 
D)  Gloves 
E)  None of the above 
A)  Mask 
B)  Goggles 
C)  Gown 
D)  Gloves 
E)  None of the above

Question 14

A sterile field consists of which of the following? (Select all that apply.)

Accepted Answer

A)  Sterile tray 
B)  Work surface draped with a sterile towel 
C)  Table covered by a large sterile drape 
D)  Patient's bedside table 
A)  Sterile tray 
B)  Work surface draped with a sterile towel 
C)  Table covered by a large sterile drape 
D)  Patient's bedside table

Question 15

A nurse is preparing a sterile field for a dressing change using surgical aseptic technique.The nurse gathers supplies to prepare the sterile field using a packaged drape.Which option correctly describes how the nurse should set up the field?

Accepted Answer

A)  Don sterile gloves before opening the packaged drape. 
B)  Clean the bottle of irrigation solution with alcohol before placing the bottle on the field. 
C)  Avoid dropping sterile supplies close to the 2.5 cm (1-inch)border around the drape. 
D)  Leave the sterile field unattended to obtain needed supplies. 
A)  Don sterile gloves before opening the packaged drape. 
B)  Clean the bottle of irrigation solution with alcohol before placing the bottle on the field. 
C)  Avoid dropping sterile supplies close to the 2.5 cm (1-inch)border around the drape. 
D)  Leave the sterile field unattended to obtain needed supplies.

Exam 6: Sterile Technique

When the following concepts are compared,which is most important in maintaining a safe,aseptic environment?

The nurse is preparing to insert a urinary catheter.The package is dry but shows signs of yellowing inside the plastic wrapper,as if the package was wet at one time.What should the nurse do?

A patient requires a sterile dressing change for a mid-abdominal surgical incision.An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to

A type I hypersensitivity to latex is evident if the nurse assesses

Which of the following is an appropriate technique for the nurse to use when performing sterile gloving?

The nurse is applying for a job at a local hospital.She wants to look her best for the interview and decides to wear artificial nails.She does this knowing that artificial nails

Medical asepsis and surgical asepsis both begin with

An appropriate principle of surgical asepsis is that

Nurses commonly use surgical asepsis in which of the following situations? (Select all that apply.)

Which patient may the nurse suspect will be at risk for a latex allergy?

When performing sterile aseptic procedures,the nurse must create a sterile field.Which of the following are included in principles of surgical asepsis? (Select all that apply.)

When removing the mask after an aseptic procedure,what should the nurse do first?

A sterile field consists of which of the following? (Select all that apply.)

A nurse is preparing a sterile field for a dressing change using surgical aseptic technique.The nurse gathers supplies to prepare the sterile field using a packaged drape.Which option correctly describes how the nurse should set up the field?

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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