NURS 220 Test 1 | UPDATED Questions with 100% Verified
Answers
Q1: Medical Asepsis
A: 1. Infection prevention and control practice Reduce / Eliminate sources and transmission of infection Break the
chain of infection Medical asepsis Surgical asepsis (sterile technique) 2. Nosocomial infection 3.
Healthcareassociated infection (HAIs)
Q2: Medical Asepsis Principles for Practice
A: 1. Hand Hygiene Reduces risk of infection 2. Pts in Healthcare setting are at risk for: Becoming colonized/infected
as response of impaired immune response Exposure to an increased number of pathogenic organisms
Performance of invasive procedures 3. Determine a pt's susceptibility to infection Age, Nutritional status, Stress,
Disease processes, or Forms of Medical Therapy 4. Recognize elements of the chain of infection and initiate
measures to prevent the onset and spread of infections
Q3: 6 Elements in the Chain
A: 1. An infectious agent or pathogen 2. A reservoir or source for pathogen growth 3. A portal of exit from the reservoir
4. A mode of transmission 5. A portal of entry to the host 6. A susceptible
Q4: Chain of Infection
A: Infectious agent, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host
Q5: Example of Medical Asepsis
A: 1. Principle of Hand Hygiene 2. Use of barrier (PPE) 3. Routine environmental cleaning
Q6: Medical Asepsis Pt Centered Care
A: 1. Nurse = Responsible for educating pt/family about infection control 2. Infection can require isolation Which can
lead to loneliness / body image 3. Know the cultural views / preferences of pt 4. When a pt from another culture
requires isolation Access carefully
Q7: EvidenceBased Practice (EBP) Hand Hygiene
A: 1. Alchoholbased products are more effective than soap 2. Handwashing with plan soap sometimes results in
paradoxical increases in bacterial counts on the skin 3. Following the WHO's 5 moments for hand hygiene practices
among healthcare providers is increased through goal setting, incentives, and accountability 4. Soap and water are
still necessary for hand hygiene if hands are visibly soiled or interaction with CDiff pt
,Q8: Fingernail Length
A: No longer than 1/4 inch and No chipped polish
Q9: Hand Hygiene
A: Handwashing =washing with plain soap and water Antiseptic hand wash = washing hands with water and soap or
other detergents ● containing an antiseptic agent Antiseptic hand rub = applying an antiseptic hand rub product to all
surfaces of dry ● hands to reduce the number of microorganisms present (ex, hand sanitizer) Surgical hand
antisepsis = use of an antiseptic hand wash or antiseptic hand rub before ● surgery by surgical personnel to eliminate
transient and reduce resident hand flora
Q10: 4 Factors to determine hand hygiene
A: 1. The intensity or degree of contact with patients or contaminated objects 2. The amount of contamination that may
occur with contact 3. The patient or health care worker's susceptibility to infection 4. The procedure or activity to be
performed
Q11: 5 Appropriate Times for Hand Hygiene
A: 1. Before touchin gpt 2. Before clean/aseptic procedure 3. After body fluid exposure risk 4. After touching a pt 5. After
touching a pt surroundings
Q12: T/F Hand Hygiene is a delegatable task?
A: False Hand Hygiene is to be performed by all caregivers
Q13: Standard Precaution (Tier One)
A: Hand Hygiene Gloves, gown, mask, eye protection, face shield Safe Injection practices EX. Blood, Body Fluids,
Excretions, Non Intact Skin, Mucous Membranes
Q14: Besides meticulous hand hygiene, identify another practice that helps reduce the risk of spreading
infection A. Maintaining a clean environment in the patient's room B. Restricting visitors to immediate family
only C. Leaving gloves on to administer medications D. Placing the patient on droplet precautions
A: A. Maintaining a clean environment in the patient's room
Q15: TransmissionBased Precautions (Tier Two)
A: Airborne Droplet Contact
Q16: Contact Precautions
A: 1. Hand Hygiene 2. Gown & Gloves EX. Infectious agents (CDiff) "Direct"
, Q17: Droplet Precautions
A: 1. Hand Hygiene 2. Surgical Mask & Standard EX. Infection spread by Respiratory (influenza)
Q18: Airborne Precautions
A: 1. Hand Hygiene 2. Gown, Respirator, Eyewear, & Gloves EX. TB
Q19: T/F: Care for a pt under isolation precautions can be delegated
A: True The nurse must ACCESS the pt status and isolation indications The nurse instructs the AP about: Reason
patient is on isolation precautions Precautions for bringing equipment into the patient's room Special precautions
regarding individual patient needs such as transportation to diagnostic tests
Q20: Unexpected Outcomes Isolation Precautions
A: Patient avoids social and therapeutic discussions Confer with family caregiver and/or significant other and determine
best approach to reduce patient's sense of loneliness and depression Patient and health care worker may be an
allergy to latex gloves Notify health care provider/employee health and treat sensitivity or allergic reaction
appropriately Use latexfree gloves for future care activities
Q21: Personal Protective Equipment Donning / Doffing
A: Donning: 1. Hand Hygiene 2. Gown 3. Mask 4. Eyewear 5. Gloves Doffing: 1. Gloves 2. Eyewear 3. Gown 4. Mask 5.
Hand Hygiene
Q22: List the steps for applying PPE 1. Apply gown, pull sleeves down to wrist 2. Apply surgical mask 3.
Apply eyewear 4. Apply clean gloves 5. Bring glove cuffs over gown A. 1, 2, 3, 4 ,5 B. 2, 1, 3, 4, 5 C. 4, 1, 2, 3, 5
D. 3, 2, 1, 4, 5
A: A. 1, 2, 3, 4 ,5
Q23: When should the gown be worn? A. When the patient's hygiene is poor B. When the nurse is assisting
with medication administration C. When the patient has shingles D. When blood or body fluids may get on
the nurse's clothing
A: D. When blood or body fluids may get on the nurse's clothing
Q24: The nurse has redressed a wound and now plans to administer medications. What should the nurse
remember to do next? A. Leave gloves on to administer medications B. Remove gloves and perform hand
hygiene before leaving the room C. Remove gloves and perform hand hygiene before administering the
medication D. Leave the medication on the bedside table to avoid having to remove glove
A: C. Remove gloves and perform hand hygiene before administering
Answers
Q1: Medical Asepsis
A: 1. Infection prevention and control practice Reduce / Eliminate sources and transmission of infection Break the
chain of infection Medical asepsis Surgical asepsis (sterile technique) 2. Nosocomial infection 3.
Healthcareassociated infection (HAIs)
Q2: Medical Asepsis Principles for Practice
A: 1. Hand Hygiene Reduces risk of infection 2. Pts in Healthcare setting are at risk for: Becoming colonized/infected
as response of impaired immune response Exposure to an increased number of pathogenic organisms
Performance of invasive procedures 3. Determine a pt's susceptibility to infection Age, Nutritional status, Stress,
Disease processes, or Forms of Medical Therapy 4. Recognize elements of the chain of infection and initiate
measures to prevent the onset and spread of infections
Q3: 6 Elements in the Chain
A: 1. An infectious agent or pathogen 2. A reservoir or source for pathogen growth 3. A portal of exit from the reservoir
4. A mode of transmission 5. A portal of entry to the host 6. A susceptible
Q4: Chain of Infection
A: Infectious agent, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host
Q5: Example of Medical Asepsis
A: 1. Principle of Hand Hygiene 2. Use of barrier (PPE) 3. Routine environmental cleaning
Q6: Medical Asepsis Pt Centered Care
A: 1. Nurse = Responsible for educating pt/family about infection control 2. Infection can require isolation Which can
lead to loneliness / body image 3. Know the cultural views / preferences of pt 4. When a pt from another culture
requires isolation Access carefully
Q7: EvidenceBased Practice (EBP) Hand Hygiene
A: 1. Alchoholbased products are more effective than soap 2. Handwashing with plan soap sometimes results in
paradoxical increases in bacterial counts on the skin 3. Following the WHO's 5 moments for hand hygiene practices
among healthcare providers is increased through goal setting, incentives, and accountability 4. Soap and water are
still necessary for hand hygiene if hands are visibly soiled or interaction with CDiff pt
,Q8: Fingernail Length
A: No longer than 1/4 inch and No chipped polish
Q9: Hand Hygiene
A: Handwashing =washing with plain soap and water Antiseptic hand wash = washing hands with water and soap or
other detergents ● containing an antiseptic agent Antiseptic hand rub = applying an antiseptic hand rub product to all
surfaces of dry ● hands to reduce the number of microorganisms present (ex, hand sanitizer) Surgical hand
antisepsis = use of an antiseptic hand wash or antiseptic hand rub before ● surgery by surgical personnel to eliminate
transient and reduce resident hand flora
Q10: 4 Factors to determine hand hygiene
A: 1. The intensity or degree of contact with patients or contaminated objects 2. The amount of contamination that may
occur with contact 3. The patient or health care worker's susceptibility to infection 4. The procedure or activity to be
performed
Q11: 5 Appropriate Times for Hand Hygiene
A: 1. Before touchin gpt 2. Before clean/aseptic procedure 3. After body fluid exposure risk 4. After touching a pt 5. After
touching a pt surroundings
Q12: T/F Hand Hygiene is a delegatable task?
A: False Hand Hygiene is to be performed by all caregivers
Q13: Standard Precaution (Tier One)
A: Hand Hygiene Gloves, gown, mask, eye protection, face shield Safe Injection practices EX. Blood, Body Fluids,
Excretions, Non Intact Skin, Mucous Membranes
Q14: Besides meticulous hand hygiene, identify another practice that helps reduce the risk of spreading
infection A. Maintaining a clean environment in the patient's room B. Restricting visitors to immediate family
only C. Leaving gloves on to administer medications D. Placing the patient on droplet precautions
A: A. Maintaining a clean environment in the patient's room
Q15: TransmissionBased Precautions (Tier Two)
A: Airborne Droplet Contact
Q16: Contact Precautions
A: 1. Hand Hygiene 2. Gown & Gloves EX. Infectious agents (CDiff) "Direct"
, Q17: Droplet Precautions
A: 1. Hand Hygiene 2. Surgical Mask & Standard EX. Infection spread by Respiratory (influenza)
Q18: Airborne Precautions
A: 1. Hand Hygiene 2. Gown, Respirator, Eyewear, & Gloves EX. TB
Q19: T/F: Care for a pt under isolation precautions can be delegated
A: True The nurse must ACCESS the pt status and isolation indications The nurse instructs the AP about: Reason
patient is on isolation precautions Precautions for bringing equipment into the patient's room Special precautions
regarding individual patient needs such as transportation to diagnostic tests
Q20: Unexpected Outcomes Isolation Precautions
A: Patient avoids social and therapeutic discussions Confer with family caregiver and/or significant other and determine
best approach to reduce patient's sense of loneliness and depression Patient and health care worker may be an
allergy to latex gloves Notify health care provider/employee health and treat sensitivity or allergic reaction
appropriately Use latexfree gloves for future care activities
Q21: Personal Protective Equipment Donning / Doffing
A: Donning: 1. Hand Hygiene 2. Gown 3. Mask 4. Eyewear 5. Gloves Doffing: 1. Gloves 2. Eyewear 3. Gown 4. Mask 5.
Hand Hygiene
Q22: List the steps for applying PPE 1. Apply gown, pull sleeves down to wrist 2. Apply surgical mask 3.
Apply eyewear 4. Apply clean gloves 5. Bring glove cuffs over gown A. 1, 2, 3, 4 ,5 B. 2, 1, 3, 4, 5 C. 4, 1, 2, 3, 5
D. 3, 2, 1, 4, 5
A: A. 1, 2, 3, 4 ,5
Q23: When should the gown be worn? A. When the patient's hygiene is poor B. When the nurse is assisting
with medication administration C. When the patient has shingles D. When blood or body fluids may get on
the nurse's clothing
A: D. When blood or body fluids may get on the nurse's clothing
Q24: The nurse has redressed a wound and now plans to administer medications. What should the nurse
remember to do next? A. Leave gloves on to administer medications B. Remove gloves and perform hand
hygiene before leaving the room C. Remove gloves and perform hand hygiene before administering the
medication D. Leave the medication on the bedside table to avoid having to remove glove
A: C. Remove gloves and perform hand hygiene before administering
