NESA EXAM 46 Questions and Answers.
OSHA lists standard safeguards to protect workers from health hazards related to
blood-borne pathogens. The reason for these standards is there is: - ANS a significant
health risk associated with exposure to blood.
How is Hep B transmitted? - ANS By sexual and/or blood-blood contact.
Which hepatitis is the cause of most liver transplants? - ANS Hep C
The virus that causes AIDS is - ANS Human Immunodeficiency Virus
How are blood borne pathogens spread? - ANS Person is susceptible to the pathogen
Quantity of pathogen present is enough to cause disease
Pathogen enters through the correct entry site
What is the best way to protect oneself from blood borne pathogens? - ANS Standard
precautions
What is the major difficulty in treating a client with a condition caused by a multi drug
resistant organism? - ANS The microorganisms have become so resistant that no
available antibiotics are effective against them.
Prevention of multi drug resistant organisms in healthcare settings rely on appropriate
clinical practices that are incorporated into all routine patient care. What components
are part of an effective prevention plan? - ANS Accurate diagnosis of infectious
etiologies
Optimal management of vascular and urinary catheters
Prevention of lower respiratory tract infections in intubated patients
Report all contamination errors that occur during any procedure
Common multi drug resistant organisms include (MRSA) and vancomycin-resistant
enterococci (VRE) - ANS TRUE
Antibiotic resistance occurs when bacteria change in some way that reduces or
eliminates the effectiveness of substances designed to cure/prevent infections - ANS
TRUE
Repeated and improper use of antibiotics are primarily causes of the increase in drug
resistant bacteria - ANS TRUE
According to the Morse Fall Scale Assessment a patient has a high risk of falling. The
patient fell while being toileted by the nursing staff. By definition how would this fall be
classified? - ANS Anticipated physiological fall.
, The nurse is completing in-patient admission assessments on a group of new patients.
Based on the intrinsic factors present, which patient should the nurse identify as being
at the highest risk for a fall? The patient who has: - ANS A history of diabetes for 25
years, has fallen at home occasionally, wears shoes anytime he is out of bed, and
understands the sensations in his feet are limited.
The nurse is determining steps that could be taken to reduce the patient's extrinsic risk
for falls. Which nursing intervention could the nurse plan to reduce the patient's fall risk?
- ANS Availability of needed assistive devices
Condition of the flooring surfaces
Bathroom support equipment for the toilet and shower
Lighting in the patient's room
When developing a risk management plan take into account that there is no single risk
factor or single approach solution. The plan must be multidisciplinary and multi-factorial
in approach and be tailored to the individual. Which fall prevention program is most
likely to be effective? One which - ANS is designed and overseen by a multi-disciplinary
team that uses a patient education approach.
What is the benefit of implementing a standardized fall risk assessment at the time of
admission? - ANS All necessary fall prevention resources that target the specific risk
factors can be implemented early.
According to the Center of Disease Control (CDC), what is the purpose of Standard
Precautions? - ANS Protect healthcare practitioners and patients from the spread of
infections.
What are the components of Standard Precautions? - ANS Personal Protective
Equipment
Safe handling of potentially contaminated equipment and surfaces in the patient
environment
Hand Hygiene
What is the difference between Standard Precautions and Transmission Precautions?
Transmission Precautions are - ANS Used when the routes of transmission are not
completely interrupted by Standard Precautions alone.
When Contact Precautions are to be implemented, what protection is required of all
healthcare personnel providing care to the patient? - ANS Donning gown and gloves for
all interactions that may involve contact with the patient or potentially contaminated
surfaces.
When should Droplet Precautions be implemented? - ANS On admission for any patient
with complications related to influenza.
OSHA lists standard safeguards to protect workers from health hazards related to
blood-borne pathogens. The reason for these standards is there is: - ANS a significant
health risk associated with exposure to blood.
How is Hep B transmitted? - ANS By sexual and/or blood-blood contact.
Which hepatitis is the cause of most liver transplants? - ANS Hep C
The virus that causes AIDS is - ANS Human Immunodeficiency Virus
How are blood borne pathogens spread? - ANS Person is susceptible to the pathogen
Quantity of pathogen present is enough to cause disease
Pathogen enters through the correct entry site
What is the best way to protect oneself from blood borne pathogens? - ANS Standard
precautions
What is the major difficulty in treating a client with a condition caused by a multi drug
resistant organism? - ANS The microorganisms have become so resistant that no
available antibiotics are effective against them.
Prevention of multi drug resistant organisms in healthcare settings rely on appropriate
clinical practices that are incorporated into all routine patient care. What components
are part of an effective prevention plan? - ANS Accurate diagnosis of infectious
etiologies
Optimal management of vascular and urinary catheters
Prevention of lower respiratory tract infections in intubated patients
Report all contamination errors that occur during any procedure
Common multi drug resistant organisms include (MRSA) and vancomycin-resistant
enterococci (VRE) - ANS TRUE
Antibiotic resistance occurs when bacteria change in some way that reduces or
eliminates the effectiveness of substances designed to cure/prevent infections - ANS
TRUE
Repeated and improper use of antibiotics are primarily causes of the increase in drug
resistant bacteria - ANS TRUE
According to the Morse Fall Scale Assessment a patient has a high risk of falling. The
patient fell while being toileted by the nursing staff. By definition how would this fall be
classified? - ANS Anticipated physiological fall.
, The nurse is completing in-patient admission assessments on a group of new patients.
Based on the intrinsic factors present, which patient should the nurse identify as being
at the highest risk for a fall? The patient who has: - ANS A history of diabetes for 25
years, has fallen at home occasionally, wears shoes anytime he is out of bed, and
understands the sensations in his feet are limited.
The nurse is determining steps that could be taken to reduce the patient's extrinsic risk
for falls. Which nursing intervention could the nurse plan to reduce the patient's fall risk?
- ANS Availability of needed assistive devices
Condition of the flooring surfaces
Bathroom support equipment for the toilet and shower
Lighting in the patient's room
When developing a risk management plan take into account that there is no single risk
factor or single approach solution. The plan must be multidisciplinary and multi-factorial
in approach and be tailored to the individual. Which fall prevention program is most
likely to be effective? One which - ANS is designed and overseen by a multi-disciplinary
team that uses a patient education approach.
What is the benefit of implementing a standardized fall risk assessment at the time of
admission? - ANS All necessary fall prevention resources that target the specific risk
factors can be implemented early.
According to the Center of Disease Control (CDC), what is the purpose of Standard
Precautions? - ANS Protect healthcare practitioners and patients from the spread of
infections.
What are the components of Standard Precautions? - ANS Personal Protective
Equipment
Safe handling of potentially contaminated equipment and surfaces in the patient
environment
Hand Hygiene
What is the difference between Standard Precautions and Transmission Precautions?
Transmission Precautions are - ANS Used when the routes of transmission are not
completely interrupted by Standard Precautions alone.
When Contact Precautions are to be implemented, what protection is required of all
healthcare personnel providing care to the patient? - ANS Donning gown and gloves for
all interactions that may involve contact with the patient or potentially contaminated
surfaces.
When should Droplet Precautions be implemented? - ANS On admission for any patient
with complications related to influenza.
