adult health exam 1 practice
questions with Verified Answers
The nurse is caring for a patient who has just delivered a neonate. The nurse
is checking the patient for excessive vaginal drainage. Which precaution will
the nurse use? - -standard
-What is the final step in doffing your personal protection equipment? - -
hand hygeine
-A nurse is caring for a patient who is experiencing some symptoms related
to arthritis. The nurse is teaching the patient about this process. Which
information will the nurse include in the teaching session?
This will affect synovial fluid.
This will affect the body systemically.
This involves mostly non-weight-bearing joints.
This involves an increased risk for impaired weight bearing. - -This involves
an increased risk for impaired weight bearing.
-The nurse is caring for a patient diagnosed with leukemia and is preparing
to provide fluids through a vascular access (IV) device. Which nursing
intervention is a priority in this procedure?
Review the procedure with the patient.
Position the patient comfortably.
Maintain surgical aseptic technique.
Gather available supplies. - -Maintain surgical aseptic technique.
-The nurse is caring for a group of patients. For which patient will the nurse
question the form of precautions being used?
A patient with Clostridium difficile in droplet precautions.
A patient with tuberculosis in airborne precautions
A patient with MRSA infection in contact precautions
A patient with a lung transplant in protective environment precautions - -A
patient with Clostridium difficile in droplet precautions.
-A 54 year old female came in the emergency room complaining of a
headache , dry cough, and feeling dizzy. She had the following vital signs;
temp 100.9, BP 130/88, HR 110, RR 26, and O2 saturation 95%. What type of
PPE would you wear when caring for this patient?
N95 Respirator and gloves
,Gown and gloves
surgical mask and gloves
Gloves, gown and mask - -surgical mask and gloves
-The nurse is providing an educational session for a group of preschool
workers. The nurse reminds the group about the most important thing to do
to prevent the spread of infection. Which information did the nurse share
with the preschool workers? - -wash their hands
-The nurse is dressed and is preparing to care for a patient in the
perioperative area. The nurse has scrubbed hands and has donned a sterile
gown and gloves. Which action will indicate a break in sterile technique?
Touching clean protective eyewear
Standing with hands above waist area
Accepting sterile supplies from the surgeon
Staying with the sterile table once it is open - -Touching clean protective
eyewear
-The nurse is caring for a patient who becomes nauseated and vomits
without warning. The nurse has contaminated hands. Which action is best for
the nurse to take next? - -wash hands with antimicrobial
-When doffing your PPE, what is the first item you should remove? - -gloves
-What is the order in donning your PPE prior to performing patient care? - -
Hand hygiene, gown, mask, goggles and gloves
-The nurse is caring for a patient in the hospital. The nurse observes the
nursing assistive personnel (NAP) turning off the handle faucet with bare
hands. Which professional practice principle supports the need for follow-up
with the NAP?
The nurse is responsible for providing a safe environment for the patient.
Different scopes of practice allow modification of procedures.
Allowing the water to run is a waste of resources and money.
This is a key step in the procedure for washing hands. - -The nurse is
responsible for providing a safe environment for the patient.
-The patient and the nurse are discussing the vector transmitted Rickettsia
rickettsii—Rocky Mountain spotted fever. Which patient statement to the
nurse indicates understanding regarding the mode of transmission for this
disease?
"When camping, I will use sunscreen."
" When camping, I will drink bottled water."
, "When camping, I will wear insect repellent."
"When camping, I will wash my hands with hand gel." - -"When camping, I
will wear insect repellent."
-The nurse is admitting a patient with an infectious disease process. Which
question will be most appropriate for a nurse to ask about the patient's
susceptibility to this infectious process?
" Do you have a spouse?"
" Do you have a chronic disease?"
" Do you have any children living in the home?"
" Do you have any religious beliefs that will influence your care?" - -" Do you
have a chronic disease?"
-The nurse is caring for a patient in the endoscopy area. The nurse observes
the technician performing these tasks. Which observation will require the
nurse to intervene?
Washing hands after removing gloves
Disinfecting endoscopes in the workroom
Removing gloves to transfer the endoscope
Placing the endoscope in a container for transfer - -Removing gloves to
transfer the endoscope
-The infection control nurse is reviewing data for the medical-surgical unit.
The nurse notices an increase in postoperative infections from Aspergillus.
Which type of health care-associated infection will the nurse report?
-What type of PPE is required when caring for a patient with tuberculosis? - -
N95, Negative air flow room
-Which type of PPE is used for droplet precautions? - -mask
-The nurse has a client who is short of breath and calls the health care
provider using SBAR to help with the communication. Which of the following
information will be given as part of the Assessment or is considered objective
data?
The client is short of breath.
The client has a history of lung cancer.
The respiratory rate is 27.
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