NUR2090 Fundamentals Final Review Exam with
Correct Answers
Indications for washing hands with soap and water - Correct Answer>>Visibly dirty
hands, hands visibly soiled with body fluids; after using the toilet
Indications for alcohol-based hand sanitizer - Correct Answer>>If hands are not
visibly soiled, before and after touching a pt, before handling an invasive device
for pt care, after contact with body fluids or secretions, mucous membranes, non
intact skin, or wound dressings, between contact with inanimate surfaces and
objects and after removing sterile or nonsterile gloves
Medical Asepsis - Correct Answer>>"Clean technique"
- Used for procedures involving intact skin, non sterile body cavities (surfaces of
the mouth, GI tract, reproductive tract), and infected wounds
- Includes procedures such as infected or chronic wound care, nasopharyngeal
swabbing, routine gynecological exams
Surgical Asepsis - Correct Answer>>"Sterile technique"
*To be sterile, an object must be free from all microorganisms*
- Used to prevent the introduction or spread of pathogens from the environment
into the patient
- Used for procedures involving entry into sterile body cavities, organs vascular
spaces or across mucous membranes
(Insertion of IV catheters, injections, urinary catheterization, some irrigation of
drainage tubes, all operative procedures)
Chain of Infection - Correct Answer>>infectious agent, reservoir, portal of exit,
mode of transmission, portal of entry, susceptible host
,Progress of Infection (Periods) - Correct Answer>>Incubation period
Prodromal period
Acute phase
Convalescent period
Contact Precautions - Correct Answer>>private room, clean gloves, gown
multidrug resistant organisms; infectious diarhhea (C.Diff, shigella, Norovirus);
infectious skin conditions (impetigo, herpes, S.aureus)
Vehicle Precautions - Correct Answer>>involves the transfer of pathogens by way
of vehicles or contaminated items
(food can carry Salmonella, water can carry Legionella, drugs can carry bacteria
from contaminated infusion supplies, non sterile surgical instruments can carry
pathogens into surgical incisions, and blood can carry hepatitis and HIV)
droplet precautions - Correct Answer>>private room or cohab, mask within 3 feet,
masks for providers and visitors
transmission of large droplets through sneezing, coughing, or talking: influenza,
meningitis, rubella, pertussis
airborne precautions - Correct Answer>>private room AIIR; respirator mask,
fittings
,tuberculosis, measles, varicella, SARS
vector-borne precautions - Correct Answer>>Vectors are living creatures that carry
pathogens, such as rats, insects or birds
EX: mosquitoes transmitting malaria
Normal WBC count - Correct Answer>>5,000-10,000
shift to the left - Correct Answer>>leftward shift in the granulocytic differential
count; considered a strong indication of bacterial infection
Positive regard - Correct Answer>>underlying assumption is that the person is
worthwhile and has value and dignity; avoids unnecessary labeling
goals of nurse-patient relationship - Correct Answer>>meeting pts needs, help
identify feelings and concerns, solve problems, cope and adapt in relation to
situation
termination phase - Correct Answer>>review of health changes and how the
patient has dealt with physical and emotional responses; includes discharge
planning
Non Therapeutic Responses - Correct Answer>>Rescue feelings
False reassurance
Giving advice
Changing the subject
, Being moralistic
Nonprofessional involvement
PIE Note - Correct Answer>>Problem, Intervention, Evaluation
Simplifies documentation by incorporating the plan of care into the progress notes
Increased efficient and flexibility; better care planning focus; better tracking of
patient problem, nursing interventions and patient outcomes; less redundancy
SOAP Note - Correct Answer>>subjective, objective, assessment, plan
Progress note that relates to only one health problem
Incident Report - Correct Answer>>Includes date and time of incident, events
leading up to it, patient's response, and a full nursing assessment
Not attached to patient's chart
TeamSTEPPS - Correct Answer>>"Team Strategies and Tools to Enhance
Performance and Patient Safety"
Templates to organize and improve communication
I PASS the BATON - Correct Answer>>I-introduction
P-patient
