Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. The client became infected due to compromised immunity.
The anterior surface of the drape is not the correct choice because it includes the central sterile area, which should never be touched by the nurse. Touching the central sterile area contaminates the field.
B. The client was infected during a therapeutic procedure.
The outer 1-inch border of the drape is the correct choice for the nurse to touch. This border is considered non-sterile and can be handled without contaminating the sterile field. It acts as a barrier, preventing contaminants from reaching the central sterile area.
C. The client inhaled pathogens in a healthcare setting.
The top inner corners of the drape are part of the central sterile area and should not be touched by the nurse. Touching this area would contaminate the sterile field.
D. The client acquired the infection while hospitalized.
The posterior aspect of the drape is not the correct choice because it is part of the central sterile area. Touching this area would contaminate the sterile field. When preparing a sterile field, it is essential for the nurse to follow strict aseptic techniques to maintain the sterility of the field. This includes touching only the designated non-sterile areas, such as the outer 1-inch border of the sterile drape, to avoid contamination.
This question is an excerpt from Nurse Dive's nursing test bank - Nursing Fundamentals Exam 3. Take the full exam now
Full Explanation
Choice A rationale:
The anterior surface of the drape is not the correct choice because it includes the central sterile area, which should never be touched by the nurse. Touching the central sterile area contaminates the field.
Choice B rationale:
The outer 1-inch border of the drape is the correct choice for the nurse to touch. This border is considered non-sterile and can be handled without contaminating the sterile field. It acts as a barrier, preventing contaminants from reaching the central sterile area.
Choice C rationale:
The top inner corners of the drape are part of the central sterile area and should not be touched by the nurse. Touching this area would contaminate the sterile field.
Choice D rationale:
The posterior aspect of the drape is not the correct choice because it is part of the central sterile area. Touching this area would contaminate the sterile field. When preparing a sterile field, it is essential for the nurse to follow strict aseptic techniques to maintain the sterility of the field. This includes touching only the designated non-sterile areas, such as the outer 1-inch border of the sterile drape, to avoid contamination.
Similar Questions
When using standard precautions, the nurse knows that standard precautions mandate what?
A. Rinsing gloves that become visibly soiled during use.
Scabies is a skin infestation caused by the Sarcoptes scabiei mite. While it is contagious, it does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves, are sufficient when caring for a client with scabies.
B. Using antimicrobial soap for routine handwashing.
Mycoplasmal pneumonia is a type of pneumonia caused by the bacteria Mycoplasma pneumoniae. It is typically spread through respiratory droplets and does not require the use of an N95 respirator mask. Standard precautions, including wearing a mask, are appropriate for this condition.
C. Disinfecting hands immediately after removing gloves.
Tuberculosis (TB) is a highly contagious bacterial infection caused by Mycobacterium tuberculosis. TB spreads through the air when an infected person coughs or sneezes. To prevent the inhalation of TB bacteria, healthcare workers should wear N95 respirator masks (or higher level respirators) when caring for clients with active TB disease.
D. Keeping gloves on when touching environmental surfaces.
Scarlet fever is a bacterial illness that develops in some people who have strep throat. It is caused by group A Streptococcus bacteria and is typically treated with antibiotics. Scarlet fever does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves and a mask, are appropriate when caring for a client with scarlet fever. Wearing an N95 respirator mask is crucial when caring for clients with airborne infectious diseases like tuberculosis. This type of mask is designed to filter out at least 95% of airborne particles, providing a high level of protection for healthcare workers.
Full Explanation
Choice A rationale:
Scabies is a skin infestation caused by the Sarcoptes scabiei mite. While it is contagious, it does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves, are sufficient when caring for a client with scabies.
Choice B rationale:
Mycoplasmal pneumonia is a type of pneumonia caused by the bacteria Mycoplasma pneumoniae. It is typically spread through respiratory droplets and does not require the use of an N95 respirator mask. Standard precautions, including wearing a mask, are appropriate for this condition.
Choice C rationale:
Tuberculosis (TB) is a highly contagious bacterial infection caused by Mycobacterium tuberculosis. TB spreads through the air when an infected person coughs or sneezes. To prevent the inhalation of TB bacteria, healthcare workers should wear N95 respirator masks (or higher level respirators) when caring for clients with active TB disease.
Choice D rationale:
Scarlet fever is a bacterial illness that develops in some people who have strep throat. It is caused by group A Streptococcus bacteria and is typically treated with antibiotics. Scarlet fever does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves and a mask, are appropriate when caring for a client with scarlet fever. Wearing an N95 respirator mask is crucial when caring for clients with airborne infectious diseases like tuberculosis. This type of mask is designed to filter out at least 95% of airborne particles, providing a high level of protection for healthcare workers.
A nurse is caring for a client who requires contact precautions.
Which action should the nurse take with this client?
A. Wear a mask when entering the client's room.
Healthcare-associated infections (HAIs) do not necessarily occur due to compromised immunity. HAIs refer to infections that patients acquire while receiving treatment for medical or surgical conditions, and they can happen to individuals with varying levels of immunity.
B. Remove potted plants from the room.
While infections during therapeutic procedures are a concern, not all healthcare-associated infections occur during such procedures. HAIs can happen in various healthcare settings and not limited to therapeutic procedures.
C. Allow the client to leave the room every 2 hours.
Inhaling pathogens in a healthcare setting might lead to infections, but not all healthcare-associated infections happen due to inhalation. HAIs can occur through different modes of transmission.
D. Dedicate equipment and supplies for use with the client.
Healthcare-associated infections (HAIs) occur when a patient acquires an infection while receiving care in a healthcare setting, including hospitals. This can involve various sources, such as contaminated medical equipment, surgical procedures, or interactions with healthcare personnel.
Full Explanation
Choice A rationale:
Healthcare-associated infections (HAIs) do not necessarily occur due to compromised immunity. HAIs refer to infections that patients acquire while receiving treatment for medical or surgical conditions, and they can happen to individuals with varying levels of immunity.
Choice B rationale:
While infections during therapeutic procedures are a concern, not all healthcare-associated infections occur during such procedures. HAIs can happen in various healthcare settings and not limited to therapeutic procedures.
Choice C rationale:
Inhaling pathogens in a healthcare setting might lead to infections, but not all healthcare-associated infections happen due to inhalation. HAIs can occur through different modes of transmission.
Choice D rationale:
Healthcare-associated infections (HAIs) occur when a patient acquires an infection while receiving care in a healthcare setting, including hospitals. This can involve various sources, such as contaminated medical equipment, surgical procedures, or interactions with healthcare personnel.
A nurse explains to a client that it is important to slowly change positions to diminish or eliminate the symptoms of what?
A. Pulse pressure.
Wearing a mask when entering the client's room is not specifically required for contact precautions. Masks are primarily used for airborne precautions or when caring for patients with respiratory infections spread through droplets.
B. Essential hypertension.
Removing potted plants from the room may be a good practice for infection control, but it is not a specific action mandated by contact precautions. Contact precautions primarily focus on preventing the transmission of infections through direct or indirect contact with the patient or their environment.
C. Postural (orthostatic) hypotension.
Allowing the client to leave the room every 2 hours is not a recommended practice for contact precautions. Patients under contact precautions should ideally stay in their rooms to prevent the spread of infections to others in the healthcare facility.
D. Pre-hypertension.
When caring for a client under contact precautions, it is essential to dedicate equipment and supplies for their use exclusively. This helps prevent the spread of infections to other patients or healthcare workers by avoiding the contamination of shared items.
Full Explanation
Choice A rationale:
Wearing a mask when entering the client's room is not specifically required for contact precautions. Masks are primarily used for airborne precautions or when caring for patients with respiratory infections spread through droplets.
Choice B rationale:
Removing potted plants from the room may be a good practice for infection control, but it is not a specific action mandated by contact precautions. Contact precautions primarily focus on preventing the transmission of infections through direct or indirect contact with the patient or their environment.
Choice C rationale:
Allowing the client to leave the room every 2 hours is not a recommended practice for contact precautions. Patients under contact precautions should ideally stay in their rooms to prevent the spread of infections to others in the healthcare facility.
Choice D rationale:
When caring for a client under contact precautions, it is essential to dedicate equipment and supplies for their use exclusively. This helps prevent the spread of infections to other patients or healthcare workers by avoiding the contamination of shared items.