NURSING 150-FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Airborne (TB) - Answer-gloves, mask (N95), gown and goggles
Droplets (flu) - Answer-gloves, regular mask, gown and goggles
Contact (C-diff) - Answer-gown (most important), gown, gloves and goggles.
C-diff - Answer-a bacterium that can cause symptoms ranging from diarrhea to life-
threatening inflammation of the colon.
When a patient has an infection: - Answer-changes in their mental health, high temp
and HR, redness swelling/drainage in the wound or site. Lungs could be congested and
if so get labs (wbc), get urine, blood and chest x-rays. Infections could have a green,
fowl smelling.
Risks in the healthcare field? - Answer-Falls and in hospital infections
body mechanics - Answer-bend knees, avoid twisting, keep close to midline, lift with
your legs, tighten core
What are 2 main reasons for bed baths? - Answer-1. infections
2. comfort
Why do we change patient's bed sheets? - Answer-to avoid wrinkles and bed sores and
for comfort
Which age group has the highest risks for infections? - Answer-Babies, children and
elderly
If a patient falls: - Answer-First you asses them, notify the MD, notify the family member
and then write out incident report.
As nurses we ask questions like? - Answer-Their sleep schedule, their diet, any daily
practices, any issues etc
S B A R - Answer-miscommunication between nurses and MD often lead to errors
s- what is the situation?
b-background of the patient
a- assessment
r- recommendation
, always give this info when talking to MD
What are the three types of isolation? - Answer-Airborne, droplets and contact
Rules of restraints - Answer-You need an MD order, check them every 15 mins but
release in 2 hours, tie the knot to the non-movable part of the bed frame, always check
for wrist bruises. Sometimes family will sign a release.
privacy for patients - Answer-knock on the door first and ask to enter, close the door
and pull the curtains
What does "least restrictive environment" mean? - Answer-whatever allows the patient
the most movement
If you use a BP cuff that is too small? - Answer-May result in falsely high readings
If use a BP cuff that is too big? - Answer-May result in falsely low readings
Where should you not use BP for readings? - Answer-Never use the forearm
Never take BP on the arm that has: - Answer-1. IV catheter
2. AV shunt
3. breast surgery on that side
4. arm/hand that has been traumatized
5. arm cast or bulky dressings
What is the single most important technique to avoid infection in the healthcare? -
Answer-washing your hands
When do you wash your hands? - Answer-before and after patient care, when changing
out gloves, in between each patient, before and after restroom, eating, administrating
meds.
When are gloves required? - Answer-When you come in contact with bodily fluids
A mask is required during patient care activities because of - Answer-blood, secretions,
bodily fluids and excretion
How long should you wash your hands for? - Answer-15-30 secs
What are the restraint rules for STNA? - Answer-they can asses PT behavior and level
of orientation, asses need for restraints and selecting the appropriate types of restraints
Complications of immobility: - Answer-muscular atrophy (muscle wasting), contractures
(deformity), pressure ulcers, constipation, pneumonia and DVTs (deep vein thrombosis
or blood clots)
WITH COMPLETE SOLUTIONS
Airborne (TB) - Answer-gloves, mask (N95), gown and goggles
Droplets (flu) - Answer-gloves, regular mask, gown and goggles
Contact (C-diff) - Answer-gown (most important), gown, gloves and goggles.
C-diff - Answer-a bacterium that can cause symptoms ranging from diarrhea to life-
threatening inflammation of the colon.
When a patient has an infection: - Answer-changes in their mental health, high temp
and HR, redness swelling/drainage in the wound or site. Lungs could be congested and
if so get labs (wbc), get urine, blood and chest x-rays. Infections could have a green,
fowl smelling.
Risks in the healthcare field? - Answer-Falls and in hospital infections
body mechanics - Answer-bend knees, avoid twisting, keep close to midline, lift with
your legs, tighten core
What are 2 main reasons for bed baths? - Answer-1. infections
2. comfort
Why do we change patient's bed sheets? - Answer-to avoid wrinkles and bed sores and
for comfort
Which age group has the highest risks for infections? - Answer-Babies, children and
elderly
If a patient falls: - Answer-First you asses them, notify the MD, notify the family member
and then write out incident report.
As nurses we ask questions like? - Answer-Their sleep schedule, their diet, any daily
practices, any issues etc
S B A R - Answer-miscommunication between nurses and MD often lead to errors
s- what is the situation?
b-background of the patient
a- assessment
r- recommendation
, always give this info when talking to MD
What are the three types of isolation? - Answer-Airborne, droplets and contact
Rules of restraints - Answer-You need an MD order, check them every 15 mins but
release in 2 hours, tie the knot to the non-movable part of the bed frame, always check
for wrist bruises. Sometimes family will sign a release.
privacy for patients - Answer-knock on the door first and ask to enter, close the door
and pull the curtains
What does "least restrictive environment" mean? - Answer-whatever allows the patient
the most movement
If you use a BP cuff that is too small? - Answer-May result in falsely high readings
If use a BP cuff that is too big? - Answer-May result in falsely low readings
Where should you not use BP for readings? - Answer-Never use the forearm
Never take BP on the arm that has: - Answer-1. IV catheter
2. AV shunt
3. breast surgery on that side
4. arm/hand that has been traumatized
5. arm cast or bulky dressings
What is the single most important technique to avoid infection in the healthcare? -
Answer-washing your hands
When do you wash your hands? - Answer-before and after patient care, when changing
out gloves, in between each patient, before and after restroom, eating, administrating
meds.
When are gloves required? - Answer-When you come in contact with bodily fluids
A mask is required during patient care activities because of - Answer-blood, secretions,
bodily fluids and excretion
How long should you wash your hands for? - Answer-15-30 secs
What are the restraint rules for STNA? - Answer-they can asses PT behavior and level
of orientation, asses need for restraints and selecting the appropriate types of restraints
Complications of immobility: - Answer-muscular atrophy (muscle wasting), contractures
(deformity), pressure ulcers, constipation, pneumonia and DVTs (deep vein thrombosis
or blood clots)
