NURS 231 FINAL EXAM VERSION A AND B (2 LATEST
VERSIONS ) ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (PORTAGE LEARNING)
How long do you perform hand hygiene? - ANSWER: 10-15 seconds
Standard Precautions - ANSWER: apply to blood, all body fluid, secretions,
excretions, nonintact skin, and mucous membranes
What do you wash hands with when they are visibly dirty, contaminated with
proteinaceous material, or visibly soiled with blood or body fluids? - ANSWER: either
a nonantimicrobial soap and water or an antimicrobial soap and water
Transmission-Based Precautions (Tier 2) - ANSWER: Airborne Precautions, contact
precautions, and droplet precautions
Airborne precautions - ANSWER: for patients known or suspected to have serious
illnesses transmitted by airborne droplet nuclei
Examples: measles, varicella, TB
Droplet Precautions - ANSWER: for patients know.suspected to have serious illnesses
transmitted by large particle droplets
Example: meningitis, pneumonia
Contact precautions - ANSWER: for patients known/suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in
patient's environment
Definition of asepsis - ANSWER: absence of pathogenic microorganism
Medical Asepsis - clean
Surgical Asepsis - sterile
Chain of infection - ANSWER: infectious agent - reservoir - portal of exit - mode of
transmission - portal of entry - susceptible host
When giving a bed bath, if one extremity is injured or immobilized what do you do? -
ANSWER: always dress the affected side first
What should you assess for during a bath? - ANSWER: signs of warmth, redness,
swelling, tenderness, and pain in lower extremities
If a patient demonstrates weakness or paralysis of one side of the body, where
would you place a chair? - ANSWER: On the patient's strong side
, Orthostatic hypotension - ANSWER: drop in blood pressure that occurs when a
patient changes position from horizontal to vertical (greater than 20 mmHg or >10
mmHg)
What is important to do with aging adults before having them get up off the bed? -
ANSWER: Raise the head of the bed and allow them a few minute before dangling.
List some Long-term care considerations - ANSWER: patients who have maintained
bed rest for a long period may revert back to a favorite position and you should
frequently assess them and turn more often than needed.
Use a drawsheet to prevent shearing force on fragile skin
Allow the patient to assist with moving and positioning
First priority if a fire occurs is _____ - ANSWER: the patient, or course!
MSDS - ANSWER: Material Safety Data Sheet: for hazardous chemicals
Fire Safety: What do you do if a fire occurs in the hospital? - ANSWER: Rescue
Activate the alarm
Contain the fire
Evacuate the patients
When you contain the fire, what are important things to do? - ANSWER: 1. close all
doors and windows
2. turn off O2 and electrical equipment
3. Place wet towels along base of doors
Explain how to properly evacuate all types of patients - ANSWER: 1. Direct
ambulatory patients to walk to designated area
2. patient on life support: maintain respiratory status until removing from fire area
3. Mode bedridden patients by stretcher/bed/chair
4. For patients that can't walk/ambulate place on a blanket and drag, use the 2
person swing, or back-strap
Effective documentation ensures _____ - ANSWER: continuity of care, maintains,
standards, and reduces errors
When can patients be denied to read their record? - ANSWER: Only if it involves a
patient with a mental illness
How do you correct a mistake when charting? - ANSWER: draw a single line through
mistake, write "error" above it, and sign yourname
if you acquire new info on a patient, but have already charted how would you add
the new information? What if you just forgot to add something? - ANSWER: write
the date and time of new entry on next available space and mark as addendum (date
and time of prior note)
VERSIONS ) ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (PORTAGE LEARNING)
How long do you perform hand hygiene? - ANSWER: 10-15 seconds
Standard Precautions - ANSWER: apply to blood, all body fluid, secretions,
excretions, nonintact skin, and mucous membranes
What do you wash hands with when they are visibly dirty, contaminated with
proteinaceous material, or visibly soiled with blood or body fluids? - ANSWER: either
a nonantimicrobial soap and water or an antimicrobial soap and water
Transmission-Based Precautions (Tier 2) - ANSWER: Airborne Precautions, contact
precautions, and droplet precautions
Airborne precautions - ANSWER: for patients known or suspected to have serious
illnesses transmitted by airborne droplet nuclei
Examples: measles, varicella, TB
Droplet Precautions - ANSWER: for patients know.suspected to have serious illnesses
transmitted by large particle droplets
Example: meningitis, pneumonia
Contact precautions - ANSWER: for patients known/suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in
patient's environment
Definition of asepsis - ANSWER: absence of pathogenic microorganism
Medical Asepsis - clean
Surgical Asepsis - sterile
Chain of infection - ANSWER: infectious agent - reservoir - portal of exit - mode of
transmission - portal of entry - susceptible host
When giving a bed bath, if one extremity is injured or immobilized what do you do? -
ANSWER: always dress the affected side first
What should you assess for during a bath? - ANSWER: signs of warmth, redness,
swelling, tenderness, and pain in lower extremities
If a patient demonstrates weakness or paralysis of one side of the body, where
would you place a chair? - ANSWER: On the patient's strong side
, Orthostatic hypotension - ANSWER: drop in blood pressure that occurs when a
patient changes position from horizontal to vertical (greater than 20 mmHg or >10
mmHg)
What is important to do with aging adults before having them get up off the bed? -
ANSWER: Raise the head of the bed and allow them a few minute before dangling.
List some Long-term care considerations - ANSWER: patients who have maintained
bed rest for a long period may revert back to a favorite position and you should
frequently assess them and turn more often than needed.
Use a drawsheet to prevent shearing force on fragile skin
Allow the patient to assist with moving and positioning
First priority if a fire occurs is _____ - ANSWER: the patient, or course!
MSDS - ANSWER: Material Safety Data Sheet: for hazardous chemicals
Fire Safety: What do you do if a fire occurs in the hospital? - ANSWER: Rescue
Activate the alarm
Contain the fire
Evacuate the patients
When you contain the fire, what are important things to do? - ANSWER: 1. close all
doors and windows
2. turn off O2 and electrical equipment
3. Place wet towels along base of doors
Explain how to properly evacuate all types of patients - ANSWER: 1. Direct
ambulatory patients to walk to designated area
2. patient on life support: maintain respiratory status until removing from fire area
3. Mode bedridden patients by stretcher/bed/chair
4. For patients that can't walk/ambulate place on a blanket and drag, use the 2
person swing, or back-strap
Effective documentation ensures _____ - ANSWER: continuity of care, maintains,
standards, and reduces errors
When can patients be denied to read their record? - ANSWER: Only if it involves a
patient with a mental illness
How do you correct a mistake when charting? - ANSWER: draw a single line through
mistake, write "error" above it, and sign yourname
if you acquire new info on a patient, but have already charted how would you add
the new information? What if you just forgot to add something? - ANSWER: write
the date and time of new entry on next available space and mark as addendum (date
and time of prior note)
