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NURSING FUNDAMENTALS TEST QUESTIONS EXAM 1-3
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NURSING FUNDAMENTALS TEST QUESTIONS EXAM 1-3
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NURSING FUNDAMENTALS TESTQUESTIONS EXAM 1-3
The nurse is repairing to preform a dressing change for a client who has an
open surgical wound on the abdomen. What is the most appropriate action
by the nurse on finding that the seal on the sterile 4X4 dressing package is
broken? - -Discard them and obtain a new package
-The client is infected with fungus in the tines captious. What observation
would the nurse note related to this diagnosis? - -Lesions on the scalp
-A client has been prescribed antibiotics for a bacterial infection. What
information is important for the nurse to tell the client? - -Be sure to
complete the entire course of treatment, even if symptoms are better
-A hospitalized client has been taking antibiotics for several days and
develops C. diff. What symptom of this infection should the nurse be prepare
to provide care for? - -Diarrhea
-A client is suspected of having a UTI. What specimen does the nurse obtain
to determine what bacteria is present as well as what antibiotic to use? - -
Urine for culture and sensitivity
-The nurse is preparing to irrigate a draining wound, and notes risk of
splashing. What PPE should be donned?
-gown
-mask
-particulate filter mask
-shoe protectors
-face Shiel/goggles - --gown
-mask
-face shield/goggles
-What observation made by the charge nurse requires that the LPN receive
further education? - -The LPN recaps a needle after injecting a client
-The nurse is providing care tp a client when the client's IV becomes
dislodged and blood splatters in the nurse's eye. After using the eyewash,
what is the next appropriate action? - -Report the incident to the supervisor
-What action by the CNA providing care to a client would require that the
nurse intervene? - -The CNA tales soiled linens from the bed and lets them
fall on the floor
, -The nurse is providing care to a group of clients. What priority action by the
nurse will most help in preventing the spread of infection among this client
group? - -wash hands when entering and leaving client rooms
-Which of these clients needs to be placed in protective isolation? - --a
client with severe burns that cover 50% of the body
-a client about to receive a bone marrow transplant
-a client receiving large doses of corticosteroids
-A client is suspected to be infected with MRSA in a sacral wound. What
precautions should the nurse be sure are followed during care? - -contact
-The nurse is preparing to administer medication to a client who is in
isolation. What is an appropriate action for the nurse to take? - -Unwrap all
medications, and take them to their unit dose package in the room
-A client is placed on neutropenic precautions. What observation made by
the nurse requires immediate intervention? - -A volunteer puts on a gown,
shoe and hair covers become bringing a vase of fresh flowers into the client's
room
-Which patient requires a negative pressure room? - -A client with
pulmonary tuberculosis
-Given the tenets of Florence Nightingale's Natural Healing Theory, which
nursing activity would be priority? - -Making sure that a patient would be
served a balanced diet
-Which of the following contributed to the low status of nursing in England in
the early 19th century? - --often done by prostitutes
-often done by felons
-originally tied to the Catholic Church
Having to pay a nurse indicated lack of close family
-Careful use of hand sanitizer may be substitute for hand washing in all of
the following instances except - --there os no visible soil one the hands
-when there has been skin contact with blood or body fluids
-According to "Miasmal" theory of disease causation, infectious diseases
were caused by what? - -bad air (bad smells)
-A "portal of entry" for an infection could include any of the following except
- -A bad dream
-The nurse is preforming a dressing change on a client with a large
abdominal wound and notes that the wrapper of the pack of sterile 4X4
, gauze appears to have gotten wet, although is dry now. What should the
nurse do? - -discard the entire package
-Which is the following behaviors contribute to the development of antibiotic
resistance in bacteria? - --using antibiotics for vital infections
-saving "leftover" antibiotics in case an infection occurs
-A provider states that they suspect a client to have "thrush" what signs
might the nurse see that would be evidence for this diagnosis? - -White
"cottage cheese" looking patches in the client's mouth/throat
-Why are patients being treated for other resistant bacteria susceptible to C.
diff infections? - -Because their normal gut flora have been destroyed
-A client is suspect of having a chronic UTI. What test will best determine
what organism is involved what what dug will best treat it? - -Urine culture
and sensitivity
-The nurse is preparing to do a wound irrigation and dressing change on a
client with a draining wound. The wound infection is not from a resistant
organism. What PPE should the nurse wear? - --clean gloves
-gown
-procedure mask
-face shield
-The nurse was irrigating a client's catheter to remove blood cloths when the
syringe become dislodged and urine splashed into the client's face. What
should the nurse do after washing? - -Report to supervisor
-A nursing student in the final term is working with a preceptor. What action
by the student would require the preceptor to intervene? - -The student
recaps the needle after injecting the client to carry it across the room to the
sharps container
-The nurse is helping supervise a new CNA. What action by the CNA would
cause the nurse to intervene? - -The CNA assists the client with the bedpan,
then places the bedpan on the bedside table while assisting the client back
into a comfortable position.
-The home health nurse has several clients to see during the day. What is
the most important action the nurse can take to prevent the spread of
infection between these patients? - -Throughly wash hands on entering and
leaving each home
-Which clients would be appropriate for protective (aka reverse/neutropenic)
isolation? - --a client with 2nd-3rd degree burns over 50% of their body
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