Essentials Exam 1 PPE, Hand Hygiene, Vitals,

Essentials Exam 1 PPE, Hand Hygiene, Vitals, Caring Theory, Infection Control, Physical Assessment Latest Update 2024-2025 215 Questions and 100% Verified Correct Answers Guaranteed A+

• A patient who has been placed on Contact Precautions for Clostridium difficile (C.

difficile) asks you to explain what he should know about this organism. What is the most appropriate information to include in patient teaching? (Select all that apply.)

• The organism is usually transmitted through the fecal-oral route.
• Hands should always be cleaned with soap and water versus alcohol-based hand

sanitizer.

• Everyone coming into the room must be wearing a gown and gloves.
• While the patient is in Contact Precautions, he cannot leave the room.

5. C. difficile dies quickly once outside the body. - CORRECT ANSWER: 1. The

organism is usually transmitted through the fecal-oral route.

• Hands should always be cleaned with soap and water versus alcohol-based hand

sanitizer.

• Everyone coming into the room must be wearing a gown and gloves.

• An experienced nurse is explaining the use of touch from a caring perspective. What

information does the nurse include in the discussion with the student about touch?

• Nurses touch patients only while performing procedures or doing assessments.
• Touch is a type of verbal communication.
• Nurses use touch only when a patient is in pain.

4. Touch forms a connection between nurse and patient. - CORRECT ANSWER: 4.

Touch forms a connection between nurse and patient.

• A patient is diagnosed with meningitis. Which type of isolation precaution is most

appropriate for this patient?

• Reverse isolation
• Droplet Precautions
• Standard Precautions

4. Contact Precautions - CORRECT ANSWER: 2. Droplet Precautions

• Before implementing touch, what does a nurse need to know about touch? (Select all

that apply.)

• Some cultures may have specific restrictions about non-skill-based touch.
• Touch is a type of verbal communication. 1 / 4

• Touch can successfully influence a patient's level of comfort.
• There is never a problem with using touch at any time.

5. Touch only reduces physical pain. - CORRECT ANSWER: 1. Some cultures may

have specific restrictions about non-skill-based touch.

• Touch can successfully influence a patient's level of comfort.

• A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse

notes that the patient seems to be angry, but he knows that this is a normal response to isolation. Which is the best intervention?

• Provide a dark, quiet room to calm the patient.
• Reduce the level of precautions to keep the patient from becoming angry.
• Explain the reasons for isolation procedures and provide meaningful stimulation.
• Limit family and other caregiver visits to reduce the risk of spreading the infection. -

CORRECT ANSWER: 3. Explain the reasons for isolation procedures and provide

meaningful stimulation.

• A young woman comes to a clinic for the first time for a gynecological examination.

Which nursing behavior applies Swanson's caring process of "knowing" the patient?

• Sharing feelings about the importance of having regular gynecological examinations
• Explaining risk factors for cervical cancer
• Recognizing that the patient is modest and maintaining her privacy during the

examination

• Asking the patient what it means to have a vaginal examination - CORRECT

ANSWER: 3. Recognizing that the patient is modest and maintaining her privacy during the examination

• A patient is fearful of upcoming surgery and a possible cancer diagnosis. He

discusses his love for the Bible with his nurse, who recommends a favorite Bible verse.Another nurse tells the patient's nurse that there is no place in nursing for spiritual

caring. The patient's nurse replies:

• "You're correct; spiritual care should be left to a pastoral care professional."
• "You're correct; religion is a personal decision."
• "Nurses should explain their own religious beliefs to patients."
• "Spiritual, mind, and body connections can affect health." - CORRECT ANSWER: 4.

"Spiritual, mind, and body connections can affect health."

• The infection control nurse has asked the staff to work on reducing the number of

iatrogenic infections on the unit. Which of the following actions on your part would contribute to reducing health care-acquired infections? (Select all that apply.)

• Teaching correct handwashing to assigned patients
• Using correct procedures in starting and caring for an intravenous infusion
• Providing perineal care to a patient with an indwelling urinary catheter
• Isolating a patient on antibiotics who has been having loose stool for 24 hours 2 / 4

• Decreasing a patient's environmental stimuli to decrease nausea - CORRECT

ANSWER: 1. Teaching correct handwashing to assigned patients

• Using correct procedures in starting and caring for an intravenous infusion

• Providing perineal care to a patient with an indwelling urinary catheter

• Which of the following are strategies for creating work environments that support

nurse caring interventions? (Select all that apply.)

• Increasing technological support
• Improving flexibility for scheduling
• Providing opportunities to discuss care
• Promoting autonomy of practice
• Encouraging increased input concerning nursing functions from health care providers

- CORRECT ANSWER: 2. Improving flexibility for scheduling

• Providing opportunities to discuss care
• Promoting autonomy of practice

• A nurse is caring for a patient newly diagnosed with testicular cancer. He asked the

nurse to help him find the meaning of cancer by supporting beliefs about life. This is an

example of:

• Instilling hope and faith.
• Forming a human-altruistic value system.
• Cultural caring.

4. Being with. - CORRECT ANSWER: 1. Instilling hope and faith.

• Which of the following actions by the nurse demonstrate the practice of core

principles of surgical asepsis? (Select all that apply.)

• The front and sides of the sterile gown are considered sterile from the waist up.
• Keep the sterile field in view at all times.
• Consider the outer 2.5 cm (1 inch) of the sterile field as contaminated.
• Only health care personnel within the sterile field must wear personal protective

equipment.

• After cleansing the hands with antiseptic rub, apply clean disposable gloves. -

CORRECT ANSWER: 2. Keep the sterile field in view at all times.

• Consider the outer 2.5 cm (1 inch) of the sterile field as contaminated.

• An example of a nurse caring behavior that families of acutely ill patients perceive as

important to patients' well-being is:

• Making health care decisions for patients.
• Having family members provide a patient's total personal hygiene. 3 / 4

• Injecting the nurse's perceptions about the level of care provided.
• Asking permission before performing a procedure on a patient. - CORRECT

ANSWER: 4. Asking permission before performing a procedure on a patient.

• Put the following steps for removal of protective barriers after leaving an isolation

room in order.

• Remove and dispose of gloves.
• Perform hand hygiene. =5 3. Remove eyewear or goggles.
• Untie top and then bottom mask strings and remove from face.
• Untie waist and neck strings of gown. Remove gown, rolling it onto itself without

touching the contaminated side. - CORRECT ANSWER: 1. Remove and dispose of

gloves.

• Remove eyewear or goggles.
• Untie waist and neck strings of gown. Remove gown, rolling it onto itself without

touching the contaminated side.

• Untie top and then bottom mask strings and remove from face.
• Perform hand hygiene

• A nurse demonstrates caring by helping family members to: (Select all that apply.)

• Become active participants in care.
• Remove themselves from personal care.
• Make health care decisions for the patient.
• Plan uninterrupted time for family and patient to be together.

5. Discuss their concerns. - CORRECT ANSWER: 1. Become active participants in

care.

• Plan uninterrupted time for family and patient to be together.
• Discuss their concerns.

• A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical

wound and asks the nurse what this means. What is the nurse's best response? (Select all that apply.)

• There is more than one organism in the wound that is causing the infection.
• The antibiotics the patient has received are not strong enough to kill the organism.
• The patient will need more than one type of antibiotic to kill the organism.
• The organism has developed a resistance to one or more broad-spectrum antibiotics,

indicating that the organism will be hard to treat effectively.

• There are no longer any antibiotic options available to treat the patient's infection. -

CORRECT ANSWER: 2. The antibiotics the patient has received are not strong enough to kill the organism.

• The organism has developed a resistance to one or more broad-spectrum antibiotics,

indicating that the organism will be hard to treat effectively.

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