NURS140 MIDTERM (Nursing Process, Culture and
Diversity, Patient Advocacy, Application of the 1st Five,
Chain of Infection, PPE, Vital Signs, Pain as the Fifth Vital
Sign, Stress and Coping, Evidence Based Practice, SBAR
Professor Lehman) Questions With Complete Solutions
1st Five: Allergies Correct Answers -Checking for a patient
allergy bracelet
-Questioning "Do you have any known allergies?"
-Confirming response of patient is on patient in form of a
bracelet, documented in the patient EMR, and ini the medication
record
1st Five: Hand Hygiene Correct Answers -washing hands with
soap and water for at least 20 seconds
-alternative: Hand Sanitizer
1st Five: Identify and Introduce Correct Answers -Introduce
yourself "Hi I'm... I'll be your nurse today"
-Checking patients identification bracelet
-Questioning the patient "what is your name and d.o.b."
-Confirming identity, matching verbal response to ID bracelet
1st Five: Plan Correct Answers -educate patient on the plan
-introduce reason for your visit ex. "I'm here to take your vitals"
-Any critical patient teaching related to reason for your visit
(assessment, procedure, medication)
1st Five: Privacy of Patient Correct Answers -Closing the
curtain/door
-using gown, blanket
, -only exposing necessary area for necessary time
ADPIE Correct Answers -assessment
-diagnosis
-planning
-implementation
-evaulation
Airborne Precautions Correct Answers -used with clients that
have infectious agents transmitted via smaller droplets that can
travel further than 6 feet
* includes the use of N95 ( applied prior to entering room),
Private negative pressure room
ex: pulmonary tuberculosis, "My Stupid Chicken HEZ TB"
asepsis Correct Answers the absence of disease-causing
microorganisms
Biogenic stressors Correct Answers -directly trigger the stress
response without any necessary cognitive process on the part of
the individual
ex: caffeine, amphetamines, extreme temperatures
Blood Pressure Correct Answers Expected: 90/60 to 120/80 mm
Hg
Hypotension: 90/60 mm Hg or less
Elevated: 120-129/ <80
Diversity, Patient Advocacy, Application of the 1st Five,
Chain of Infection, PPE, Vital Signs, Pain as the Fifth Vital
Sign, Stress and Coping, Evidence Based Practice, SBAR
Professor Lehman) Questions With Complete Solutions
1st Five: Allergies Correct Answers -Checking for a patient
allergy bracelet
-Questioning "Do you have any known allergies?"
-Confirming response of patient is on patient in form of a
bracelet, documented in the patient EMR, and ini the medication
record
1st Five: Hand Hygiene Correct Answers -washing hands with
soap and water for at least 20 seconds
-alternative: Hand Sanitizer
1st Five: Identify and Introduce Correct Answers -Introduce
yourself "Hi I'm... I'll be your nurse today"
-Checking patients identification bracelet
-Questioning the patient "what is your name and d.o.b."
-Confirming identity, matching verbal response to ID bracelet
1st Five: Plan Correct Answers -educate patient on the plan
-introduce reason for your visit ex. "I'm here to take your vitals"
-Any critical patient teaching related to reason for your visit
(assessment, procedure, medication)
1st Five: Privacy of Patient Correct Answers -Closing the
curtain/door
-using gown, blanket
, -only exposing necessary area for necessary time
ADPIE Correct Answers -assessment
-diagnosis
-planning
-implementation
-evaulation
Airborne Precautions Correct Answers -used with clients that
have infectious agents transmitted via smaller droplets that can
travel further than 6 feet
* includes the use of N95 ( applied prior to entering room),
Private negative pressure room
ex: pulmonary tuberculosis, "My Stupid Chicken HEZ TB"
asepsis Correct Answers the absence of disease-causing
microorganisms
Biogenic stressors Correct Answers -directly trigger the stress
response without any necessary cognitive process on the part of
the individual
ex: caffeine, amphetamines, extreme temperatures
Blood Pressure Correct Answers Expected: 90/60 to 120/80 mm
Hg
Hypotension: 90/60 mm Hg or less
Elevated: 120-129/ <80
