Practice questions for exam 1
A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA)
cultured from the wound. Contact precautions are initiated. Which rule must be observed to
follow contact precautions?
1) A clean gown and gloves must be worn when in contact with the client.
2) Everyone who enters the room must wear a N-95 respirator mask.
3) All linen and trash must be marked as contaminated and send to biohazard waste.
4) Place the client in a room with a client with an upper respiratory infection.
Answer:
1) A clean gown and gloves must be worn when in contact with the client.
Rationale:
A clean gown and gloves must be worn when any contact is anticipated with the client or with
contaminated items in the room. A respirator mask is required only with airborne precautions,
not contact precautions. All linen must be double-bagged and clearly marked as contaminated.
The client should be placed in a private room or in a room with a client with an active infection
caused by the same organism and no other infections.
Arrange the steps of the nursing process in the sequence in which they generally occur. A.
Assessment
B. Evaluation
C. Planning outcomes
,D. Planning interventions
E. Diagnosis
1) E, B, A, D, C
2) A, B, C, D, E
3) A, E, C, D, B
4) D, A, B, E, C
Answer:
3) A, E, C, D, B
Rationale:
Logically, the steps are assessment, diagnosis, planning outcomes, planning interventions, and
evaluation. Keep in mind that steps are not always performed in this order, depending on the
patient's needs, and that steps overlap.
A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA)
cultured from the wound. Contact precautions are initiated. Which rule must be observed to
follow contact precautions?
1) A clean gown and gloves must be worn when in contact with the client.
2) Everyone who enters the room must wear a N-95 respirator mask.
3) All linen and trash must be marked as contaminated and send to biohazard waste.
4) Place the client in a room with a client with an upper respiratory infection.
Answer:
1) A clean gown and gloves must be worn when in contact with the client.
, Rationale:
A clean gown and gloves must be worn when any contact is anticipated with the client or with
contaminated items in the room. A respirator mask is required only with airborne precautions,
not contact precautions. All linen must be double-bagged and clearly marked as contaminated.
The client should be placed in a private room or in a room with a client with an active infection
caused by the same organism and no other infections.
Arrange the steps of the nursing process in the sequence in which they generally occur. A.
Assessment
B. Evaluation
C. Planning outcomes
D. Planning interventions
E. Diagnosis
1) E, B, A, D, C
2) A, B, C, D, E
3) A, E, C, D, B
4) D, A, B, E, C
Answer:
3) A, E, C, D, B
Rationale:
Logically, the steps are assessment, diagnosis, planning outcomes, planning interventions, and
evaluation. Keep in mind that steps are not always performed in this order, depending on the
patient's needs, and that steps overlap.
A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA)
cultured from the wound. Contact precautions are initiated. Which rule must be observed to
follow contact precautions?
1) A clean gown and gloves must be worn when in contact with the client.
2) Everyone who enters the room must wear a N-95 respirator mask.
3) All linen and trash must be marked as contaminated and send to biohazard waste.
4) Place the client in a room with a client with an upper respiratory infection.
Answer:
1) A clean gown and gloves must be worn when in contact with the client.
Rationale:
A clean gown and gloves must be worn when any contact is anticipated with the client or with
contaminated items in the room. A respirator mask is required only with airborne precautions,
not contact precautions. All linen must be double-bagged and clearly marked as contaminated.
The client should be placed in a private room or in a room with a client with an active infection
caused by the same organism and no other infections.
Arrange the steps of the nursing process in the sequence in which they generally occur. A.
Assessment
B. Evaluation
C. Planning outcomes
,D. Planning interventions
E. Diagnosis
1) E, B, A, D, C
2) A, B, C, D, E
3) A, E, C, D, B
4) D, A, B, E, C
Answer:
3) A, E, C, D, B
Rationale:
Logically, the steps are assessment, diagnosis, planning outcomes, planning interventions, and
evaluation. Keep in mind that steps are not always performed in this order, depending on the
patient's needs, and that steps overlap.
A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA)
cultured from the wound. Contact precautions are initiated. Which rule must be observed to
follow contact precautions?
1) A clean gown and gloves must be worn when in contact with the client.
2) Everyone who enters the room must wear a N-95 respirator mask.
3) All linen and trash must be marked as contaminated and send to biohazard waste.
4) Place the client in a room with a client with an upper respiratory infection.
Answer:
1) A clean gown and gloves must be worn when in contact with the client.
, Rationale:
A clean gown and gloves must be worn when any contact is anticipated with the client or with
contaminated items in the room. A respirator mask is required only with airborne precautions,
not contact precautions. All linen must be double-bagged and clearly marked as contaminated.
The client should be placed in a private room or in a room with a client with an active infection
caused by the same organism and no other infections.
Arrange the steps of the nursing process in the sequence in which they generally occur. A.
Assessment
B. Evaluation
C. Planning outcomes
D. Planning interventions
E. Diagnosis
1) E, B, A, D, C
2) A, B, C, D, E
3) A, E, C, D, B
4) D, A, B, E, C
Answer:
3) A, E, C, D, B
Rationale:
Logically, the steps are assessment, diagnosis, planning outcomes, planning interventions, and
evaluation. Keep in mind that steps are not always performed in this order, depending on the
patient's needs, and that steps overlap.
