NURS 140 EXAM 1 QUESTIONS AND ANSWERS
What is the nursing process? - Answer -A systematic problem-solving process that
guides all nursing actions and determines the effectiveness of patient care
What are the steps of the nursing process? - Answer -1. Assessment of patient
2. Diagnosis of problems/ potential problems
3. Planning nursing interventions and anticipated care plan
4. Implementing the care plan
5. Evaluating the effectiveness of treatment/ interventions
What does being a patient advocate stand for? - Answer -1. It is the primary nursing
role
2. acting on the behalf of the patient/ family to obtain services they require for the best
outcome
How is the nurse involved in being a patient advocate? - Answer -this includes:
(1) protecting patients
(2) acting as their voice
(3) providing high-quality care
(4) building interpersonal relationships
(5) educating patients on their condition and the care they're receiving
What are the basic concepts regarding culture and diversity? - Answer -1. Cultural
Competence - being able to understand and respect values, attitudes, beliefs, and
morals that differ across cultures and recognize how these values and beliefs affect
patients in all aspects of their care.
2. Self- awareness to cultures - develop a sensitivity to differences and support cultural
humility without superiority.
3. Cultural humility - begins with examining your own belief and cultural identities in
order to be open to learning about other's cultures in a non-judgemental way. People
need care, not judgement.
The Impact of the First 5 - Answer -1. Performing Hand Hygiene -- Impact: keeping
patients safe through infection prevention
2. Identify patient and Introduce yourself -- check patient's bracelet, asking name and
date of birth, confirming identity on ID bracelet
Impact: patient safety and nurse safety
3. Allergies -- checking allergy bracelet, questioning patient of their allergies, confirming
their response is on their bracelet, documented on EMR and their medical record
Impact: patient safety
4. Privacy of patient -- closing the curtain
Impact: helping them feel comfortable and protecting their HIPAA rights
, 5. Procedure/ Plan -- explaining the reason for your visit, and educating the patient on
your visit (assessment, procedure, or meds)
Impact: helping the patient feel comfortable and understanding their care also provides
nurse safety
What is the last five? - Answer -1. bed in low position, wheels locked, side rails up
2. call bell within reach
3. alarm activated?
4. asking - is there anything else I can do for you? I will be back in ...
5. Wash hands
What is Medical Asepsis and what does it include? - Answer -1. Medical Asepsis is a
clean technique of practices that kill some microbes to prevent their spread
2. This includes PPE and hand hygiene, gloves, gown, mask, goggles
What are standard precautions? - Answer -They are used during every patient
interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe injection
practices, and disinfection of soiled surfaces and equipment
What are Contact Precautions? - Answer -Used when patients have diarrhea, draining
wounds/ sores, vomiting, draining body fluids. The pathogen can invade the body by
direct contact or contact with an infected object. Examples: HIV, ebola, hepatitis
Hand washing, PPE, gown & gloves
What are Droplet Precautions? - Answer -1. Droplets are generated by respiratory
secretions can travel 3-6 feet
2. Precautions to use gown, goggles/ facemask, gloves
3. Infections - Spiderman: S-sepsis, scarlet fever, streptococcal pharyngitis, P-pertussis,
pneumonia, I-influenza, D-diphtheria, E-epiglottis, R-rubella, M-mumps, meningitis,
mycoplasma or meningeal pneumonia, AN - adenovirus
What are Airborne Precautions? - Answer -1. Precautions - N-95 mask, private
negative pressure room, take mask off outside room, gloves and gown.
2. Infections - MY Stupid Chicken HEZ TB -- My - measles, S- SARS, C - Covid-19,
Chicken pox (varicella) , Hez - Herpes Zoster, TB- tuberculosis
What is the Chain of Infection? - Answer -1. Infectious agent
2. reservoir/ source of infection
3. portal of exit
4. mode of transmission
5. portal of entry
6. susceptible host
Donning PPE - Answer -Put on; hand hygiene, gown, mask, goggles, glove
Doffing PPE - Answer -1. untie front of gown, then gloves
What is the nursing process? - Answer -A systematic problem-solving process that
guides all nursing actions and determines the effectiveness of patient care
What are the steps of the nursing process? - Answer -1. Assessment of patient
2. Diagnosis of problems/ potential problems
3. Planning nursing interventions and anticipated care plan
4. Implementing the care plan
5. Evaluating the effectiveness of treatment/ interventions
What does being a patient advocate stand for? - Answer -1. It is the primary nursing
role
2. acting on the behalf of the patient/ family to obtain services they require for the best
outcome
How is the nurse involved in being a patient advocate? - Answer -this includes:
(1) protecting patients
(2) acting as their voice
(3) providing high-quality care
(4) building interpersonal relationships
(5) educating patients on their condition and the care they're receiving
What are the basic concepts regarding culture and diversity? - Answer -1. Cultural
Competence - being able to understand and respect values, attitudes, beliefs, and
morals that differ across cultures and recognize how these values and beliefs affect
patients in all aspects of their care.
2. Self- awareness to cultures - develop a sensitivity to differences and support cultural
humility without superiority.
3. Cultural humility - begins with examining your own belief and cultural identities in
order to be open to learning about other's cultures in a non-judgemental way. People
need care, not judgement.
The Impact of the First 5 - Answer -1. Performing Hand Hygiene -- Impact: keeping
patients safe through infection prevention
2. Identify patient and Introduce yourself -- check patient's bracelet, asking name and
date of birth, confirming identity on ID bracelet
Impact: patient safety and nurse safety
3. Allergies -- checking allergy bracelet, questioning patient of their allergies, confirming
their response is on their bracelet, documented on EMR and their medical record
Impact: patient safety
4. Privacy of patient -- closing the curtain
Impact: helping them feel comfortable and protecting their HIPAA rights
, 5. Procedure/ Plan -- explaining the reason for your visit, and educating the patient on
your visit (assessment, procedure, or meds)
Impact: helping the patient feel comfortable and understanding their care also provides
nurse safety
What is the last five? - Answer -1. bed in low position, wheels locked, side rails up
2. call bell within reach
3. alarm activated?
4. asking - is there anything else I can do for you? I will be back in ...
5. Wash hands
What is Medical Asepsis and what does it include? - Answer -1. Medical Asepsis is a
clean technique of practices that kill some microbes to prevent their spread
2. This includes PPE and hand hygiene, gloves, gown, mask, goggles
What are standard precautions? - Answer -They are used during every patient
interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe injection
practices, and disinfection of soiled surfaces and equipment
What are Contact Precautions? - Answer -Used when patients have diarrhea, draining
wounds/ sores, vomiting, draining body fluids. The pathogen can invade the body by
direct contact or contact with an infected object. Examples: HIV, ebola, hepatitis
Hand washing, PPE, gown & gloves
What are Droplet Precautions? - Answer -1. Droplets are generated by respiratory
secretions can travel 3-6 feet
2. Precautions to use gown, goggles/ facemask, gloves
3. Infections - Spiderman: S-sepsis, scarlet fever, streptococcal pharyngitis, P-pertussis,
pneumonia, I-influenza, D-diphtheria, E-epiglottis, R-rubella, M-mumps, meningitis,
mycoplasma or meningeal pneumonia, AN - adenovirus
What are Airborne Precautions? - Answer -1. Precautions - N-95 mask, private
negative pressure room, take mask off outside room, gloves and gown.
2. Infections - MY Stupid Chicken HEZ TB -- My - measles, S- SARS, C - Covid-19,
Chicken pox (varicella) , Hez - Herpes Zoster, TB- tuberculosis
What is the Chain of Infection? - Answer -1. Infectious agent
2. reservoir/ source of infection
3. portal of exit
4. mode of transmission
5. portal of entry
6. susceptible host
Donning PPE - Answer -Put on; hand hygiene, gown, mask, goggles, glove
Doffing PPE - Answer -1. untie front of gown, then gloves
