Nursing I

1.

1 point

Your PPE consists of what?

Gowns, gloves, and masks

Gowns, gloves, masks, antibacterial soap, and shoes

Gowns, gloves, masks, and antibacterial soap

Scrubs

2.

1 point

The patient and their family are the primary source of data

True

False

3.

1 point

Bio hazard bags are what color?

Black

Red

Brown

Blue

4.

1 point

Your patient comes into the hospital with a cough. To avoid contamination, you would?

Suit up with a gown and mask

Stand at the patient's door until they are assessed

Use a tier 2 precaution

Use a tier 1 precaution

5.

1 point

There are ____ stages of infection.

5

4

3

7

6.

1 point

The Omnibus Budget Reconciliation Act of 1987 was created for the purposes of what?

To stop abuse in nursing homes

To comply with Medicare regulations

HIPAA

Inform nursing homes of changes in care

7.

1 point

It's a good thing your patient has medicare because it usually covers the complete cost of their hospital stay.

True

False

8.

1 point

It is ok to dispose of needles in a trash bag as long as you take it out right away.

True

False

9.

1 point

The full stage of an infection is the end of the infection, also known as the recovery stage.

True

False

10.

1 point

Medicaid is an example of a PPO

True

False

11.

1 point

Gloves are a substitute for good hand hygiene

True

False

12.

1 point

As a nurse, you delegate a task to the PCA. It is your responsibility to ensure the task is completed.

True

False

13.

1 point

According to the CDC, a tier 2 precaution is a what?

PPE

Transmission based precaution

Standard precaution

Hand hygiene

14.

1 point

There are ____ components to outcome identification and planning.

7

2

4

8

15.

1 point

Your patient acquires an infection at the hospital. This is known as what?

Surgical asepsis

Contamination

Nosocomial Infection

Medical asepsis

16.

1 point

During the incubation period of infection your patient is in full recovery.

True

False

17.

1 point

You delegate the passing of IV fluids to the PCA on your floor. Who is responsible for ensuring this task is complete?

You, the nurse, because you delegated the task to the PCA

The patient because they were there when the PCA completed the task

The PCA because they completed the task

The task should not be delegated to the PCA

18.

1 point

While checking your patient's vital signs, you grab the thermometer. To be accurate you obtain the core temperature from where?

Under the arm

Rectally

From the posterior sublingual pocket

In the mouth

19.

1 point

What are the four components to outcome identification and planning?

subject, action, outcome, specific time

setting priorities, determining the most important problems, being patient centered, nursing therapy

setting priorities, establishing goals/outcomes, determining specific nursing orders, documenting the plan

setting priorities, establishing goals/outcomes, determining specific nursing orders, determining a developmental problem

20.

1 point

Tertiary care is best described as emergency room care

True

False

21.

1 point

Your patient's infection is in the prodromal stage, therefore there is no longer a need to wear a mask. Why is that?

This is the most infectious stage of infection, a mask should still be worn

It is never ok to not wear a mask

There are no more signs and/or symptoms

The patient is in the recovery period of infection

22.

1 point

Ineffective airway clearance related to decreased energy as manifested by an effective cough.

This is a correct Actual Diagnosis

This is a correct Risk Diagnosis

This is a correct Possible Diagnosis

None of the above

23.

1 point

A possible diagnosis is always used because it is always possible that a patient has something wrong with them.

True

False

24.

1 point

A risk diagnosis includes all of the following.

Problem, etiology, defining characteristic

Problem, etiology

Only a problem

Problem, defining characteristic

25.

1 point

While assessing a patient, the patient vomits on the floor. This type of subjective data should be noted.

True

False

26.

1 point

A temperature should ALWAYS be submitted to a physician.

True

False

27.

1 point

While collecting data, the patient states that their head hurts. This is a type of subjective data.

True

False

28.

1 point

What are the five components to the nursing process?

subjective data, objective data, cues, inferences, NANDA

problem statement, etiology, defining characteristics, format, evaluation

assessment, diagnosis, outcome identification and planning, implementation, evaluation

Assessment, diagnosis, possibilities, identification, evaluation

29.

1 point

There is no cause for concern for you to wear latex everyday because you're not allergic to latex.

This is true as long as the patient also does not have the latex allergy

This is not true because the latex allergy can come about due to repeated exposure

This is not true because you don't know if the patient has the allergy or not

This is true because there is a cure for the latex allergy even if you do have an outbreak

30.

1 point

A blood pressure is taken 3 times while the same patient is laying down, sitting up, and standing. The blood pressure is different 2 out of three times. There should be cause for concern.

True

False

31.

1 point

What are the six chains of infection?

Bacteria, portal of exit, portal of entry means of transportation, susceptible host

Infectious agent, portal of exit, portal of entry, means of transportation, susceptible host

Viruses, portal of exit, portal of entry, means of transportation, susceptible host

Fungi, portal of exit, portal of entry, means of transportation, susceptible host

32.

1 point

Ineffective airway clearance manifested by an ineffective cough related to decreased energy.

This is not a correct nursing diagnosis

This is a correct risk diagnosis

This is a correct actual diagnosis

This is not from NANDA

33.

1 point

You wash your hands, dry them off, and put gloves on. Why would you not wash your hands after removing the gloves?

Because your hands are still clean from washing them prior to putting on the gloves

Your hands did not get dirty

Because too much hand washing causes dry skin, which will cause cracked skin, which leads to a higher chance of contracting something from a patient

None of the above

34.

1 point

While assessing your patient, you notice their breathing respirations are less than ten breaths per minute. Your patient is suffering from what?

Thready Pulse

Pulse Pressure

Tachypnea

Bradypnea

35.

1 point

You delegate to the LPN on your floor to make a nursing diagnosis. It is your responsibility to see this task is completed. Why is this your responsibility?

Since you delegated the task, it is your responsibility as the RN to ensure the task was completed

It is always the nurses job to ensure a delegated task is completed

It isn't your responsibility, it is ultimately the responsibility of the person who did the task

Nursing diagnosis is a task that can not be delegated

36.

1 point

Objective data refers to something that can be seen.

True

False

37.

1 point

You write in your assessment that your patient may be addicted to pain medication due to coming to the ER frequently. Why is this sort of information important?

The patient may be or become addicted to medication, it's best to get them help now

This information should not be included because it isn't factual

The patient is racking up huge hospital bills

This information is not important

38.

1 point

Your patient states they are allergic to potatoes. Why is this beneficial to you?

A patient with a potato allergy has a higher probability of being allergic to latex

You know not to include potatoes in your patient's diet

You know your patient is immune to the latex allergy

Your know your patient may also be allergic to peanut butter

39.

1 point

Your patient and their family all agree to collaborate the care of the patient. You are concerned about this because?

It is none of the families business what goes on with the patient

There is no cause for concern, collaboration promotes teamwork and will yield the best results

The only people who should collaborate are health care professionals

The patient should take the advice of the nursing professional without any input

40.

1 point

Your patient requests to see their Patient Bill of Rights. Why is it not your responsibility to show this to them?

Because everyone receives this information upon entering the facility

This statement is incorrect, you must get the patient a copy of their bill of rights

Due to HIPAA violation, you explain the nursing manager will have to obtain this for the patient

Because you don't want the patient to know about the changes in their care plan

41.

1 point

The normal temperature of a human adult is what?

98.7°F

98.6°F

99.1°F

97.6°F

42.

1 point

Your initial assessment with a patient is quick and easy because

Your patient has been here before

You can ask questions later

First and foremost you need to have your patient seen

This is the first time with the patient, you should take your time and it shouldn't be quick and easy

43.

1 point

Why did you take your patient's temperature via a red tipped thermometer?

A red tip is the best tip to use when taking an axillary temperature

Because I took their temperature rectally

Because a red tip is always used orally

This color thermometer tip will yield the best result

44.

1 point

Sterile technique is used to keep objects free from microorganisms. An example of this would be?

All of the above

Inserting an IV catheter

Applying a gown

Performing hand hygiene

45.

1 point

While assessing your patient, you obtain a pulse of 3+, your knowledge tells you that you should call the physician. Why is that?

Your patient has a bounding pulse

There is no cause for concern because this is a normal pulse

Your patient has a weak pulse

The pulse is not easily felt

46.

1 point

The nurse decides what tasks they do and do not delegate to others.

True

False

47.

1 point

Droplet precautions are not important as long as you stay at least three feet away from your patient.

True

False

48.

1 point

You are working in the emergency room and a patient comes in with flu symptoms. What type of care will they receive from you?

Secondary Care

Primary Care

Case Management Care

Tertiary Care

49.

1 point

The clean technique is also known as what?

Surgical asepsis

Transmission based precaution

Standard precaution

Medical asepsis

50.

1 point

PED relates to

An actual diagnosis

A possible diagnosis

A risk diagnosis

None of the above