Nursing Fundamentals and Clinical
Skills
What is the safest way to take the temperature of a newborn? - Correct answer-Auxiliary
In newborns and children with rapid heart rates and having difficulty palpating, which is the appropriate
site to use? - Correct answer-Apical
When an abnormal peripheral pulse is palpated, which is the next site to assess? - Correct answer-Apical
When a pulse deficit is present, two practical nurses must assess which sites at the exact same time? -
Correct answer-Apical and radial
Which abnormal condition causes the client to be able to ONLY get a full breath in when the client is
sitting or standing? - Correct answer-Orthopnea
Which vital sign is a good indicator of cardiovascular health? - Correct answer-Blood pressure
What can cause an underestimation of systolic BP and overestimation of diastolic BP? - Correct answer-
Auscultatory gap
The width of the blood pressure cuff bladder should be how much percentage of the clients arm? -
Correct answer-40%
The length of the bladder should be which percentage of the arm? - Correct answer-80 - 100 %
,To record this type of blood pressure, the client must first be supine, then sitting then standing - Correct
answer-Orthostatic hypotension
Fever, fatigue and malaise are generalized symptoms of which type of infection? - Correct answer-
Systemic
Which age group do infections not present typically as they tend to have lower body temperatures,
decreased pain sensation and a reduced immune response to infection? - Correct answer-Older adults
Which age group may have an advanced infection before it is identified? - Correct answer-Older adults
infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host -
Correct answer-Chain of infection
Which type of infection is acquired after admission to a hospital and were not present upon admission
to the hospital? - Correct answer-Hospital associated infections
Which clients are most susceptible to hospital associated infections? - Correct answer-Children, older
adults and those with weakened immune systems, poor nutritional status or loss of skin integrity
What are procedures used to reduce and prevent the spread of micro-organisms? - Correct answer-
Medical asepsis
Hand hygiene, using clean disposable gloves to prevent direct contact, and cleaning the environment
and equipment routinely is an example of which type of procedure? - Correct answer-Medical asepsis
This type of asepsis, also known as sterile technique, includes all procedures used to eliminate all micro-
organisms, including pathogens and spores, from an object or area - Correct answer-Surgical
Which type of asepsis includes puncturing the client's skin, non intact skin due to injury or surgery,
insertion of catheters or surgical instruments into a sterile body cavities? - Correct answer-Surgical
, What type of "practices" are used when coming in contact with blood, all boldly fluids and excretions
except for sweat, non intact skin or mucous membranes? - Correct answer-Routine
The key element for this type of "practice" is to assess the risk of transmission of microorganisms before
an interactions with patients/clients/residents and then decide of risk reduction strategies - Correct
answer-Routine
What is used to contain pathogens in one area, usually the client's room. They are also referred to as
isolation precautions - Correct answer-Additional precautions
What is used in addition to routine practices? - Correct answer-Additional precautions
Airborne, droplet and contact are three categories of what? - Correct answer-Precautions
This type of precautions is used for known or suspected infections caused by microbes transmitted by
airborne droplets (measles, chicken pox, TB) - Correct answer-Airborne
A negative pressure room and a N95 mask are worn with which type of precautions? - Correct answer-
Airborne
This type of precautions is used for known infections caused by microbes transmitted by droplets
produced by coughing, sneezing or talking (diphtheria, rubella, influenza, pertussis, mumps, scarlet
fever, sepsis) - Correct answer-Droplet
Private room or cohorting clients (room door must be closed) and using a mask is used for this type of
precaution - Correct answer-Droplet
This type of precaution is use for known or suspected infections caused by direct or indirect contact
such as infections with antibiotic-resistant organisms, major wound infections, respiratory infections
(RSV), C-differ, infections with herpes simplex, impetigo, scabies. - Correct answer-Contact
Usual causes - Correct answer-Lactose intolerant
