Question: A nurse is preparing to wash their hands prior to surgery. For which of the following reasons should the nurse keep their hands above their elbows?
Answer Options: A. To prevent them from coming into contact with a contaminated object
B. To facilitate the application of sufficient friction to the hands
C. To provide good visualization of the hands as they are scrubbed
D. To encourage water and soap to flow away from the clean hands
Answer: D. To encourage water and soap to flow away from the clean hands
Question: Which of the following actions should a nurse take after witnessing a breach of a client’s confidentiality in a provider’s office?
Answer Options: A. Complete a health information privacy complaint form
B. Anonymously notify the proper governmental agency
C. Notify the client and ask them to complete a health information privacy complaint form
D. Inform the provider that a formal complaint will be submitted if another breach is committed
Answer: A. Complete a health information privacy complaint form
Question: A nurse is preparing a sterile field. The nurse should identify that which of the following actions contaminates the sterile field? (Select all that apply.)
Answer Options: A cotton ball dampened with sterile normal saline is placed on the field
A contaminated instrument touches the outer edge of the sterile field
A sterile instrument is dropped onto the near side of the sterile field
The nurse turns to address the client’s question concerning the procedure
The procedure is postponed for 30 min to accommodate the client
A liquid is poured into a sterile container from a distance of 25 cm (10 in)
Answer: A contaminated instrument touches the outer edge of the sterile field
The nurse turns to address the client’s question concerning the procedure
The procedure is postponed for 30 min to accommodate the client
A liquid is poured into a sterile container from a distance of 25 cm (10 in)
Question: When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack?
Answer Options: A. Allowing movement of team members around the field
B. Holding the sterile pack below waist or table level
C. Keeping sterile items away from the edge of the table
D. Opening the sterile pack just prior to the procedure
Answer: B. Holding the sterile pack below waist or table level
Question: A nurse is providing teaching to an assistive personnel (AP) about the use of sterile gloves. Which of the following instructions regarding the open-gloving method should the nurse give?
Answer Options: A. “Ask another team member to assist with donning gloves.”
B. “Choose a pair of gloves at least one size smaller than usual.”
C. “Grasp only the underside of the cuff with your ungloved hand.”
D. “Grasp only the inside of the glove with your ungloved hand.”
Answer: D. “Grasp only the inside of the glove with your ungloved hand.”
Question: A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash?
Answer Options: A. The area between each finger
B. The area under each fingernail
C. The palm of each hand
D. The back of the hands
Answer: B. The area under each fingernail
Question: When donning sterile gloves, which of the following explains the method a nurse should use for gloving the dominant hand?
Answer Options: A. “Slipping the fingers beneath the cuff maintains the gloves’ sterility.”
B. “The inner edge of the cuff will lie against the skin and thus will not be sterile.”
C. “Gloving the dominant hand first allows for better control over the process.”
D. “The hand has been surgically scrubbed and is considered uncontaminated.”
Answer: B. “The inner edge of the cuff will lie against the skin and thus will not be sterile.”
Question: A nurse in a pediatrician’s office is speaking on the telephone with the guardian of a school-age child who will become a new client at the office. The nurse should instruct the guardian to call the child’s previous provider’s office to request which of the following?
Answer Options: A. The guardian be allowed to take the child’s medical records and make photocopies for the new pediatrician’s office
B. The child’s original medical records be given to the new pediatrician’s office
C. A form authorizing release of copies of the child’s medical records to be signed by the guardian
D. A form authorizing release of the child’s medical records to be signed by the new pediatrician and sent back to the previous provider
Answer: C. A form authorizing release of copies of the child’s medical records to be signed by the guardian
Question: While waiting for a sterile procedure to begin, how should a nurse position their hands and arms?
Answer Options: A. With hands clasped together in front of the body above waist level
B. At the sides of the body with hands pointing downward
C. Folded across the chest with hands on the shoulders
D. With hands clasped together in the back of the body at waist level
Answer: A. With hands clasped together in front of the body above waist level
Question: A newly hired nurse is reviewing information about the HIPAA Privacy Rule during facility orientation. Which of the following statements by the nurse indicates an understanding of the Privacy Rule?
Answer Options: A. “Clients do not have the right to read their charts.”
B. “I can read the charts of other clients on my floor.”
C. “I will expect a list of clients and their admitting diagnoses to be posted on my unit.”
D. “I can give information about a client over the phone if the client gives permission.”
Answer: D. “I can give information about a client over the phone if the client gives permission.”
Question: A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client is unresponsive and the client’s spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the client’s surgery?
Answer Options: A. Ask the facility’s Privacy Officer to witness the informed consent document
B. Inform the client’s friends that are present about the surgery and obtain group consent
C. Ask the nursing supervisor to provide implied emergency consent
D. Inform the provider of the spouse’s contact information so consent can be obtained over the telephone
Answer: D. Inform the provider of the spouse’s contact information so consent can be obtained over the telephone
Question: A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurses take to ensure the study complies with the HIPAA Privacy Rule?
Answer Options: A. Contact the medical record department to obtain permission to access clients’ charts
B. Submit their proposal to the institutional review board for review and describe how they will de-identify client information
C. Notify the clients who will be included in the study to submit a written request if they choose not to participate
D. Obtain permission from the risk management department to gain access to incident reports that were filed due to client falls
Answer: B. Submit their proposal to the institutional review board for review and describe how they will de-identify client information
Question: Which of the following methods of information exchange can occur without client authorization?
Answer Options: A. Walking rounds that involve two nurses discussing an assigned client at the client’s bedside in a private room
B. Recording shift report on a device for all oncoming staff to access information about all clients on the unit
C. Talking about a client’s information during a staff in-service with all levels of unit staff present
D. Providing an employer with confirmation that their employee is currently being treated in the facility
Answer: A. Walking rounds that involve two nurses discussing an assigned client at the client’s bedside in a private room
Question: A client tells a nurse that they feel their privacy has been violated and wants to file a formal complaint with someone other than the medical facility. Through which of the following agencies should the nurse instruct the client to file the complaint?
Answer Options: A. Occupational Safety and Health Administration (OSHA)
B. The Joint Commission
C. Office for Civil Rights (OCR)
D. Privacy and Civil Liberties Office
Answer: C. Office for Civil Rights (OCR)
Question: Prior to entering the surgical-scrub area, which of the following personal protective equipment (PPE) items should a nurse don? (Select all that apply.)
Answer Options: Gown
Protective eyewear
Hair cover
Mask
Shoe covers
Answer: Protective eyewear; Hair cover; Mask; Shoe covers
Question: A nurse is preparing to flush and change the dressing on a client’s central venous catheter. Which of the following should the nurse identify as the primary purpose for performing this intervention using surgical asepsis?
Answer Options: A. To promote the catheter’s patency
B. To assess the skin’s integrity around the catheter site
C. To provide a clean, dry environment for the catheter
D. To control the introduction of micro-organisms at the catheter site
Answer: D. To control the introduction of micro-organisms at the catheter site
Question: A nurse is teaching a newly licensed nurse about using a computer to document in a client’s health record. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Answer Options: A. “I should share my computer password with the nurse orienting me.”
B. “I should remain aware of my surroundings when documenting in the computer.”
C. “I can step away from the computer for a short time if I am logged on and no one is around.”
D. “I can review the health records of other clients on the unit not assigned to me.”
Answer: B. “I should remain aware of my surroundings when documenting in the computer.”