Patient care Skills Part 1

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Patient care Skills Part 1 - Quiz

Quiz for Final Exam, Test 1 review


Questions and Answers
  • 1. 

    What are the 6 elements in the chain of infection?

    • A.

      Agent, reservoir, portal of exit, portal of entry, mode of transportation, susceptible host

    • B.

      Agent, portal of growth, portal of exit, mode of transportation, susceptible host

    • C.

      Fungi, host, portal of entry, portal of exit, reservoir, agent, mode of transportation

    Correct Answer
    A. Agent, reservoir, portal of exit, portal of entry, mode of transportation, susceptible host
    Explanation
    The correct answer is "Agent, reservoir, portal of exit, portal of entry, mode of transportation, susceptible host". In the chain of infection, the agent refers to the pathogen or infectious microorganism that causes the disease. The reservoir is the source or environment where the pathogen can survive and multiply. The portal of exit is the route through which the pathogen leaves the reservoir. The portal of entry is the route through which the pathogen enters the susceptible host. The mode of transportation is the means by which the pathogen is transmitted from the reservoir to the susceptible host. The susceptible host is an individual who is at risk of developing the infection.

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  • 2. 

    When inserting a folley catheter, which type of technique are you exersizing?

    • A.

      Clean technique

    • B.

      Sterile technique

    Correct Answer
    B. Sterile technique
    Explanation
    When inserting a Foley catheter, a sterile technique is used. This means that strict sterile precautions are followed to minimize the risk of introducing any microorganisms into the urinary tract. Sterile gloves, sterile equipment, and a sterile field are used to maintain asepsis during the procedure. This helps to prevent infections and complications in the patient.

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  • 3. 

    What is the difference between Medical and Surgical asepsis?

    • A.

      One if clean and the other one is sterile

    • B.

      There is no difference

    Correct Answer
    A. One if clean and the other one is sterile
    Explanation
    Medical asepsis refers to the practice of reducing the number of microorganisms and preventing their spread, whereas surgical asepsis involves maintaining a completely sterile environment to prevent any introduction of microorganisms during surgical procedures. In medical asepsis, cleanliness is emphasized, such as handwashing and using disinfectants, while surgical asepsis requires sterile techniques, such as wearing sterile gloves and using sterile instruments. Therefore, the difference between medical and surgical asepsis lies in the level of cleanliness and sterility required in each practice.

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  • 4. 

    The flu is transmitted by this method of transmission

    Correct Answer
    Droplet
    Explanation
    The flu is transmitted through droplet transmission. When an infected person coughs, sneezes, or talks, respiratory droplets containing the flu virus are expelled into the air. These droplets can then be inhaled by nearby individuals, leading to the transmission of the flu. This method of transmission is why it is important to practice good respiratory hygiene, such as covering your mouth and nose when coughing or sneezing, to prevent the spread of the flu.

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  • 5. 

    What are the 5 methods of transmission?

    • A.

      Vector-borne, common car, airborne, droplet, contact

    • B.

      People, animals, common vehicle, droplet, contact

    • C.

      Contact, droplet, airborne, common vehicle, vector-borne

    Correct Answer
    C. Contact, droplet, airborne, common vehicle, vector-borne
    Explanation
    The correct answer is contact, droplet, airborne, common vehicle, vector-borne. These are the five methods of transmission for diseases. Contact transmission occurs when there is direct physical contact with an infected person or their bodily fluids. Droplet transmission happens when respiratory droplets containing the infectious agent are expelled through coughing or sneezing. Airborne transmission occurs when infectious agents are suspended in the air and can be inhaled. Common vehicle transmission refers to the spread of disease through contaminated food, water, or other objects. Vector-borne transmission involves the transfer of diseases through vectors like mosquitoes or ticks.

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  • 6. 

    What's the difference between airborne and droplet transmission?

    • A.

      Airborne travels in the air, and droplet travels by land

    • B.

      Airborne is smaller and can travel long distances and droplets are larger

    Correct Answer
    B. Airborne is smaller and can travel long distances and droplets are larger
    Explanation
    Airborne transmission refers to the spread of infectious agents through small particles that can remain suspended in the air and travel long distances. These particles are smaller in size, allowing them to stay airborne for extended periods and potentially infect individuals who are farther away from the source. On the other hand, droplet transmission occurs when larger respiratory droplets containing infectious agents are expelled from an infected person and can only travel short distances before falling to the ground.

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  • 7. 

    You are standing less than 3 feet from a patient who has the flu. Which method of transportation is likely to be the cause if you get sick?

    • A.

      Common Vehicle

    • B.

      Contact

    • C.

      Airborne

    • D.

      Droplet

    Correct Answer
    D. Droplet
    Explanation
    If you get sick from standing less than 3 feet away from a patient with the flu, the likely method of transportation for the virus is through droplet transmission. Droplet transmission occurs when an infected person coughs, sneezes, or talks, releasing respiratory droplets that contain the virus. These droplets can travel a short distance and can infect others nearby through direct contact with the eyes, nose, or mouth. Therefore, being in close proximity to the patient puts you at risk of inhaling these droplets and getting sick.

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  • 8. 

    When do you use gloves?

    • A.

      Never

    • B.

      When you're taking care of a patient

    • C.

      When you might be taking care of a patient and come into contact with body fluids

    Correct Answer
    C. When you might be taking care of a patient and come into contact with body fluids
    Explanation
    Gloves are used when there is a possibility of coming into contact with body fluids while taking care of a patient. This is important to prevent the transmission of infections and diseases. Wearing gloves provides a barrier between the healthcare worker and the patient's bodily fluids, reducing the risk of contamination. It is a standard precautionary measure followed in healthcare settings to ensure the safety of both the healthcare worker and the patient.

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  • 9. 

    What's the difference between Standard (universal) percautions and Transmission-based precautions?

    • A.

      Universal is PPE, and Transmission is wearing gloves

    • B.

      Standard is washing hands, and transmission is wearing gloves

    • C.

      Standard is used on all patients, regardless of diagnosis. Transmission based is above and beyond w/ PPE

    Correct Answer
    C. Standard is used on all patients, regardless of diagnosis. Transmission based is above and beyond w/ PPE
    Explanation
    The correct answer explains the difference between Standard (universal) precautions and Transmission-based precautions. It states that Standard precautions are used on all patients, regardless of diagnosis, and involve practices such as washing hands. On the other hand, Transmission-based precautions go above and beyond Standard precautions and involve the use of personal protective equipment (PPE) like gloves.

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  • 10. 

    When a patient has TB, what kind of room will they have and where will the air flow?

    • A.

      Negitive airflow room; Air flows out of the room

    • B.

      Positive airflow room; Air flows into the room

    • C.

      Negitive airflow room; Air flows into the room

    • D.

      Positive airflow room; Air flows out of the room

    Correct Answer
    C. Negitive airflow room; Air flows into the room
    Explanation
    In the case of a patient with TB, they will be placed in a negative airflow room. This means that the air inside the room is constantly being pulled out, creating a lower pressure environment compared to the surrounding areas. This helps to prevent the spread of airborne particles from the room to other areas. The air flows into the room to replace the air that is being removed, maintaining the negative pressure and ensuring that any infectious particles are contained within the room.

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  • 11. 

    What does the abbreviation SBAR stand for?

    • A.

      Standard background administration registrar

    • B.

      Situation, background, assessment, re-assessment

    • C.

      Situation, background, assessment, recomendation

    Correct Answer
    C. Situation, background, assessment, recomendation
    Explanation
    The abbreviation SBAR stands for Situation, Background, Assessment, and Recommendation. This acronym is commonly used in healthcare settings to provide a structured and concise way of communicating important information about a patient's condition. The situation refers to the current status or issue at hand, the background provides relevant contextual information, the assessment involves the healthcare professional's evaluation of the situation, and the recommendation suggests a course of action or treatment plan. This communication tool helps ensure clear and effective communication among healthcare providers, promoting patient safety and quality of care.

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  • 12. 

    A nurse is giving a report to a nursing assistant who will be caring for a client who has hand restraints. How often should you assess this patient?

    • A.

      Every hour

    • B.

      Every 20 minutes

    • C.

      Every 15 minutes

    • D.

      Every 15 minutes up to 2 hours, depending on the restraint

    Correct Answer
    D. Every 15 minutes up to 2 hours, depending on the restraint
    Explanation
    The correct answer is "Every 15 minutes up to 2 hours, depending on the restraint." When a client has hand restraints, it is important to regularly assess their condition and well-being. Assessing the patient every 15 minutes allows the nurse to monitor their comfort, circulation, and any signs of distress or injury. The frequency may be extended to every 2 hours if the restraint is secure and the patient is stable. This approach ensures that the patient's safety and comfort are maintained while minimizing the risk of complications associated with restraints.

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  • 13. 

    When should you use retraints?

    • A.

      When the patient is combative

    • B.

      When the patient is not cooroprating

    • C.

      Only when you're busy

    • D.

      Only as a last resort

    Correct Answer
    D. Only as a last resort
    Explanation
    Restraints should only be used as a last resort because they can be restrictive and potentially harmful to the patient. It is important to exhaust all other options and interventions before resorting to restraints. Restraints should only be used when the patient's behavior poses an immediate threat to their safety or the safety of others, and all other less restrictive measures have been attempted and proven ineffective. The use of restraints should always be carefully considered and closely monitored to ensure the patient's well-being and dignity are preserved.

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  • 14. 

    Where should retraints be tied?

    • A.

      To the bed rails

    • B.

      To the bed frame

    Correct Answer
    B. To the bed frame
    Explanation
    Restraints should be tied to the bed frame because it provides a sturdy and secure anchor point. Attaching restraints to the bed frame ensures that they will not easily come loose or detach during use, which is crucial for the safety and well-being of the person being restrained. Tying restraints to the bed rails may not be as secure, as bed rails are typically designed for support and stability rather than for anchoring restraints.

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  • 15. 

    What should you assess with restrained patients?

    • A.

      LOC

    • B.

      Vital Signs

    • C.

      LOC/Behavior, Circulation, Skin, Fluid and Lytes, If they need to go to the bathroom, vital signs

    • D.

      Skin and circulation

    Correct Answer
    C. LOC/Behavior, Circulation, Skin, Fluid and Lytes, If they need to go to the bathroom, vital signs
    Explanation
    When assessing restrained patients, it is important to assess their LOC (Level of Consciousness) and behavior to determine their mental status and any changes in their cognitive function. Additionally, assessing circulation is necessary to check for any signs of impaired blood flow or circulation problems. Evaluating the skin condition is important to identify any signs of skin breakdown or pressure ulcers. Assessing fluid and electrolyte levels is essential to monitor hydration status and electrolyte imbalances. Lastly, it is important to determine if the patient needs to go to the bathroom and assess vital signs to monitor their overall physiological status.

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  • 16. 

    When a patient is having a sezure, what do you do FIRST

    • A.

      Assess skin color and respirations

    • B.

      Go get another nurse from the nurses station

    • C.

      Use the call bell and get help

    • D.

      Protect the patient from injury

    Correct Answer
    D. Protect the patient from injury
    Explanation
    When a patient is having a seizure, the first priority is to protect the patient from injury. Seizures can cause uncontrolled movements and loss of consciousness, which can put the patient at risk of falling or hitting objects around them. By ensuring the patient's safety, such as removing nearby objects that may cause harm or placing padding around them, the risk of injury can be minimized. Assessing skin color and respirations, getting another nurse, or using the call bell and getting help are important actions, but they should be done after ensuring the patient's safety.

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  • 17. 

    You are taking care of a patient who is ill and gets fatigued after 20 minutes of activity. You are giving him a bed bath and also doing range of motion exersizes. Which type of ROM (active, passive, active-assisted) will you engage in?

  • 18. 

    A patient has returned to your floow after an above knee-amputation of the right leg. A nurse places the client in which position?

    • A.

      Prone

    • B.

      Reverse trendelenburg

    • C.

      Supine, with amputated limb flat on bed

    • D.

      Supline, with amputated limp supported with pillows

    Correct Answer
    D. Supline, with amputated limp supported with pillows
    Explanation
    supporting leg with pillow helps venous return and helps edema. Amputies are placed flat on bed to reduce hip contracture as well

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  • 19. 

    You notice a red patch on a patients coxyx when you turn him. You push the area and it turns white and then goes back to red. What is this a sign of and is it abnormal or normal?

    • A.

      Abnormal. Sign of a pressure ulcer

    • B.

      Abnormal. Reactive hyperemia

    • C.

      Normal. Reactive hyperemia

    • D.

      Normal. Non-reactive hyperemia

    Correct Answer
    C. Normal. Reactive hyperemia
    Explanation
    This answer is correct because reactive hyperemia refers to the temporary increase in blood flow to an area after it has been compressed or restricted. In this case, when the red patch on the patient's coxyx is pushed, it turns white due to the temporary reduction in blood flow, and then returns to red as blood flow is restored. This is a normal physiological response and is not indicative of any abnormality or pathology.

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  • 20. 

    You are bathing a client. What are the benefits of bathing and what do you expect to see from the patient? When you wash the arm or leg, which direction are you supposed to go (hand to sholder or sholder to hand)

  • 21. 

    You have a patient who was recently diagnosed with DVT. His is complaining of leg pain when you are massaging his back for him. He asks you to massage his calves; what do you do?

    • A.

      Massage his calves

    • B.

      Give him meds and then massage his calves

    • C.

      Give him medication and don't massage the calves

    Correct Answer
    C. Give him medication and don't massage the calves
    Explanation
    Massaging the calves of a patient with DVT can potentially dislodge blood clots and worsen the condition. Therefore, it is important to prioritize the patient's safety and follow medical guidelines. Giving the patient medication to manage the pain and not massaging the calves is the appropriate course of action in this scenario.

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  • 22. 

    You are taking care of a patient who has a cast on his left arm. Which arm will you remove from the gown FIRST when providing bath care? What arm to do you replace the gown on first?

    • A.

      Left arm first, right arm second

    • B.

      Right arm first, right arm second

    • C.

      Right arm first, left arm second

    • D.

      Left arm first, left arm second

    Correct Answer
    C. Right arm first, left arm second
    Explanation
    When providing bath care to a patient with a cast on his left arm, it is important to remove the gown from the right arm first. This is because the right arm is not restricted by the cast and can be easily moved and manipulated. By removing the gown from the right arm first, it allows for better access to clean and care for the arm. Once the right arm is taken care of, the gown can then be replaced on the left arm, which is still restricted by the cast.

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  • 23. 

    You are taking care of a patient who is diabetic. You are helping him bathe when he tells you that his feet ache and he would like to soak them in warm water. What do you do and why?

  • 24. 

    You are bathing a patients eyes, which corner do you wipe first? Female perineal area? Male perineal care?

  • 25. 

    You are performing nail care on a diabetic patient. His feet are dry and his nails are jagged and long. What do you do?

    • A.

      Cut his nails and put lotion on his feet

    • B.

      Cut his nails and put lotions between his feet

    • C.

      File his nails and put lotion on his feet

    Correct Answer
    C. File his nails and put lotion on his feet
    Explanation
    When performing nail care on a diabetic patient, it is important to exercise caution to avoid any injuries or infections. Cutting the nails can potentially cause cuts or wounds that may take longer to heal in diabetic patients. Therefore, it is recommended to file the nails instead of cutting them to reduce the risk of injury. Additionally, applying lotion on the feet helps to moisturize the dry skin, which is common in diabetic patients. This helps to prevent cracking and potential complications.

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