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WorksheetsNursing Fundamental Skills
Total questions: 12
Worksheet time: 7mins
The following statements are the recommended guidelines on performing hand washing according to WHO, EXCEPT
Before patient contact
After body fluid exposure risk
Before doing hand hygiene
After contact with patient surrounding
None of the above
In medical hand washing, it is important to keep hands lower than the elbows, so that water flows from arms to the fingertips; the rationale behind this technique is:
Prevent the nurses’ clothes to get wet which can lead to contamination
The position is ergonomically correct
Hands are more contaminated than forearms
To maintain the flow of water directly in the sink and prevent splashing water to the surrounding area
What is the appropriate flow and water temperature during hand washing?
Medium flow and hot water
Fast flow and cool water
Slow flow and warm water
Medium flow and warm water
What is the correct method of open gloving?
Open the gloves and just put them on
Grasp the inside cuffs of both gloves when putting them on
Use the skin-to-skin, glove-to-glove technique
Ensure no bare skin is exposed
With open gloving technique which hand is a glove placed on first
Right hand
Dominant hand
Left hand
Non-Dominant hand
Upon assessing a 28-year-old patient’s temperature, you notice the temperature you have taken is 39.0C. What will be your next step?
Notify the physician
Reassess the temperature after a few minutes and ask patient for any other symptoms
Document your findings
Have a co-worker re-check the temperature
Your patient claimed that he just used the stairs from 1st floor going up to 5th floor since the elevator was broken. What would be your nursing consideration prior to taking the patient’s pulse rate?
Ask the patient about his medical history
Have the patient relax for a few minutes
Take his pulse rate immediately to check if he’s actually tired
Assess the patient’s temperature first
You notice that your patient seems to have an irregular pulse rate and rhythm. What would be your next step?
Take the pulse for 1 full minute
Notify the physician
Document your findings
Tell the patient that he/she might have a heart problem
Some patient may have such shallow respirations that a nurse may have difficulty assessing their respirations. What would be the most appropriate nursing action to properly assess for the patient’s respiration?
Use a stethoscope and auscultate the lung sounds
Hook the patient to a cardiac monitor
Tell your co-worker to check the patient’s respiratio
Have the patient in high fowlers position
This is the series of sounds for which to listen when assessing blood pressure
Tinnitus
Borborygmus
Ronchi
Korotkoff
It is defined as a drop of at least 20 mm Hg systolic or 10 mm Hg diastolic in blood pressure within 3 minutes of quiet standing after being supine
Orthostatic hypotension
Orthopnea
Decreased cardiac output
Vasovagal syncope
You have reassessed the patient’s blood pressure after obtaining an initial reading of 150/100mmHg. You noticed that after 15mins. The patient still has the same blood pressure. What will you do next?
Document the finding
Inform the physician
Notify the supervisor
Tell the patient
