MEDICAL SURGICAL NURSING EXAMINATION
TEST QUESTIONS AND DETAILED SOLUTIONS
◉ What kinds of diseases would require contact isolation
precautions? Answer: - salmonella
- scabies
- shigella
- c-diff
- MRSA
- herpes & fungal infections
◉ What is required to discontinue contact isolation precautions for
MRSA? Answer: - may occur when clearance of the organism has
been documented with 3 or more surveillance tests
◉ What kinds of diseases would require airborne isolation
precautions? Answer: - MMR (measles, mumps, rubella)
- TUberculosis (N95 mask, - air flow)
- Varicella (chicken pox)
* thanks to Tiffany
◉ What kinds of diseases would require droplet isolation precautions?
Answer: - Corona virus
- Pertussis/whooping cough
- Influenza/flu
- Meningitis
, - Pneumonia
* thanks to Tiffany & Jay
◉ Reverse isolation Answer: - neutropenic isolation precautions
◉ What are neutropenic isolation precautions used for? Answer: -
Patient that is immunocompromised with low # of neutrophils. In this
incidence were more concerned about the patient acquiring a disease.
◉ radiation isolation precautions Answer: - steps taken to isolate a
patient who has received radiation from others who might be harmed
by the radiation from a distance
- all equipment must stay in room until removed by someone who
knows how to decontaminate it
◉ Airborne precautions distance Answer: - 10 feet or more
◉ Droplet precautions distance Answer: - 3 to 6 feet
◉ Clinical manifestations of TB Answer: - fatigue
- weight loss & anorexia
- night sweats
- cough with rusty colored/blood streaked sputum
- dyspnea, orthopnea, and rales as disease progresses
◉ Treatments for anaphylactic reaction Answer: - removal of
triggering agent - prompt recognition & treatment
- IM epinephrine can repeat q5-15min 2or3x
TEST QUESTIONS AND DETAILED SOLUTIONS
◉ What kinds of diseases would require contact isolation
precautions? Answer: - salmonella
- scabies
- shigella
- c-diff
- MRSA
- herpes & fungal infections
◉ What is required to discontinue contact isolation precautions for
MRSA? Answer: - may occur when clearance of the organism has
been documented with 3 or more surveillance tests
◉ What kinds of diseases would require airborne isolation
precautions? Answer: - MMR (measles, mumps, rubella)
- TUberculosis (N95 mask, - air flow)
- Varicella (chicken pox)
* thanks to Tiffany
◉ What kinds of diseases would require droplet isolation precautions?
Answer: - Corona virus
- Pertussis/whooping cough
- Influenza/flu
- Meningitis
, - Pneumonia
* thanks to Tiffany & Jay
◉ Reverse isolation Answer: - neutropenic isolation precautions
◉ What are neutropenic isolation precautions used for? Answer: -
Patient that is immunocompromised with low # of neutrophils. In this
incidence were more concerned about the patient acquiring a disease.
◉ radiation isolation precautions Answer: - steps taken to isolate a
patient who has received radiation from others who might be harmed
by the radiation from a distance
- all equipment must stay in room until removed by someone who
knows how to decontaminate it
◉ Airborne precautions distance Answer: - 10 feet or more
◉ Droplet precautions distance Answer: - 3 to 6 feet
◉ Clinical manifestations of TB Answer: - fatigue
- weight loss & anorexia
- night sweats
- cough with rusty colored/blood streaked sputum
- dyspnea, orthopnea, and rales as disease progresses
◉ Treatments for anaphylactic reaction Answer: - removal of
triggering agent - prompt recognition & treatment
- IM epinephrine can repeat q5-15min 2or3x
