Exam (elaborations)
NRSG 201 MIDTERM EXAM QUESTIONS AND ANSWERS
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NRSG 201 MIDTERM EXAM QUESTIONS AND ANSWERS....
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What are the 2 purposes of infection control? - ANSWER 1. Protectingclients from acquiring infections
2. protecting health care workers from becoming infected.
HAI - ANSWER hospital-acquired infection
ARO - ANSWER antibiotic-resistant organism
AGMP - ANSWER aerosol-generating medical procedure
PPE - ANSWER personal protective equipment
What are the 6 links in the chain of infection? - ANSWER - Infectious
agent (pathogen)
- Reservoir (source for pathogen growth)
- Portal of exit
- Mode of transmission
- Portal of entry to host
- Susceptible host
What are some nursing interventions that break the chain of infection? -
ANSWER hand hygiene, cleaning equipment, PPE
What are the 4 moments for hand hygiene? - ANSWER 1. Before initial
patient environment contact
2. Before aseptic procedure
3. After body fluid exposure risk
4. After patient environment contact
What are routine precautions? - ANSWER infection prevention and
control activities used in the care of all clients regardless of diagnosis or
possible infection status
What do routine precautions apply to? - ANSWER blood, all bodily fluids,
excretions (except sweat), non-intact skin, and mucous membranes
,Airborne Precautions - ANSWER - Particles smaller than 5 microns
- Private room, door closed (negative pressure)
- N95/respirator
- Use airborne precautions during AGMP in suspected/confirmed COVID
19 pts.
Examples of AGMPS - ANSWER - CPR
- Intubation
- Nebulizer meds
- BIPAP/CPAP
- High flow O2
- Tracheostomy/trach care
Droplet Precautions - ANSWER - Particles larger than 5 microns
- Deposited on mucous membranes of eyes, nose, mouth of susceptible
host
- Deposited on surfaces
- PPE: mask and eye protection
Contact Precautions - ANSWER - Practices used to prevent spread of
disease by direct or indirect contact
- PPE: gloves and gown
Cytotoxic Precautions - ANSWER -when patient is on cytotoxic
medications, body fluids are contaminated for 48 hrs after last admin of
cytotoxic med
-double nitrile glove, long sleeve moisture resistant gown, eye/face
protection
Order of Donning PPE - ANSWER hand hygiene, gown, mask, eye
protection, gloves
Order of Doffing PPE - ANSWER gloves, hand hygiene, gown, hand
hygiene, goggles, mask, hand hygiene
Normal RR - ANSWER 12-20
, What position is best for dyspneic pts.? - ANSWER orthopnea position
What temp is considered a fever in acute care? - ANSWER 38.5
What are the 5 places to listen to heart sounds? - ANSWER aortic valve
(2R)
pulmonic valve (2L)
Erb's point (3L)
tricuspid valve (4L)
mitral valve (5L)
What is a QPA? - ANSWER quick priority assessment
What do ABCDE stand for in a QPA? - ANSWER Airway
Breathing
Circulation
Disability (LOC)
Expose/Environment
What do you check during a bedside safety equipment check? -
ANSWER oxygen flow meter, medical air valve, suction device with inner
canister
Why do a bedside safety check at the beginning of a shift? - ANSWER
to ensure all safety equipment is available and ready to use in an
emergency during a nurse's shift
Where do you document QPAs and bedside safety checks? - ANSWER
24 hour flow sheet in pt. Kardex
What is a head-to-toe assessment? - ANSWER A complete health
assessment starting at the head and proceeding in a systematic manner
downward
When should a head-to-toe assessment be done? - ANSWER - patient
admission to hospital
- patient transfer to new ward
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