NURS 2750 FINAL EXAM REVIEW QUESTIONS
WITH VERIFIED SOLUTIONS
LEARN (listen, explain, acknowledge, recommend, negotiate)
The _____ Model is useful when restructuring harmful cultural practices and outlooks.
(ASK ED)
Cultural Awareness, Skills, Knowledge, Encounters, Desires
What are the 5 components of cultural competence?
Nursing Process (ADPIE)
A a framework for providing safe care. In using critical thinking, patient's response to illness can
be identified and diagnosed. (Ongoing process that evolves with care)
Subjective Data
Information collected from subject. What the patient Says. (pain/pain-scale, guarding, feeling)
Objective Data
Information collected from Observations or measurements. (VS, auscultation, orientation,
swelling, redness, bruising, laceration)
The client's partner states, "They had burning leg pain after walking 10 minutes." The
client's paint rating is 3 on a scale of 0 to 10.
A nurse is assessing/collecting data from a client. Which of the findings are examples
of SUBJECTIVE data?
- An assistive personnel reports that the client walks with a limp.
- RR is even and unlabored at 22/min
- The client’s partner states, “They had burning leg pain after walking 10 minutes.”
- Skin is warm and dry.
- The client’s paint rating is 3 on a scale of 0 to 10.
Progress notes
In which section of the patient health record would the nurse enter subjective and objective data
(narrative and focused charting; SOAP, PIE)?
systemic
S/S of _____ infection includes: fever, fatigue, nausea, vomiting, malaise, and increase in pulse
and RR.
,localized
S/S of _____ infection includes: warmth, redness, tenderness, pain, and edema.
Aseptic Technique
Practices/procedures that assist in reducing the risk for infection.
Disinfection
A process that eliminates many or all microorganisms, except for bacterial spores, from
inanimate objects.
Sterilization (bleach)
The complete elimination or destruction of all microorganisms, including spores.
1. Hand hygiene
2. Gown
3. Mask/Respirator
4. Eyewear/Goggles/Face shield
5. Gloves
(He Gave Me Every Grape)
What is the correct order for donning (putting on) PPE?
1. Gloves
2. Eyewear/Goggles/FS
3. Gown
4. Mask
5. Hand hygiene
What is the correct order for doffing (removing) PPE?
Standard precaution
What precaution is used when in contact with blood, body fluids, non-intact skin, and mucous
membranes from all patients? (Used for all patients in all settings, regardless of or presumed risk
of infection.)
Contact Precaution
An isolation precaution used for direct (enters HCW's body) and indirect (transfer contaminant)
contact with patients and environment.
Gowns and gloves
,Which type of PPE should visitors and caregivers wear when they are within 3 ft of the patient
placed on contact precaution?
(HIMS) Herpes simplex (HSV), Impetigo, MRSA, or vancomycin-resistant Staph aureus
A patient on contact isolation precaution is most likely diagnosed with:
Contact-Plus Precaution
An isolation precaution specific for C. diff.
gloves, gown, and wash hands with soap and water before entering and exiting the room
Which type of PPE should visitors and caregivers wear when they are within 3 ft of the patient
placed on contact-plus precaution?
clean gown
What should patients placed on contact or contact-plus precaution wear for transporting?
Droplet Precaution
An isolation precaution used for diseases that are transmitted by large droplets expelled into the
air and travel 3 to 6 feet from the patient.
wear a surgical mask when w/in 3 ft of patient
What is the PPE requirement for staff and visitors in regard to Droplet Precaution?
Airborne Precaution
An isolation precaution used for diseases transmitted by smaller droplets, that remain in the air
for longer periods of time.
(MR. PIMP) Mumps, Rubella, Pertussis (whooping cough), Influenza, Meningitis,
or Pneumonia
A patient on droplet isolation precaution is most likely diagnosed with:
Negative pressure
Patients placed on Airborne Precautions should be placed in a specially equipped room with
__________, in which air is not returned to the inside ventilation but filtered through a high-
efficiency particulate air (HEPA) filter and exhausted to the outside.
Staff: N-95 respirator
Visitors/pts being transported: surgical mask
What is the PPE requirement for staff and visitors/patient transport in regard to Airborne
Precaution?
Protective Environment Precaution
, An isolation precaution used for neutropenic patients (decreased WBC count).
(MTV) Measles, Tuberculosis, Varicella (chickenpox), or COVID.
A patient on airborne isolation precaution is most likely diagnosed with:
Positive airflow
Patients under Protective Environment Precaution should be placed in a ________ room
where airflow rate is set at greater than 12 air exchanges per hour and is filtered through a HEPA
(High-Efficiency Particulate Air) filter.
Strict handwashing, should be free of illnesses (possible surgical mask)
What is the PPE requirement for a nurse caring for a patient on protective environment
precaution?
traffic in room limited & handwashing enforced; no fresh flowers/potted plants or organic
foods (fruits and vegetables)
What are other important considerations/restrictions for patients under Protective Environment
Precaution?
see image
Sites for BP:
40 (mean)
BP of _____ is optimal for newborns.
85/54
BP of ____ is optimal for a 1 m/o.
95/65
BP of _____ is optimal for a 1 y/o.
3 y/o
At what age is routine (yearly) BP measurement introduced?
105/65
BP of _____ is optimal for a 6 y/o.
110/65
BP of _____ is optimal for 10-13 y/o.
119/75
BP of _____ is optimal for 14-17 y/o.
WITH VERIFIED SOLUTIONS
LEARN (listen, explain, acknowledge, recommend, negotiate)
The _____ Model is useful when restructuring harmful cultural practices and outlooks.
(ASK ED)
Cultural Awareness, Skills, Knowledge, Encounters, Desires
What are the 5 components of cultural competence?
Nursing Process (ADPIE)
A a framework for providing safe care. In using critical thinking, patient's response to illness can
be identified and diagnosed. (Ongoing process that evolves with care)
Subjective Data
Information collected from subject. What the patient Says. (pain/pain-scale, guarding, feeling)
Objective Data
Information collected from Observations or measurements. (VS, auscultation, orientation,
swelling, redness, bruising, laceration)
The client's partner states, "They had burning leg pain after walking 10 minutes." The
client's paint rating is 3 on a scale of 0 to 10.
A nurse is assessing/collecting data from a client. Which of the findings are examples
of SUBJECTIVE data?
- An assistive personnel reports that the client walks with a limp.
- RR is even and unlabored at 22/min
- The client’s partner states, “They had burning leg pain after walking 10 minutes.”
- Skin is warm and dry.
- The client’s paint rating is 3 on a scale of 0 to 10.
Progress notes
In which section of the patient health record would the nurse enter subjective and objective data
(narrative and focused charting; SOAP, PIE)?
systemic
S/S of _____ infection includes: fever, fatigue, nausea, vomiting, malaise, and increase in pulse
and RR.
,localized
S/S of _____ infection includes: warmth, redness, tenderness, pain, and edema.
Aseptic Technique
Practices/procedures that assist in reducing the risk for infection.
Disinfection
A process that eliminates many or all microorganisms, except for bacterial spores, from
inanimate objects.
Sterilization (bleach)
The complete elimination or destruction of all microorganisms, including spores.
1. Hand hygiene
2. Gown
3. Mask/Respirator
4. Eyewear/Goggles/Face shield
5. Gloves
(He Gave Me Every Grape)
What is the correct order for donning (putting on) PPE?
1. Gloves
2. Eyewear/Goggles/FS
3. Gown
4. Mask
5. Hand hygiene
What is the correct order for doffing (removing) PPE?
Standard precaution
What precaution is used when in contact with blood, body fluids, non-intact skin, and mucous
membranes from all patients? (Used for all patients in all settings, regardless of or presumed risk
of infection.)
Contact Precaution
An isolation precaution used for direct (enters HCW's body) and indirect (transfer contaminant)
contact with patients and environment.
Gowns and gloves
,Which type of PPE should visitors and caregivers wear when they are within 3 ft of the patient
placed on contact precaution?
(HIMS) Herpes simplex (HSV), Impetigo, MRSA, or vancomycin-resistant Staph aureus
A patient on contact isolation precaution is most likely diagnosed with:
Contact-Plus Precaution
An isolation precaution specific for C. diff.
gloves, gown, and wash hands with soap and water before entering and exiting the room
Which type of PPE should visitors and caregivers wear when they are within 3 ft of the patient
placed on contact-plus precaution?
clean gown
What should patients placed on contact or contact-plus precaution wear for transporting?
Droplet Precaution
An isolation precaution used for diseases that are transmitted by large droplets expelled into the
air and travel 3 to 6 feet from the patient.
wear a surgical mask when w/in 3 ft of patient
What is the PPE requirement for staff and visitors in regard to Droplet Precaution?
Airborne Precaution
An isolation precaution used for diseases transmitted by smaller droplets, that remain in the air
for longer periods of time.
(MR. PIMP) Mumps, Rubella, Pertussis (whooping cough), Influenza, Meningitis,
or Pneumonia
A patient on droplet isolation precaution is most likely diagnosed with:
Negative pressure
Patients placed on Airborne Precautions should be placed in a specially equipped room with
__________, in which air is not returned to the inside ventilation but filtered through a high-
efficiency particulate air (HEPA) filter and exhausted to the outside.
Staff: N-95 respirator
Visitors/pts being transported: surgical mask
What is the PPE requirement for staff and visitors/patient transport in regard to Airborne
Precaution?
Protective Environment Precaution
, An isolation precaution used for neutropenic patients (decreased WBC count).
(MTV) Measles, Tuberculosis, Varicella (chickenpox), or COVID.
A patient on airborne isolation precaution is most likely diagnosed with:
Positive airflow
Patients under Protective Environment Precaution should be placed in a ________ room
where airflow rate is set at greater than 12 air exchanges per hour and is filtered through a HEPA
(High-Efficiency Particulate Air) filter.
Strict handwashing, should be free of illnesses (possible surgical mask)
What is the PPE requirement for a nurse caring for a patient on protective environment
precaution?
traffic in room limited & handwashing enforced; no fresh flowers/potted plants or organic
foods (fruits and vegetables)
What are other important considerations/restrictions for patients under Protective Environment
Precaution?
see image
Sites for BP:
40 (mean)
BP of _____ is optimal for newborns.
85/54
BP of ____ is optimal for a 1 m/o.
95/65
BP of _____ is optimal for a 1 y/o.
3 y/o
At what age is routine (yearly) BP measurement introduced?
105/65
BP of _____ is optimal for a 6 y/o.
110/65
BP of _____ is optimal for 10-13 y/o.
119/75
BP of _____ is optimal for 14-17 y/o.
