ACTUAL Questions and CORRECT
Answers
What is the most effective nursing action for controlling spread of infection? - CORRECT
ANSWER - Hand hygiene
The client is a chronic carrier of infection. To prevent the spread of the infection to other clients or
health care providers, the nurse emphasizes interventions that do which of the following? - CORRECT
ANSWER - Block the portal of Exit from the reservoir
It stops cross contamination; you are localizing it to one area to target it.
When caring for a single client during one shift; what is appropriate to use more than once? - CORRECT
ANSWER - Goggles
The nurse determines that a field remains sterile if which of the following conditions exist? - CORRECT
ANSWER - Sterile items are 2 inches from the edge of the field
What is the inflammatory response? - CORRECT ANSWER - 1 pain
2 swelling
3 redness
4 heat
5 impaired functionSHARP
What are the stages of the inflammatory response? - CORRECT ANSWER - 1st vascular/cellular
2nd exudate
3rd tissue repair
What is a NANDA diagnosis? - CORRECT ANSWER - 1 Risk for infection
, 2 Risk for surgical site infection
3 hyperthermia
4 acute pain
5 knowledge deficit
6 anxiety
How to measure qSOFA? (Quick Sepsis Organ Failure Assesment) - CORRECT ANSWER - 1.
Altered mental health
2. Fast respiratory rate
3. Low BP
What is the Green Precaution sign at a hospital used for? (LBMC) - CORRECT ANSWER - The
green sign is ued for Multiple drug resistant organisms
MRSA
VRE
ESBL
If a person is being treated for C.diff do you isolate the patient? - CORRECT ANSWER - Yes a
brown sign will indicate contact isolation.
What to place in Biohazard red bag? - CORRECT ANSWER - Fluid blood, bags & IVs with blood
Chest drainage units
Where should you place Pharmaceutical waste? - CORRECT ANSWER - In the pharmaceutical
waste container; usually blue or yellow
A nurse is working on a medical surgical uni. For which patient should the nurse institute transmission
based droplet precautions?
A. HIV infection
B. MRSA infected wound
C. Pulmonary Tuberculosis