Nokea
Inserting an IV needle into a vein should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Inserting an IV needle requires sterile technique because it enters the bloodstream, a sterile environment, and contamination could lead to serious infections.
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Handling needles, syringes, and lancets should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Handling needles, syringes, and lancets requires sterile technique to prevent contamination, as these items may enter body tissues or fluids.
Which is true of setting up and adding to a sterile field?
- A. The outer 2-inch margin of the sterile drape is considered unsterile.
- B. If the sterile drape extends below the table surface, the parts below it are considered unsterile.
- C. You may place unsterile items on a sterile field as long as you wear sterile gloves.
- D. You may touch the outer 1 inch of the sterile drape with your bare hand because it is considered unsterile.
- E. A sterile drape with a moisture-proof back is not considered unsterile if it becomes wet.
- F. When pouring sterile liquids into a basin on a sterile field, hold the bottle 12 to 14 inches above the basin.
Correct Answer: B,D
Rationale: The parts of a sterile drape extending below the table surface are considered unsterile, and the outer 1-inch margin of the drape is also unsterile, allowing bare hand contact without contaminating the field. The other options are incorrect as they violate sterile technique principles.
Inserting a tube through the nose and into the stomach should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Inserting a nasogastric tube requires sterile technique because it enters the stomach, bypassing normal body defenses and posing an infection risk if contaminated.
When you obtain a sterile pack, you notice evidence of strike-through. What will you do?
- A. Do not use the pack and dispose of it according to facility policy.
- B. Dispose of the outer wrap because it has been wet and is considered contaminated.
- C. Strike-through means the pack has passed the expiration date and is no longer sterile.
- D. Use the pack as long as the hash marks on the tape have changed colors.
Correct Answer: A
Rationale: Strike-through indicates that moisture has penetrated the sterile pack, compromising its sterility. The pack should not be used and must be disposed of according to facility policy to prevent infection risk.
You obtain a package of commercially prepared sterile gauze. To ensure it is sterile prior to opening it, you will
- A. Check the hash marks on the tape to see the color.
- B. Check the stamped expiration date on the package.
- C. Examine the package for any open or unsealed areas.
- D. Look for the date and initials of the person who sterilized the package.
Correct Answer: B,C
Rationale: To ensure sterility, check the expiration date to confirm the gauze is still valid and examine the package for any tears or unsealed areas that could compromise sterility. Hash marks and initials are not typically used for commercially prepared gauze.