WCU FINAL EXAM (NURS 100) WITH
PRACTICE QUESTIONS AND
CORRECT ANSWERS||LATEST
EXAM|GRADED A+
INTRAPERSONAL COMMUNICATION -ANSWER Communication within an individual
(self-talk)
SMALL GROUP COMMUNICATION -ANSWER Communication within a group of people
working towards a mutual goal.
S.O.L.E.R. -ANSWER S- sit facing the patient
O- open posture
L- lean forwards the patient
E- eye contact
R- relax
"Do" for communication -ANSWER Silence
Present reality
Actively listen
Ask questions (SOLER)
Use open-ended questions
Summarize
Offer self
Touch
Set boundaries!
"Don't of communication -ANSWER Ask irrelevant questions
Offering personal opinions
Stereotype
Give advice
Give false Reassurance/hope
Minimizing feelings
Change topic
Judge
Offer sympathy
Ask why questions!
T or F: The following is a form of therapeutic communication:
If I were you, I would take the medication the doctor prescribed. -ANSWER False
,T or F: The following is a form of therapeutic communication:
Tell me what your concerns are regarding the procedure. -ANSWER True
AIDET -ANSWER A-Acknowledge
I-Introduce
D-Duration
E-Explanation
T-Thank you
ISBAR -ANSWER IDENTIFY
SITUATION
BACKGROUND
ASSESSMENT
RECOMMENDATION
Pre interaction, orientation, working, resolution (termination) -ANSWER The phases of
communication between the nurse and a patient
Preinteraction -ANSWER Phase of nurse/ patient interaction which happens prior to
meeting patient, gathering information about them (name, DOB
Orientation -ANSWER When the nurse and the patient meet, get to know each other,
and learn to trust each other, nurse introducing themselves to patient
Working -ANSWER When the nurse and the patient work together to solve problems and
accomplish goals
Resolution (termination) -ANSWER End of the nurse-client relationship
What is the #1 way to prevent the spread of infections? -ANSWER Hand Hygiene
Most infections which happen in the health care facility are due to -ANSWER Healthcare
workers hands
What does the nonspecific innate immune defense system do? -ANSWER it keeps
infections out of the body
What does the nonspecific innate defense system consist of? -ANSWER Skin, hair,
nails, mucous membranes
What is the action of the specific adaptive defense system? -ANSWER it finds the
pathogens that got into the body through the nonspecific defenses
There are a number of ways to stop the chain of infection, describe some of them. -
ANSWER Sanitation, disinfection, sterilization, handwashing, isolating, ppe, medical
,asepsis technique, sterile asepsis technique, cover wounds, keep skin intact,
immunizations, diet and exercise, reduce stress
Isolation precautions -ANSWER Used when a patient who is at high risk for acquiring
microorganisms from either the environment or from other patients, staff, or visitors
Neutropenic isolation -ANSWER Neutropenia (low neutrophils, wbc)
-Low WBCs [normal is 5,000 to 10,000]
-No fresh flowers
-WASH hands, wear a mask, be super clean
DVT
pneumonia
loss of consciousness
infection -ANSWER Potential complications after surgery
Signs and symptoms of phlebitis at an IV site -ANSWER Erythema, tenderness,
drainage, hard palpable cord
Immunocompromised -ANSWER When a person has a low number of neutrophils in
their immune system, they become
Patients with aids or those on immunosuppresants -ANSWER Who is at risk for being
immuncompromised
Stress can lead to -ANSWER STRESS
Incubation stage of infection -ANSWER Virus is entering the body and first symptoms
are showing
Prodromal stage of infection -ANSWER During this stage the person is most infectious
and symptoms are becoming more specific; pathogen is multiplying
Illness stage of infection -ANSWER Signs and symptoms are occurring
Convalescence stage of infection -ANSWER Recovery
Urinary tract infections, surgical site infections, blood stream infections, and pneumonia-
ventilated associated infections are mostly acquired where? -ANSWER Hospital
What kinds of patients are at risk for infection? -ANSWER -The immunocompromised
-People that go into crowded environments
-Older adults
-Patients with poor lifestyle choices: unprotected sex, drug users
-People with poor hygiene
-People recently exposed to a virus
, A systemic infection is known to affect the whole body, what are some clinical
manfestions of this? -ANSWER -Fever
-Chills
-Tachypnea
-Tachycardia
-Malaise
-Fatigue
-Nnausea, vomiting, diarrhea
-Abdominal cramps
-Enlarged lymph nodes
A local infection confined to a particular part of the body is indicated by what
manifestions? -ANSWER -Erythema
-Warmth
-Edema
-Pain at site
-Drainage
Is pain considered a systemic or localized infection? -ANSWER Local
What are some labs that are drawn and lab values that will indicate an infection? -
ANSWER Leukocytosis: WBC greater than 10,000
ESR (erythrocyte sedimentation rate) greater than 20 MM/HR
cultures: stool, urine, blood, and sputum samples
X-ray, CT, MRI, Biopsy
What are some nursing interventions to prevent the spread of infection? -ANSWER -
Hand hygeine
-Use infection control precautions
-Ppe
-Vaccines
-Fluids
-Turning patients every 2 hours or less to prevent what?
-Medications
-Education
-Oral hygiene
How long should handwashing take place? -ANSWER 15-20 seconds; up to 2 mins
when soiled
When caring for a patient with C. diff -ANSWER Handwashing with soap and water is
essential
PRACTICE QUESTIONS AND
CORRECT ANSWERS||LATEST
EXAM|GRADED A+
INTRAPERSONAL COMMUNICATION -ANSWER Communication within an individual
(self-talk)
SMALL GROUP COMMUNICATION -ANSWER Communication within a group of people
working towards a mutual goal.
S.O.L.E.R. -ANSWER S- sit facing the patient
O- open posture
L- lean forwards the patient
E- eye contact
R- relax
"Do" for communication -ANSWER Silence
Present reality
Actively listen
Ask questions (SOLER)
Use open-ended questions
Summarize
Offer self
Touch
Set boundaries!
"Don't of communication -ANSWER Ask irrelevant questions
Offering personal opinions
Stereotype
Give advice
Give false Reassurance/hope
Minimizing feelings
Change topic
Judge
Offer sympathy
Ask why questions!
T or F: The following is a form of therapeutic communication:
If I were you, I would take the medication the doctor prescribed. -ANSWER False
,T or F: The following is a form of therapeutic communication:
Tell me what your concerns are regarding the procedure. -ANSWER True
AIDET -ANSWER A-Acknowledge
I-Introduce
D-Duration
E-Explanation
T-Thank you
ISBAR -ANSWER IDENTIFY
SITUATION
BACKGROUND
ASSESSMENT
RECOMMENDATION
Pre interaction, orientation, working, resolution (termination) -ANSWER The phases of
communication between the nurse and a patient
Preinteraction -ANSWER Phase of nurse/ patient interaction which happens prior to
meeting patient, gathering information about them (name, DOB
Orientation -ANSWER When the nurse and the patient meet, get to know each other,
and learn to trust each other, nurse introducing themselves to patient
Working -ANSWER When the nurse and the patient work together to solve problems and
accomplish goals
Resolution (termination) -ANSWER End of the nurse-client relationship
What is the #1 way to prevent the spread of infections? -ANSWER Hand Hygiene
Most infections which happen in the health care facility are due to -ANSWER Healthcare
workers hands
What does the nonspecific innate immune defense system do? -ANSWER it keeps
infections out of the body
What does the nonspecific innate defense system consist of? -ANSWER Skin, hair,
nails, mucous membranes
What is the action of the specific adaptive defense system? -ANSWER it finds the
pathogens that got into the body through the nonspecific defenses
There are a number of ways to stop the chain of infection, describe some of them. -
ANSWER Sanitation, disinfection, sterilization, handwashing, isolating, ppe, medical
,asepsis technique, sterile asepsis technique, cover wounds, keep skin intact,
immunizations, diet and exercise, reduce stress
Isolation precautions -ANSWER Used when a patient who is at high risk for acquiring
microorganisms from either the environment or from other patients, staff, or visitors
Neutropenic isolation -ANSWER Neutropenia (low neutrophils, wbc)
-Low WBCs [normal is 5,000 to 10,000]
-No fresh flowers
-WASH hands, wear a mask, be super clean
DVT
pneumonia
loss of consciousness
infection -ANSWER Potential complications after surgery
Signs and symptoms of phlebitis at an IV site -ANSWER Erythema, tenderness,
drainage, hard palpable cord
Immunocompromised -ANSWER When a person has a low number of neutrophils in
their immune system, they become
Patients with aids or those on immunosuppresants -ANSWER Who is at risk for being
immuncompromised
Stress can lead to -ANSWER STRESS
Incubation stage of infection -ANSWER Virus is entering the body and first symptoms
are showing
Prodromal stage of infection -ANSWER During this stage the person is most infectious
and symptoms are becoming more specific; pathogen is multiplying
Illness stage of infection -ANSWER Signs and symptoms are occurring
Convalescence stage of infection -ANSWER Recovery
Urinary tract infections, surgical site infections, blood stream infections, and pneumonia-
ventilated associated infections are mostly acquired where? -ANSWER Hospital
What kinds of patients are at risk for infection? -ANSWER -The immunocompromised
-People that go into crowded environments
-Older adults
-Patients with poor lifestyle choices: unprotected sex, drug users
-People with poor hygiene
-People recently exposed to a virus
, A systemic infection is known to affect the whole body, what are some clinical
manfestions of this? -ANSWER -Fever
-Chills
-Tachypnea
-Tachycardia
-Malaise
-Fatigue
-Nnausea, vomiting, diarrhea
-Abdominal cramps
-Enlarged lymph nodes
A local infection confined to a particular part of the body is indicated by what
manifestions? -ANSWER -Erythema
-Warmth
-Edema
-Pain at site
-Drainage
Is pain considered a systemic or localized infection? -ANSWER Local
What are some labs that are drawn and lab values that will indicate an infection? -
ANSWER Leukocytosis: WBC greater than 10,000
ESR (erythrocyte sedimentation rate) greater than 20 MM/HR
cultures: stool, urine, blood, and sputum samples
X-ray, CT, MRI, Biopsy
What are some nursing interventions to prevent the spread of infection? -ANSWER -
Hand hygeine
-Use infection control precautions
-Ppe
-Vaccines
-Fluids
-Turning patients every 2 hours or less to prevent what?
-Medications
-Education
-Oral hygiene
How long should handwashing take place? -ANSWER 15-20 seconds; up to 2 mins
when soiled
When caring for a patient with C. diff -ANSWER Handwashing with soap and water is
essential
