Nursing 230 test #1 Questions with Complete Solutions
4. Identify patients at risk - The nurse is caring for a group of hospitalized patients. What
should the nurse do first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever - The nurse identifi es that a patient has an infl ammatory response. Which
local patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." - A patient has a wound that is
healing by secondary intention. To best support healing of the wound, the nurse should
expect the practitioner's order to state, "Clean wound with:
1. Betadine and apply a dry sterile dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail - The nurse identifi es that the greatest risk for a wound
infection exists for a patient with a:
1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
,1. Cells of the skin are constantly being replaced, thereby eliminating external
pathogens - .The nurse understands that the skin protects the body from infections
because the:
1. Cells of the skin are constantly being replaced, thereby eliminating external
pathogens
2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens
3. Moisture on the skin surface prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens
1. Stool for ova and parasites - The nurse must collect the following specimens. Which
specimen collection does not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact - A patient is positive for Clostridium difficile. The nurse should institute the
isolation precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia - Which patient information collected by the nurse reflects a systemic
adaptation to a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
,1. Wash the hands before and after providing care to a patient - To interrupt the
transmission link in the chain of infection, the nurse should:
1. Wash the hands before and after providing care to a patient
2. Position a commode next to a patient's bed
3. Provide education about a balanced diet
4. Change a dressing when it is soiled
3. Pneumonia - The nurse is providing for the nutrition needs of several patients. The
nurse identifies the need for an increase in caloric intake above average requirements
for the patient who has:
1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cuts in the skin from a kitchen knife - The nurse is caring for patients with a variety of
wounds. The nurse understands that healing by primary intention most likely occurs
with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
3. Harbor microorganisms - The primary reason why the nurse should avoid glued-on
artificial nails is because they:
1. Interfere with dexterity of the fingers
2. Could fall off in a patient's bed
3. Harbor microorganisms
4. Can scratch a patient
, 3. Older adults - The nurse understands that subclinical infections most commonly
occur in:
1. Infants
2. Adolescents
3. Older adults
4. Children of school age
3. Burns more than twenty percent of the body - The nurse understands that the factor
that places a patient at the greatest risk for developing an infection is:
1. Implantation of a prosthetic device
2. Presence of an indwelling urinary catheter
3. Burns more than twenty percent of the body
4. Multiple puncture sites from laparoscopic surgery
4. Immune response - The nurse understands that a secondary line of defense against
infection is the:
1. Mucous membranes of the respiratory tract
2. Urinary tract environment
3. Integumentary system
4. Immune response
2. Administering childhood immunizations - Which nursing action protects the patient as
a susceptible host in the chain of infection?
1. Wearing personal protective equipment
2. Administering childhood immunizations
3. Recapping a used needle before discarding
4. Disposing of soiled gloves in a waste container
2. Purulent drainage - A patient tells the nurse, "I think I have an ear infection." The
nurse should assess this patient for which objective human response to an ear
infection?
4. Identify patients at risk - The nurse is caring for a group of hospitalized patients. What
should the nurse do first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever - The nurse identifi es that a patient has an infl ammatory response. Which
local patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." - A patient has a wound that is
healing by secondary intention. To best support healing of the wound, the nurse should
expect the practitioner's order to state, "Clean wound with:
1. Betadine and apply a dry sterile dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail - The nurse identifi es that the greatest risk for a wound
infection exists for a patient with a:
1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
,1. Cells of the skin are constantly being replaced, thereby eliminating external
pathogens - .The nurse understands that the skin protects the body from infections
because the:
1. Cells of the skin are constantly being replaced, thereby eliminating external
pathogens
2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens
3. Moisture on the skin surface prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens
1. Stool for ova and parasites - The nurse must collect the following specimens. Which
specimen collection does not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact - A patient is positive for Clostridium difficile. The nurse should institute the
isolation precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia - Which patient information collected by the nurse reflects a systemic
adaptation to a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
,1. Wash the hands before and after providing care to a patient - To interrupt the
transmission link in the chain of infection, the nurse should:
1. Wash the hands before and after providing care to a patient
2. Position a commode next to a patient's bed
3. Provide education about a balanced diet
4. Change a dressing when it is soiled
3. Pneumonia - The nurse is providing for the nutrition needs of several patients. The
nurse identifies the need for an increase in caloric intake above average requirements
for the patient who has:
1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cuts in the skin from a kitchen knife - The nurse is caring for patients with a variety of
wounds. The nurse understands that healing by primary intention most likely occurs
with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
3. Harbor microorganisms - The primary reason why the nurse should avoid glued-on
artificial nails is because they:
1. Interfere with dexterity of the fingers
2. Could fall off in a patient's bed
3. Harbor microorganisms
4. Can scratch a patient
, 3. Older adults - The nurse understands that subclinical infections most commonly
occur in:
1. Infants
2. Adolescents
3. Older adults
4. Children of school age
3. Burns more than twenty percent of the body - The nurse understands that the factor
that places a patient at the greatest risk for developing an infection is:
1. Implantation of a prosthetic device
2. Presence of an indwelling urinary catheter
3. Burns more than twenty percent of the body
4. Multiple puncture sites from laparoscopic surgery
4. Immune response - The nurse understands that a secondary line of defense against
infection is the:
1. Mucous membranes of the respiratory tract
2. Urinary tract environment
3. Integumentary system
4. Immune response
2. Administering childhood immunizations - Which nursing action protects the patient as
a susceptible host in the chain of infection?
1. Wearing personal protective equipment
2. Administering childhood immunizations
3. Recapping a used needle before discarding
4. Disposing of soiled gloves in a waste container
2. Purulent drainage - A patient tells the nurse, "I think I have an ear infection." The
nurse should assess this patient for which objective human response to an ear
infection?
