NUR 2500 Exam 1 Questions With Complete Solutions
activities of daily living Correct Answer direct care measure
usually performed during a normal day
airborne precautions Correct Answer diseases transmitted by
small droplets which remain in the air for longer periods of time
-negative airflow referred to as an airborne infection isolation
room, N95 respirator, HEPA filter
asepsis Correct Answer absence of pathogenic
microorganisms
-aseptic technique refers to the practices/procedures that help
reduce the risk for infection
-medical asepsis: hand hygiene, barrier techniques, cleaning
-surgical asepsis: prevents contamination of an open wound,
serves to isolate an operative or procedural area from an
unsterile environment, and maintains a sterile field for surgery
or procedural intervention
Assessment Correct Answer registered nurse collects
pertinent data and information relative to the healthcare
consumer's health or the situation
aura Correct Answer bright light, smell or taste which serves
as a warning or sense that a seizure is about to occur
Braden Scale Correct Answer assess risk for skin
breakdown-- total score range from 6 (high risk of pressure
injury) to 24 (low risk for pressure injury)
,-sensory perception: ability to appropriately respond to pressure
related discomfort (complete limited, very limited, slightly
limited, no impairment)
-moisture: degree to which skin is exposed to moisture
(constantly moist, very moist, occasionally moist, rarely moist)
-activity: degree of physical activity (bedfast, chairfast, walks
occasionally, walks frequently)
-mobility: ability to change and control body position
(completely immobile, very limited, slightly limited, no
limitations)
-nutrition: usual food intake pattern (very poor, probably
inadequate, adequate, excellent)
-friction and shear: physical appearance of skin (problem,
potential problem , no apparent problem)
care bundle Correct Answer group of interventions related to
a disease process or condition
chain of infection Correct Answer -infectious agent
-reservoir: place where microorganisms survive, multiply, and
await transfer (hosts, insects, food, water, organic matter
containing food, oxygen, water, temperature, pH, light)
-portal of exit: skin and mucous membranes, respiratory tract,
urinary tract, GI tract, reproductive tract, blood
-mode of transmission
-portal of entry: same as exiting
-susceptible host: depends on an individual's degree of
resistance to pathogens
*preventing infections involves breaking the chain of infection
, classification of pressure injuries Correct Answer -stage 1:
intact skin with a localized area of nonblanchable erythema
-stage 2: partial thickness skin loss with exposed dermis
-stage 3: full thickness skin loss
-stage 4: full thickness skin and tissue loss
-deep tissue pressure injury: persistent nonblanchable deep red,
maroon, or purple discoloration
-unstageable pressure injury: obscured full thickness skin and
tissue loss
clinical practice guideline Correct Answer systematically
developed set of statements about appropriate health care for
specific health care problems or clinical situations
collaborative problem Correct Answer a problem that requires
both medicine and nursing interventions to treat
colonization Correct Answer the presence and growth of
microorganisms within a host but without tissue invasion or
damage
communicable disease Correct Answer in an infectious
disease can be transmitted directly from one person to another
-symptomatic: pathogens multiply and cause clinical signs and
symptoms
-asymptomatic: clinical signs and symptoms are not present
concept mapping Correct Answer Visual representation that
allows you to graphically show the connections among a
patient's many health problems
activities of daily living Correct Answer direct care measure
usually performed during a normal day
airborne precautions Correct Answer diseases transmitted by
small droplets which remain in the air for longer periods of time
-negative airflow referred to as an airborne infection isolation
room, N95 respirator, HEPA filter
asepsis Correct Answer absence of pathogenic
microorganisms
-aseptic technique refers to the practices/procedures that help
reduce the risk for infection
-medical asepsis: hand hygiene, barrier techniques, cleaning
-surgical asepsis: prevents contamination of an open wound,
serves to isolate an operative or procedural area from an
unsterile environment, and maintains a sterile field for surgery
or procedural intervention
Assessment Correct Answer registered nurse collects
pertinent data and information relative to the healthcare
consumer's health or the situation
aura Correct Answer bright light, smell or taste which serves
as a warning or sense that a seizure is about to occur
Braden Scale Correct Answer assess risk for skin
breakdown-- total score range from 6 (high risk of pressure
injury) to 24 (low risk for pressure injury)
,-sensory perception: ability to appropriately respond to pressure
related discomfort (complete limited, very limited, slightly
limited, no impairment)
-moisture: degree to which skin is exposed to moisture
(constantly moist, very moist, occasionally moist, rarely moist)
-activity: degree of physical activity (bedfast, chairfast, walks
occasionally, walks frequently)
-mobility: ability to change and control body position
(completely immobile, very limited, slightly limited, no
limitations)
-nutrition: usual food intake pattern (very poor, probably
inadequate, adequate, excellent)
-friction and shear: physical appearance of skin (problem,
potential problem , no apparent problem)
care bundle Correct Answer group of interventions related to
a disease process or condition
chain of infection Correct Answer -infectious agent
-reservoir: place where microorganisms survive, multiply, and
await transfer (hosts, insects, food, water, organic matter
containing food, oxygen, water, temperature, pH, light)
-portal of exit: skin and mucous membranes, respiratory tract,
urinary tract, GI tract, reproductive tract, blood
-mode of transmission
-portal of entry: same as exiting
-susceptible host: depends on an individual's degree of
resistance to pathogens
*preventing infections involves breaking the chain of infection
, classification of pressure injuries Correct Answer -stage 1:
intact skin with a localized area of nonblanchable erythema
-stage 2: partial thickness skin loss with exposed dermis
-stage 3: full thickness skin loss
-stage 4: full thickness skin and tissue loss
-deep tissue pressure injury: persistent nonblanchable deep red,
maroon, or purple discoloration
-unstageable pressure injury: obscured full thickness skin and
tissue loss
clinical practice guideline Correct Answer systematically
developed set of statements about appropriate health care for
specific health care problems or clinical situations
collaborative problem Correct Answer a problem that requires
both medicine and nursing interventions to treat
colonization Correct Answer the presence and growth of
microorganisms within a host but without tissue invasion or
damage
communicable disease Correct Answer in an infectious
disease can be transmitted directly from one person to another
-symptomatic: pathogens multiply and cause clinical signs and
symptoms
-asymptomatic: clinical signs and symptoms are not present
concept mapping Correct Answer Visual representation that
allows you to graphically show the connections among a
patient's many health problems
