A charge nurse is observing a newly hired nurse prepare a sterile field. Which of the following indicates

to the charge nurse that the sterile field is contaminated? A: Sterile field is opened on a wet surface

A nurse is providing teaching to a client who is receiving chemotherapy. Which of the following client

statements indicates an understanding of the teaching? A: I will disinfect my toothbrush weekly.

A nurse is evaluating a client who has right leg weakness and is learning to use a rubber-tipped standard

walker. Which of the following actions by the client indicates proper use of the walker? A: Uses a lifting

motion to move the walker

A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?

(Select all that apply) A: Place the client in a negative pressure room; wear gloves when assisting the

client with oral care; use antimicrobial sanitizer for hand hygiene.

A nurse is transcribing new prescriptions for a client. Which of the following prescriptions is accurately

transcribed by the nurse? A: Morphine 4 mg IV bolus every 2 hr PRN for incisional pain.

Which of the following precautions is important to take when a nurse is caring for a client who has

diarrhea due to Shigella? A: Wash hands before and after client contact.

A nurse is preparing to insert an IV catheter into a client’s arm prior to initiating IV fluid therapy. Which

of the following interventions should the nurse implement to prevent infection? A: Thread the IV

catheter so that the hub rests at the insertion site.

A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client’s

family questions the nurse about the reasons for the transfer. Which of the following responses made by

the nurse is appropriate. A: Have a seat and let me tell you what has happened.

A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen

concentrator. Which of the following instructions should the nurse give to the client and his family? A:

Check the cord routinely for frays or tearing; Consider purchasing a generator for power backup; Monitor

for signs of hypoxia

Which of the following should indicate to a nurse the need to suction a client’s tracheostomy? A:

Irritability