FINAL EXAM REVIEW 102 QUESTIONS AND CORRECT ANSWERS

FINAL EXAM REVIEW 102 QUESTIONS
AND CORRECT ANSWERS
1.A2TheA2nurseA2isA2discussingA2waysA2toA2preventA2infectionA2withA2nursingA2assistantsA2i
nA2aA2long-termA2careA2facility.A2WhichA2responseA2wouldA2beA2best?
1.A2TurnA2awayA2visitorsA2whoA2haveA2colds.
2.A2WashA2handsA2beforeA2andA2afterA2eachA2contactA2withA2aA2resident.
3.A2WearA2glovesA2wheneverA2enteringA2aA2resident'sA2room.
4.A2IsolateA2anyA2residentA2whoA2hasA2signsA2ofA2illness.A2-A2Ans--
#2A2isA2correct.A2TheA2bestA2wayA2toA2preventA2theA2spreadA2ofA2infectionA2isA2toA2washA2h
andsA2beforeA2andA2afterA2eachA2contactA2withA2aA2residentA2orA2patient.

.A2TheA2nurseA2isA2preparingA2toA2changeA2aA2dressingA2onA2anA2adult.A2WhichA2actionA2is
A2appropriate?
1.A2DonA2sterileA2glovesA2beforeA2openingA2theA2dressingA2set.
2.A2OpenA2theA2firstA2flapA2ofA2theA2dressingA2setA2awayA2fromA2theA2nurse.
3.A2OpenA2additionalA2packagesA2ofA2gauzeA2squaresA2overA2theA2openA2dressingA2set.
4.A2WashA2handsA2afterA2openingA2theA2dressingA2setA2beforeA2donningA2sterileA2gloves.A2
-A2Ans--
#2A2isA2correct.A2TheA2firstA2flapA2ofA2theA2dressingA2setA2shouldA2beA2openedA2awayA2fro
mA2theA2nurse.A2AfterA2openingA2theA2sideA2flaps,A2theA2lastA2flapA2willA2beA2openedA2towa
rdA2theA2nurse.A2ThisA2preventsA2theA2nurseA2fromA2reachingA2acrossA2aA2sterileA2field.A2R
eachingA2acrossA2aA2sterileA2fieldA2contaminatesA2it.

TheA2nurseA2isA2providingA2homeA2careA2toA2anA2elderlyA2adult.A2TheA2clientA2hadA2aA2bloo
dyA2noseA2andA2thereA2isA2bloodA2onA2theA2floor.A2WhatA2shouldA2theA2nurseA2do?
1.A2CleanA2bloodA2soiledA2areasA2withA2aA21:10A2chlorineA2bleachA2solution.
2.A2AskA2aA2familyA2memberA2toA2cleanA2upA2theA2area.
3.A2CleanA2bloodA2soiledA2areasA2withA2anA2iodineA2agent.
4.A2CleanA2bloodA2soiledA2areasA2withA2hydrogenA2peroxide.A2-A2Ans--
#1A2isA2correct.A2BloodA2soiledA2areasA2shouldA2beA2cleanedA2withA2aA21:10A2chlorineA2ble
achA2solution.

TheA2nurseA2hasA2justA2givenA2anA2IMA2injection.A2WhichA2isA2theA2bestA2wayA2forA2theA2nu
rseA2toA2disposeA2ofA2theA2usedA2needle?
1.A2BreakA2theA2needle,A2thenA2discardA2inA2theA2disposalA2container.
2.A2PutA2theA2needleA2inA2theA2sharpsA2containerA2andA2theA2syringeA2inA2theA2waste-
basket.
3.A2RecapA2theA2needleA2andA2placeA2syringeA2andA2needleA2inA2theA2sharpsA2container.
4.A2DisposeA2ofA2usedA2syringeA2withA2needleA2inA2sharpsA2container.A2-A2Ans--
#4A2isA2correct.A2TheA2intactA2syringeA2andA2needleA2shouldA2beA2disposedA2ofA2inA2theA2s
harpsA2container.

, .A2AnA2elderlyA2womanA2isA2admittedA2followingA2aA2cerebralA2vascularA2accident.A2Which
A2actionA2willA2doA2mostA2toA2preventA2venousA2stasisA2andA2thrombo-
embolicA2complicationsA2fromA2immobility?
1.A2HaveA2theA2womanA2turn,A2cough,A2andA2deepA2breatheA2everyA2twoA2hours.
2.A2AdministerA2stoolA2softenersA2asA2ordered.
3.A2PerformA2passiveA2rangeA2ofA2motionA2exercisesA2threeA2timesA2daily.
4.A2ApplyA2anti-embolismA2stockingsA2asA2ordered.A2-A2Ans--#4A2isA2correct.A2Anti-
embolismA2stockingA2willA2promoteA2venousA2returnA2andA2decreaseA2theA2possibilityA2ofA
2deepA2veinA2thrombo-phlebitisA2andA2resultantA2pulmonaryA2embolus.


6.A2AnA2elderlyA2personA2whoA2hasA2beenA2onA2bedA2restA2forA2severalA2weeksA2isA2nowA2
ableA2toA2getA2upA2forA2theA2firstA2time.A2WhatA2shouldA2theA2nurseA2do?
1.A2HaveA2theA2personA2sitA2onA2theA2edgeA2ofA2theA2bedA2forA2severalA2minutesA2beforeA2
gettingA2upA2inA2theA2chair.
2.A2EncourageA2theA2personA2toA2getA2upA2quicklyA2andA2takeA2severalA2stepsA2beforeA2sit
tingA2inA2aA2chair.
3.A2HaveA2theA2personA2walkA2inA2theA2hallA2beforeA2sittingA2inA2aA2chair.
4.A2GetA2anotherA2nurseA2toA2helpA2theA2personA2walkA2toA2theA2chair.A2-A2Ans--
#1A2isA2correct.A2TheA2personA2shouldA2sitA2onA2theA2edgeA2ofA2theA2bedA2forA2severalA2mi
nutesA2beforeA2gettingA2upA2asA2theA2personA2isA2atA2riskA2forA2orthostaticA2hypotension.A2
TheA2firstA2timeA2upA2shouldA2beA2inA2theA2chair.

7.A2TheA2familyA2ofA2aA2bedriddenA2clientA2asksA2theA2nurseA2howA2toA2preventA2skinA2bre
akdown.A2WhatA2shouldA2beA2includedA2inA2theA2nurse'sA2teaching?
1.A2LimitA2theA2person'sA2fluidsA2toA2reduceA2theA2numberA2ofA2timesA2theA2personA2needs
A2toA2useA2theA2bedpan.
2.A2TurnA2theA2patientA2everyA2twoA2hours.
3.A2PositionA2theA2patientA2inA2theA2supineA2positionA2forA21A2hourA2daily.
4.A2RubA2pressureA2pointsA2withA2alcoholA2twoA2timesA2aA2day.A2-A2Ans--
#2A2isA2correct.A2TurningA2theA2patientA2everyA2twoA2hoursA2willA2relieveA2pressureA2onA2th
eA2bonyA2prominences.

AnA2adultA2whoA2hadA2abdominalA2surgeryA2isA2positionedA2inA2aA2semi-
sittingA2position.A2WhatA2isA2theA2primaryA2reasonA2forA2placingA2theA2patientA2inA2thisA2po
sition?
1.A2ToA2promoteA2thoracicA2expansion.
2.A2ToA2reduceA2venousA2return.
3.A2ToA2promoteA2woundA2drainage.
4.A2ToA2preventA2pressureA2onA2theA2sutureA2line.A2-A2Ans--
#4A2isA2correct.A2TheA2primaryA2reasonA2forA2puttingA2thisA2patientA2inA2aA2semi-
sittingA2positionA2isA2toA2preventA2pressureA2onA2theA2sutureA2line.

TheA2nurseA2notesA2thatA2allA2ofA2theA2following.A2WhichA2situationA2isA2notA2appropriateA2
andA2shouldA2beA2reportedA2immediatelyA2toA2theA2chargeA2nurse?
1.A2AA2weakA2andA2confusedA2elderlyA2womanA2isA2inA2aA2geriatricA2chairA2withA2aA2tableA2i
nA2place.