Question

The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to:

Answer 1

Correct Answers:

Wash their hands between each interaction with children

Rationale :

🧼 Hand hygiene is the single most effective method to prevent the transmission of infection in group settings.

🧼 Preschool workers interact closely with many children who may carry respiratory or contact-based infections.

🧼 Pathogens like respiratory syncytial virus (RSV) and norovirus can spread rapidly in childcare environments.

🧼 Routine and consistent handwashing helps reduce contamination after contact with nasal secretions, saliva, or feces.

🧼 Infection control standards universally recommend hand hygiene before and after every client interaction.

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Answer 2

Correct Answers:

Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing

Rationale :

🩹 Medical asepsis involves reducing microorganisms using clean technique, such as using clean gloves.

🩹 Surgical asepsis or sterile technique is required when applying new dressings to prevent infection.

🩹 Removing the old dressing with clean gloves avoids unnecessary use of sterile resources.

🩹 Applying the new dressing using sterile tools and gloves protects against introducing pathogens.

🩹 This approach balances efficiency and infection prevention, reflecting proper nursing practice.

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Answer 3

Correct Answers:

Body mechanics alone are not sufficient to prevent injuries

Rationale :

⚠️ While body mechanics help reduce injury risk, they cannot replace assistive devices.

⚠️ Nurses often face musculoskeletal strain, even with proper posture and lifting techniques.

⚠️ Equipment like lifts and slide sheets reduce injury by removing the strain from the nurse.

⚠️ Injury rates among healthcare workers remain high when relying solely on manual techniques.

⚠️ Facilities emphasize "no-lift" policies to promote safety for both staff and patients.

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Answer 4

Correct Answers:

Assess the weight to be lifted and the assistance needed

Rationale :

🪜 Pre-assessment of patient weight and assistance requirements is a core safety step.

🪜 This helps the nurse determine if assistive devices or a lift team is necessary.

🪜 Prevents strain-related injuries to staff by ensuring proper handling methods.

🪜 Evaluates patient’s level of cooperation and ability to assist with movement.

🪜 Avoids unsafe manual handling by planning resources in advance.

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Answer 5

Correct Answers:

Standard

Rationale :

🧻 Standard precautions apply to all patients, especially with bodily fluid exposure like vaginal drainage.

🧻 These include gloves, hand hygiene, and PPE as needed based on anticipated exposure.

🧻 Protects both the nurse and patient from cross-contamination.

🧻 Postpartum bleeding can involve contact with blood and other infectious fluids.

🧻 Standard precautions are a universal approach regardless of diagnosis.

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Answer 6

Correct Answers:

The patient continues to remove the nasogastric tube

Rationale :

🔗 Repeatedly removing life-saving or therapeutic devices signals a need for restraints.

🔗 This action may compromise the patient’s nutrition, airway, or treatment.

🔗 The goal is to use least restrictive measures, but ensure patient safety.

🔗 The behavior shows impaired judgment or altered cognition.

🔗 This warrants an assessment and possible temporary restraint order.

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Answer 7

Correct Answers:

Dangles the patient on the side of the bed

Rationale :

🪑 Dangling allows the patient’s circulatory and vestibular system to adjust.

🪑 Reduces risk of orthostatic hypotension when changing position.

🪑 Gives the nurse a chance to assess balance and strength before walking.

🪑 Prevents falls or fainting during sudden ambulation.

🪑 It's part of the safe mobility progression for bedridden patients.

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Answer 8

Correct Answers:

. I was so surprised; I didn't see or hear the car coming."

Rationale :

👀 Not seeing or hearing the car suggests sensory deficits like vision or hearing loss.

👀 This raises concern about safety and independence in the community.

👀 The patient may have undiagnosed neurological or sensory impairments.

👀 Further assessment and referral may be needed for assistive devices.

👀 Ensures future accident prevention and patient-centered care.

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Answer 9

Correct Answers:

The relationship of one body part to another

Rationale :

🧍‍♀️ Body alignment refers to maintaining symmetrical positioning of joints, spine, and limbs.

🧍‍♀️ It ensures proper posture, reduces strain, and maintains neuromuscular integrity.

🧍‍♀️ Essential for comfort and injury prevention, especially in immobile patients.

🧍‍♀️ Promotes efficient movement and protects musculoskeletal structures.

🧍‍♀️ Key to evaluating proper use of supportive devices or positions.

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Answer 10

Correct Answers:

Prevent a shift in the nurse's base of support

Rationale :

📏 Raising the bed to waist level helps maintain a neutral spine and stable base.

📏 Reduces the need for bending and overreaching, preventing back strain.

📏 A wider base and proper height allow balance and efficiency in movement.

📏 Supports ergonomic positioning to reduce work-related injuries.

📏 Demonstrates use of body mechanics during patient care.

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Med Surg Exam Warren County community college

No.

1 :
The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to:

2 :
The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?

3 :
The nurse is preparing to position an immobile patient. Before doing so, the nurse must understand that:

4 :
The nurse is preparing to reposition a patient. Before doing so, the nurse must: (2pts)

5 :
The nurse is caring for a patient who has just delivered a baby. The nurse is checking the patient for excessive vaginal drainage. It is important for the nurse to utilize ________ precautions.

6 :
The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

7 :
The patient has been in bed for several days and needs to be ambulated. Before ambulation, the nurse:

8 :
The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

9 :
The coordinated efforts of the musculoskeletal and nervous system maintain balance, posture, and body alignment. Body alignment refers to:

10 :
The nurse is providing care to a patient who is bedridden. To prevent fatigue, the nurse raises the height of the bed. The nurse understands that balance is maintained by raising the bed to:

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Med Surg Exam Warren County community college

No.

1 : The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to:

2 : The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?

3 : The nurse is preparing to position an immobile patient. Before doing so, the nurse must understand that:

4 : The nurse is preparing to reposition a patient. Before doing so, the nurse must: (2pts)

5 : The nurse is caring for a patient who has just delivered a baby. The nurse is checking the patient for excessive vaginal drainage. It is important for the nurse to utilize ________ precautions.

6 : The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

7 : The patient has been in bed for several days and needs to be ambulated. Before ambulation, the nurse:

8 : The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

9 : The coordinated efforts of the musculoskeletal and nervous system maintain balance, posture, and body alignment. Body alignment refers to:

10 : The nurse is providing care to a patient who is bedridden. To prevent fatigue, the nurse raises the height of the bed. The nurse understands that balance is maintained by raising the bed to:

1 :
The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to:

2 :
The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?

3 :
The nurse is preparing to position an immobile patient. Before doing so, the nurse must understand that:

4 :
The nurse is preparing to reposition a patient. Before doing so, the nurse must: (2pts)

5 :
The nurse is caring for a patient who has just delivered a baby. The nurse is checking the patient for excessive vaginal drainage. It is important for the nurse to utilize ________ precautions.

6 :
The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

7 :
The patient has been in bed for several days and needs to be ambulated. Before ambulation, the nurse:

8 :
The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

9 :
The coordinated efforts of the musculoskeletal and nervous system maintain balance, posture, and body alignment. Body alignment refers to:

10 :
The nurse is providing care to a patient who is bedridden. To prevent fatigue, the nurse raises the height of the bed. The nurse understands that balance is maintained by raising the bed to: