FUNDAMENTALS KAPLAN 2024-2025 TEST BANK ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
1. Describe an airborne pre- private room with monitored negative air pres-
cautions room sure with 6 to 12 changes per hour, keep door
closed and client in room, can place client with
another but only if same organism, place mask
on client if being transported
2. Describe when airborne used with pathogens transmitted by airborne
precautions are used route that are less than 5 microns. They remain
suspended in the air.
3. Name diseases that would measles, varicella, tuberculosis, and shingles
require airborne precau- until the lesions are crusted over.
tions (4)
4. What does nurse wear into Use respiratory protection, like a protective
an airborne precautions mask, that is fit-tested. Do not share with other
room? providers.
5. How do you ambulate with Cane should be held in hand opposite affect-
a cane? ed extremity. Advance cane and affected leg,
about 4 to 12 inches. To go upstairs, step up
with good extremity and then place cane and
affected extremity on step. Reverse when going
downstairs.
6. Before ambulation, what Activity tolerance of the patient, strength, mo-
should you assess? bility status, mental status, degree of person-
nel and equipment assistance needed. Assess
safety of environment and adequacy of cloth-
ing, including nonslip shoes.
7. Before ambulation, what Inform patient of rationale and specific goals
should you talk to the pa- for walking. Tell them to report any dizziness,
tient about? weakness, or shortness of breath.
8. Describe how to ambulate First sit on the bed and dangle, then stand to
in progressive stages side of bed, then progressively walking. Nurse
can use gait belt to support patient. If patient is
, FUNDAMENTALS KAPLAN 2024-2025 TEST BANK ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
dizzy or unsteady, return patient to close bed,
chair, or gently lower to the floor.
9. Name some ambulatory Gait belt, crutches, walker, cane
assistance devices
10. Purpose of ambulation Allows for muscle movement and joint flexibility.
Improves respiratory and GI function. Rules risk
of complications of immobility.
11. Describe how to use a Set walker in front of seated patient. Have pa-
walker from the bed tient stand with assistance as needed. Have
patient hold walker's handgrips firmly. Stand
slightly behind patient, on one side. Have pa-
tient move walker forward 6 to 8 inches and set
it down, making sure all feet on the floor. Tell
patient to step forward with either foot into the
walker, support self. Follow through with other
leg. Continue pattern.
12. Describe proper position Hold crutches 6 inches in front of and 6 inches
of crutches to the side of each foot. Should be 1.5 to 2
inches below armpits. Elbows are flexed at a 15
degree angle
13. Purpose of anti embolism Reduces risk of DVT and pulmonary embolism.
stockings Helps prevent phlebitis.
14. how do aniembolism Exert external pressure on lower extremity
stockings work? muscles and superficial leg veins, thus prevent-
ing stasis and promoting venous return in lower
extremities by maintaining external pressure.
15. When should anti em- Do not apply if skin lesions or gangrene pre-
bolism stockings not be sent.
worn?
16. In the morning before patient out of bed
, FUNDAMENTALS KAPLAN 2024-2025 TEST BANK ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
When should anti em-
bolism stockings be put
on?
17. Teach patient to recognize unilateral swelling, redness, tenderness, pain
possible indicators of DVT on dorsiflexion (postiive Homans sign) and
or phlebitis, such as: warmth
18. When patient in on skin irritation and breakdown, abnormal color,
anti embolism stocking, warm or cool temperature, unusual sensations,
when would they notify swelling, changes in movement
provider? What are abnor-
mal symptoms?
19. Can patient wear anti Yes, but skid resistant socks on patient prior to
embolism stockings with ambulation
nonskid socks?
20. Apical pulse is the best best pulse site in infants and young children and
site location in which in- if patient is taking a medication that affects the
stances? heart rate
21. Pulse deficit: how is it cal- Compare radial and apical heart rates. Normal-
culated? ly are the same. If radial is slower there is a
perfusion issue.
22. PMI point of maximal impulse, the apical pulse,
which is where the impulse of the left ventricle
is felt more strongly; 5th intercostal space at the
mid clavicular line on the left side
23. 2 types of aseptic tech- medial asepsis is clean technique and surgical
nique asepsis
24. Describe medical asepsis, Focuses on reducing number of microorgan-
or clean technique isms and preventing them from spreading
25. Surgical asepsis Sterile technique and focuses on eliminating
the microorganisms from an area; including
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
1. Describe an airborne pre- private room with monitored negative air pres-
cautions room sure with 6 to 12 changes per hour, keep door
closed and client in room, can place client with
another but only if same organism, place mask
on client if being transported
2. Describe when airborne used with pathogens transmitted by airborne
precautions are used route that are less than 5 microns. They remain
suspended in the air.
3. Name diseases that would measles, varicella, tuberculosis, and shingles
require airborne precau- until the lesions are crusted over.
tions (4)
4. What does nurse wear into Use respiratory protection, like a protective
an airborne precautions mask, that is fit-tested. Do not share with other
room? providers.
5. How do you ambulate with Cane should be held in hand opposite affect-
a cane? ed extremity. Advance cane and affected leg,
about 4 to 12 inches. To go upstairs, step up
with good extremity and then place cane and
affected extremity on step. Reverse when going
downstairs.
6. Before ambulation, what Activity tolerance of the patient, strength, mo-
should you assess? bility status, mental status, degree of person-
nel and equipment assistance needed. Assess
safety of environment and adequacy of cloth-
ing, including nonslip shoes.
7. Before ambulation, what Inform patient of rationale and specific goals
should you talk to the pa- for walking. Tell them to report any dizziness,
tient about? weakness, or shortness of breath.
8. Describe how to ambulate First sit on the bed and dangle, then stand to
in progressive stages side of bed, then progressively walking. Nurse
can use gait belt to support patient. If patient is
, FUNDAMENTALS KAPLAN 2024-2025 TEST BANK ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
dizzy or unsteady, return patient to close bed,
chair, or gently lower to the floor.
9. Name some ambulatory Gait belt, crutches, walker, cane
assistance devices
10. Purpose of ambulation Allows for muscle movement and joint flexibility.
Improves respiratory and GI function. Rules risk
of complications of immobility.
11. Describe how to use a Set walker in front of seated patient. Have pa-
walker from the bed tient stand with assistance as needed. Have
patient hold walker's handgrips firmly. Stand
slightly behind patient, on one side. Have pa-
tient move walker forward 6 to 8 inches and set
it down, making sure all feet on the floor. Tell
patient to step forward with either foot into the
walker, support self. Follow through with other
leg. Continue pattern.
12. Describe proper position Hold crutches 6 inches in front of and 6 inches
of crutches to the side of each foot. Should be 1.5 to 2
inches below armpits. Elbows are flexed at a 15
degree angle
13. Purpose of anti embolism Reduces risk of DVT and pulmonary embolism.
stockings Helps prevent phlebitis.
14. how do aniembolism Exert external pressure on lower extremity
stockings work? muscles and superficial leg veins, thus prevent-
ing stasis and promoting venous return in lower
extremities by maintaining external pressure.
15. When should anti em- Do not apply if skin lesions or gangrene pre-
bolism stockings not be sent.
worn?
16. In the morning before patient out of bed
, FUNDAMENTALS KAPLAN 2024-2025 TEST BANK ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
Study online at https://quizlet.com/_flypgu
When should anti em-
bolism stockings be put
on?
17. Teach patient to recognize unilateral swelling, redness, tenderness, pain
possible indicators of DVT on dorsiflexion (postiive Homans sign) and
or phlebitis, such as: warmth
18. When patient in on skin irritation and breakdown, abnormal color,
anti embolism stocking, warm or cool temperature, unusual sensations,
when would they notify swelling, changes in movement
provider? What are abnor-
mal symptoms?
19. Can patient wear anti Yes, but skid resistant socks on patient prior to
embolism stockings with ambulation
nonskid socks?
20. Apical pulse is the best best pulse site in infants and young children and
site location in which in- if patient is taking a medication that affects the
stances? heart rate
21. Pulse deficit: how is it cal- Compare radial and apical heart rates. Normal-
culated? ly are the same. If radial is slower there is a
perfusion issue.
22. PMI point of maximal impulse, the apical pulse,
which is where the impulse of the left ventricle
is felt more strongly; 5th intercostal space at the
mid clavicular line on the left side
23. 2 types of aseptic tech- medial asepsis is clean technique and surgical
nique asepsis
24. Describe medical asepsis, Focuses on reducing number of microorgan-
or clean technique isms and preventing them from spreading
25. Surgical asepsis Sterile technique and focuses on eliminating
the microorganisms from an area; including
