FUNDAMENTALS KAPLAN 2025-2026 TEST BANK ACTUAL
EXAM 200 QUESTIONS AND CORRECT ANSWERS)
|ALREADY
Describe an airborne precautions room - ,,,answer,,,..private room
with monitored negative air pressure with 6 to 12 changes per hour,
keep door closed and client in room, can place client with another
but only if same organism, place mask on client if being transported
Describe when airborne precautions are used - ,,,answer,,,..used with
pathogens transmitted by airborne route that are less than 5
microns. They remain suspended in the air.
Name diseases that would require airborne precautions (4) -
,,,answer,,,..measles, varicella, tuberculosis, and shingles until the
lesions are crusted over.
What does nurse wear into an airborne precautions room? -
,,,answer,,,..Use respiratory protection, like a protective mask, that is
fit-tested. Do not share with other providers.
How do you ambulate with a cane? - ,,,answer,,,..Cane should be held
in hand opposite affected extremity. Advance cane and affected leg,
about 4 to 12 inches. To go upstairs, step up with good extremity
and then place cane and affected extremity on step. Reverse when
going downstairs.
Before ambulation, what should you assess? - ,,,answer,,,..Activity
tolerance of the patient, strength, mobility status, mental status,
degree of personnel and equipment assistance needed. Assess safety
of environment and adequacy of clothing, including nonslip shoes.
,Before ambulation, what should you talk to the patient about? -
,,,answer,,,..Inform patient of rationale and specific goals for walking.
Tell them to report any dizziness, weakness, or shortness of breath.
Describe how to ambulate in progressive stages - ,,,answer,,,..First sit
on the bed and dangle, then stand to side of bed, then progressively
walking. Nurse can use gait belt to support patient. If patient is dizzy
or unsteady, return patient to close bed, chair, or gently lower to the
floor.
Name some ambulatory assistance devices - ,,,answer,,,..Gait belt,
crutches, walker, cane
Purpose of ambulation - ,,,answer,,,..Allows for muscle movement
and joint flexibility. Improves respiratory and GI function. Rules risk
of complications of immobility.
Describe how to use a walker from the bed - ,,,answer,,,..Set walker
in front of seated patient. Have patient stand with assistance as
needed. Have patient hold walker's handgrips firmly. Stand slightly
behind patient, on one side. Have patient move walker forward 6 to
8 inches and set it down, making sure all feet on the floor. Tell
patient to step forward with either foot into the walker, support self.
Follow through with other leg. Continue pattern.
Describe proper position of crutches - ,,,answer,,,..Hold crutches 6
inches in front of and 6 inches to the side of each foot. Should be 1.5
to 2 inches below armpits. Elbows are flexed at a 15 degree angle
Purpose of anti embolism stockings - ,,,answer,,,..Reduces risk of
DVT and pulmonary embolism. Helps prevent phlebitis.
,how do aniembolism stockings work? - ,,,answer,,,..Exert external
pressure on lower extremity muscles and superficial leg veins, thus
preventing stasis and promoting venous return in lower extremities
by maintaining external pressure.
When should anti embolism stockings not be worn? - ,,,answer,,,..Do
not apply if skin lesions or gangrene present.
When should anti embolism stockings be put on? - ,,,answer,,,..In the
morning before patient out of bed
Teach patient to recognize possible indicators of DVT or phlebitis,
such as: - ,,,answer,,,..unilateral swelling, redness, tenderness, pain
on dorsiflexion (postiive Homans sign) and warmth
When patient in on anti embolism stocking, when would they notify
provider? What are abnormal symptoms? - ,,,answer,,,..skin irritation
and breakdown, abnormal color, warm or cool temperature, unusual
sensations, swelling, changes in movement
Can patient wear anti embolism stockings with nonskid socks? -
,,,answer,,,..Yes, but skid resistant socks on patient prior to
ambulation
Teach patient to recognize possible indicators of DVT or phlebitis,
such as: - ,,,answer,,,..unilateral swelling, redness, tenderness, pain
on dorsiflexion (postiive Homans sign) and warmth
When patient in on anti embolism stocking, when would they notify
provider? What are abnormal symptoms? - ,,,answer,,,..skin irritation
and breakdown, abnormal color, warm or cool temperature, unusual
sensations, swelling, changes in movement
, Can patient wear anti embolism stockings with nonskid socks? -
,,,answer,,,..Yes, but skid resistant socks on patient prior to
ambulation
Apical pulse is the best site location in which instances? -
,,,answer,,,..best pulse site in infants and young children and if
patient is taking a medication that affects the heart rate
Pulse deficit: how is it calculated? - ,,,answer,,,..Compare radial and
apical heart rates. Normally are the same. If radial is slower there is
a perfusion issue.
PMI - ,,,answer,,,..point of maximal impulse, the apical pulse, which is
where the impulse of the left ventricle is felt more strongly; 5th
intercostal space at the mid clavicular line on the left side
2 types of aseptic technique - ,,,answer,,,..medial asepsis is clean
technique and surgical asepsis
Describe medical asepsis, or clean technique - ,,,answer,,,..Focuses on
reducing number of microorganisms and preventing them from
spreading
Surgical asepsis - ,,,answer,,,..Sterile technique and focuses on
eliminating the microorganisms from an area; including sterile
objects and rules therein; prevents introduction or spread of
pathogens from environment to patient
Surgical asepsis principles - ,,,answer,,,..Sterile object touched by
nonsterile is contaminated
Only sterile objects on the sterile field
Out of range of vision or below waist is contaminated
long exposure to air is contaminated
in contact with wet ifs contamined
EXAM 200 QUESTIONS AND CORRECT ANSWERS)
|ALREADY
Describe an airborne precautions room - ,,,answer,,,..private room
with monitored negative air pressure with 6 to 12 changes per hour,
keep door closed and client in room, can place client with another
but only if same organism, place mask on client if being transported
Describe when airborne precautions are used - ,,,answer,,,..used with
pathogens transmitted by airborne route that are less than 5
microns. They remain suspended in the air.
Name diseases that would require airborne precautions (4) -
,,,answer,,,..measles, varicella, tuberculosis, and shingles until the
lesions are crusted over.
What does nurse wear into an airborne precautions room? -
,,,answer,,,..Use respiratory protection, like a protective mask, that is
fit-tested. Do not share with other providers.
How do you ambulate with a cane? - ,,,answer,,,..Cane should be held
in hand opposite affected extremity. Advance cane and affected leg,
about 4 to 12 inches. To go upstairs, step up with good extremity
and then place cane and affected extremity on step. Reverse when
going downstairs.
Before ambulation, what should you assess? - ,,,answer,,,..Activity
tolerance of the patient, strength, mobility status, mental status,
degree of personnel and equipment assistance needed. Assess safety
of environment and adequacy of clothing, including nonslip shoes.
,Before ambulation, what should you talk to the patient about? -
,,,answer,,,..Inform patient of rationale and specific goals for walking.
Tell them to report any dizziness, weakness, or shortness of breath.
Describe how to ambulate in progressive stages - ,,,answer,,,..First sit
on the bed and dangle, then stand to side of bed, then progressively
walking. Nurse can use gait belt to support patient. If patient is dizzy
or unsteady, return patient to close bed, chair, or gently lower to the
floor.
Name some ambulatory assistance devices - ,,,answer,,,..Gait belt,
crutches, walker, cane
Purpose of ambulation - ,,,answer,,,..Allows for muscle movement
and joint flexibility. Improves respiratory and GI function. Rules risk
of complications of immobility.
Describe how to use a walker from the bed - ,,,answer,,,..Set walker
in front of seated patient. Have patient stand with assistance as
needed. Have patient hold walker's handgrips firmly. Stand slightly
behind patient, on one side. Have patient move walker forward 6 to
8 inches and set it down, making sure all feet on the floor. Tell
patient to step forward with either foot into the walker, support self.
Follow through with other leg. Continue pattern.
Describe proper position of crutches - ,,,answer,,,..Hold crutches 6
inches in front of and 6 inches to the side of each foot. Should be 1.5
to 2 inches below armpits. Elbows are flexed at a 15 degree angle
Purpose of anti embolism stockings - ,,,answer,,,..Reduces risk of
DVT and pulmonary embolism. Helps prevent phlebitis.
,how do aniembolism stockings work? - ,,,answer,,,..Exert external
pressure on lower extremity muscles and superficial leg veins, thus
preventing stasis and promoting venous return in lower extremities
by maintaining external pressure.
When should anti embolism stockings not be worn? - ,,,answer,,,..Do
not apply if skin lesions or gangrene present.
When should anti embolism stockings be put on? - ,,,answer,,,..In the
morning before patient out of bed
Teach patient to recognize possible indicators of DVT or phlebitis,
such as: - ,,,answer,,,..unilateral swelling, redness, tenderness, pain
on dorsiflexion (postiive Homans sign) and warmth
When patient in on anti embolism stocking, when would they notify
provider? What are abnormal symptoms? - ,,,answer,,,..skin irritation
and breakdown, abnormal color, warm or cool temperature, unusual
sensations, swelling, changes in movement
Can patient wear anti embolism stockings with nonskid socks? -
,,,answer,,,..Yes, but skid resistant socks on patient prior to
ambulation
Teach patient to recognize possible indicators of DVT or phlebitis,
such as: - ,,,answer,,,..unilateral swelling, redness, tenderness, pain
on dorsiflexion (postiive Homans sign) and warmth
When patient in on anti embolism stocking, when would they notify
provider? What are abnormal symptoms? - ,,,answer,,,..skin irritation
and breakdown, abnormal color, warm or cool temperature, unusual
sensations, swelling, changes in movement
, Can patient wear anti embolism stockings with nonskid socks? -
,,,answer,,,..Yes, but skid resistant socks on patient prior to
ambulation
Apical pulse is the best site location in which instances? -
,,,answer,,,..best pulse site in infants and young children and if
patient is taking a medication that affects the heart rate
Pulse deficit: how is it calculated? - ,,,answer,,,..Compare radial and
apical heart rates. Normally are the same. If radial is slower there is
a perfusion issue.
PMI - ,,,answer,,,..point of maximal impulse, the apical pulse, which is
where the impulse of the left ventricle is felt more strongly; 5th
intercostal space at the mid clavicular line on the left side
2 types of aseptic technique - ,,,answer,,,..medial asepsis is clean
technique and surgical asepsis
Describe medical asepsis, or clean technique - ,,,answer,,,..Focuses on
reducing number of microorganisms and preventing them from
spreading
Surgical asepsis - ,,,answer,,,..Sterile technique and focuses on
eliminating the microorganisms from an area; including sterile
objects and rules therein; prevents introduction or spread of
pathogens from environment to patient
Surgical asepsis principles - ,,,answer,,,..Sterile object touched by
nonsterile is contaminated
Only sterile objects on the sterile field
Out of range of vision or below waist is contaminated
long exposure to air is contaminated
in contact with wet ifs contamined
