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Exam (elaborations)

Fundamentals NURS 200 Final Questions with Correct Answers (Grade A+)

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Fundamentals NURS 200 Final Questions with Correct Answers (Grade A+)

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Fundamentals NURS 200 Final Questions with Correct Answers
(Grade A+)

Question 1: Practices and procedures to reduce the risk of infection, including, but not limited to: hand
hygiene, environmental cleaning and barrier techniques

Answer: Medical Asepsis

Question 2: Sterile technique to prevent infection of a surgical wound that includes procedures to
prohibit the presence of pathogens from the client, medical personnel, equipment, and surgical
environment. 100% free of microorganisms

Answer: Surgical Asepsis

Question 3: Isolation precautions comprise standard, contact, airborne, and droplet precautions in
addition to protective environments for immunocompromised clients. The goal is to eliminate or reduce
infection transmission from one person to another. Create barriers between people & germs.

Answer: Isolation Precaustion




Question 4: What are the types of isolation precautions?

Answer: • Standard/Universal • Contact • Droplet • Airborne • Reverse Isolation




Page 1

,Question 5: What is universal/standard precaution?

Answer: *1st tier. • Include a group of infection prevention practices that apply to all patients, regardless of
suspects or confirmed infection status, in any setting in which healthcare is delivered. •These include: hand
hygiene; use of gloves, gown, mask, eye protection, or face shield. • Standard precautions are applied to the
care of all clients in all health care settings, regardless of suspected or confirmed presence of an infectious
agent. • Used with blood, blood products, body fluids, secretions, excretions (except sweat), nonintact skin,
and mucous membranes. Includes: •Hand hygiene •Use of gloves, gown, mask, and face shields
•Respiratory hygiene/cough etiquette •Safe injection practices • WASH hands FIRST. Hand hygiene before
and after client contact • Masks, eye protection, and face shields are required when care might involve
splashing or spraying blood or body fluids • Clean gloves used when at risk for contamination for nurse or
patient • Sturdy moisture-resistant bag for soiled items • Properly clean all equipment • Bag soiled linen
Diseases: • HIV • Hepatitis B and C • CMV • Asperillosis




Question 6: What is transmission-based precaustions?

Answer: *2nd tier • Addresses isolation precautions which are based on the mode of transmission. The three
are contact, droplet, and airborne. • Thoroughly perform hand hygiene before and after learning room of a
client in isolation • Properly dispose of contaminated supplies and equipment according to agency policy •
Apply knowledge of mode of infection when using PPE • Protect all persons from exposure during transport
of an infected client outside of iso room.




Question 7: What type of precaution is needed for direct physical (person-person) or Indirect
(object-person like fecal-oral transmission) contact within 3 ft.?

Answer: Contact Precaution • Direct Contact: the care and handling of contaminated body fluids. • Indirect
Contact: the transfer of an infectious organism through contaminated intermediate object (contaminated
instruments or hands of HCW) Ex: ª C-diff, shigella, wound infections, herpes, impetigo, scabies,
multi-drug resistant ª C-diff (bubbles & bleach), MRSA




Page 2

,Question 8: What PPE is needed for Contact Precaution?

Answer: • Don: Gown & Gloves • Doff: Gloves & Gown • Private room or shared room with pt's who have
the same infection • Patient room door can remain open




Question 9: What patient conditions require patients to be on Contact Precaution?

Answer:




Question 10: What type of precaution is needed for droplets larger than 5 mcg within 3-6 ft?

Answer: Droplet Precaution • Used to prevent the spread of pathogens that are passed through respiratory
secretions and do not survive for long in transit. These droplets are relatively large particles that cannot
travel through the air very far. They are transmitted through coughing, sneezing, and talking. Ex: ª Strep
pharyngitis or pneumonia, Haemophilus influenza type B, scarlet fever, rubella, pertussis, mumps, sepsis,
pneumonic plague




Question 11: What PPE is needed for Droplet Precaution?

Answer: • Don: Gown, Surgical Mask, Gloves • Doff: Gloves, Gown, Surgical Mask • Private room or
shared room with pt's who have the same infectious disease • Patient room door can remain open




Page 3

, Question 12: What patient conditions require patients to be on Droplet Precaution?

Answer:




Question 13: What type of precaution is needed for droplets smaller than 3 mcg, 6-12ft of air
exchange/hr?

Answer: Airborne Precaution • Measures taken to prevent the spread of disease transmitted by small (less
than 5 microns) respiratory droplets from an infected person. • Room: Requires negative airflow exchange
in the room of at least 6-12 exchanges/hour • Filters air through high-efficiency particulate air (HEPA) then
directs the air to the outside of the facility. • Respirator is needed PRIOR entering room Ex: ª Measles,
varicella, pulmonary or laryngeal TB




Question 14: What PPE is needed for Airborne Precaution?

Answer: • Don: Gown, N95 mask, Goggles, Gloves • Doff: Gloves, Gown, Goggles, N95 mask • Private &
negative air pressure room (closed door) • Patient room door must always remain close




Question 15: Can a pregnant woman care for a patient who is positive for varicella?

Answer: Pregnant person cannot care for varicella-positive pt




Page 4

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