HCB Shipboard Exam Questions and Answers
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Discharge planning - ANSWER ✔✔-to reduce hospital length of stay and unplanned readmission to
hospital, and to improve the co-ordination of services following discharge from hospital
Airborne - ANSWER ✔✔-infectious agents that remain infectious over long distances when suspended in
the air
CDC - ANSWER ✔✔-Centers for Disease Control and Prevention; provides facilities and services for the
investigation, identification, prevention, and control of disease
Cohorting - ANSWER ✔✔-grouping patients infected or colonized with the same infectious agent
together to confine their care to one area and prevent contact with susceptible patients
Droplet - ANSWER ✔✔-small drop, such as a particle of moisture discharged from the mouth during
coughing, sneezing, or speaking
HICPAC - ANSWER ✔✔-Healthcare Infection Control Practices Advisory Committee; provides advice
and guidance to the CDC and the Secretary of the Department of Health and Human Services (HHS)
regarding the practice of infection control and strategies for surveillance, prevention, and control of
healthcare-associated infections, antimicrobial resistance and related events in United States healthcare
settings
JCAHO - ANSWER ✔✔-Joint Commission on Accreditation of Healthcare Organizations; provides
accreditation to U.S. hospitals and other health care facilities
Ambulate - ANSWER ✔✔-to move from place to place
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Gait - ANSWER ✔✔-manner of walking or moving on foot
Shift report - ANSWER ✔✔-exchanging essential patient care information with other nursing staff at
change of shift
IRECs are normally retired ___ years after the last inpatient discharge - ANSWER ✔✔-2
Purpose of documenting patient care - ANSWER ✔✔-ensure they meet the highest standards of
completeness, promptness, clinical pertinence, and standards of the JCAHO
Information to be documented in a nursing note - ANSWER ✔✔-date, medication, treatments, and sign
all notes
NAVMED 6550/8 - ANSWER ✔✔-Medication Administration Record
How long is a NAVMED 6550/8 good for? - ANSWER ✔✔-7 days
The top, back side portion of the NAVMED 6550/8 is meant for what? - ANSWER ✔✔-one-time, STAT
(immediate), and preoperative medications
Although all medications are documented on the MAR, documentation of PRN, STAT, and one-time
medications are required on what as well? - ANSWER ✔✔-Nursing Notes
NAVMED 6550/12 - ANSWER ✔✔-Patient Profile
SF 508 - ANSWER ✔✔-Doctor's Orders
What must be updated when the physician updates, discontinues, changes, or adds new orders? -
ANSWER ✔✔-NAVMED 6550/12 (Patient Profile)
SF 509 - ANSWER ✔✔-Progress Notes
How long is a SF 509 good for? - ANSWER ✔✔-2 days
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SF 510 - ANSWER ✔✔-Nursing Notes
What is the most common format for writing nursing notes? - ANSWER ✔✔-Block format
What is the second, less common, method for writing nursing notes? - ANSWER ✔✔-charting by
exception
What must be written when adding an entry that was late or forgotten while writing a nursing note? -
ANSWER ✔✔-Late entry
SF 558 - ANSWER ✔✔-Emergency Care and Treatment
DD Form 792 - ANSWER ✔✔-24-hour Intake and Output Worksheet
Standard precautions - ANSWER ✔✔-formerly known as universal precautions; concepts in which all
body fluids are assumed to be infected with blood-borne pathogens. Developed by the CDC to facilitate
breaking the chain of infection
When was "universal precautions" changed to "standard precautions?" - ANSWER ✔✔-1996
Examples of blood-borne pathogens - ANSWER ✔✔-HIV, Hepatitis A and B
How are blood-borne pathogens transmitted? - ANSWER ✔✔-patient to provider, provider to patient,
and equipment to patient
What should be used for every patient contact? - ANSWER ✔✔-standard precautions
Tier 1 isolation precautions - ANSWER ✔✔-standard precautions
Tier 2 isolation precautions - ANSWER ✔✔-based on mode of transmission; three categories: contact
precautions, droplet precautions, and airborne precautions
Isolation precautions - ANSWER ✔✔-1. hand hygiene before entering and after leaving the room of a
patient in isolation
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2. use of gown, gloves, mask by HCW and visitors according to standard precautions and as indicated for
suspected or proven infections for which transmission precautions are recommended
3. don PPE upon entry to the room and doff PPE before exiting room
4. dispose of contaminated supplies and equipment
Examples of airborne precautions - ANSWER ✔✔-rubeola virus (measles), varicella virus (chickenpox),
M. tuberculosis, severe acute respiratory syndrome (SARS)
AIIR - ANSWER ✔✔-airborne infection isolation room
What will HCW wear when caring for isolated infectious patients? - ANSWER ✔✔-respirator or mask
Droplet precautions - ANSWER ✔✔-1. place patient in a single room
2. HCW will wear a mask
3. patients wear a mask when being transported outside the room and follow Respiratory
Hygiene/Cough Etiquette
Contact precautions - ANSWER ✔✔-1. place patient in a single room
2. HCW will wear gloves and a gown
Procedure for initiating patient isolation - ANSWER ✔✔-1. place patient in an isolation-designated room
2. post appropriate isolation card on the door
3. stock isolation room with needed equipment
4. stock isolation cart and place it outside the patient's room
5. notify Food Service that a patient is in isolation
6. do not take clinical chart into the room
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