Nokea
A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?
- A. I will use disinfectant to clean the blood pressure cuff after use on a client.
- B. I will double-bag a client's linens each day.
- C. I will wear sterile gloves when bathing a client who is incontinent.
- D. I will rinse the contaminants from a bedpan with hot water.
Correct Answer: A
Rationale: Disinfecting the cuff reduces cross-contamination, aligning with infection control standards.
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A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
- A. Clean the hearing aid with isopropyl alcohol.
- B. Turn the hearing aid off for 5 minutes.
- C. Soak the hearing aid in warm water.
- D. Decrease the volume on the hearing aid.
Correct Answer: D
Rationale: Lowering volume addresses feedback, a common cause of whistling.
A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
- A. Verify the bilirubin level of the tube contents.
- B. Check the pH level of gastric contents.
- C. Auscultate for air insufflation.
- D. Request a chest x-ray.
Correct Answer: D
Rationale: A chest x-ray visually confirms tube placement, the most reliable method.
A nurse is caring for an older adult client who has fecal incontinence. Which of the following actions should the nurse take?
- A. Apply cornstarch powder to the perineal area.
- B. Turn the client every 4 hours.
- C. Cleanse the perineal area with povidone-iodine solution.
- D. Place a moisture barrier ointment over the perineal area.
Correct Answer: D
Rationale: Moisture barrier ointment protects skin from breakdown due to fecal exposure.
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?
- A. Inject air into the ampule prior to drawing the medication into a syringe.
- B. Add 0.5 mL of diluent to the medication.
- C. Use a filter needle to aspirate the medication.
- D. Cleanse the tip of the ampule with an alcohol swab after opening.
Correct Answer: C
Rationale: A filter needle prevents glass particles from entering the syringe, ensuring safety.
A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?
- A. Place one hand over the other against the part of the gown covering their upper body.
- B. Clasp their hands together in a relaxed position behind their body at their waist.
- C. Keep their arms at the sides of their body with their hands in a relaxed position.
- D. Interlock their fingers and hold their hands away from their body above their waist.
Correct Answer: D
Rationale: Interlocking fingers above the waist prevents contamination of sterile gloves.