MIDTERM EXAM REVIEWER

Surgical Handwashing Quiz

1. Student Nurse Clariza was assigned to discuss about the purpose of surgical
handwashing pior to their clinical exposure. Student Nurse Clariza fully understand her
assigned topic if she will say :

a. One of the purpose of surgical handwashing is to keep the population of microorganisms

minimal during the surgical procedure by suppression of growth.
b. Help prevent the possibility of contamination or the operative wound by microorganisms
on hand and on the arms.
c. To remove or deactivate soil, debris, natural skin oils, hand lotion, and transient
microorganism from the hands and forearms of sterile team members.
d. All the choices are correct.
2. A type of scrubbing takes in about 10-15 minutes.

a. Complete Scrubbing
b. Contamination
c. Short scrub
d. Emergency scrub
3. Nurse Jay is about to perform surgical handwashing, he understands the principle of
the procedure if he performs the following except :

a. Hands should be kept lower than the elbows after a scrub to prevent
running water back to the scrubbed hands.
b. Use an ample amount of antiseptic in scrubbing.
c. Rinse as often as possible using one direction only. Start from the hand going to the arm
taking care not to touch the faucet and the sink.
d. The hands and arms can never be rendered sterile no matter how long the scrubbing is
nor how strong the antiseptic.
4. If there is any doubt about sterility of an object, it is considered sterile.

a. True
b. False
5. Movement around and in the sterile field must compromise or contaminate the sterile
field.

a. True
b. False
6. Sterile items that are below the waist level, or items held below waist level, are
considered to be non-sterile

a. True
b. False
7. In doing surgical handwashing, which comes first.

a. Under running water, clean under nails both with file.

b. Holding brush perpendicular , scrub the palm , each side of the thumb and fingers and
the posterior side of the hands with 10 strokes each .
c. Wet hands and arms under running lukewarm water and lather with
detergent or soap up to 2 inches above the elbow
d. The arms is mentally divided into thirds and each is scrubbed 10 times.

8. The nails of one hand with how many strokes?

a. 13 strokes
b. 10 strokes
c. 15 strokes
d. 5 strokes
9. One of the important points to remember in serving gloves to the other person is
always serve the right gloves.

a. True
b. False
10. A type of scrubbing that usually takes in three to five minutes

a. Complete scrubbing
b. Contamination
c. Short scrub
d. Emergency scrub
11. A type of gloving technique that is the recommended technique for those involved in a
surgical procedure

a. Closed gloving
b. Open gloving
c. None
12. A type of gloving technique that is used for procedure outside the operating room and
is used when preparing for OR theater

a. Closed Gloving
b. Open gloving
c. None of the choices are correct
13. In an open gloving technique, you pick up the cuff of the right glove with your left
hand. Slide your right hand into the glove until you have a snug fit over the thumb
joints and knuckles. Your bare left hand should only touch the folded cuff.

a. True
b. False
14. Nurse Juan, remember the infection prevention and control policies according to the d
o h it says that the standard and transmission based precautions must be applied
when providing nursing care to suspect, probable and confirmed covid-19
patients. Nurse Juan shall undergo orientation or training on donning and doffing
personal protective equipment (PPE) prior to deployment to the temporary treatment
and monitoring facilities. The following are questions related to the donning and
doffing. Nurse Juan remembers the different pieces he needs to protect himself for
contract or droplet precautions. He is correct if he chooses?

a. Gloves, shoe covers, gown. and mask

b. Gown, gloves, bonnet and goggles
c. Gown, shoe covers, gloves, bonnet, mask, and goggles and face shield
d. None of the choices
15. After Nurse Juan undergone orientation or training on donning and doffing personal
protective equipment (PPE), he decided to put on his PPE for contract droplets. What
should nurse Juan first step, except? [BONUS QUESTION]

a. Wash hands with alcohol based hand rub if visibly soiled.

b. Wash hands with alcohol based hand rub if visibly soiled.
c. Put on the gown and security on the back
d. Wash hands with soap and water if visibly soil
16. Nurse Juan was done washing hands, he applied what he learned in the training about
donning and doffing PPE. The first piece of PPE that he needs to put in is or are?

a. The gloves
b. The mask
c. The down
d. Shoe cover
17. Nurse Juan is almost done with donning PPE. The last piece of equipment that he will
put on is or are?

a. His gloves and he will make sure that they cover the handcuffs of the
gown.
b. His isolation gloves and he will make sure that the handcuffs of the gown are not
covered.
c. His 2 isolation gloves and there is no specific way to put on them.
d. All of the choices are correct
18. Nurse Juan is done with his 12 hours shift in the covid-19 ward. applying what he
learned in the doffing , once he had completed the client care and he is ready to
remove the PPE, he should first?

a. Leave the house

b. Leave the client care area ( at least 2 meters away)
c. Leave the room.
d. Run away
19. Nurse Juan’s continued doffing PPE, now is done removing his face shield, he will dpff
next is or are?

a. The ties of the mask first he needs to breathe

b. The goggles and face mask since he needs to see clearly and breath freely.
c. The ties of the gowns which comes off, rolling it in a ball touching the outside of it
d. The gown which comes off with clean gloves , rolling it in a ball without
touching the outside of it
20. In donning PPE, Nurse Juan reaching for the side at back of his head avoiding
touching the front of them, he can now remove :

a. His bonnet, goggles or face shield first then at last his mask.
b. His mask first then goggles or face shield.
c. His goggles only
d. His mask only
21. Nurse Juan also review the important key points to remember in donning PPE, the
following is are correct except

a. Don PPE before patient contact

b. Don PPE generally before entering the patient’s room
c. Don PPE after patient contact.
d. None of the choices.
22. Nurse Juan also review the important key points to remember in doffing PPE, the
following is or are correct except :

a. Remove mask outside of room after closing the patient's door

b. Remove all PPE except respirator mask at patients doorway or anteroom
c. If hands become contaminated during PPE removal continue the next step
d. none of the choices
23. Another important general safe - work from practices that nurse Juan needs to
remember in donning and doffing of PPE is or are the following except :

a. Keep your hands towards your face.

b. Work from clean to dirty
c. Avoid touching areas in the patient's room
d. none of the choices
Medication Administration Quiz 30/30

1. A flat, round or oval presentation that dissolves and releases a drug when held in the
mouth?

a. Pill
b. Lozenge
c. Tablet
d. Caplet
2. The nurse is teaching a patient about how to take sublingual nitroglycerin tablet, which
statement by the patient best demonstrates understanding of the teaching?

a. I will place the tablet in the lower lid of my eye

b. I will put the tablet under my tongue
c. I will hold the tablet next to my skin
d. I will put the tablet inside my cheek
3. As a nurse, if you notice a mistake with a patient medication, what should you do?

a. Make a mental note about the error and share it at the next staff meeting
b. Give the patient a different medication
c. Report the error.
d. Do your best to fix it on your own
4. Which of the following practices does not ensure safety of giving injections?

a. Skin preparation and disinfection

b. Handwashing
c. Check Doctors order
d. Not wearing gloves
5. The Following Rights of giving Medication Administration except?

a. Right dose, right patient, right documentation and right medication

b. Right medication, right route, right date, right documentation, right dose, right time
c. Right patient, right medication, right time, right prescription, right date and documentation
d. Right dose, right route, right date, right symptoms, right document, right
medication
6. When it is acceptable for the nurse to take a verbal order from the prescriber before
giving a drug to a patient?

a. Any time it is necessary

b. In an emergency situation such as cardiac arrest
c. When a patient is experiencing severe pain
d. During the night shift when the prescriber is not at the hospital
7. Amoxil (amoxicillin) suspension 180 mg PO bid is ordered for a patient who cannot
swallow pills. It is supplied as 125 mg/5 mL. How many milliliters should you
administer?

a. 6.1 ml
b. 10 ml
c. 7.2 ml
d. 1.0 ml
8. A medication form which is softer than lozenge and their bases is either glycerol,
gelatin, acacia and sugar?

a. Lozenges
b. Pastilles
c. Time release
d. Effervescent tablets
9. A solid form, shape like a capsule. Coated and easily swallowed.

a. Caplet
b. Pill
c. Capsule
d. Tablet
10. What is NOT an appropriate action when a patient, who is legally responsible for their
care, refuses medication?

a. Notify the ordering physician of the patient refusal to take medication

b. Document the patient refusal to take medication and the education that you provided
c. Force the patient to take it anyway
d. Explain the consequences for not taking the medication
11. Which is not part of Pharmacokinetics?

a. Metabolism
b. Response
c. Absorption
d. Distribution
12. Nurse Steffi reviews a physician order and finds that the medication amount is greater
than the standard dose. What should the nurse do?

a. Call the physician to discuss the order

b. Inform the nursing supervisor
c. Give the drug as ordered by the physician
d. Give the standard dose rather than the one that is ordered
13. The nurse understands that medication absorption is affected by the administration
route. Which route for medications has the fastest absorption rate?

a. Enteric-coated capsules
b. Intravenous injection
c. Cream applied to the skin
d. Subcutaneous injection
14. The doctor orders ibuprofen 600 mg PO BID. You have 300 mg tablets of ibuprofen on
hand. How many tablets should be given to the patient at one time?

a. 4 tablets
b. 2 tablets
c. 3.5 tablets
d. 3 tablets
15. These types of injections are used for sensitivity testing because the patient’s reaction
is easy to visualize and the degree of reaction can be assessed?

a. ID
b. IVTT
c. IM
d. SQ
16. The doctor orders valproic acid 0.5 g PO TID. The bottle of valproic acid on hand says
50 mg/ml, how many milliliters should be given?

a. 7ml
b. 6ml
c. 10ml
d. 5ml
17. A sweetened and aromatic solution of alcohol used as vehicle for medicinal agents?

a. Aqueous suspension
b. Syrup
c. Aqueous solution
d. Elixir
18. The physician ordered enalapril maleate 7.5 mg PO daily, you have 5mg tablets of
enalapril maleate available on hand. How many tablets should be given to the patient?

a. 1.5 tablets
b. 2.5 tablets
c. 2 tablets
d. 1 tablet
19. The following are NOT acceptable for patient identifiers except?

a. Diagnosis
b. Procedure
c. Diet
d. Ask patients name

20. The nursing students prepare the medication. What should the Clinical Instructor do
first?

a. Ask these students to demonstrate the calculations and steps required to prepare the
dose
b. Give right away the medication
c. Tell the students to review the provider prescription before administering
medication
d. Accompany the student to the patient room and observe as the medication is
administered
21. An aqueous solution of sugar often used to disguise unpleasant testing drugs?

a. Aqueous solution
b. Syrup
c. Elixir
d. Aqueous suspension
22. The Nurse understand the safe spot in giving Intramuscular injection except?

a. You can also locate the site by placing six fingers across the deltoid
muscle, with the top finger along the acromion process. The injection site
is then three finger widths below the acromion process
b. The thigh is a good place to give an injection to yourself or a child less than 3 years
c. In the Hips, have the person lie on the side. Put the heel of your hand where the thigh
meets the buttocks. Your thumb should point to the person’s groin and your fingers point
to the head
d. In Buttocks, DO NOT use this site for a child under 3 years old, because there is not
enough
23. The nurse is planning to administer a tuberculin test with a 26 gauge inch needle. At
which angle will the nurse insert the needle?

a. 30 degree
b. 90 degree
c. 45 degree
d. 15 degree
24. If you notice that a patient status has changed and you feel the patient medication dose
might no longer be right, what should you do?

a. Ask the Doctor for clarification

b. Follow your instincts and change the dose
c. Ask the patient if he or she would like different dose
d. Do nothing
25. What are some of the incorrect practices that have resulted in transmission of disease
such as hepatitis C virus (HCV) and/or hepatitis B virus HBV) include the following
except?

a. Using a common bag of saline or other IV fluid for more than one patient, and accessing
the bad with a syringe that has already been used to flush a patient catheter
b. Using the same syringe to administer medication to more than one patient, even if the
needle was changed
c. Using the same medication vial for more than patient, and accessing the vial with a
syringe that has already been used to administer medication to a patient
d. Injection safety is a set of measures taken to perform injections in an
optimally safe
26. A 2 years old child is ordered to have ear drops daily. Which action will the nurse take?

a. Sit the child up for 2-3 min after instilling drops

b. Pull the auricle down and back
c. Pull the auricle up and outward
d. Sit the child up to insert the cotton ball into the innermost ear canal
27. The health care provider prescribes a medication that is administered transdermally,
the nurse understands what features of the transdermal route?

a. It is dissolved inside the cheek

b. It is inhaled into the respiratory tract
c. It is inserted into the vaginal cavity
d. It is absorbed through the skin
28. A gelatinous container to hold a drug in powder, liquid or oil form?

a. Tablet
b. Caplet
c. Capsule
d. Pill
29. The route describes how the medication is actually given to or taken by the patient,
which of the following is true regarding the medication routes?

a. All tablets are administered by the all route

b. Most medications administered by nurse are by injection
c. Oral It is the most common safe method and most convenient route for
most patients because the skin is not broken
d. The route can be determined by the nurse
30. In withdrawing medication out form the vial, you learn the proper technique, EXCEPT?

a. Hold the vial with dominant hand and turn in up, keeping needle inserted,
control syringe with nondominant hand and keep plunger down with the
thumb
b. Look at the medicine in the vial. Check for a change in color, small pieces floating in the
liquid, cloudiness, or any other changes
c. Check the label and make sure you have the right medicine

d. The air injected into the vial will allow the medicine to be withdrawn more easily. Keep the
needle in the vial, turn the vial upside down and make sure the needle is in the liquid
medicine