Download Nursing Fundamentals Unit 3 Study Guide [Type here] Bad

Nursing Fundamentals Unit 3 Study Guide
1. Bad microorganisms that start infection, illness or disease in the body and make people sick
are called:
a. Pathogens
b. Organisms
c. Diseases
d. Infections
2. Infection is the third leading cause of death in the U.S. Which of the following statements is
true regarding infection?
a. It is the result of good microorganisms invading the body
b. It interferes with normal body function
c. The host is not used as a resource to multiply
d. You show no signs or symptoms when you have an infection
3. Lacey has pain, redness, swelling and foul smelling drainage coming from a bug bite. Which
of the following best describes Lacey’s symptoms?
a. Opportunistic infection
b. Systemic infection
c. Local infection
d. Everything’s normal
4. Sue has been confused, behaving differently and running a fever the past two days. What
might she have?
a. Opportunistic infection
b. Systemic infection
c. Local infection
d. Nothing
5. What do microorganisms need to survive?
a. Warm temperatures and moisture
b. Dark areas
c. Food
d. All of the above
6. John contracted malaria from a mosquito bite. In the chain of infection, malaria is the:
a. Reservoir
b. Susceptible host
c. Causative agent
d. Mode of transmissio
7. Which if the following is not a reason elderly are at higher risk for infection?
a. Dehydration
b. Normal wound healing
c. Malnutrition
d. Decreased circulation
8. Which of the follow aseptic controls destroys pathogens that are already present and is not
effective against spores and viruses?
a. Hand washing
b. Sterilization
c. Standard precautions
d. Disinfection
[Type here]
9. When should hand washing be done?
a. Before and after gloving
b. When coming into the room
c. Before leaving the residents room at the end of the shift
d. When coming into contact with the resident’s medical chart
10. Rob is using hand rub when going into Mrs. Peterson’s room. Mrs. Peterson asks Rob how
he knows it is safe to proceed with his work once he has used hand rub. Rob replies:
a. After 5 seconds
b. Once I get exactly 3 ounces rubbed in
c. Once my hands are dry
d. As soon as I touch the hand rub bottle
11. When cleaning non-disposable equipment, what should be done first?
a. Sterilize or disinfect equipment
b. Scrub with a brush
c. Wash with soap and hot water
d. Rinse in cold water
12. Standard precautions are CDC procedures to control and prevent infections. Who are they
used on?
a. All patients
b. Tuberculosis patients only
c. HIV/AIDS patients only
d. Flu patients only
13. Lynn is helping a nurse irrigate and change a wound dressing. To comply with standard
precautions, Lynn should wear:
a. Gloves
b. Gown
c. Mask with face shield
d. All of the above
14. Needles and sharps should be disposed of in a:
a. Black trash bag
b. Red biohazard bag
c. Red biohazard puncture resistance container
d. Rubbermaid container
15. Bobby is cleaning a spill in the hallway. He has absorbed the spill and disposed of the
powder in the appropriate place. Now he must apply a disinfectant to the spill area and let it
stand for:
a. However long the disinfectant container says
b. A minimum of 10 minutes
c. A maximum of 15 minutes
d. However long it takes to dry
16. Used linen soiled with blood, body fluids, secretions or excretions should be handled,
transported and processed:
a. Immediately
b. By not touching your uniform
c. Close to your body
d. In boiling water
[Type here]
17. Which of the following is not a bloodborne pathogen?
a. Hepatitis A
b. Hepatitis B
c. Hepatitis C
d. HIV
18. OSHA mandates that facilities have bloodborne pathogen exposure control plans. Which of
the following is not required to be included in this plan?
a. Post-exposure evaluation and follow up
b. Specific measures to decrease risk of exposure
c. A copy must be available at the facility’s headquarters
d. Identify employees at risk of exposure my tasks performed
19. When caring for a patient with tuberculosis, you need to place them on airborne precautions
and in a negative pressure room. What else should be done to maintain airborne precautions
every time you go into the room?
a. Wear a N-95/respirator mask
b. Wear gloves
c. Wear a gown
d. Wear a regular mask
20. Bella has the flu and has been coughing and sneezing for the past week. The doctor admits
her to the hospital and places her on:
a. Airborne precautions
b. Standard precautions
c. Contact precautions
d. Droplet precautions
21. Becky has MRSA and is on contact precautions. She needs to go to x-ray to see if she also
has pneumonia. How should Becky be transported to x-ray?
a. Wearing a gown
b. Wearing a mask
c. She shouldn’t be transported at all because she is too contagious
d. They should bring the portable x-ray to Becky’s room
22. Which of the following is not true regarding quality assurance and infection control in
nursing facilities?
a. They are not required to have an infection control program
b. They recommend policies and procedures to prevent infections
c. They review infections
d. They involve members from all disciplines
23. Joe cut his leg playing football and now has a staph infection in his dermis. Which of the
following human body’s defenses against microorganisms failed to prevent infection?
a. Fever
b. Cilia
c. Skin
d. Mucous membranes
24. Which of the following is not a type of exogenous infection?
a. Flu
b. Cancer
c. Rocky mountain spotted fever
[Type here]
d. Lyme disease
25. In the chain of infection, salmonella in food would be classified as which mode of
transportation?
a. Airborne
b. Contact
c. Common vehicle
d. Vector-borne
26. When transporting a person on airborne precautions, you should:
a. Leave them with other residents
b. Place a mask on the resident
c. Limit transport for essential purposes only
d. Both B and C
27. Which of the following is not a sign of having HIV?
a. Flu-like symptoms
b. Weight gain
c. Diarrhea
d. Fever
28. What does sterilization kill?
a. Spores, viruses, protozoa, fungi and bacteria
b. Spores and viruses only
c. Protozoa and fungi only
d. Bacteria only
29. What is the purpose of an infection control program?
a. Prevent infection
b. Prevent re-infection
c. Environmental control
d. All of the above
30. Which of the following is not part of standard precautions?
a. Handwashing
b. PPE
c. Environmental cleaning
d. Waste and linen disposal.
31. What is a pathogen?
a. A good organism
b. An organism that can make you sick
c. Normal organism in the body
d. Only bacteria
32. What is a bloodborne pathogen?
a. A good organism.
b. An organism that is normal in your body.
c. Can only be a virus
d. A disease causing microorganism that is in the blood
33. Which of the following is a bloodborne pathogen?
[Type here]
a. Hepatitis B Virus
b. Human Immunodeficiency Virus
c. Methcillin Resistant Staph Aureus
d. All the above
34. What is a fomite?
a. Any object contaminated with germs and able to transmit disease.
b.Airborne particles.
c. A bloodborne pathogen
d.A parasite
35. What are MDROs?
a. Methcillin Drug Resistant Organisms
b.Many Drug Resistant Microbes
c. Multi-Drug Resistant Micro-Organisms
d.Medical Drug Resistant Orders
36. Which resident would be in isolation?
a. A resident with C-diff
b.A resident with a cold
c. A resident with a bed sore
d.A resident with HIV
37. What is the best way to keep from transmitting infections from one resident to another?
a. Covering your cough.
b.Isolation of patients who are sick
c. Handwashing
d.Changing their linen often.
38. What do the initials HAI stand for?
a. Healthcare Associated Infection
b.Healthcare Associated Isolation
c. Healthcare Area Isolation
d.Healthcare Asepsis Infection
39. How long should you scrub your hands during handwashing?
a. 15 sec.
b.20 sec.
c. 30 sec.
d.10 sec.
40. Standard Precautions were designed to prevent the transmission of…
a. HIV, HCV and Herpes
b. HCV, HIV and MRSA
c. HIV, HBV and HCV
d. HCV, HBV and MRSA
41. Which of the following is a potentially infectious body fluids?
a. Perspiration
b.Aqueous Fluid
[Type here]
c. Pericardial Fluid
d.None of the above
42. For which situation below would you wear gloves?
a. Turning a resident
b.Changing a resident’s bed.
c. While doing catheter care.
d.While assisting a resident to the dining hall
43. When should you wash your hands?
a. Between care of resident’s.
b.After removing gloves.
c. When coming in contact with body fluids.
d.All the above.
44. What are some PPE’s you might use when caring for a resident?
a. Gloves, Gown and Mask
b.Stethoscope, Blood Pressure Cuff and Watch
c. Bedside Table, Bed Linen and Gloves
d.Gloves, Stethoscope and Thermometer
45. What can kill all microorganisms including spores?
a. Disinfection
b. Sterilization
c. Standard Precautions
d. Medical Asepsis
46. When would you use Medical Asepsis?
a. When transporting a resident to another room.
b.When using non-disposable equipment
c. When using disposable
equipment.
d.When giving a resident a bed bath.
47. Which of the following is NOT a virus?
a. Influenza
b.MRSA
c. HIV
d.HPV
48. Why is it important to wash or use the hand rub between care of resident’s?
a. To prevent the spread of infections.
b.To keep from contaminating equipment.
c. To be able to go on break.
d.None of the above.
49. What do the initials MRSA stand for?
a. Methicillin Resistant Streptococcus Aureus
[Type here]
b.Microorganism Resistant Streptococcus Aureus
c. Methicillin Resistant Staphylococcus Aureus
d.Microbe Resistant Staphylococcus Aureus
50. A resident has Vancomycin Resistant Enterococcus. What are some of the symptoms you
might see?
a. Runny nose, coughing and fever.
b.Diahrrea, vomiting and coughing.
c. Runny nose, nausea and vomiting.
d.Diahrrea, vomiting and fever.
51. Which of the following is NOT a PIM?
a. Semen
b.Pleural Fluid
c. Skin
d.Saliva
52. What is the smallest microorganism seen under an electron microscope?
a. Bacteria
b.Parasite
c. Helminth
d.Virus
53. How are viruses treated/ cured?
a. With antibiotics
b.With anti-fungals
c. With vaccinations.
d.There is no cure- the disease has to run its course.
54. What should you do BEFORE serving a resident their food?
a. Wash the residents feet.
b.Wash your hands
c. Wash the resident’s hands.
d.Clean off their overbed table.
55. How would you clean up broken glass?
a. With your hands
b.With gloved hands
c. With a broom and dustpan
d.With a mop
56. How would you handle soiled linen?
a. Hold it close to your body to prevent dropping.
b.Hold it away from the body.
c. Fold it over your arms
d.None of the above.
57. What is a mode of transmission for bloodborne pathogens?
a. Nursing mother to baby.
b.Inhaled through the air.
c. Sitting on a public toilet seat.
d.Giving a backrub to a resident.
58. You are a nurse aide and have been exposed to blood or fluids containing blood. What is the
first thing you should do?
[Type here]
a. Complete a facility incident report.
b.Tell your supervisor.
c. Wipe it off with a towel
d.Wash the area exposed
59. Which of the following is an airborne viral disease?
a. Influenza
b.Chicken Pox
c. Measles
d.All the above
60. Which of the following situations would you wear gloves?
a. Washing a resident’s hands.
b.Changing a resident’s unsoiled bed.
c. While doing pericare
d.While serving lunch tray
61. Which of the following situations would you wear a mask?
a. When working within 3 feet of a patient who has C-Diff.
b.When working within 3 feet a resident who has Influenza.
c. When working within 3 feet of a patient who has a bedsore.
d.None of the above
62. What is equipment that you would use for more than one resident?
a. Dentures
b.Walkers
c. Wash basins
d.Blankets
63. How should you open the door when leaving an isolation room?
a. With your elbow
b.With your hand
c. With your foot
d.With a paper towel
64. Where should you grasp your glove when removing?
a. At the palm
b.Below the wrist
c. Inside the top
d.Pulling the fingers
65. When collecting a specimen, what is the most important thing to do?
a. Not touch the outside of the container
[Type here]
b.Assure the specimen container is labeled.
c. Place in a specimen bag
d.Place the lid face down on a flat surface
66. When doffing PPE which piece is first:
a. gloves
b. gown
c. goggles
d. mask
67. It is required for facilities to have a disaster plan, which of the following would NOT be a part of that
plan:
A. Remain calm
B. Know your disaster plan
C. Only nurses can help with evacuation
D. Think before you act; don’t waste
time
68. When reporting emergencies, accurately state the following EXCEPT:
A. Your name
B. They type of help you are giving at
the scene
C. Give a description of scene
D. The number of people that need help
69. If help is not available during an emergency, you should contact:
A. Fire Department
B. 919
C. Local Hospital
D. Your closest family member
70. LTC facilities have national patient safety goals which include all EXCEPT:
A. Prevent infection and bed sores
B. Residents medicines should be checked
&used safely
C. Assist residents if falling
D. Correctly identify residents
71. You should always use how many ways to correctly identify residents:
A. 1
B. 2
C. 3
D. 4
72. Choking occurs when:
A. You cannot get air into your nose
B. You swallow a large piece of bread & need water
C. You continue to cough and can’t stop
D. Throat is blocked & air cannot get to the
airway
73. To assist a patient that is choking you should:
A. Tilt head back & see if you can pull object out
B. Slap victim in back to dislodge item
C. Encourage coughing to dislodge object
D. Have the person lean over & cough
74. In most cases fainting is caused by:
A. Temporary reduction of blood to brain
B. Temporary reduction of food, causing
disorientation
C. Patient has gotten too cold & tired
D. Patient has gotten too hot and is nauseated
75. When a resident is using oxygen, you should be careful to note all the following EXCEPT:
[Type here]
A. “Oxygen in use” sign posted on door
B. Don’t let nasal cannula touch floor it will get
contaminated
C. Patients can smoke only in am when air is lighter
D. Remove flammable liquids from area
76. Who is responsible for preventing fires:
A. Smokey the bear
B. Everyone
C. The residents
D. Fire Department
77. Fred has just moved into the Golden Pond nursing center and has brought several things for his room
from home. Fred wants to plug in his cell phone, his lamp, his radio and a few other things, so the nurse
calls for the maintenance man to assist him. Knowing about fire safety, he explained to Fred that we must
never:
A. Keep fire exits clear
B. Watch for overloading circuits
C. Use extension cords
D. Smoke only in designated places
78. A catastrophe would be:
A. Gas pump explosion at the Wilco on Hwy 52
B. Power going out on your street
C. Leaving the water on & flooding your
basement
D. Telling your parents you wrecked their car
79. Leslie was taking a class on fire safety at Golden Pond nursing center during orientation. She
understands that RACE & PASS are very important and that the P stands for:
A. Push the water out of the extinguisher
B. Pull the extinguisher with you as you move
C. Press the handle down
D. Pull the safety pin
80. Leslie also learned that the “C” in RACE stands for all BUT:
A. Close all windows and doors
B. Choke off oxygen
C. Calm down all residents
D. Confine the fire
81. Sarah was walking past the dining room & thought she smelled smoke. What is the first thing Sarah
should do?
A. Pull the fire alarm
B. Report odors of smoke
C. Scream and tell the residents to get out
D. Check all the ashtrays
82. What should the water temperature be when bathing a patient?
A. 115’
B. 105’
C. 110’
D. 100’
83. Sam came into the hospital with a broken hip but has contracted a high fever, cough, and feels lousy.
Sam knows he wasn’t ‘sick’ when he came to the hospital – we know this to be what kind of infection?
A. Nosocomial
B. Opportunistic
[Type here]
C. Exogenous
D. Endogenous
84. When dealing with a medically ill person this could be defined as all the following EXCEPT:
A. Chronic/Acute Illness
B. Delirium secondary to medications or aging
C. Physical or Mental Illness
D. Broken fingernail or toenail
85. When working and outburst of anger are noted from a patient, family or visitor, always make sure:
A. You have access to an exit
B. You tell them your personal information
C. Your tie & nametag are visible
D. Your stethoscope is visible around your neck
86. Many times when situations get ‘heated’ remember the following signs EXCEPT:
A. Voice getting louder
B. Increased smiling
C. Fidgeting, verbal sounds
D. Energy building
87. Mrs. Smith had abdominal surgery and is in room 402 recuperating nicely. When you come in to
bring her lunch you notice her bandages are soaked with blood. You immediately recognize that Mrs.
Smith is:
A. In Shock
B. Loss of Consciousness
C. Hemorrhaging
D. Having a Seizure
88. In the above scenario, what would you need to do for Mrs. Smith first:
A. Get help!
B. Keep her comfortable & warm
C. Locate bleeding site
D. Apply direct pressure
89. Suzanna recognized Mrs. Hoover was going into shock by noticing the following signs & symptoms
EXCEPT:
A. Thirst & Confusion
B. Confusion & low Blood pressure
C. Weak Pulse & rapid respirations
D. Warm, moist skin & increased Blood
pressure
90. When Mrs. Cline came to the nurses’ station, Rachel told the RN that she thought Mrs. Cline may be
having a heart attack by noticing the following symptom:
A. Breathing normally
B. Nausea
C. Headache
D. Slight pain in her left hand
91. During your CPR training, you understand that for CPR to be effective it must be:
A. Performed by 2-people always
B. Administer by untrained people
C. Started immediately to be effective
D. Activate the facilities emergency response by calling 919
92. Shirley had been working a double shift and hadn’t eaten all day. About 3:00 pm Rachel noticed that
Shirley was lying on the floor convulsing. What was wrong with Shirley?
A. Seizure
B. Choking
C. Fainted
[Type here]
D. Shock
93. When a resident has fainted, what were some obvious signs you could have noticed beforehand:
A. Decreased pulse &Bp
B. Dizziness
C. Numbness & tingling of extremities
D. All of the above
94. What could Sara do for Mrs. Folger after she has fainted:
A. Have her rest for 1-2 minutes before getting up
B. Sit down and put arms over head
C. Monitor pulse and respirations
D. Keep clothing tight to prevent getting cold
95. Signs that a patient is having internal hemorrhaging would be all of the following EXCEPT:
A. Shock
B. None can be seen
C. LOC
D. Pain
96. Never let a patient’s nasal cannula touch the floor because:
A. It could catch the sheets on fire
B. It will pick up pathogens that will contaminate it
C. Bugs can crawl up and get in patient’s lungs
D. The patient won’t know where to find it
97. If a patient has decreased blood flowin the body which may cause death this could be defined as:
a. Hemorrhage
b. Shock
c. Convulsion
d. Dementia
98. When a patient is losing a large amount of blood, that you may or may not be able to visualize, this
could be said that the person is:
a. Hemorrhaging
b. In shock
c. Having convulsions
d. Dementia
99. Mrs. Brown has fallen on the floor and is presenting with violent and sudden uncontrolled contracting
or tremors of muscles. We would yell for help & not leave her because from our training we know that
Mrs. Brown is having:
a. Fracture
b. Laceration
c. Contusion
d. Convulsion
100. A fire breaks out on 800 hall and the fire alarm sounds, doors close and you must assist other
employees to do what with the residents?
a. Disoriented
b. Evacuation
c. Hemorrhage
d. Puncture