CLINICAL NURSING SKILLS TEST 1
QUESTIONS WITH CORRECT
ANSWERS
Describe Psyc INFO. - Answer-Interprofessional biographical resources in
psychology and the behavioral and social sciences.
Describe National Guidelines Clearinghouse. - Answer-Public resource for evidence-
based clinical practice guidelines. Available through the Agency for Healthcare
Research and Quality; contains structured abstracts (summaries) about clinical
guidelines and their development; also includes condensed version of guidelines for
viewing.
Hierarchy of Evidence - Answer-I- Systematic reviews and meta-analyses of RCTs
II- One properly disgned RCT
III- Controlled trials without randomization
IV- Case control and cohort studies
V- Systematic reviews of descriptive and qualitative studies
VI- Single descriptive or qualitative study
VII- Quality improvement, risk management data
VIII- Opinion of expert clinicians
What are the 8 types of evidence? - Answer-systematic review or meta-analysis,
randomized control trial, Quasi-Experimental study, case control study, descriptive
study, qualitative study, quality improvement data/risk management data, clinical
experts
What is Systematic Review or Meta-Analysis? - Answer-panel of expert reviews all of
the evidence from RCTs and summarized the data. a meta-analysis adds statistical
analysis combining all data from the studies
What is Randomized Control Trial? - Answer-intervention testes against usual
standard of care, participants randomly assigned
What is Quasi-Experimental Study? - Answer-research approach tries to show an
intervention causes a particular outcome
What is Case Control Study? - Answer-A group of subject with a certain condition is
compared to another group without the condition
What is Descriptive Study? - Answer-study describes the concepts of the study
What is Qualitative Study? - Answer-study examines health experiences or life
experiences
What is Quality Improvement Data/Risk Management Data? - Answer-health care
agency trending information about clinical conditions and problems
,What are Clinical Experts? - Answer-experts on a nursing unit
How do you critique the evidence? - Answer-Evaluate the evidence and decide: Do
the articles offer evidence to answer my PICOT question? Do the articles show true
and reliable evidence? Can I use the evidence in my clinical practice?
What are the elements of an article? - Answer-abstract (summary), introduction
(purpose), literature review (detailed background on the topic), article narrative
(middle section), purpose statement, methods or design, results or findings, clinical
implications
How can you apply the evidence? - Answer-Use the evidence in the care of a
patient, new teaching tools, clinical practice guidelines, new policies and procedures,
new assessment or documentation tools
How do you evaluate the change? - Answer-measure outcomes to see how the
intervention worked, how effective was the clinical change to my patients(more time,
decline in fall rate)
How do you communicate and disseminate? - Answer-release the results to nursing
and other members of the healthcare team; have staff meetings, workshops, poster
presentation, publish
What does infection control do? - Answer-provides measures that reduce or
eliminate sources and transmission of infection, protects patients and health care
providers from disease, HAND HYGIENE, all patients in any setting are at risk,
health care- associated infections (HAIs) are acquired in health care settings
Chain of Infection (an infection develops if this chain remains intact, break the chain)
- Answer-Transmission - portal of entry - host susceptibility - infectious agent -
reservoir - portal of exit
What is medical asepsis? - Answer-clean technique; reduces organisms, prevents
transfer
What are some medical asepsis (clean technique) practices? - Answer-hand
hygiene, barrier techniques, routine environmental cleaning, washing hands before
preparing food
What is sterile asepsis? - Answer-sterile technique (asepsis) eliminates pathogenic
organisms, used for surgery and other invasive procedures such as insertion of a
central line
What is patient-centered care? - Answer-teach patients about infection control,
patients in isolation (watch patients for sins of loneliness, changes in self concept or
body image), practice cultural awareness
What is evidence based practice on hygiene? - Answer-bundled intervention (wall-
mounted dispenser, pocket bottles, education), alcohol-based hygiene products
, more effective and reduce infections (less skin irritation and dryness), soap and
water (for visibly soiled hands, when caring for patients with Clostridium difficile)
What makes clients more susceptible to infection? - Answer-age, nutritional status,
stress, disease processes, forms of medical therapy can place patients at risk
Hand Hygiene Skill 9-1 - Answer-most important technique for infection control, hand
hygiene (handwashing, antiseptic hand wash, antiseptic hand rub, surgical hand
asepsis), decision to perform hand hygiene based on (degree of contact, amount of
contamination, susceptibility to infection, procedure/activity to be performed), hand
hygiene is NOT optional
Define handwashing. - Answer-refers to washing hands with plan soap and water
Define antiseptic hand wash. - Answer-defined as washing hands with water and
soap or other detergents containing an antiseptic agent
Define antiseptic hand rub. - Answer-applying an antiseptic hand rub product to all
surfaces of the hands to reduce the number of microorganisms present
Define surgical hand antisepsis - Answer-use of an antiseptic hand wash or
antiseptic hand rub before surgery by surgical personnel to eliminate transient and to
reduce resident hand flora
When do you wash your hands with plan soap or water or with antibacterial soap and
water? - Answer-when hands are visibly dirty or soiled with blood or other body
fluids, before eating, and after using the toilet
When do you wash hands? - Answer-if exposed to spore-forming organisms
What do you do if hands are not visibly soiled? - Answer-use an alcohol-based hand
rub for routinely decontaminating hands in clinical situations
What are some examples of spore-forming organisms? - Answer-Clostridium difficile,
and Bacillus anthracis
When do you practice HH with sanitizer? (Skill 7-1) - Answer-Before and after having
direct contact with patients
Before applying sterile gloves and inserting an invasive device such as an indwelling
urinary catheter or a peripheral vascular catheter
After having contact with body fluids or excretions, mucous membranes, and
nonintact skin
After having contact with wound dressings (if hands are not visibly soiled)
When moving from a contaminated body site to a clean body site during patient care
After having contact with inanimate objects (e.g., medical equipment) in the
immediate vicinity of a patient
After removing gloves
What are special considerations of HH when patient teaching? - Answer-Instruct
patient and family caregiver on proper techniques and situations for hand hygiene.
QUESTIONS WITH CORRECT
ANSWERS
Describe Psyc INFO. - Answer-Interprofessional biographical resources in
psychology and the behavioral and social sciences.
Describe National Guidelines Clearinghouse. - Answer-Public resource for evidence-
based clinical practice guidelines. Available through the Agency for Healthcare
Research and Quality; contains structured abstracts (summaries) about clinical
guidelines and their development; also includes condensed version of guidelines for
viewing.
Hierarchy of Evidence - Answer-I- Systematic reviews and meta-analyses of RCTs
II- One properly disgned RCT
III- Controlled trials without randomization
IV- Case control and cohort studies
V- Systematic reviews of descriptive and qualitative studies
VI- Single descriptive or qualitative study
VII- Quality improvement, risk management data
VIII- Opinion of expert clinicians
What are the 8 types of evidence? - Answer-systematic review or meta-analysis,
randomized control trial, Quasi-Experimental study, case control study, descriptive
study, qualitative study, quality improvement data/risk management data, clinical
experts
What is Systematic Review or Meta-Analysis? - Answer-panel of expert reviews all of
the evidence from RCTs and summarized the data. a meta-analysis adds statistical
analysis combining all data from the studies
What is Randomized Control Trial? - Answer-intervention testes against usual
standard of care, participants randomly assigned
What is Quasi-Experimental Study? - Answer-research approach tries to show an
intervention causes a particular outcome
What is Case Control Study? - Answer-A group of subject with a certain condition is
compared to another group without the condition
What is Descriptive Study? - Answer-study describes the concepts of the study
What is Qualitative Study? - Answer-study examines health experiences or life
experiences
What is Quality Improvement Data/Risk Management Data? - Answer-health care
agency trending information about clinical conditions and problems
,What are Clinical Experts? - Answer-experts on a nursing unit
How do you critique the evidence? - Answer-Evaluate the evidence and decide: Do
the articles offer evidence to answer my PICOT question? Do the articles show true
and reliable evidence? Can I use the evidence in my clinical practice?
What are the elements of an article? - Answer-abstract (summary), introduction
(purpose), literature review (detailed background on the topic), article narrative
(middle section), purpose statement, methods or design, results or findings, clinical
implications
How can you apply the evidence? - Answer-Use the evidence in the care of a
patient, new teaching tools, clinical practice guidelines, new policies and procedures,
new assessment or documentation tools
How do you evaluate the change? - Answer-measure outcomes to see how the
intervention worked, how effective was the clinical change to my patients(more time,
decline in fall rate)
How do you communicate and disseminate? - Answer-release the results to nursing
and other members of the healthcare team; have staff meetings, workshops, poster
presentation, publish
What does infection control do? - Answer-provides measures that reduce or
eliminate sources and transmission of infection, protects patients and health care
providers from disease, HAND HYGIENE, all patients in any setting are at risk,
health care- associated infections (HAIs) are acquired in health care settings
Chain of Infection (an infection develops if this chain remains intact, break the chain)
- Answer-Transmission - portal of entry - host susceptibility - infectious agent -
reservoir - portal of exit
What is medical asepsis? - Answer-clean technique; reduces organisms, prevents
transfer
What are some medical asepsis (clean technique) practices? - Answer-hand
hygiene, barrier techniques, routine environmental cleaning, washing hands before
preparing food
What is sterile asepsis? - Answer-sterile technique (asepsis) eliminates pathogenic
organisms, used for surgery and other invasive procedures such as insertion of a
central line
What is patient-centered care? - Answer-teach patients about infection control,
patients in isolation (watch patients for sins of loneliness, changes in self concept or
body image), practice cultural awareness
What is evidence based practice on hygiene? - Answer-bundled intervention (wall-
mounted dispenser, pocket bottles, education), alcohol-based hygiene products
, more effective and reduce infections (less skin irritation and dryness), soap and
water (for visibly soiled hands, when caring for patients with Clostridium difficile)
What makes clients more susceptible to infection? - Answer-age, nutritional status,
stress, disease processes, forms of medical therapy can place patients at risk
Hand Hygiene Skill 9-1 - Answer-most important technique for infection control, hand
hygiene (handwashing, antiseptic hand wash, antiseptic hand rub, surgical hand
asepsis), decision to perform hand hygiene based on (degree of contact, amount of
contamination, susceptibility to infection, procedure/activity to be performed), hand
hygiene is NOT optional
Define handwashing. - Answer-refers to washing hands with plan soap and water
Define antiseptic hand wash. - Answer-defined as washing hands with water and
soap or other detergents containing an antiseptic agent
Define antiseptic hand rub. - Answer-applying an antiseptic hand rub product to all
surfaces of the hands to reduce the number of microorganisms present
Define surgical hand antisepsis - Answer-use of an antiseptic hand wash or
antiseptic hand rub before surgery by surgical personnel to eliminate transient and to
reduce resident hand flora
When do you wash your hands with plan soap or water or with antibacterial soap and
water? - Answer-when hands are visibly dirty or soiled with blood or other body
fluids, before eating, and after using the toilet
When do you wash hands? - Answer-if exposed to spore-forming organisms
What do you do if hands are not visibly soiled? - Answer-use an alcohol-based hand
rub for routinely decontaminating hands in clinical situations
What are some examples of spore-forming organisms? - Answer-Clostridium difficile,
and Bacillus anthracis
When do you practice HH with sanitizer? (Skill 7-1) - Answer-Before and after having
direct contact with patients
Before applying sterile gloves and inserting an invasive device such as an indwelling
urinary catheter or a peripheral vascular catheter
After having contact with body fluids or excretions, mucous membranes, and
nonintact skin
After having contact with wound dressings (if hands are not visibly soiled)
When moving from a contaminated body site to a clean body site during patient care
After having contact with inanimate objects (e.g., medical equipment) in the
immediate vicinity of a patient
After removing gloves
What are special considerations of HH when patient teaching? - Answer-Instruct
patient and family caregiver on proper techniques and situations for hand hygiene.
