NURSING 311 QUIZ 1 QUESTIONS WITH COMPLETE ANSWERS.

NURSING 311 QUIZ 1 QUESTIONS WITH
COMPLETE ANSWERS
In which situation would it be appropriate for the nurse to use an antiseptic hand rub
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to perform hand hygiene? - ANSWER: The nurse's hands are not visibly soiled.
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When removing a gown worn as personal protective equipment (PPE) while caring for
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a patient in isolation, why does the nurse avoid touching the outside of the gown? -
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ANSWER: To prevent touching contaminated material with unprotected hands
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What is the primary purpose of appropriate hand hygiene? - ANSWER: To prevent or
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control the transmission of infectious microorganisms from any source
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How does soap work? - ANSWER: Emulsifies fat and oil so that dirt and
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microorganisms can be mechanically removed
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The nurse is assisting a patient with a tub bath. After the patient has been safely
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positioned in the tub, he tells the nurse, "I'll call you when I'm done." What is the
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nurse's best response? - ANSWER: "Well, I'll check back with you in about 5 minutes
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to see if you need anything."
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The nurse delegates a patient's back massage to nursing assistive personnel (NAP).
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Which statement by the NAP requires the nurse to follow up? - ANSWER: "The
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muscles of her lower back twitch when I start to rub it, but they calm down if I keep
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massaging her."
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A male patient receiving perineal care tells the nurse "It has started to hurt a little
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down there." What is the nurse's best response? - ANSWER: "When did you start
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experiencing the pain?"
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The nurse is preparing to provide perineal care for a female patient who is on bed
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rest. Which patient position should the nurse use for this care? - ANSWER: Dorsal
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recumbent
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The nurse observes the nursing assistive personnel (NAP) providing perineal care to a
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male patient. Which observation of care requires the nurse's follow-up? - ANSWER:
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Reserving the cleansing of the tip of the penis as the final step in perineal care
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, When preparing to delegate a patient's back massage to nursing assistive personnel
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(NAP), the nurse would do what first? - ANSWER: Assess the NAP's understanding
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of the proper technique for back massage
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Which of the following interventions directly related to patient safety must the nurse
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consider when providing perineal care to an elderly male patient with a catheter? -
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ANSWER: Wear clean gloves during care.
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A patient with left-sided muscle weakness is prescribed a bath every other day. Which
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precaution would help the nurse reduce this patient's risk of falling? - ANSWER:
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Decline the patient's request to add scented oil to the bathwater.
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The nurse would not offer back massage to which of the following patients? -
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ANSWER: Patient who is receiving continuous epidural analgesia
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A patient is being given a bed bath. The nurse realizes that another washcloth is
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needed to complete the bath. What is one way in which the nurse can ensure the
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patient's safety? - ANSWER: Make sure the call light is within the patient's reach.
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The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive
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personnel (NAP) assigned to make an unoccupied bed. What should the nurse
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include in this teaching? - ANSWER: The lower hem of the sheet should lie seam
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down and even with the bottom edge of the mattress.
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When making an unoccupied bed, where would the nurse place a waterproof pad? -
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ANSWER: Over the bottom sheet.
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Which action ensures that a patient will not have unnecessary pain during a linen
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change? - ANSWER: Administer a prescribed analgesic 30 to 60 minutes before the
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bed change if needed.
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What will the nurse do right after placing a clean top sheet on the patient? -
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ANSWER: Remove the bath blanket
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When making a surgical bed with no patient present, at which time is it unnecessary
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to perform hand hygiene? - ANSWER: After disposing of soiled linen that is not visibly
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soiled
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For a surgical bed, why is the linen formed into a triangle and fanfolded away from the
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side on which the patient will be transferred? - ANSWER: To keep the linen out of the
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way during the transfer
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A nursing assistive personnel (NAP) has finished making a surgical bed for a patient
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in surgery. How would the nurse instruct the NAP to leave the bed to transfer the
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surgical patient safely? - ANSWER: Raise the height of the bed.
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