Long Island University, Brooklyn - NUR 190lab1 ATI skills module: Questions, Answers and Rationale

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Which product can affect the permeability of gloves? Which of the following is an advantage of using alcohol based gel? Standard precautions mandate After assisting a newly admitted patient in... removing his shoes and outwear, you notice what appears to be soil or grime on your hands. You A patient has a nosocomial infection. This terminology means that the patient Acquired the infection while hospitalized Contact precautions would be mandated for a hospitalized adult patient diagnosed with You are caring for a patient diagnosed with mycoplasmal pneumonia. Droplet precautions have been instituted, so you must You are washing your hands with nonantimicrobial soap and water prior to repositioning a patient in bed. During the handwashing procedure, it is important to After completing a procedure that required donning personal protective equipment (PPE) consisting of a gown, an N95 respiration, a face shield, and gloves, which of the following should the nurse remove first when removing PPE separately? To decontaminate your hands with an alcohol based gel, you rub them together until all of the gel has evaporated and your hands are dry. The primary reason you do this is that You are about to irrigate a patient's open would. Besides gloves, which other item of personal protective equipment (PPE) must you wear? SPECIMEN COLLECTION An assistive personnel (AP) is collecting a 24-hour urine specimen from a patient. Which of the following statements by the AP indicates that the specimen collection will have to be restarted? A nurse is collecting a blood specimen for culture from a patient hospitalized for pneumonia. During this procedure, the nurse should A nurse is teaching a patient about home collection of a stool specimen for fecal occult blood testing. Which of the following instructions should the nurse provide? A nurse caring for a group of patients in an ambulatory care clinic is collecting urine for several prescribed diagnostic tests. For which of the following tests is a random sample voided into a clean cup appropriate? A nurse is caring for a female patient who needs to collect a midstream urine specimen. Which of the following actions should the nurse take? A nurse is instructing the patient regarding collection of stool specimens for fecal occult blood testing. Which of the following should the nurse instruct the patient to avoid a few days before and during the testing period to reduce the risk of false-positive results? A nurse is caring for a patient who has a suspected UTI. Which of the following results should indicate to the nurse the presence of a UTI? A nurse caring for a patient who has diabetes mellitus is having difficulty obtaining a capillary fingerstick blood sample for point-of-care blood glucose testing. To help increase blood flow to the finger, the nurse should A nurse is caring for a patient who has a stage III pressure ulcer in the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the pressure ulcer? At 0700, a nurse obtains a capillary blood glucose result of 180 mg/dL from a patient who has diabetes mellitus. Which of the following is a correct action for the nurse to take? VITAL SIGNS You are accessing a patient’s vital signs. The patient has a temperature of 102 degrees F (39 degrees C). Which of the following do you expect to find? The difference between a patient’s systolic and diastolic blood pressures is called When taking a patient’s BP, why is it important to notice the pressure on the manometer when you hear the 4th Korotkoff sound or phase? When auscultating a patient’s apical pulse, you listen until you hear the S1 and S2 heart sounds clearly and regularly. S2 is produced when the You are measuring a patient’s temperature orally. You place the covered probe You are accessing the vital signs of a newly admitted patient. To establish an accurte baseline of the patient’ respiration, you When taking an adult patient’s temperature rectally, it is important to To auscultate a patient’s apical pulse accurately, you position the bell or the diaphragm of your stethoscope over the point of maximal impulse, which is located When preparing to measure the vital signs of a patient, you should recognize that which of the following will affect the methods that you will use? (Select all that apply.) You have assessed a 45-year-old patient’s vital signs. Which of the following assessment values requires immediate attention? The best way to determine the depth of a patient’s respiration is to The most important factor in measuring BP accurately is When assessing a patient’s respiration, it is recommended that the patient You are preparing to use a tympanic thermometer. Which of the following steps has the highest priority in the accurate use of this piece of equipment for measuring body temperature? O2 THERAPY A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when administering oxygen to this patient? A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process? A nurse should recognize that which of the following is an indication for oxygen therapy? A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this patient? A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must . A patient has been receiving oxygen PRN via nasal cannula for 4 hr. which of the following assessment findings helps indicate that oxygen therapy has been effective? A patient admitted with community-acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy? Administering oxygen therapy with a nonrebreather mask has which of the following advantages? A patient who is prescribed oxygen therapy 24 hr/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient? Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators? A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right [Show More]

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