Fundamentals of Nursing Flashcards

A nurse is preparing to perform hand hygiene before a procedure. Which action is correct when using alcohol-based hand rub?

Answer: Apply to dry hands and rub for at least 15 seconds until dry

Alcohol-based hand rub should be applied to dry hands and rubbed together for at least 15 seconds until completely dry.

Which patient position is most appropriate for a client receiving a nasogastric tube feeding?

Answer: Semi-Fowler's at 30–45 degrees

Semi-Fowler's position at 30–45 degrees reduces aspiration risk during enteral feedings.

A nurse is measuring a client's blood pressure and notices the cuff is too small. What effect will this have on the reading?

Answer: Falsely high reading

A cuff that is too small will produce a falsely elevated blood pressure reading.

When performing a bed bath, the nurse should wash the patient in which order?

Answer: Face → neck → arms → chest → abdomen → legs → perineum → back

The correct sequence moves from cleanest areas (face) to dirtiest (perineum, back) to prevent contamination.

A nurse is about to administer a medication. Which of the following is the MINIMUM number of patient identifiers that should be used?

Answer: Two

At least two patient identifiers (e.g., name and date of birth) must be verified before administering any medication per The Joint Commission standards.

A client is placed in contact precautions. Which personal protective equipment (PPE) must the nurse don before entering the room?

Answer: Gloves and gown

Contact precautions require gloves and a gown to prevent transmission of pathogens via direct or indirect contact.