NSG 121 UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔when to change gloves - ✔✔1. Between tasks and procedures on the same patient
after contact with a material that contains a high concentration of microorganisms (such
as dressing changes or tracheostomy care)
2. When going from a contaminated to a cleaner area
✔✔standard precautions - ✔✔considers all waste and contact as potentially infectious;
intended to prevent disease transmission during contact with nonintact skin, mucous
membranes, body substances, and blood-borne contacts
PPE: mask, eye protection, face shield, gown
✔✔latex allergy - ✔✔reactions usually begin within minutes of exposure to latex, but
they can occur hours later and produce various symptoms; best preventive action is to
avoid contact with latex whenever possible
Patient reaction: range from a mild rash to overwhelming anaphylaxis
✔✔skin reactions - ✔✔nurses have higher rate because of higher frequency of hand
hygiene
to minimize adverse effects use alcohol-based rubs as the preferred method of hand
hygiene to reduce the prevalence of hand eczema that can be caused by the use of
soap and water
, ✔✔physical examination order - ✔✔inspect, palpate, percuss, auscultate
✔✔abdomen only - ✔✔inspect, auscultate, percuss, palpate
✔✔inspection - ✔✔process of performing deliberate, purposeful
observations in a systematic manner
physical characteristics and behaviors, and note any odors; overall characteristics,
including age, gender, level of alertness, body size and shape, skin color, hygiene,
posture, and level of discomfort or anxiety (general survey)
✔✔palpation - ✔✔use of the sense of touch to assess skin temperature, turgor, texture,
and moisture as well as vibrations within the body
✔✔auscultation - ✔✔the act of listening with a stethoscope to sounds produced within
the body
✔✔percussion - ✔✔the act of striking one object against another to produce sound
flat, dull, resonant, and tympanic
✔✔purpose of documentation - ✔✔ensure safe and efficient delivery of care
"If it's not documented, it's not done."
✔✔patient medical record - ✔✔serves as legal document
✔✔accuracy of documentation - ✔✔description should be as clear and precise as
possible
✔✔confidentiality of documentation - ✔✔keep private any information about health
status or care received
✔✔completeness of documentation - ✔✔document all important findings
normal assessment data, abnormal assessment data, and time of assessment
✔✔organization and timeliness of documentation - ✔✔chronological and logical system
grouping of information and enter data in timely manner
✔✔consciousness - ✔✔no unnecessary words but be complete
✔✔narrative format of documentation - ✔✔Information written in phases, usually time-
sequenced
✔✔SOAP format of documentation - ✔✔S: Subjective assessment findings
O: Objective assessment findings
QUESTIONS AND ANSWERS SURE A+
✔✔when to change gloves - ✔✔1. Between tasks and procedures on the same patient
after contact with a material that contains a high concentration of microorganisms (such
as dressing changes or tracheostomy care)
2. When going from a contaminated to a cleaner area
✔✔standard precautions - ✔✔considers all waste and contact as potentially infectious;
intended to prevent disease transmission during contact with nonintact skin, mucous
membranes, body substances, and blood-borne contacts
PPE: mask, eye protection, face shield, gown
✔✔latex allergy - ✔✔reactions usually begin within minutes of exposure to latex, but
they can occur hours later and produce various symptoms; best preventive action is to
avoid contact with latex whenever possible
Patient reaction: range from a mild rash to overwhelming anaphylaxis
✔✔skin reactions - ✔✔nurses have higher rate because of higher frequency of hand
hygiene
to minimize adverse effects use alcohol-based rubs as the preferred method of hand
hygiene to reduce the prevalence of hand eczema that can be caused by the use of
soap and water
, ✔✔physical examination order - ✔✔inspect, palpate, percuss, auscultate
✔✔abdomen only - ✔✔inspect, auscultate, percuss, palpate
✔✔inspection - ✔✔process of performing deliberate, purposeful
observations in a systematic manner
physical characteristics and behaviors, and note any odors; overall characteristics,
including age, gender, level of alertness, body size and shape, skin color, hygiene,
posture, and level of discomfort or anxiety (general survey)
✔✔palpation - ✔✔use of the sense of touch to assess skin temperature, turgor, texture,
and moisture as well as vibrations within the body
✔✔auscultation - ✔✔the act of listening with a stethoscope to sounds produced within
the body
✔✔percussion - ✔✔the act of striking one object against another to produce sound
flat, dull, resonant, and tympanic
✔✔purpose of documentation - ✔✔ensure safe and efficient delivery of care
"If it's not documented, it's not done."
✔✔patient medical record - ✔✔serves as legal document
✔✔accuracy of documentation - ✔✔description should be as clear and precise as
possible
✔✔confidentiality of documentation - ✔✔keep private any information about health
status or care received
✔✔completeness of documentation - ✔✔document all important findings
normal assessment data, abnormal assessment data, and time of assessment
✔✔organization and timeliness of documentation - ✔✔chronological and logical system
grouping of information and enter data in timely manner
✔✔consciousness - ✔✔no unnecessary words but be complete
✔✔narrative format of documentation - ✔✔Information written in phases, usually time-
sequenced
✔✔SOAP format of documentation - ✔✔S: Subjective assessment findings
O: Objective assessment findings
