Fundamentals Final WCU
Exam Questions and
Answers
stages of infection (intervals) - Answer- incubation, prodromal, illness, convalescence
Contact Isolation Precautions - Answer- a private room or a room with other clients that
have the same infection
gloves and gowns worn by the caregivers and visitors
disposal of infectious dressing material into a single nonporous bag without toughing the
outside of the bag
Droplet Isolation Diseases - Answer- haemophilus influenza type b
scarlet fever
rubella
pertussis
mumps
mycoplasma pneumonia
meningococcal pneumonia
sepsis
pneumonic plague
Droplet Isolation - Answer- a private room or room with other clients that have the same
disease
masks for providers and visitors
air borne isolation - Answer- a private room
,masks and respiratory precaution devices for caregivers and visitors (n95)
negative pressure airflow
full face protection if splashing is possible
airborne isolation diseases - Answer- measles, varicella, pulmonary or laryngeal
tuberculosis
fever is more than - Answer- 100.4 f
hypothermia - Answer- less than 95
tachycardia interventions - Answer- monitor for pain, anxiety, restlessness, fatigue, low
BP, low 02 sat, adverse effects of meds, prevent injury
interventions for bradycardia - Answer- monitor for hypotension, CP, syncope,
diaphoresis, dyspnea, ALOC, adverse effects of meds, prevent injury
BP= - Answer- CO x SVR
SBP hypertension - Answer- >140 mmHg
hypotension - Answer- SBP <90 mmHg
interventions for hypertension - Answer- assess and monitor tachycardia,
bradycardia,
pain,
anxiety,
meds,
lifestyle modification
contact isolation diseases (8) - Answer- respiratory syncytial virus,
shigella,
enteric diseases caused by microorganisms, wound infections,
herpes simplex- varicella
impetigo,
scabies,
multi drug resistant organisms
Rights of Delegation (5) - Answer- task,
circumstance,
person,
, direction/communication,
supervision
orthostatic hypotension - Answer- If SBP dec. more than 20 mm Hg and/or DBP dec.
more than 10 mm Hg w/ a 10-20% inc. in HR
orthostatic hypotension technique and intervention - Answer- Technique: BP & HR in
supine then change to sitting/standing (wait 1-3 mins) BP & HR
Interventions: Assess & monitor BP, dizziness, weakness, fainting, ambulate with
assistance, sit @ edge of bed for 1 min. before standing, avoid sudden changes in
position
pulse pressure - Answer- SBP-DBP
ACUTE pain description - Answer- protective, temporary, resolves w/ tissue healing
acute pain clinical manifestations - Answer- sympathetic response: tachycardia,
tachypnea, HTN, anxiety, diaphoresis, muscle tension, grimacing, moaning, guarding,
flinching
acute pain nursing intervention - Answer- treat underlying problems
acute pain complication - Answer- can lead to chronic pain if unresolved
chronic pain description - Answer- Not protective, ongoing, > 6 mon. & persists beyond
tissue healing
chronic pain clinical manifestations - Answer- Usually doesn't alter VS, depression,
fatigue
CHRONIC Pain: Nursing Interventions - Answer- Aim at symptomatic relief, doesn't
always respond to interventions, long acting or controlled release opioids (?transdermal)
chronic pain complications - Answer- Can be malignant, idiopathic pain (unknown
cause)
nociceptive pain description - Answer- Arises from damage to or inflammation of tissue,
stimulus triggers pain receptors
nociceptive pain clinical manifestations - Answer- Throbbing, aching, localized (somatic:
bones, joints, muscles, skin, connect tissue; visceral: organs; cutaneous: skin,
subcutaneous tissue)
Exam Questions and
Answers
stages of infection (intervals) - Answer- incubation, prodromal, illness, convalescence
Contact Isolation Precautions - Answer- a private room or a room with other clients that
have the same infection
gloves and gowns worn by the caregivers and visitors
disposal of infectious dressing material into a single nonporous bag without toughing the
outside of the bag
Droplet Isolation Diseases - Answer- haemophilus influenza type b
scarlet fever
rubella
pertussis
mumps
mycoplasma pneumonia
meningococcal pneumonia
sepsis
pneumonic plague
Droplet Isolation - Answer- a private room or room with other clients that have the same
disease
masks for providers and visitors
air borne isolation - Answer- a private room
,masks and respiratory precaution devices for caregivers and visitors (n95)
negative pressure airflow
full face protection if splashing is possible
airborne isolation diseases - Answer- measles, varicella, pulmonary or laryngeal
tuberculosis
fever is more than - Answer- 100.4 f
hypothermia - Answer- less than 95
tachycardia interventions - Answer- monitor for pain, anxiety, restlessness, fatigue, low
BP, low 02 sat, adverse effects of meds, prevent injury
interventions for bradycardia - Answer- monitor for hypotension, CP, syncope,
diaphoresis, dyspnea, ALOC, adverse effects of meds, prevent injury
BP= - Answer- CO x SVR
SBP hypertension - Answer- >140 mmHg
hypotension - Answer- SBP <90 mmHg
interventions for hypertension - Answer- assess and monitor tachycardia,
bradycardia,
pain,
anxiety,
meds,
lifestyle modification
contact isolation diseases (8) - Answer- respiratory syncytial virus,
shigella,
enteric diseases caused by microorganisms, wound infections,
herpes simplex- varicella
impetigo,
scabies,
multi drug resistant organisms
Rights of Delegation (5) - Answer- task,
circumstance,
person,
, direction/communication,
supervision
orthostatic hypotension - Answer- If SBP dec. more than 20 mm Hg and/or DBP dec.
more than 10 mm Hg w/ a 10-20% inc. in HR
orthostatic hypotension technique and intervention - Answer- Technique: BP & HR in
supine then change to sitting/standing (wait 1-3 mins) BP & HR
Interventions: Assess & monitor BP, dizziness, weakness, fainting, ambulate with
assistance, sit @ edge of bed for 1 min. before standing, avoid sudden changes in
position
pulse pressure - Answer- SBP-DBP
ACUTE pain description - Answer- protective, temporary, resolves w/ tissue healing
acute pain clinical manifestations - Answer- sympathetic response: tachycardia,
tachypnea, HTN, anxiety, diaphoresis, muscle tension, grimacing, moaning, guarding,
flinching
acute pain nursing intervention - Answer- treat underlying problems
acute pain complication - Answer- can lead to chronic pain if unresolved
chronic pain description - Answer- Not protective, ongoing, > 6 mon. & persists beyond
tissue healing
chronic pain clinical manifestations - Answer- Usually doesn't alter VS, depression,
fatigue
CHRONIC Pain: Nursing Interventions - Answer- Aim at symptomatic relief, doesn't
always respond to interventions, long acting or controlled release opioids (?transdermal)
chronic pain complications - Answer- Can be malignant, idiopathic pain (unknown
cause)
nociceptive pain description - Answer- Arises from damage to or inflammation of tissue,
stimulus triggers pain receptors
nociceptive pain clinical manifestations - Answer- Throbbing, aching, localized (somatic:
bones, joints, muscles, skin, connect tissue; visceral: organs; cutaneous: skin,
subcutaneous tissue)
