NUR 2090 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
Indications |for |washing |hands |with |soap |and |water |- |CORRECT |ANSWER✔✔-Visibly |dirty |
hands, |hands |visibly |soiled |with |body |fluids; |after |using |the |toilet
Indications |for |alcohol-based |hand |sanitizer |- |CORRECT |ANSWER✔✔-If |hands |are |not |visibly |
soiled, |before |and |after |touching |a |pt, |before |handling |an |invasive |device |for |pt |care, |after |
contact |with |body |fluids |or |secretions, |mucous |membranes, |non |intact |skin, |or |wound |
dressings, |between |contact |with |inanimate |surfaces |and |objects |and |after |removing |sterile |or |
nonsterile |gloves
Medical |Asepsis |- |CORRECT |ANSWER✔✔-"Clean |technique"
- |Used |for |procedures |involving |intact |skin, |non |sterile |body |cavities |(surfaces |of |the |mouth, |GI
|tract, |reproductive |tract), |and |infected |wounds
- |Includes |procedures |such |as |infected |or |chronic |wound |care, |nasopharyngeal |swabbing, |
routine |gynecological |exams
Surgical |Asepsis |- |CORRECT |ANSWER✔✔-"Sterile |technique"
*To |be |sterile, |an |object |must |be |free |from |all |microorganisms*
- |Used |to |prevent |the |introduction |or |spread |of |pathogens |from |the |environment |into |the |
patient
- |Used |for |procedures |involving |entry |into |sterile |body |cavities, |organs |vascular |spaces |or |
across |mucous |membranes
(Insertion |of |IV |catheters, |injections, |urinary |catheterization, |some |irrigation |of |drainage |tubes,
|all |operative |procedures)
,Chain |of |Infection |- |CORRECT |ANSWER✔✔-infectious |agent, |reservoir, |portal |of |exit, |mode |of |
transmission, |portal |of |entry, |susceptible |host
Progress |of |Infection |(Periods) |- |CORRECT |ANSWER✔✔-Incubation |period
Prodromal |period
Acute |phase
Convalescent |period
Contact |Precautions |- |CORRECT |ANSWER✔✔-private |room, |clean |gloves, |gown
multidrug |resistant |organisms; |infectious |diarhhea |(C.Diff, |shigella, |Norovirus); |infectious |skin |
conditions |(impetigo, |herpes, |S.aureus)
Vehicle |Precautions |- |CORRECT |ANSWER✔✔-involves |the |transfer |of |pathogens |by |way |of |
vehicles |or |contaminated |items
(food |can |carry |Salmonella, |water |can |carry |Legionella, |drugs |can |carry |bacteria |from |
contaminated |infusion |supplies, |non |sterile |surgical |instruments |can |carry |pathogens |into |
surgical |incisions, |and |blood |can |carry |hepatitis |and |HIV)
droplet |precautions |- |CORRECT |ANSWER✔✔-private |room |or |cohab, |mask |within |3 |feet, |
masks |for |providers |and |visitors |
transmission |of |large |droplets |through |sneezing, |coughing, |or |talking: |influenza, |meningitis, |
rubella, |pertussis
airborne |precautions |- |CORRECT |ANSWER✔✔-private |room |AIIR; |respirator |mask, |fittings
tuberculosis, |measles, |varicella, |SARS
,vector-borne |precautions |- |CORRECT |ANSWER✔✔-Vectors |are |living |creatures |that |carry |
pathogens, |such |as |rats, |insects |or |birds
EX: |mosquitoes |transmitting |malaria
Normal |WBC |count |- |CORRECT |ANSWER✔✔-5,000-10,000
shift |to |the |left |- |CORRECT |ANSWER✔✔-leftward |shift |in |the |granulocytic |differential |count; |
considered |a |strong |indication |of |bacterial |infection
Positive |regard |- |CORRECT |ANSWER✔✔-underlying |assumption |is |that |the |person |is |
worthwhile |and |has |value |and |dignity; |avoids |unnecessary |labeling
goals |of |nurse-patient |relationship |- |CORRECT |ANSWER✔✔-meeting |pts |needs, |help |identify |
feelings |and |concerns, |solve |problems, |cope |and |adapt |in |relation |to |situation
termination |phase |- |CORRECT |ANSWER✔✔-review |of |health |changes |and |how |the |patient |has
|dealt |with |physical |and |emotional |responses; |includes |discharge |planning
Non |Therapeutic |Responses |- |CORRECT |ANSWER✔✔-Rescue |feelings
False |reassurance
Giving |advice
Changing |the |subject
Being |moralistic
Nonprofessional |involvement
PIE |Note |- |CORRECT |ANSWER✔✔-Problem, |Intervention, |Evaluation
, Simplifies |documentation |by |incorporating |the |plan |of |care |into |the |progress |notes
Increased |efficient |and |flexibility; |better |care |planning |focus; |better |tracking |of |patient |
problem, |nursing |interventions |and |patient |outcomes; |less |redundancy
SOAP |Note |- |CORRECT |ANSWER✔✔-subjective, |objective, |assessment, |plan
Progress |note |that |relates |to |only |one |health |problem
Incident |Report |- |CORRECT |ANSWER✔✔-Includes |date |and |time |of |incident, |events |leading |up
|to |it, |patient's |response, |and |a |full |nursing |assessment
Not |attached |to |patient's |chart
TeamSTEPPS |- |CORRECT |ANSWER✔✔-"Team |Strategies |and |Tools |to |Enhance |Performance |and
|Patient |Safety"
Templates |to |organize |and |improve |communication
I |PASS |the |BATON |- |CORRECT |ANSWER✔✔-I-introduction
P-patient
A-assessment
S-situation
S-safety |concerns
B-background
A-actions
T-timing
CORRECT ANSWERS
Indications |for |washing |hands |with |soap |and |water |- |CORRECT |ANSWER✔✔-Visibly |dirty |
hands, |hands |visibly |soiled |with |body |fluids; |after |using |the |toilet
Indications |for |alcohol-based |hand |sanitizer |- |CORRECT |ANSWER✔✔-If |hands |are |not |visibly |
soiled, |before |and |after |touching |a |pt, |before |handling |an |invasive |device |for |pt |care, |after |
contact |with |body |fluids |or |secretions, |mucous |membranes, |non |intact |skin, |or |wound |
dressings, |between |contact |with |inanimate |surfaces |and |objects |and |after |removing |sterile |or |
nonsterile |gloves
Medical |Asepsis |- |CORRECT |ANSWER✔✔-"Clean |technique"
- |Used |for |procedures |involving |intact |skin, |non |sterile |body |cavities |(surfaces |of |the |mouth, |GI
|tract, |reproductive |tract), |and |infected |wounds
- |Includes |procedures |such |as |infected |or |chronic |wound |care, |nasopharyngeal |swabbing, |
routine |gynecological |exams
Surgical |Asepsis |- |CORRECT |ANSWER✔✔-"Sterile |technique"
*To |be |sterile, |an |object |must |be |free |from |all |microorganisms*
- |Used |to |prevent |the |introduction |or |spread |of |pathogens |from |the |environment |into |the |
patient
- |Used |for |procedures |involving |entry |into |sterile |body |cavities, |organs |vascular |spaces |or |
across |mucous |membranes
(Insertion |of |IV |catheters, |injections, |urinary |catheterization, |some |irrigation |of |drainage |tubes,
|all |operative |procedures)
,Chain |of |Infection |- |CORRECT |ANSWER✔✔-infectious |agent, |reservoir, |portal |of |exit, |mode |of |
transmission, |portal |of |entry, |susceptible |host
Progress |of |Infection |(Periods) |- |CORRECT |ANSWER✔✔-Incubation |period
Prodromal |period
Acute |phase
Convalescent |period
Contact |Precautions |- |CORRECT |ANSWER✔✔-private |room, |clean |gloves, |gown
multidrug |resistant |organisms; |infectious |diarhhea |(C.Diff, |shigella, |Norovirus); |infectious |skin |
conditions |(impetigo, |herpes, |S.aureus)
Vehicle |Precautions |- |CORRECT |ANSWER✔✔-involves |the |transfer |of |pathogens |by |way |of |
vehicles |or |contaminated |items
(food |can |carry |Salmonella, |water |can |carry |Legionella, |drugs |can |carry |bacteria |from |
contaminated |infusion |supplies, |non |sterile |surgical |instruments |can |carry |pathogens |into |
surgical |incisions, |and |blood |can |carry |hepatitis |and |HIV)
droplet |precautions |- |CORRECT |ANSWER✔✔-private |room |or |cohab, |mask |within |3 |feet, |
masks |for |providers |and |visitors |
transmission |of |large |droplets |through |sneezing, |coughing, |or |talking: |influenza, |meningitis, |
rubella, |pertussis
airborne |precautions |- |CORRECT |ANSWER✔✔-private |room |AIIR; |respirator |mask, |fittings
tuberculosis, |measles, |varicella, |SARS
,vector-borne |precautions |- |CORRECT |ANSWER✔✔-Vectors |are |living |creatures |that |carry |
pathogens, |such |as |rats, |insects |or |birds
EX: |mosquitoes |transmitting |malaria
Normal |WBC |count |- |CORRECT |ANSWER✔✔-5,000-10,000
shift |to |the |left |- |CORRECT |ANSWER✔✔-leftward |shift |in |the |granulocytic |differential |count; |
considered |a |strong |indication |of |bacterial |infection
Positive |regard |- |CORRECT |ANSWER✔✔-underlying |assumption |is |that |the |person |is |
worthwhile |and |has |value |and |dignity; |avoids |unnecessary |labeling
goals |of |nurse-patient |relationship |- |CORRECT |ANSWER✔✔-meeting |pts |needs, |help |identify |
feelings |and |concerns, |solve |problems, |cope |and |adapt |in |relation |to |situation
termination |phase |- |CORRECT |ANSWER✔✔-review |of |health |changes |and |how |the |patient |has
|dealt |with |physical |and |emotional |responses; |includes |discharge |planning
Non |Therapeutic |Responses |- |CORRECT |ANSWER✔✔-Rescue |feelings
False |reassurance
Giving |advice
Changing |the |subject
Being |moralistic
Nonprofessional |involvement
PIE |Note |- |CORRECT |ANSWER✔✔-Problem, |Intervention, |Evaluation
, Simplifies |documentation |by |incorporating |the |plan |of |care |into |the |progress |notes
Increased |efficient |and |flexibility; |better |care |planning |focus; |better |tracking |of |patient |
problem, |nursing |interventions |and |patient |outcomes; |less |redundancy
SOAP |Note |- |CORRECT |ANSWER✔✔-subjective, |objective, |assessment, |plan
Progress |note |that |relates |to |only |one |health |problem
Incident |Report |- |CORRECT |ANSWER✔✔-Includes |date |and |time |of |incident, |events |leading |up
|to |it, |patient's |response, |and |a |full |nursing |assessment
Not |attached |to |patient's |chart
TeamSTEPPS |- |CORRECT |ANSWER✔✔-"Team |Strategies |and |Tools |to |Enhance |Performance |and
|Patient |Safety"
Templates |to |organize |and |improve |communication
I |PASS |the |BATON |- |CORRECT |ANSWER✔✔-I-introduction
P-patient
A-assessment
S-situation
S-safety |concerns
B-background
A-actions
T-timing
