A nurse is preparing to perform hand hygiene with soap and water. Which of the following actions should the nurse plan to take?

Use a towel to turn off the water.

Dry hands with a reusable towel

Use hot water to wash hands.

Wash hands for 10 seconds.

Answer and Explanation

The Correct Answer is A

A. Using a towel to turn off the water prevents recontamination of the hands after washing. This is an essential step to maintain hand hygiene after performing proper washing.

B. Drying hands with a reusable towel can reintroduce pathogens from previous users; disposable paper towels are preferred for infection control.

C. Using hot water is unnecessary and can cause skin irritation; lukewarm or cool water is effective when combined with proper hand-washing technique.

D. Washing hands for only 10 seconds is insufficient; the recommended duration is at least 20 seconds to effectively remove pathogens.

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Correct Answer is B

Explanation

A. Filling out an incident report is not required for a client’s refusal of medication, as this is not considered an error or adverse event.

B. The nurse should report the refusal to the provider so that the prescription can be evaluated, alternatives considered, or adjustments made to the treatment plan. This ensures safe, continuous, and collaborative care.

C. Notifying the facility’s ethics committee is unnecessary unless there is a complex ethical dilemma, which is not indicated in a standard medication refusal.

D. Returning an opened unit-dose medication to the cart is unsafe and violates medication administration protocols, as contamination may occur. Opened medications must be discarded according to facility policy.

A. A client who is post-operative day one from a major surgery. B. A client experiencing chest pain. C. A client receiving blood transfusion. D. A stable client in a long-term care facility.

Correct Answer is D

Explanation

A. A post-operative day one client requires close monitoring by licensed nursing staff due to the risk of complications; vital signs in this situation are not appropriate to delegate.

B. A client experiencing chest pain requires immediate assessment and intervention by a nurse; delegating vital signs could delay recognition of life-threatening changes.

C. A client receiving a blood transfusion needs continuous monitoring by a nurse to detect adverse reactions; vital signs should not be delegated.

D. A stable client in a long-term care facility has predictable and low-risk needs, making it appropriate to delegate vital signs to assistive personnel.

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A nurse is preparing to perform hand hygiene with soap and water. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

In which situation is it most appropriate for a nurse to delegate the task of taking vital signs to assistive personnel?

Correct Answer is D

Explanation

During an admission interview, a client tells the nurse that he takes echinacea but does not remember why his provider recommended it for him. The nurse should remind the client that this herbal supplement has which of the following actions?

A nurse administers the wrong medication to a client. After collecting data from the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

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A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?

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A nurse is caring for a patient with COVID-19. What mode of transmission requires the nurse to use a surgical mask when the patient is transported outside their room?

A nurse is planning care for a group of clients. When planning the assignment for an assistive personnel (AP), which of the following activities should the nurse consider unsafe for the AP to perform?