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A new nurse in orientation is approached by a surveyor from the department of health
and is asked, "What is the best means to prevent the spread of infection?" What is the
best answer for the nurse to provide?
a. "Let me get my preceptor."
b. "Wash your hands before and after any patient care."
c. "Clean all instruments and work surfaces with an approved disinfectant."
d. "Ensure proper disposal of all items contaminated with blood or body fluids." - correct
answerb. "Wash your hands before and after any patient care."
Which factor as the greatest influence on diastolic blood pressure?
a. Renal function
b. cardiac output
c. oxygen saturation
d. peripheral vascular resistance - correct answerd. peripheral vascular resistance
What factor has the greatest influence on diastolic blood pressure?
a. elasticity
b. cardiac output
c. peripheral vascular resistance
d. blood volume - correct answerb. cardiac output
A patient is incontinent and diagnosed with nosocomial infection caused by methicillin-
resistant Staphylococcus aureus and contact precautions are initiated. The nurse
prepares to give a complete bed bath to the patient and obtains which of the following
protective items needed to perform this procedure?
a. gloves and gown
b. gloves and goggles
, c. gloves, gown, and shoe protectors
d. gloves, gown, goggles, and a face shield - correct answerd. gloves, gown, goggles,
and a face shield
A nurse assesses the vital signs of a 50-year-old female patent and documents the
results. Which of the following are considered within normal range for this patient?
(Select all that apply.)
i. Oral temperature 98.2F.
ii. Apical pulse 88 beats per minute and regular
iii. Respiratory rate of 30 per minute
iv. Blood pressure 116/78 mmHg while in a sitting position
v. Oxygen saturation of 92%. - correct answeri., ii., iv.
The nurse is giving a bed bath to an assigned patient when a nursing assistant enters
the patient's room and tells the nurse that another assigned patient is in pain and needs
pain medication. The appropriate nursing action is which of the following?
a. Finish the bed bath and then administer the pain medication to the other patient.
b. Ask the nursing assistant to find out when the last pain medication was given to the
patient
c. Ask the nursing assistant to tell the patient in pain that medication will be
administered as soon as the bed bath is complete.
d. Cover the patient, lower the bed, tell the patient that you will return shortly, and
administer the pain medication to the other patient. - correct answerd. Cover the patient,
lower the bed, tell the patient that you will return shortly, and administer the pain
medication to the other patient.
When a patient has psoriasis, which sign would the nurse expect to find?
a. Pustules in the skinfolds
b. Itchy, scaly patches on the scalp
c. Macular rash on the trunk area
d. Vesicular rash on the extremities - correct answer