RN Medical-Surgical
ACTUAL EXAM QUESTION
AND ANSWERS WITH
RATIONALES RATED A
GRADE.
A nurse has removed a sterile pack from
its outside cover and place it on a clean
work surface in preparation for an
invasive procedure. Which of the
following flaps should the nurse unfold
first:
A. closest to body
B. right side
C. left side
D. farthest from body - ANS-D
A nurse is wearing sterile gloves in prep
for performing a sterile procedure.
Which of the following objects can the
nurse touch without breaking sterile
technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of
the field
C. inner wrapping of an item on the
sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other
gloved hand - ANS-C, D, E
A nurse has prepared a sterile field for
assisting a provider with a chest tube
insertion. Which of the following events
should the nurse recognize as
contaminating the field (Select all that
apply)
A. provider drops a sterile instrument
onto the near side of the sterile field
B. nurse moistens a cotton ball with
sterile normal saline and places it on
sterile field
C. procedure is delayed 1hr because the
provider receives an emergency call
D. nurse turns to speak to someone who
enters through the door behind the
nurse
E. clients hand brushes against the outer
edge of the sterile field - ANS-B, C, D
TB is suspected, what precautionary
actions to do? - ANS--negative airflow
room, airborne precautions
-nurses wear N95 mask, client wears if
going out of the room
-admin heat & humidified O2 therapy as
prescribed
Endoscopy (EGD) positioning - ANS-left
side lying
TB interventions: - ANS--family members
should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3
negative sputum cultures
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