Comprehensive Exam part 1
What is the minimum alcohol concentration for effective hand rubs?: 60%.
R: Lower is less effective at killing pathogens.
What does standard precautions apply to?: All patients, regardless of
diagnosis.
R: Blood, body fluids, non-intact skin, mucous membranes
What is the correct isolation precaution for C. difficile?: Contact precautions
with soap and water.
R: Alcohol rub not effective on spores.
Which stage of infection involves nonspecific symptoms (fever, malaise)?:
Prodromal stage.
R: Greatest risk of spread. Incubation = exposure, Illness = full symptoms.
Which patient teaching reduces risk of CAUTI?: Daily perineal care and
catheter care.
R: Catheter-associated infections are preventable with hygiene.
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, Which age-related change predisposes older adults to infection?: Thinner skin
and reduced cough reflex.
R: Increases risk for skin breakdown and pneumonia.
Who is considered the founder of modern nursing, and when did she establish
her training school?: Florence Nightingale, 1860, St. Thomas' Hospital, London.
R: Marked professionalization of nursing; before this, care was mostly informal.
When was the American Nurses Association (ANA) founded?: 1896.
R: Originally Nurses Associated Alumnae; set nursing standards in the U.S.
What act established the first nationwide nurse licensure?: Nurse Practice Acts
(began in 1903, NC first).
R: Defined scope of nursing and protected the public.
What is medical asepsis?: Clean technique: reduces number/spread of
microorganisms.
R: Hand hygiene, PPE. Surgical asepsis = sterile.
Which PPE order is correct for donning?: Gown Mask ’ Goggles ’ Gloves.’
R: Protects in order of exposure risk.
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