Nursing Fundamentals: Aspesis

The nurse is required to wear a gown, gloves, goggles, and mask as person protective equipment (PPE) when caring for an assigned client. What should the nurse put on first? a. gown b. mask c. gloves d. goggles

a. gown

The nurse prepares to enter a client's room where goggles are required but not available. Which action by the nurse is best? a. wait to administer client care until goggles can be located b. wear a face shield as part of the protective equipment c. wear a surgical mask and stay 3 ft from the client d. wait until material management sends more goggles to the unit

b. wear a face shield as part of the protective equipment

The 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? a. "I don't think gloves are needed to care for this particular client" b. "It is not necessary to wear gloves for all client interactions" c. "Can you show me the hospital policy for when to wear gloves?" d. "The client is not on any precautions for transmissions based infections"

c. "Can you show me the hospital policy for when to wear gloves?"

Which item would the nurse remove first when removing PPE? a. gown b. face shield c. mask d. gloves

d. gloves

The nurse is removing a gown after providing care to a client. Which action would the nurse take first? a. turn the gown inside out b. allow the gown to fall away from the shoulders c. pull the gown away from the torso d. unfasten the ties at the neck and back

d. unfasten the ties at the neck and back

When preparing a sterile field, which action would be appropriate for the nurse to take first? a. check the packages for expiration date b. place the work surface at chest height c. open any sterile items to be used d. put on sterile gloves

a. check the packages for expiration date

While removing gloves after performing client care, what action does the nurse take? a. ensure the skin of the hands does not touch the outside surface of the glove b. use hand sanitizer on the surface of the gloves prior to glove removal c. discard each glove separately into the waste receptacle d. wrap the discarded glove inside the sterile field for waste disposal

a. ensure the skin of the hands does not touch the outside surface of the glove

The nurse opens the package of sterile gloves using the interior side folds, and the package will not open fully for the nurse to reach the gloves. What action does the nurse take? a. open the top and bottom folds completely b. obtain a new pair of sterile gloves c. reach under the package folds to open d. slide the gloves out of the package

a. open the top and bottom folds completely

When putting on the second sterile glove, the nurse places the gloved thumb on which location? a. outward away from the gloved hand b. adjacent to the fifth finger c. under the fingers, as in a fist d. close to the palm of the gloved hand

a. outward away from the gloved hand

While performing a sterile dressing change, the nurse inadvertently contaminates the right hand glove. Which action by the nurse would be most appropriate? a. replace the current gloves with a new set of sterile gloves b. apply a new pair of sterile gloves over the current ones c. cover the contaminated glove with a nonsterile disposable glove d. continue the procedure using only the left gloved hand

a. replace the current gloves with a new set of sterile gloves

The nurse has created a sterile field with sterile dressings in preparation for a client's wound care. While getting ready to apply a dressing, the client moves his arm and touches the sterile field. Which action by the nurse would be most appropriate? a. set up an entirely new sterile field b. add new sterile dressings to the sterile field c. ask the client if he touched anything d. replace any items that moved with new ones

a. set up an entirely new sterile field

The nurse prepares for a sterile dressing change on one end of the table by opening a sterile field and dropping the supplies onto it. The nurse needs to gather additional supplies remaining on the other side of the table. What action does the nurse take? a. take a few steps around the table to pick up the addition supplies. b. prepare a second sterile field to cover the entire table to surface c. discard the current sterile field and supplies and begin again d. reach toward the other end of the table and pick up the supplies

a. take a few steps around the table to pick up the addition supplies.

The nurse is putting on sterile gloves. Which principle would be important to keep in mind? a. the hands should remain above waist level at all times b. the cuffs of the gloves should be adjusted as each glove is applied c. The outer edge of the cuff is used to pick up the glove to be put on d. the inner package should be placed on the surface with the cuff side away from the body

a. the hands should remain above waist level at all times

The nurse is opening a package containing a sterile drape to establish a sterile field. Which of the following would indicate that the nurse ha contaminated the sterile drape? a. the nurse allows the drape to touch his or her body b. the nurse allows the drape to unfold gently c. the nurse places the shiny side of the drape facing down d. the nurse touches the sterile drape by its corners

a. the nurse allows the drape to touch his or her body

The nurse determines that the sterile field has been contaminated when which action occurs? a. the nurse turns his or her back to the field b. the field is above waist level c. the nurse reaches around the sterile field d. a sterile object falls within the 1 in border of the field

a. the nurse turns his or her back to the field

The nursing instructor observes the nursing student removing sterile gloves. Which action indicated the need for further teaching? a. the student pulls the gloves off starting with the fingertips prior to removal b. the student rolls gloves into each other during removal for disposal in the waste can c. the student reaches under the glove on one hand to peel the glove off of the other hand d. the student uses one gloved hand to grab the outside surface of the other glove

a. the student pulls the gloves off starting with the fingertips prior to removal

The nurse is wearing a gown and gloves as part of using PPE. The gown is tied in the front at the waist and at the neck. Which action would the nurse take first? a. unfasten the gown at the waist b. untie the gown at the neck c. pull off both gloves at the cuff area d. remove the glove from the dominant hand

a. unfasten the gown at the waist

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? a. "You have a sign on your door indicating that you have a transmissible infection" b. "I am required to wear a gown for certain infections that are easily passed to others" c. "The hospital says that I have to wear this gown to enter your room" d. "I have to protect my other hospitalized clients from getting an infection"

b. "I am required to wear a gown for certain infections that are easily passed to others"

What action does the nurse perform to remove gloves after performing a sterile procedure? a. place the first removed glove in the waste b. invert the glove as it is removed c. pull the glove off starting at the fingertips d. lay the first removed glove in the sterile field

b. invert the glove as it is removed

When washing the hands with soap and water what is an appropriate action for the nurse to perform? a. Remove jewelry prior to turning on water b. keep the hands above the elbows c. rub each hand with soap individually d. lean as close to the sink as possible

b. keep the hands above the elbows

The nurse notes that a health care provider failed to observe transmission precautions in a client's room and is entering another client's room. What is the nurse's next action? a. insist the health care provider observe additional hand hygiene b. remind the health care provider about transmission precautions c. report the health care provider to the unit supervisor or manager d. ask the charge nurse to speak with the health care provider

b. remind the health care provider about transmission precautions

The nurse is planning to use a pre-packaged kit to prepare a sterile field. Which would be of least importance in ensuring the sterility of the kit? a. the expiration date is not yet reached b. the outer wrapper is disposed in an appropriate receptacle c. the kit is dry d. the kit is unopened

b. the outer wrapper is disposed in an appropriate receptacle

When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? a. 2 in (5 cm) b. 10 in (25 cm) c. 6 in (15 cm) d. 14 in (35 cm)

c. 6 in (15 cm)

The nurse prepares the sterile tray for indwelling catheter insertion while wearing sterile gloves. The nurse then pulls the client's blankets away from the pelvis to begin catheter insertion. What action should the nurse take next? a. dispose of the catheter kit and begin again b. begin cleansing the meatus with antiseptic c. change into a new pair of sterile gloves d. position the catheter kit closer to the client

c. change into a new pair of sterile gloves

The nurse is preparing a sterile field using a pre-packaged kit. After performing hand hygiene, which action would the nurse take next? a. place the package in the center of the work surface b. place the work surface at waist height c. confirm the client's identity d. remove the outer wrapper from the kit

c. confirm the client's identity

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? a. use an alcohol-based hand rub b. apply an oil-free lotion to both hands c. dry the with a paper towel d. turn off the water at the faucet

c. dry the with a paper towel

When removing soiled gloves, which should the nurse do first? a. slide the fingers under the glove at the wrist b. turn the glove inside out as it is being pulled off c. grasp the outside of one glove with the opposite gloved hand d. peel the glove off over the other glove

c. grasp the outside of one glove with the opposite gloved hand

While donning sterile gloves for a clients dressing change, the nurse rips the cuff while pulling it over a wristwatch. What is the appropriate nursing action? a. use the ripped glove for nonsterile action b. place a new sterile glove over the ripped glove c. obtain a new pair of sterile gloves d. continue with the dressing change

c. obtain a new pair of sterile gloves

The nurse prepares to wear personal protective equipment (PPE) when entering a client's room. What action does the nurse take first? a. verify the type of precautions b. ensure the gown is closed c. perform hand hygiene d. open the door to the room

c. perform hand hygiene

The nurse performs hand hygiene using an alcohol-based hand rub after exiting a client's room. The nurse does not touch another surface or client until what has occurred? a. the hands have been dried with a paper towel b. twenty to thirty seconds of hand rubbing has occurred c. the antiseptic has evaporated from the skin d. hand hygiene performance has been documented

c. the antiseptic has evaporated from the skin

When setting up a sterile field, the nurse opens a sterile package prepared by the facility. Which action would the nurse take first? a. reach over the package to open the side flaps b. pull the corners of the wrapper back toward the wrist c. unfold the top flap away from the body d. hold the package in the non-dominant hand

c. unfold the top flap away from the body

The nurse has prepared a sterile field with the necessary sterile supplies. The nurse begins to perform the care and realizes that an item is missing. What action would be appropriate? a. skip the part of the care that requires the missing item b. leave the client and the room to obtain the missing item c. complete the care right up to the step of the missing item, then go and get it d. call someone to bring in the necessary item to the client's room

d. call someone to bring in the necessary item to the client's room

What is the best source for the nurse to determine the type of transmission precautions a client needs? a. health care provider b. sign on the client's room c. charge nurse's report d. client's medical record

d. client's medical record

The nurse has put on one sterile glove and is preparing to put on the other. What is the next step in donning the second glove? a. use the fingers to grasp the edges of the cuff of the second glove b. use the thumb and index finger to grasp the cuff c. hold the second glove in the palm of the gloved hand d. slide the gloved fingers under the cuff of the second glove

d. slide the gloved fingers under the cuff of the second glove

The nurse has prepared a sterile field using a pre-packaged kit. Which would be important for the nurse to keep in mind? a. sterile gloves are not needed to obtain any items from the field b. no other sterile items can be added to the sterile field at this point c. the items contained in the kit are considered clean d. the field is contaminated if it is out of the nurse's site

d. the field is contaminated if it is out of the nurse's site

The nurse is wearing a gown as part of using personal protective equipment and is preparing to put on clean disposable gloves. Which placement indicated that the nurse has put on the gloves properly? a. the edges of the gloves are under the gown's cuffs b. there is a 1 in space between the gown's cuffs and the gloves' edges c. the ends of the gloves are folded over onto the glove d. the glove ends extends to cover the gown's cuffs

d. the glove ends extends to cover the gown's cuffs

When opening a pre-packaged kit to prepare a sterile field, which of the following would be most important to keep in mind? a. the outside surface of the outer wrapper becomes the sterile field b. the outer 2 in border of the wrapper is considered contaminated c. the edges of the wrapper are positioned to hang below the work surface d. the inner surface of the outer wrapper is considered sterile

d. the inner surface of the outer wrapper is considered sterile

The nurse is performing a sterile dressing change. What action would require the nurse to put on a new pair of gloves? a. the nurse picks up a sterile dressing from the sterile field b. the nurse touches one glove to the other glove c. the nurse keeps both hands above waist level d. the nurse touches the client's skin with one hand

d. the nurse touches the client's skin with one hand

The nurse uses soap and water for hand hygiene. Which action demonstrates proper handwashing? a. drying the hands, then fingers b. keeping the hands above the elbows c. washing to 1 in below the elbows d. using a rubbing, circular motion

d. using a rubbing, circular motion

When removing soiled gloves, which action should the nurse take? a. grab the gloved dominant hand at the wrist using the fingers of the non-dominant hand to invert the glove b. slide the fingers of the gloved non-dominant hand between the skin and glove of the dominant hand c. pull on the fingertips of the gloved non-dominant hand using the fingers of the gloved dominant hand d. using the gloved dominant hand, grasp the glove of the non-dominant hand near the cuff on the outside

d. using the gloved dominant hand, grasp the glove of the non-dominant hand near the cuff on the outside