FUNDAMENTALS SKILLS NR-224 QUESTIONS AND
ANSWERS/ A+ GRADE
A nurse is preparing an educational program for a group of staff nurses about
Transmission precautions. Which of the following instructions should the nurse
include
A nurse should use airborne precautions when caring for a client with TB
A nurse is preparing to exit the isolation room of a patient who has disseminated
varicella-zoster virus (shingles) which requires airborne precautions. Which of
the following actions should the nurse take?
Remove the first glove by grasping the lower portion of the glove with the opposite hand
and pulling it off inside out
A nurse is evaluating a assistive personnel (AP) understanding of isolation
precautions which of the following actions by the AP indicates an understanding
of isolation precautions.
using a designated urinary measure container to empty a patient urinary catheter
drainage bag and keep it in the patients room.
A nurse in full personal protective equipment (PPE) is preparing to leave the
room of a patient who is in isolation. which of the following items of PPE should
the nurse remove first.
Gloves
A nurse is contributing to the plan of care for a patient who has a wound infection
and requires contact precautions. Which of the following actions should the
nurse include in the plan of care
Remove the isolation gown before leaving the patients room after providing direct care
to the patient
A nurse bathes a patient who has a fever with cool water. The nurse does this to
increase heat loss by means of
conduction
The nurse is assessing a patient who she suspect has the nursing diagnosis
hyperthermia related to vigorous exercise int he hot weather. In reviewing the
data, the nurse knows that the most indicative sign of heatstroke is
Hot, dry skin
then confusion later one
The nurse is auscultating Mrs. McKinnon's blood pressure. The nurse inflates the
cuff to 180mm Hg. At 156mm Hg, the nurse hears the onset of the tapping sound.
At 130mm Hg, the sound changes to a swishing sound. At 100mm Hg, the sound
becomes sharper and at 92mm Hg it becomes muffled. At 88mm Hg the sound
disappears. Mrs. McKinnons blood pressure is..
156/88
While the nurse is taking the patients blood pressure, the patient ask if the
reading is high. In accordance with the newest guidelines, what blood pressure
measurement is consistent with pre hypertension
130/84
ANSWERS/ A+ GRADE
A nurse is preparing an educational program for a group of staff nurses about
Transmission precautions. Which of the following instructions should the nurse
include
A nurse should use airborne precautions when caring for a client with TB
A nurse is preparing to exit the isolation room of a patient who has disseminated
varicella-zoster virus (shingles) which requires airborne precautions. Which of
the following actions should the nurse take?
Remove the first glove by grasping the lower portion of the glove with the opposite hand
and pulling it off inside out
A nurse is evaluating a assistive personnel (AP) understanding of isolation
precautions which of the following actions by the AP indicates an understanding
of isolation precautions.
using a designated urinary measure container to empty a patient urinary catheter
drainage bag and keep it in the patients room.
A nurse in full personal protective equipment (PPE) is preparing to leave the
room of a patient who is in isolation. which of the following items of PPE should
the nurse remove first.
Gloves
A nurse is contributing to the plan of care for a patient who has a wound infection
and requires contact precautions. Which of the following actions should the
nurse include in the plan of care
Remove the isolation gown before leaving the patients room after providing direct care
to the patient
A nurse bathes a patient who has a fever with cool water. The nurse does this to
increase heat loss by means of
conduction
The nurse is assessing a patient who she suspect has the nursing diagnosis
hyperthermia related to vigorous exercise int he hot weather. In reviewing the
data, the nurse knows that the most indicative sign of heatstroke is
Hot, dry skin
then confusion later one
The nurse is auscultating Mrs. McKinnon's blood pressure. The nurse inflates the
cuff to 180mm Hg. At 156mm Hg, the nurse hears the onset of the tapping sound.
At 130mm Hg, the sound changes to a swishing sound. At 100mm Hg, the sound
becomes sharper and at 92mm Hg it becomes muffled. At 88mm Hg the sound
disappears. Mrs. McKinnons blood pressure is..
156/88
While the nurse is taking the patients blood pressure, the patient ask if the
reading is high. In accordance with the newest guidelines, what blood pressure
measurement is consistent with pre hypertension
130/84
