Final Exam Questions with Correct
Revised Answers.
Advance Directive - Answer Written statement indicating a patient's wishes regarding future
medical care in the event that patient becomes unable to voice decisions
DNR - Answer Do Not Resuscitate
Objective Documentation - Answer Charting or writing of notes documenting things through
senses. Hearing, sight, smell and touch.
Medical Asepsis - Answer Practices performed to prevent spread of infection. Also known as
clean technique.
Standard Precautions - Answer Group of safety measures performed. Hand washing.
Equipment for Isolation - Answer Use separate equipment and leave equipment in isolation
rooms
Hand Washing - Answer Wash hands after touching anything, after removing gloves, or
anytime hands are visibly dirty. Infection control.
Chain of Infection - Answer Infectious agent or causative organism, reservoir, portal of exit,
mode of transmission, portal of entry, susceptible host or persons body the organism has
entered
Material Safety Data Sheets - Answer requirement for every facility, lists types of chemicals
potential for harm from exposure
Disaster/Nurses Role - Answer Using a disaster triage model, treat those most likely to survive,
know facilities disaster plans
Restraints - Answer Need Doctor's order. Check patient every thirty minutes. Restraints must
, Bed Bath/Indication - Answer Patients marked unable to get out of bed. Promoting circulation.
HS Care - Answer Bedtime routine.
Toileting, dressing for bed, oral care, back rub
Oral/Unresponsive Client - Answer Treat patient the same as any other. Use least amount of
fluid as possible. Check mouth for lesions. Use sponge swabs to clean mouth. Apply lip balm to
lips.
Applying Pillow Case - Answer Opening away from door
Fowler's Position - Answer Semi Fowler's-45 degree
Low Fowler's-30 degree
High Fowler's-90 degree
Position Client/Orthopnea - Answer Anytime a patient is having a hard time breathing sitting
upright will help
High Fowler's-90 degree
Sheet Burns - Answer Slide sheets, slide boards, Lift don't Drag
Light Headed/Out of Bed - Answer Widening of blood vessels which lower blood pressure. Ask
patient to lay back down.
Adduction - Answer Towards the body
Orthostatic Hypotension - Answer Sudden dizziness from dropping of blood pressure upon
sitting or standing. Sit on side of bed let legs dangle.
Taking a BP/Arms Contraindicated - Answer Masectomy, Lumpectomy, IV, Port, Picc Line
Use opposite arm