EXAM 1 NUR1025C LATEST VERSIONS
200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
When to wash hands - Answers -✔✔ - before and after patient contact
- before clean and aeseptic procedure
- after contact with bodily fluids
- after touching patients surrounding
- if hands are visibly dirty or were contaminated
Standard Precautions - Answers -✔✔ - Apply to bodily fluids
- perform hand hygiene
- no artificial nails
- wear gloves when touching bodily fluids
- wear PPE if contact with bodily fluids
- discard all contaminated sharp instruments
- respiratory hygiene and cough etiquette
Transmission precautions - Answers -✔✔ airborne, droplet, contact
Donning - Answers -✔✔ 1. Gown
2. Mask (face shield and caps)
3. Eyewear
4. Gloves
Doffing - Answers -✔✔ 1. Gloves
2. Gown (exits patient's room and hand hygiene)
3. Eyewear
4. Mask (bottom then top)
contact precautions - Answers -✔✔ gown and gloves
- c. Difficile
- herpes simplex
- varicella
Droplet precautions - Answers -✔✔ gown, gloves, surgical mask, private room or cohort
patients
- influenza
- adenovirus
- rubella
, - mumps
Airborne precautions - Answers -✔✔ N95 + negative airflow room
- measles
- chickenpox
- mycobacterium tuberculosis
- rubeola
Protective environment - Answers -✔✔ Room with positive airflow. Used for highly
susceptible, immunocompromised patient such as Transplant and gene therapy. Mask,
gloves, gown.
Temperature range - Answers -✔✔ 36° to 38° C / 96.8° to 100.4° F
Pulse range - Answers -✔✔ 60-100 bpm
Respirations range - Answers -✔✔ 12-20 breaths/min
Blood pressure range - Answers -✔✔ <120/<80 mm Hg
Pulse oximetry - Answers -✔✔ Normal SpO2: 95% - 100%
Can the skill of taking temperature be delegated to NAP? - Answers -✔✔ Yes
The most accurate method for taking a temperature is - Answers -✔✔ rectal
temperature
Types of thermometers - Answers -✔✔ 1. Electronic
2. Tympanic
3. Temporal artery
4. Chemical/single use
Oral temperature - Answers -✔✔ Easily accesible. Causes delay if patient has recently
ingested something hot or cold or has smoked
Tympanic temperature - Answers -✔✔ BEST for core temp. Easily accesible.
Used for infants and patients who have tachypnea.
axillary temperature - Answers -✔✔ Safe and inexpensive. Used on newborns.
Can you delegate making a bed to NAP? - Answers -✔✔ Yes
Fowler's position - Answers -✔✔ Head of the bed raised to angle of 45 degrees.
Used during meals, tube insertion and suction. Promotes lung expansion.
200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
When to wash hands - Answers -✔✔ - before and after patient contact
- before clean and aeseptic procedure
- after contact with bodily fluids
- after touching patients surrounding
- if hands are visibly dirty or were contaminated
Standard Precautions - Answers -✔✔ - Apply to bodily fluids
- perform hand hygiene
- no artificial nails
- wear gloves when touching bodily fluids
- wear PPE if contact with bodily fluids
- discard all contaminated sharp instruments
- respiratory hygiene and cough etiquette
Transmission precautions - Answers -✔✔ airborne, droplet, contact
Donning - Answers -✔✔ 1. Gown
2. Mask (face shield and caps)
3. Eyewear
4. Gloves
Doffing - Answers -✔✔ 1. Gloves
2. Gown (exits patient's room and hand hygiene)
3. Eyewear
4. Mask (bottom then top)
contact precautions - Answers -✔✔ gown and gloves
- c. Difficile
- herpes simplex
- varicella
Droplet precautions - Answers -✔✔ gown, gloves, surgical mask, private room or cohort
patients
- influenza
- adenovirus
- rubella
, - mumps
Airborne precautions - Answers -✔✔ N95 + negative airflow room
- measles
- chickenpox
- mycobacterium tuberculosis
- rubeola
Protective environment - Answers -✔✔ Room with positive airflow. Used for highly
susceptible, immunocompromised patient such as Transplant and gene therapy. Mask,
gloves, gown.
Temperature range - Answers -✔✔ 36° to 38° C / 96.8° to 100.4° F
Pulse range - Answers -✔✔ 60-100 bpm
Respirations range - Answers -✔✔ 12-20 breaths/min
Blood pressure range - Answers -✔✔ <120/<80 mm Hg
Pulse oximetry - Answers -✔✔ Normal SpO2: 95% - 100%
Can the skill of taking temperature be delegated to NAP? - Answers -✔✔ Yes
The most accurate method for taking a temperature is - Answers -✔✔ rectal
temperature
Types of thermometers - Answers -✔✔ 1. Electronic
2. Tympanic
3. Temporal artery
4. Chemical/single use
Oral temperature - Answers -✔✔ Easily accesible. Causes delay if patient has recently
ingested something hot or cold or has smoked
Tympanic temperature - Answers -✔✔ BEST for core temp. Easily accesible.
Used for infants and patients who have tachypnea.
axillary temperature - Answers -✔✔ Safe and inexpensive. Used on newborns.
Can you delegate making a bed to NAP? - Answers -✔✔ Yes
Fowler's position - Answers -✔✔ Head of the bed raised to angle of 45 degrees.
Used during meals, tube insertion and suction. Promotes lung expansion.
