CURRENT Medical
Medical Diagnosis
m andTreatment
Diagnosis and
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Treatment
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20252019
TestTestbank/Studyguide
m Bank/Complete Guide
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Chapterm1.mDiseasemPreventionm&mHealthmPromotion
1.mWhichmofmthemfollowingmbehaviorsmindicatesmthemhighestmpotentialmformspreadingminfe
ctionsmamongmclients?mThemnurse:
1) disinfectsmdirtymhandsmwithmantibacterialmsoap.
2) allowsmalcohol-basedmrubmtomdrymform10mseconds.
3) washesmhandsmonlymaftermleavingmeachmroom.
4) usesmcoldmwatermformmedicalmasepsis.
2.mWhatmismthemmostmfrequentmcausemofmthemspreadmofminfectionmamongminstitutio
nalizedmpatients?
1) Airbornemmicrobesmfrommothermpatients
2) Contactmwithmcontaminatedmequipment
3) Handsmofmhealthcaremworkers
4) Exposuremfrommfamilymmembers
3.mWhichmofmthemfollowingmnursingmactivitiesmismofmhighestmprioritymformmaintainingm
medicalmasepsis?
1) Washingmhands
2) Donningmgloves
3) Applyingmsterilemdrapes
4) Wearingmamgown
4.mAmpatientminfectedmwithmamvirusmbutmwhomdoesmnotmhavemanymoutwardmsignmofmthemd
iseasemismconsideredma:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5.mAmpatientmismadmittedmtomthemhospitalmwithmtuberculosis.mWhichmprecautionsmmustmth
emnurseminstitutemwhenmcaringmformthismpatient?
1) Dropletmtransmission
2) Airbornemtransmission
3) Directmcontact
4) Indirectmcontact
, 6.mAmpatientmbecomesminfectedmwithmoralmcandidiasism(thrush)mwhilemreceivingmintrav
enousmantibioticsmtomtreatmamsystemicminfection.mWhichmtypemofminfectionmhasmthempatientm
developed?
1) Endogenousmnosocomial
2) Exogenousmnosocomial
3) Latent
4) Primary
m m 7.mAmpatientmadmittedmtomthemhospitalmwithmpneumoniamhasmbeenmreceivingmantibiotics
mform2mdays.mHis mconditionmhasmstabilized,mandmhismtemperaturemhasmreturnedmtomnormal.m
Whichmstagemofminfectionmismthempatientmmostmlikelymexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8.mThemnursemassistsmamsurgeonmwithmcentralmvenousmcatheterminsertion.mWhichmac
tionmismnecessarymtomhelpmmaintainmsterilemtechnique?
1) Closingmthempatientsmdoormtomlimitmroommtrafficmwhilempreparingmthemsterilemfield
2) Usingmcleanmproceduremglovesmtomhandlemsterilemequipment
3) Placingmthemnonsterilemsyringesmcontainingmflushmsolutionmonmthemsterilemfield
4) Remainingm6minchesmawaymfrommthemsterilemfieldmduringmthemprocedure
9.mAmpatientmdevelopsmlocalizedmheatmandmerythemamovermanmareamonmthemlowermleg
.mThesemfindingsmaremindicativemofmwhichmsecondarymdefensemagainstminfection?
1) Phagocytosis
2) Complementmcascade
3) Inflammation
4) Immunity
10.mThempatientmsuddenlymdevelopsmhives,mshortnessmofmbreath,mandmwheezingmaftermrec
eivingmanmantibiotic.mWhichmantibodymismprimarilymresponsiblemformthismpatientsmresponse?
1) IgA
2) IgE
3) IgG
4) IgM
11.mWhatmtypemofmimmunitymismprovidedmbymintravenousm(IV)madministrati
onmofmimmunoglobulinmG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.mAmpatientmasksmthemnursemwhymtheremismnomvaccinemavailablemformthemcommonmcold.
mWhichmresponse mbymthemnursemismcorrect?
1) Themvirusmmutatesmtoomrapidlymtomdevelopmamvaccine.
2) Vaccinesmaremdevelopedmonlymformverymseriousmillnesses.
3) ResearchersmaremfocusingmeffortsmonmanmHIVmvaccine.
4) Themvirusmformthemcommonmcoldmhasmnotmbeenmidentified.
1m .mAmpatientmwhomhasmamtemperaturemofm101Fm(38.3C)mmostmlikelymrequires:
1) acetaminophenm(Tylenol).
2) increasedmfluids.
3) bedrest.
4) tepidmbath.
14.mWhymismamlotionmwithoutmpetroleummpreferredmovermampetroleum-
basedmproductmasmamskinmprotectant?mIt:
1) Preventsmmicroorganismsmfrommadheringmtomthemskin.
2) Facilitatesmthemabsorptionmofmlatexmproteinsmthroughmthemskin.
3) Decreasesmthemriskmofmlatexmallergies.
4) Preventsmthemskinmfrommdryingmandmchaffing.
15.mFormwhichmrangemofmtimemmustmamnursemwashmhermhandsmbeforemworkingminmthemo
peratingmroom?
1) 1mtom2mminutes
2) 2mtom4mminutes
3) 2mtom6mminutes
4) 6mtom10mminutes
16.mHowmshouldmthemnursemdisposemofmthembreakfastmtraymofmampatientmwhomrequiresm
airbornemisolation?
1) Placemthemtrayminmamspeciallymmarkedmtrashmcanminsidemthempatientsmroom.
Placemthemtrayminmamspecialmisolationmbagmheldmbymamsecondmhealthcaremworkermatmthe
2) patientsmdoor.
Returnmthemtraymwithmamnotemtomdietarymservicesmsomitmcanmbemcleanedmandmreusedmformthe
3) nextmmeal.
Carrymthemtraymtomanmisolationmtrashmreceptaclemlocatedminmthemdirtymutilitymroommand
4) disposemofmitmthere.
1m .mHowmmuchmliquidmsoapmshouldmthemnursemusemformeffectivemhandmwashing?mAtmleast:
1) 2mmL
2) 3mmL
3) 6mmL
4) 7mmL
, 18.mTomassuremeffectiveness,mwhenmshouldmthemnursemstopmrubbingmantisepticmhandmso
lutionmovermallmsurfacesmofmthemhands?
1) Whenmfingersmfeelmsticky
2) Afterm5mtom10mseconds
3) Whenmleavingmthemclientsmroom
4) Oncemfingersmandmhandsmfeelmdry
19.mAmpatientmismadmittedmtomthemhospitalmformchemotherapymandmhasmamlowmwhitembl
oodmcellmcount.mWhichmprecautionmshouldmthemstaffmtakemwithmthismpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20.mWhilemdonningmsterilemgloves,mthemnursemnoticesmthemedgesmofmthemglovempackage
maremslightlymyellow.mThemyellowmarea mismoverm1minchmawaymfrommthe mglovesmandmonlymapp
earsmtombemonmthemoutsidemofmthemglovempackage.mWhatmismthembestmactionmformthemnursemto
mtakemat mthismpoint?
1) Continuemusingmthemglovesminsidemthempackagembecausemthempackagemismintact.
2) Removemglovesmfrommsterilemfieldmandmusemamnewmpairmofmsterilemgloves.
3) Throwmallmsuppliesmawaymthatmweremtombemusedmandmbeginmagain.
4) Usemthemglovesmandmmakemsuremthemyellowmedgesmofmthempackagemdomnotmtouchmthemclient.
21.mThemnursemismremovingmpersonalmprotectivemequipmentm(PPE).mWhichmitemmsho
uldmbemremovedmfirst?
1) Gown
2) Gloves
3) Facemshield
4) Hairmcovering
22.mAmnursemismsplashedminmthemfacembymbodymfluidmduringmamprocedure.mPrioritizemth
emnursesmactions,mlistingmthemmostmimportantmonemfirst.
A. Contactmemployeemhealth
B. Completemanmincidentmreport
C. Washmthemexposedmarea
D. Reportmtomanothermnursemthatmshemismleavingmthemimmediatemarea.
1) 1,m2,m3,m4
2) 2,m3,m4,m1
3) 3,m4,m1,m2
4) 4,m1,m2,m3
MultiplemResponse
Identifymonemormmoremchoicesmthatmbestmcompletemthemstatementmormanswermthemquestion.
1.mInmwhichmsituationmwouldmusingmstandardmprecautionsmbemadequate?mSelectmallmthatmapply.