NUR 140 FINAL EXAM QUESTIONS & ANSWERS
After a procedure that requires PPE including gown, N95 respirator, face shield and
gloves, what should the nurse remove first? - Answer -Gloves. They are the most
contaminated.
You are caring for a patient diagnosed with mycoplasma pneumonia. Droplet
precautions have been instituted, what must you do? Why? - Answer -Protect your
eyes. Droplet transmission involves infectious, large-particle droplets with conjunctivae
or mucous membranes. Droplets are generated by patient sneezing, coughing or
talking.
When must a nurse wash his or her hands with soap and water? - Answer -After
removing gloves. Before leaving patient care area/unit. Prior to patient contact.
Whenever hands are visibly dirty.
Contact precautions would be mandated for hospitalized adult patient diagnosed with
_______. - Answer -Infectious diarrhea
How long must you wash your hands? - Answer -At least 15 seconds
Standard precautions mandate __________. - Answer -Disinfecting hands immediately
after removing gloves.
To decontaminate your hands with an alcohol-based gel, you rub them together until all
of the gel has evaporated and your hands are dry. Why? - Answer -Drying provides the
full antiseptic effect.
What is a healthcare-associated infection (HAI)? What causes of this? - Answer -An
infection acquired while hospitalized. Pathogens transmitted from one patient to another
by staff who do not practice good hand washing.
What can affect the permeability of gloves? - Answer -Petroleum-based hand lotion;
impairs integrity of the gloves.
When irrigating a patients's open wound, besides gloves what other form of PPE must
you wear? - Answer -A face shield
When taking an adult patient's temp rectally, it is important to _________. Why? -
Answer -Insert the probe about an inch and a half into the patients anus. Ensures
sufficient exposure of the probe to the blood vessels of rectum.
While assessing vitals of a newly admitted patient how do you establish an accurate
baseline of the PT's respirations. - Answer -Observe the patients chest movements
while appearing to assess his pulse.
, When assessing a patients respirations, it is recommended that the patient _________.
- Answer -Have the head of the bed elevated 45-60 degrees. This is a comfortable
position and allows for full ventilatory movement.
When assessing a 45 yo patient vitals, which of the following requires immediate
attention?
-Oral temp of 100*
-Blood pressure of 148/88
-Respiratory Rate 30 per min
-Pulse 90 per min - Answer -Respiratory rate of 30 per min; above normal range
The best way to determine the depth of a patient's respiration is to ________. - Answer
-Observe the degree of chest-wall movement during inspiration and expiration
When preparing to use tympanic thermometer, what must you remember to do? -
Answer -Gently pull the pinna back and upward in adults and downward in children
When preparing to measure vital signs, you should recognize that which of the following
with affect the methods used:
-Patient is 60 lbs overweight
-Patient has been nauseated for 2 days
-Patient reports stuffy nose
-Patient has been fasting for blood test
-Patient is taking Digoxin
-Patient has a mastectomy 2 yeas ago - Answer --Patient is 60 lbs over weight
-Patient with nasal congestion will altered oral temp (mouth breathing)
-Presence of CV problem that warrants Digoxin will require a full 60 sec apical pulse
-Lymphatic drainage might be altered in the affect are post mastectomy.
When measuring a patient's oral temp where must you place the probe? - Answer -In
the posterior sublingual pocket, to the side of the frenulum.
S1 sounds are produced by _______. - Answer -Closure of mitral and tricuspid valves
also know as the atrioventricular valves
S2 sounds are produced by _______. - Answer -Closure of the aortic and pulmonic
valves. Also known as the semilunar valves
What is the difference between a persons systolic and diastolic BP? - Answer -The
pulse pressure.
Where is the PMI? When do you use it? - Answer --At the fifth intercostal space at the
left midclavicular line.
-Used when taking apical pulse
After a procedure that requires PPE including gown, N95 respirator, face shield and
gloves, what should the nurse remove first? - Answer -Gloves. They are the most
contaminated.
You are caring for a patient diagnosed with mycoplasma pneumonia. Droplet
precautions have been instituted, what must you do? Why? - Answer -Protect your
eyes. Droplet transmission involves infectious, large-particle droplets with conjunctivae
or mucous membranes. Droplets are generated by patient sneezing, coughing or
talking.
When must a nurse wash his or her hands with soap and water? - Answer -After
removing gloves. Before leaving patient care area/unit. Prior to patient contact.
Whenever hands are visibly dirty.
Contact precautions would be mandated for hospitalized adult patient diagnosed with
_______. - Answer -Infectious diarrhea
How long must you wash your hands? - Answer -At least 15 seconds
Standard precautions mandate __________. - Answer -Disinfecting hands immediately
after removing gloves.
To decontaminate your hands with an alcohol-based gel, you rub them together until all
of the gel has evaporated and your hands are dry. Why? - Answer -Drying provides the
full antiseptic effect.
What is a healthcare-associated infection (HAI)? What causes of this? - Answer -An
infection acquired while hospitalized. Pathogens transmitted from one patient to another
by staff who do not practice good hand washing.
What can affect the permeability of gloves? - Answer -Petroleum-based hand lotion;
impairs integrity of the gloves.
When irrigating a patients's open wound, besides gloves what other form of PPE must
you wear? - Answer -A face shield
When taking an adult patient's temp rectally, it is important to _________. Why? -
Answer -Insert the probe about an inch and a half into the patients anus. Ensures
sufficient exposure of the probe to the blood vessels of rectum.
While assessing vitals of a newly admitted patient how do you establish an accurate
baseline of the PT's respirations. - Answer -Observe the patients chest movements
while appearing to assess his pulse.
, When assessing a patients respirations, it is recommended that the patient _________.
- Answer -Have the head of the bed elevated 45-60 degrees. This is a comfortable
position and allows for full ventilatory movement.
When assessing a 45 yo patient vitals, which of the following requires immediate
attention?
-Oral temp of 100*
-Blood pressure of 148/88
-Respiratory Rate 30 per min
-Pulse 90 per min - Answer -Respiratory rate of 30 per min; above normal range
The best way to determine the depth of a patient's respiration is to ________. - Answer
-Observe the degree of chest-wall movement during inspiration and expiration
When preparing to use tympanic thermometer, what must you remember to do? -
Answer -Gently pull the pinna back and upward in adults and downward in children
When preparing to measure vital signs, you should recognize that which of the following
with affect the methods used:
-Patient is 60 lbs overweight
-Patient has been nauseated for 2 days
-Patient reports stuffy nose
-Patient has been fasting for blood test
-Patient is taking Digoxin
-Patient has a mastectomy 2 yeas ago - Answer --Patient is 60 lbs over weight
-Patient with nasal congestion will altered oral temp (mouth breathing)
-Presence of CV problem that warrants Digoxin will require a full 60 sec apical pulse
-Lymphatic drainage might be altered in the affect are post mastectomy.
When measuring a patient's oral temp where must you place the probe? - Answer -In
the posterior sublingual pocket, to the side of the frenulum.
S1 sounds are produced by _______. - Answer -Closure of mitral and tricuspid valves
also know as the atrioventricular valves
S2 sounds are produced by _______. - Answer -Closure of the aortic and pulmonic
valves. Also known as the semilunar valves
What is the difference between a persons systolic and diastolic BP? - Answer -The
pulse pressure.
Where is the PMI? When do you use it? - Answer --At the fifth intercostal space at the
left midclavicular line.
-Used when taking apical pulse
