Exam 1: Foundational Skills

The nurse,working in an emergency department,is preparing to care for a client admitted with a traumatic amputation of the left hand.Which personal protective equipment would the nurse wear?

The nurse is exposed to the client's blood and body fluids via an accidental used needlestick.Which would be appropriate nursing documentation of the event?

The nurse observes the newly hired unlicensed assistive personnel (UAP)performing routine client care.Which behaviors would indicate the UAP understands the use of personal protective equipment?

The nurse would use a Situation,Background,Assessment,and Recommendation (SBAR)process in which situations?

The nurse is working in a day care center for infants with special needs where there recently has been an outbreak of viral conjunctivitis.Which instruction by the nurse to the staff is the best way to stop the spread of this infection?

The nurse is caring for a client with a deep draining abdominal wound.Which factor would require the nurse to wear a mask and goggles when caring for this client?

The nurse observing the unlicensed assistive personnel (UAP)using alcohol-based rubs for hand hygiene would recognize that further teaching is required when the UAP performs which act?

The nurse is assisting the health care provider with the insertion of a chest tube.Which personal protective equipment would the nurse don?

Which items will the nurse use with all clients to prevent the transmission of potentially infective organisms among the nurse,client,and other individuals?

The registered nurse effectively delegates which procedure to the unlicensed assistive personnel (UAP)?

The nurse is caring for a client with a medical diagnosis of HIV/AIDS admitted to the hospital with Pneumocystis carinii infection.In order to reduce the spread of infection,which is the priority nursing intervention?

Which tasks would be appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?

The nurse assists the health care provider with the collection of cerebrospinal fluid.Which is an important safety measure for the nurse to follow immediately after collection of the sample?

The charge nurse is observing a staff nurse caring for a client with extensive burns.Which action by the staff nurse would indicate the need for further teaching regarding infection-control procedures?

The nurse would don clean disposable gloves in which situation?

The nurse is caring for a client who developed an infection after admission to the hospital.Which term would the nurse use when documenting this infection?

The nurse wearing personal protective equipment would take which article off first?

The nurse is caring for a client on respiratory isolation and will use which protective equipment?

When planning care for a client,the nurse uses which equipment?

The nurse is assisting the health care provider insert a chest tube into a client with a hemothorax following a motor vehicle crash.Which would the nurse don in order to assist with this procedure?