NUR 120 Exam 1
You are making a home visit to a family of 5 children. The youngest, aged 5, has a temp
of 101.1 F, is lethargic, and has a poor appetite. This assessment leads you to the
diagnosis of influenza. Based on your knowledge that influenza is an airborne
communicable disease, all of the following patient teachings regarding infection are
appropriate for the mother and family except:
a. Keep children home from day care and school while symptoms are present
b. Remind family that they only need to wash their hands if they are visibly dirty
c. Do not share tissues, dishes, or personal care items to reduce the risk of
transmission
d. Encourage the family to receive their annual influenza vaccine - answerB
What is Civil Law? - answerGoverns unjust acts against individuals rather than federal
or state crimes
When caring for a pt with rubella, in addition to standard precautions, which precautions
would be used?
a. Droplet precautions
b. Airborne precautions
c. Contact precautions
d. Universal precautions . - answerA.
Slander - answeroral defamation of character
Assault - answerA threat of bodily harm or violence
Felony - answerA serious crime that results in perpetrator being imprisoned in a state or
federal facility for more than a year
Malpractice - answernegligence committed by people who hold licenses to practice their
profession
During normal pt care that does not soil hands, effective hand hygiene between pts
require:
a. at least a 20 sec soap and water scrub
b. at least a 23 min, scrub with antimicrobial soap
c. use of an alcohol-based antiseptic hand rub
d. a mask must be worn while scrubbing is occurring - answerC.
,An infection occurs as a result of a cyclical process. The 6 components of an infection
are:
a. infectious agent, source of infection, portal of exit, mode of transmission, portal of
entry, and susceptible host.
b. infectious agent, reservoir, portal of exit, vehicle of movement, portal of entry, and
susceptible.
c. infectious agent, reservoir, portal of exit, vehicle of transmission, portal entry, and
unsusceptible host.
d. invading agent, reservoir, portal of exit, vehicle transmission, portal of entry, and
susceptible host. - answerA.
tort - answerwrongful act committed against another person that does not involve a
contract
Libel - answerwritten forms of defamation of character
Battery - answerActual physical harm caused to another person
Of the following pts, which pt is at a higher risk of infection?
a. 27 yr old female who is an athlete
b. 60 yr old male with arthritis
c. 12 yr old female with a broken leg
d. 36 yr old female with HIV - answerD
The nurse is caring for a pt that has a diagnosis of methicillin-resistant Staphylococcus
aureus (MRSA). Which of the following infection control practices should the nurse
implement? SELECT ALL THAT APPLY:
a. Wear a protective gown when entering the pt's room
b. Don a particulate respirator mask when administering medication to the pt
c. Ensure the all staff serving the pt's meal trays don gloves
d. Instruct all visitors to wear a surgical mask when entering the pt's room
e. Use sterile gloves when performing dressing changes
f. Use a face shield before irrigating the pt's wounds - answerA, C, F
autonomy - answerEvery person has the right to decide his or her own course of action
Beneficence - answerAction that promotes good for others, without any self interest.
The nurse notes that the pt has an irregular pulse. What is the 1st action the nurse
should take?
a. Asses the pulse at the carotid artery
b. Asses the pulse with a Doppler ultrasound
, c. Assess the pulse for a full minute
d. Asses the pulse at two different sites - answerC
fidelity - answerfaithfulness, loyalty, keeping promises.
Tort - answerwrongful act committed against another person that does not involve a
contract
Which assessment findings would require the nurse to further assess the pt?
a. A young adult male with a pulse rate of 136 after running 2 miles
b. A 40 yr old female with a BP of 110/70 when 1st awakened
c. A 72 yr old female with a respiratory rate of 10 breaths per min.
c. A 50 yr old male with a pulse rate of 88 beats per min. - answerC
Veracity - answertruthfulness, honesty
Nonmaleficence - answerdo no harm; preventing harm
The nurse is completing a postoperative assessment on a pt in the post-anesthesia
recovery unit. Which VS requires further assessment by the nurse for the possible
hypovolemic (low blood volume) shock?
a. An increase in HR
b. An increased temp. reading
c. A decrease in BP
d. A decrease in RR - answerA
Confidentiality - answerRespecting the privacy of both parties and keeping details
secret
The nurse is caring for a pt with a temp of 103 F, respirations of 30 per min., pulse rate
of 50 beats per minute, and BP of 100/60. The pt is cold and clammy. What does the
nurse conclude abt these findings?
a. The temp is causing a lowered pulse rate; it will improve if the temp. decreases.
b. The low pulse rate is causing a decreased cardiac output, which has caused a low
BP
c. The pulse rate and BP are compensatory mechanisms to decrease the increased
metabolic rate from the temp.
d. The cool, clammy skin will help to increase the BP and pulse as the body tries to
warm the skin - answerB
Patient advocacy is best demonstrated by the nurse:
A. Learning how to do a new procedure
You are making a home visit to a family of 5 children. The youngest, aged 5, has a temp
of 101.1 F, is lethargic, and has a poor appetite. This assessment leads you to the
diagnosis of influenza. Based on your knowledge that influenza is an airborne
communicable disease, all of the following patient teachings regarding infection are
appropriate for the mother and family except:
a. Keep children home from day care and school while symptoms are present
b. Remind family that they only need to wash their hands if they are visibly dirty
c. Do not share tissues, dishes, or personal care items to reduce the risk of
transmission
d. Encourage the family to receive their annual influenza vaccine - answerB
What is Civil Law? - answerGoverns unjust acts against individuals rather than federal
or state crimes
When caring for a pt with rubella, in addition to standard precautions, which precautions
would be used?
a. Droplet precautions
b. Airborne precautions
c. Contact precautions
d. Universal precautions . - answerA.
Slander - answeroral defamation of character
Assault - answerA threat of bodily harm or violence
Felony - answerA serious crime that results in perpetrator being imprisoned in a state or
federal facility for more than a year
Malpractice - answernegligence committed by people who hold licenses to practice their
profession
During normal pt care that does not soil hands, effective hand hygiene between pts
require:
a. at least a 20 sec soap and water scrub
b. at least a 23 min, scrub with antimicrobial soap
c. use of an alcohol-based antiseptic hand rub
d. a mask must be worn while scrubbing is occurring - answerC.
,An infection occurs as a result of a cyclical process. The 6 components of an infection
are:
a. infectious agent, source of infection, portal of exit, mode of transmission, portal of
entry, and susceptible host.
b. infectious agent, reservoir, portal of exit, vehicle of movement, portal of entry, and
susceptible.
c. infectious agent, reservoir, portal of exit, vehicle of transmission, portal entry, and
unsusceptible host.
d. invading agent, reservoir, portal of exit, vehicle transmission, portal of entry, and
susceptible host. - answerA.
tort - answerwrongful act committed against another person that does not involve a
contract
Libel - answerwritten forms of defamation of character
Battery - answerActual physical harm caused to another person
Of the following pts, which pt is at a higher risk of infection?
a. 27 yr old female who is an athlete
b. 60 yr old male with arthritis
c. 12 yr old female with a broken leg
d. 36 yr old female with HIV - answerD
The nurse is caring for a pt that has a diagnosis of methicillin-resistant Staphylococcus
aureus (MRSA). Which of the following infection control practices should the nurse
implement? SELECT ALL THAT APPLY:
a. Wear a protective gown when entering the pt's room
b. Don a particulate respirator mask when administering medication to the pt
c. Ensure the all staff serving the pt's meal trays don gloves
d. Instruct all visitors to wear a surgical mask when entering the pt's room
e. Use sterile gloves when performing dressing changes
f. Use a face shield before irrigating the pt's wounds - answerA, C, F
autonomy - answerEvery person has the right to decide his or her own course of action
Beneficence - answerAction that promotes good for others, without any self interest.
The nurse notes that the pt has an irregular pulse. What is the 1st action the nurse
should take?
a. Asses the pulse at the carotid artery
b. Asses the pulse with a Doppler ultrasound
, c. Assess the pulse for a full minute
d. Asses the pulse at two different sites - answerC
fidelity - answerfaithfulness, loyalty, keeping promises.
Tort - answerwrongful act committed against another person that does not involve a
contract
Which assessment findings would require the nurse to further assess the pt?
a. A young adult male with a pulse rate of 136 after running 2 miles
b. A 40 yr old female with a BP of 110/70 when 1st awakened
c. A 72 yr old female with a respiratory rate of 10 breaths per min.
c. A 50 yr old male with a pulse rate of 88 beats per min. - answerC
Veracity - answertruthfulness, honesty
Nonmaleficence - answerdo no harm; preventing harm
The nurse is completing a postoperative assessment on a pt in the post-anesthesia
recovery unit. Which VS requires further assessment by the nurse for the possible
hypovolemic (low blood volume) shock?
a. An increase in HR
b. An increased temp. reading
c. A decrease in BP
d. A decrease in RR - answerA
Confidentiality - answerRespecting the privacy of both parties and keeping details
secret
The nurse is caring for a pt with a temp of 103 F, respirations of 30 per min., pulse rate
of 50 beats per minute, and BP of 100/60. The pt is cold and clammy. What does the
nurse conclude abt these findings?
a. The temp is causing a lowered pulse rate; it will improve if the temp. decreases.
b. The low pulse rate is causing a decreased cardiac output, which has caused a low
BP
c. The pulse rate and BP are compensatory mechanisms to decrease the increased
metabolic rate from the temp.
d. The cool, clammy skin will help to increase the BP and pulse as the body tries to
warm the skin - answerB
Patient advocacy is best demonstrated by the nurse:
A. Learning how to do a new procedure
