NSG 300 FULL COMPLETE EXAM 1 TEST QUESTIONS
(ACCURATELY SOLVED)
airborne diseases
measles, varicella, tuberculosis, disseminated herpes zoster, rubeola
Droplet precautions
Private room, mask
Droplet diseases
influenza, rhinovirus, pneumoniae, diphtheria, rubella, mumps
contact precautions
private room, clean gloves, gown,
contact diseases
MRSA, C.diff, scabies, herpes simplex
Protective environment
Private room; positive airflow; mask to be worn by patient when out of room during times of
construction in area (kidney transplant)
,A patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile)
asks you to explain what he should 464know about this organism. What is the most
appropriate information to include in patient teaching?
-The organism is usually transmitted through the fecal-oral route.
-Hands should always be cleaned with soap and water versus alcohol-based hand
sanitizer.
-Everyone coming into the room must be wearing a gown and gloves.
A patient is diagnosed with meningitis. Which type of isolation precaution is most
appropriate for this patient?
droplet precautions
A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse notes
that the patient seems to be angry, but he knows that this is a normal response to isolation.
What is the best intervention?
Explain the reasons for isolation procedures and provide meaningful stimulation.
removal of PPE order
1. remove/dispose of gloves
2. remove eyewear
3. Untie waist and neck strings of gown. Remove gown
4. Untie top and then bottom mask strings and remove from face
5. perform hand hygiene
,A patient is experiencing some problems with joint stability in the right leg. The doctor has
prescribed crutches for the patient to use while being allowed to bear weight only on the
left leg. Which of the following gaits should the patient be taught to use?
three point
RACE (fire safety)
rescue, alarm, confine, extinguish
PASS (Fire Safety)
Pull, Aim, Squeeze, Sweep
Discuss the importance of proper positioning and movement for promoting client comfort.
-Safety is first priority
-Ask patient to help as much as possible
-Determine if patient comprehends
-Ask their comfort level
-Determine if you need assistance
-Proper positioning allows patients to be comfortable and allows their body to work
efficiently
-Without movement, the body starts to have negative effects
, Discuss considerations for the safe application of restraints.
-Restraints must be the intervention of last resort.
-need Dr. order
-Include the patient's family in the decision
-Explain the purpose of them, expected care while in them, and remind them they are
temporary and protective
-Monitor the patient every 2 hours (15 minutes for violent patients) to inspect vital signs,
skin integrity, nutrition, hydration, circulation, range of motion, hygiene, elimination needs,
cognitive functioning, psychological status, and need for restraint
Trochanter roll
Rolled towel support placed against the hips and upper leg to prevent external rotation of
the legs.
Hand roll
maintain thumb in slight adduction and in opposite fingers
trapeze bar
-Triangular device hanging down from a secure overhead bar attached to the bedframe
-Allows patient to pull with upper extremities to raise trunk off the bed, assist in transfer, or
perform upper arm exercises
-Increases independence, maintains body strength, and decreasing shearing action from
sliding on bed
(ACCURATELY SOLVED)
airborne diseases
measles, varicella, tuberculosis, disseminated herpes zoster, rubeola
Droplet precautions
Private room, mask
Droplet diseases
influenza, rhinovirus, pneumoniae, diphtheria, rubella, mumps
contact precautions
private room, clean gloves, gown,
contact diseases
MRSA, C.diff, scabies, herpes simplex
Protective environment
Private room; positive airflow; mask to be worn by patient when out of room during times of
construction in area (kidney transplant)
,A patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile)
asks you to explain what he should 464know about this organism. What is the most
appropriate information to include in patient teaching?
-The organism is usually transmitted through the fecal-oral route.
-Hands should always be cleaned with soap and water versus alcohol-based hand
sanitizer.
-Everyone coming into the room must be wearing a gown and gloves.
A patient is diagnosed with meningitis. Which type of isolation precaution is most
appropriate for this patient?
droplet precautions
A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse notes
that the patient seems to be angry, but he knows that this is a normal response to isolation.
What is the best intervention?
Explain the reasons for isolation procedures and provide meaningful stimulation.
removal of PPE order
1. remove/dispose of gloves
2. remove eyewear
3. Untie waist and neck strings of gown. Remove gown
4. Untie top and then bottom mask strings and remove from face
5. perform hand hygiene
,A patient is experiencing some problems with joint stability in the right leg. The doctor has
prescribed crutches for the patient to use while being allowed to bear weight only on the
left leg. Which of the following gaits should the patient be taught to use?
three point
RACE (fire safety)
rescue, alarm, confine, extinguish
PASS (Fire Safety)
Pull, Aim, Squeeze, Sweep
Discuss the importance of proper positioning and movement for promoting client comfort.
-Safety is first priority
-Ask patient to help as much as possible
-Determine if patient comprehends
-Ask their comfort level
-Determine if you need assistance
-Proper positioning allows patients to be comfortable and allows their body to work
efficiently
-Without movement, the body starts to have negative effects
, Discuss considerations for the safe application of restraints.
-Restraints must be the intervention of last resort.
-need Dr. order
-Include the patient's family in the decision
-Explain the purpose of them, expected care while in them, and remind them they are
temporary and protective
-Monitor the patient every 2 hours (15 minutes for violent patients) to inspect vital signs,
skin integrity, nutrition, hydration, circulation, range of motion, hygiene, elimination needs,
cognitive functioning, psychological status, and need for restraint
Trochanter roll
Rolled towel support placed against the hips and upper leg to prevent external rotation of
the legs.
Hand roll
maintain thumb in slight adduction and in opposite fingers
trapeze bar
-Triangular device hanging down from a secure overhead bar attached to the bedframe
-Allows patient to pull with upper extremities to raise trunk off the bed, assist in transfer, or
perform upper arm exercises
-Increases independence, maintains body strength, and decreasing shearing action from
sliding on bed
