NURS 327 Final Exam with complete
solutions latest version
Name the six links in the chain of infection - CORRECT ANSWER-1. Portal of entry
2. Infectous agent
3. Resovoir
4. Portal of exit
5. Mode of transmission
6.Susceptible host
What is the difference between colonization and infection - CORRECT ANSWER-You
have the bug in colonization. In infection the bug is present and the host gets sick.
List the 8 elements of standard precautions - CORRECT ANSWER-1. Gloves
2. PPE
3. Sharps container
4. Safe handling of waste
5. Hand washing
6. Lining
7. Cling
8. Fluid resistant gowns
Which is better
Soap and water
Or
Alcohol based hand rub - CORRECT ANSWER-Hand washing is better overall. Hand
rub can be used up to 5 times, in between rooms, and when hands are not visible
soiled.
Describe contact precautions - CORRECT ANSWER-Door can be open. You need a
gown and booties. You can wear a mask and goggles but they are not necessary.
Describe droplet precautions - CORRECT ANSWER-focuses on diseases that are
transmitted by large droplets in the air that travel 3 to 6 feet from the patient.
Precautions require wearing surgical masks. (ex. influenza). Private room.
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Droplet precautions are for what 2 diseases? - CORRECT ANSWER-All meningitis and
all influenza
Pertusis, Diptheria, Mumps, All Meningitis
Describe airborne precautions - CORRECT ANSWER-Wear a mask that is an N95. The
room is negative pressure so the air gets sucked in.
List the two main diseases that would have the patient placed in airborne precaution. -
CORRECT ANSWER-1. Measles
2. TB
You walk onto the unit and discover all the alcohol based hand rubs are gone. The most
likely reason for this is what? - CORRECT ANSWER-C. Diff
Health care workers should be immune to or be vaccinated against which 5 diseases? -
CORRECT ANSWER-1. T Dap
2. Chicken pox
3. MMR
4. Hep B
5. Flu
What are the three phases preoperative care. What are they? - CORRECT ANSWER-1.
Preoperative: Before the operation
2. Intraoprative: In the surgery
5. PostOp: After the surgery till last appointment
Some patient are given Enoxiparin 30mg SC prior to surgery. What is the reason for
that? - CORRECT ANSWER-To prevent a DVT
List the 5 main people on the surgical team - CORRECT ANSWER-1. Surgeon
2. Anesthesiologist or nurse ansiatist
3. Scrub nurse
4. RN first assist
5. Circulating nurse
In the surgery, when we verify the right pt, the right surgery on the right part of the body,
what is this called? - CORRECT ANSWER-Surgical time out
describe surgical asepsis - CORRECT ANSWER-Everything is sterile
Malignat hypothermia usually occurs within _________ of induction - CORRECT
ANSWER-1 to 24 hours
A client undergoes an arthroplasty and outpatient clinic. After the procedure the nurse
provides discharge teaching. Which response by the client indicates a need for further
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