Nur 120 Module 1 Exam Questions with
Correct Answers
Safety- Asepsis and infection prevention - Answer--Skin is first line of defense
-Handwashing
Safety- Potential hazards in the operating room - Answer--Losing instruments
- "Time out"
- Never lean over sterile field
- Gases and oxygen
Safety- Potential patient injuries - Answer--Lack of adequate support systems, skills,
and personal accountability results in communication gaps that can cause harm to
patients
-Mistakes made (ex. Chopping off wrong limb)
-Coding (CPR) (Shaking)
-Different positions for surgeries (Body alignment)
-Dead weight, dropping patient
-Bed sores (Hard surface on table)
-Pre-op anxiety can affect anesthesia
Safety-Attitude of safe practice - Answer--Speak up in situations that does not follow
protocol
-Never cut corners
-Take ethical stands for patient
Safety- Application of standards of practice - Answer--Licensure boards started in NC
-Different degrees in nursing (Ch. 1 Pelico)
-Continuing education hours
-30 hours every 2 years of continuing education
-Nursing boards purpose is to *protect the public*
-ANA is the nursing advocate
Quality Improvement- National Patient Safety Goals - Answer--Identify patient correctly
-SBAR
-Use medicines safely (Correct labeling, anticoagulants, medication reconciliation)
-Preventing infection (hand washing, drug resistance, post-op care)
-Patient safety risks (falls, suicides, aspiration percautions)
-Prevent mistakes in surgery
Quality Improvement- Potential staff-related injuries - Answer--(OSHA) Occupational
Safety and Health Administration= promote the safety and health of working people by
setting and enforcing standards; providing training, outreach, and education;
, establishing partnerships; and encouraging continual process improvement in
workplace safety and health
-Lack of support
-Lifting dead weight (back pains)
Quality Improvement- Surgical Care Improvement Project/ Core Measures - Answer--
Prophylactic antibiotic received pre surgery (Within one hour)
-Antibiotic selection (See where CBC is)
-Antibiotics discontinued within 24 hours after surgery end time
-Cardiac surgery patients with controlled 6 am postop blood glucose
-Surgery patients with appropriate hair removal
-Urinary catheter removed on post op day 1 (POD 1) or post op day 2 (POD 2) with day
of surgery being day zero
-Surgery patients who received appropriate venous thromboembolism prophylaxis
within 24 hours to surgery to 24 hours after surgery
-Surgery patients with preoperative temperature management
Quality Improvement- Universal Protocol - Answer--Gloves
-Protection against body fluids
-"Time outs" in an operating room
Quality Improvement- "Serious Reportable Events in Healthcare" from the National
Quality Forum www.qualityforum.org - Answer--"Never" events= Long term or death in
patients from mistakes
-Incident reports
-Documenting these events prevents them from happening again (learn from past
mistakes)
-Surgery on the wrong body part
-Wrong procedure preformed
-Retention of a foreign object
Critical Thinking-Review of skill components - Answer--Key resources include
experienced clinicians, texts and journals, institutional policies and procedures, and
professional groups and writings.
-Standards of critical thinking: Clear, precise, specific, accurate, relevant, plausible,
consistent, logical, deep, broad, complete, significant, adequate, and fair
Critical Thinking-Effect of attitudes and bias on decisions - Answer--Learn to "flag" and
remedy pitfalls to sound reasoning
-Nurse should proceed cautiously in decisions, consulting with the patient and
respected collages and literature. Compare this with a nurse who make snap
judgments, they are usually wrong.
Critical Thinking-Prioritizing - Answer--ABCs (Airway, breathing, circulation)
-Patients with critical needs come first
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