Deck 57: Surgical Asepsis

Question 1

Which body parts are considered sterile and do not require disinfection? Select all that apply.

A) Oral cavity
B) Abdominal cavity
C) Skin surface
D) Upper respiratory tract
E) Urinary bladder

Answer 1

Abdominal cavity
Urinary bladder

Question 2

A nurse is preparing to place a urinary catheter into a client prior to surgery. Which technique is appropriate for the procedure?

A) Clean technique
B) Disinfection
C) Medical asepsis
D) Surgical asepsis

Answer 2

Surgical asepsis

Question 3

Which statements are true about nonsterile body areas? Select all that apply.

A) Open to the outside environment
B) Sites of cross contamination infection sources
C) Inhabited by microorganisms
D) Susceptible to infections
E) Exemplified by the bladder

Answer 3

Open to the outside environment
Inhabited by microorganisms
Susceptible to infections

Question 4

Which term is used to identify the technique implemented to prevent the spread of disease from one person to another?

A) Surgical asepsis
B) Disinfection
C) Sterile technique
D) Medical asepsis

Question 5

A nurse is preparing to administer a parenteral medication to a client. Which technique is appropriate for the procedure?

A) Clean technique
B) Disinfection
C) Medical asepsis
D) Surgical asepsis

Question 6

Which procedures involve non-sterile body areas? Select all that apply.

A) Ear irrigation
B) Wisdom tooth extraction
C) Rectal temperature
D) Urinary catheterization
E) Suctioning the nasal passages

Question 7

What statement accurately describes the process of disinfection?

A) Process of exposing articles to steam heat under pressure long enough to kill all microorganisms and spores
B) Process of exposing articles to chemical disinfectants to kill all microorganisms and spores
C) Process that result in the destruction of most pathogens with hexachlorophene
D) Process that result in the destruction of most pathogens with ethylene oxide

Question 8

What medical equipment must be disinfected for reuse?

A) Mouth care utensils
B) Incentive spirometers
C) The intravenous (IV) pump
D) Wash basins

Question 9

Which agent should the nurse use to wash hands before beginning client care?

A) Hexachlorophene
B) Ethylene oxide
C) Distilled water
D) Chlorine bleach

Question 10

What is the correct time frame and temperature for sterilization to kill organisms and spores?

A) Exposure to steam at 18 pounds of pressure at a temperature of 125°C (257°F) for 5 minutes
B) Exposure to steam at 18 pounds of pressure at a temperature of 125°C (257°F) for 10 minutes
C) Exposure to steam at 18 pounds of pressure at a temperature of 125°C (257°F) for 15 minutes
D) Exposure to steam at 18 pounds of pressure at a temperature of 125°C (257°F) for 20 minutes

Question 11

What is the proper sequence of steps for putting on sterile gloves on by the nurse?
1) Grasp the glove for the dominant hand using the nondominant hand, touching only the inside upper surface of the glove's cuff.
2) Open the outer package of the sterile gloves on a clean, dry, flat surface.
3) Insert the fingers of the sterile gloved hand between the cuff and the glove to put on the second glove.
4) Insert the dominant hand into the glove, placing the thumb and fingers in the appropriate openings.

A) 1, 2, 3, 4
B) 2, 1, 4, 3
C) 3, 4, 2, 1
D) 4, 3, 1, 2

Question 12

Which guidelines should a nurse follow when inserting a urinary catheter? Select all that apply.

A) Only items free of all microorganisms are to be used.
B) Sterile articles should not be touched with unsterile ones.
C) Urinary catheterization requires sterile equipment.
D) Contaminated gloves must be removed immediately.
E) The area on which the catheterization is preformed is considered clean.

Question 13

The nurse is opening a sterile package on the work area. Which flap on the sterile
Package is opened last?

A) Outermost top flap
B) Left side flap
C) Right side flap
D) Bottom flap

Question 14

The nurse is preparing to open sterile packages on the work area. At what level does the nurse need to open the sterile packages?

A) Knee high
B) Hip high
C) Waist high
D) Shoulder high

Question 15

A nurse is about to open a fresh carton of surgical gloves. Which should the nurse do when noticing that the date of the package has expired?

A) The packet of gloves must be re-sterilized.
B) The outer glove covering must be removed.
C) The carton of gloves must be refrigerated.
D) The packet of gloves must be discarded.

Question 16

When pouring a sterile solution from a bottle into a basin, which techniques should be followed by the nurse? Select all that apply.

A) Avoid touching the inside of the basin.
B) Pour the solution slowly into the basin.
C) Hold the bottle with its label facing downward.
D) Place the inside of the bottle cap facing up.
E) The bottle cap may be place appropriately on a non- sterile surface.

Question 17

The nurse is opening sterile packages and dropping items onto the sterile field. How many inches away from the edge of the field should the nurse drop items?

A) 1 in
B) 2 in
C) 3 in
D) 4 in

Question 18

Where should the nurse position the gloved hands until ready to begin a sterile procedure?

A) Between the neck and nipples
B) Between the nipples and waist
C) Between the waist and hips
D) Between the nips and knees

Question 19

What agent should the nurse to use to wipe down a bedside table that was used to complete a dressing change?

A) Povidone-iodine
B) Dry heat
C) Moist heat under pressure
D) Chlorine beach

Question 20

What agent should be used to prepare a dialysis machine for a new client?

A) Povidone-iodine
B) Dry heat
C) Moist heat under pressure
D) Chlorine beach

Question 21

What is the rationale for the nurse inflating the balloon of the catheter with water before the insertion?

A) To help keep the catheter in place in the urinary bladder
B) To detect any leaks or a nonfunctioning balloon
C) To help the catheter's advancement into the urethra
D) To flush and clean the urinary catheter before use

Question 22

A 40-year-old female client with urinary retention has an abnormal placement of the urinary meatus. Which catheter should be used for catheterization?

A) Foley catheter
B) Straight catheter
C) Tip catheter
D) Indwelling catheter

Question 23

A nurse caring for a 60-year-old client diagnosed with hypertrophy of the prostate gland is removing the client's retention catheter. Which technique should the nurse follow when removing the catheter?

A) Retention catheter should be cut and removed.
B) Catheter balloon should be completely deflated.
C) Client should be placed in side-lying position.
D) Client should be asked to hold breath during the procedure.

Question 24

Which information related to the catheterization of a client should be documented by the nurse? Select all that apply.

A) Size and type of catheter inserted
B) Amount of fluid inserted into the balloon.
C) Position of the client for catheter insertion
D) Type of water-soluble lubricant used
E) Amount and character of urine obtained

Question 25

A nurse is caring for a client with urine retention who has been catheterized. What is the maximum amount of urine that can be removed from the bladder safely?

A) 750 to 1,000 mL
B) 1,000 to 1,250 mL
C) 1,250 to 1,500 mL
D) 1,500 to 1,750 mL