fundamentals test bank
The nurse and a new nurse in orientation are caring for a patient with
pneumonia.
Which statement by the new nurse will indicate a correct
understanding of this
condition
?a. "An infectious disease like pneumonia may not pose a risk to
others."
b. "We need to isolate the patient in a private negative-
pressure
c. "Clinical room."
signs and symptoms are not present in
pneumonia."
d. "The patient will not be able to return home." correct answers a. "An
infectious
disease like pneumonia may not pose a risk to
others."
The patient and the nurse are discussing the vector transmitted Rickettsia
rickettsii—
Rocky Mountain spotted fever. Which patient statement to the nurse
indicates
understanding regarding the mode of transmission for this disease? a.
I"When
will use camping,
sunscreen."
b. "When camping, I will drink bottled
water."
c. "When camping, I will wear insect
repellent."
d. "When camping, I will wash my hands with hand gel." correct answers
c. "When I will wear insect
camping,
repellent."
The nurse is providing an educational session for a group of preschool
workers.
nurse The the group about the most important thing to do to prevent
reminds
the spreadWhich
infection. of information did the nurse share with the preschool
workers?
a. Encourage preschool children to eat a
nutritious
b. Suggest diet.
that parents provide a multivitamin to the
children.
c. Clean the toys every afternoon before putting them away. d. Wash
their hands
between each interaction with children. correct answers d. Wash their
handsinteraction
each between with
children.
The nurse is admitting a patient with an infectious disease process. Which
question
be will
most appropriate for a nurse to ask about the patient's susceptibility to
this infectious
process
a. "Do you have a
?
spouse?"
b. "Do you have a chronic
disease?"
c. "Do you have any children living in the
home?"
d. "Do you have any religious beliefs that will influence your care?" correct
answers
"Do b.
you have a chronic
disease?"
The patient experienced a surgical procedure, and Betadine was utilized as
the surgical
prep. Two days postoperatively, the nurse's assessment indicates that the
incision is
red and has a small amount of purulent drainage. The patient reports
tenderness at the
,incision site. The patient's temperature is 100.5° F, and the WBC is
10,500/mm3.
action should theWhich
nurse take
first?
a. Plan to change the surgical dressing during
the shift. SBAR to notify the primary health care
b. Utilize
provider.
c. Reevaluate the temperature and white blood cell count in
4 hours.
d. Check to see what solution was used for skin preparation in
surgery. b.
answers correct
Utilize SBAR to notify the primary health care
provider.
The nurse is providing an education session to an adult community group
about the
effects of smoking on infection. Which information is most important for
the nurse
include in to
the educational
session?
a. Smoke from tobacco products clings to your clothing
and
b. hair.
Smoking affects the cilia lining the upper airways in
theSmoking
c. lungs. can affect the color of the patient's fingernails. d. Smoking
tobacco
can products
be very expensive. correct answers b. Smoking affects the cilia lining
the upper
airways in the
lungs.
A female adult patient presents to the clinic with reports of a white discharge
and
in theitching
vaginal area. A nurse is taking a health history. Which question is
the"When
a. priority?
was the last time you visited your primary health care
provider?"
b. "Has this condition affected your eating habits in
any
c. way?"
"What medications are you currently
taking?"
d. "Are you able to sleep at night? correct answers c. "What
medications are you
currently
taking?"
The nurse is caring for a school-aged child who has injured the right leg
after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine
if the child
is experiencing a localized inflammatory
response?
a. Malaise, anorexia, enlarged lymph nodes, and increased white
blood
b. Chestcells
pain, shortness of breath, and nausea and vomiting c.
Dizziness and to time, date, and
disorientation
place
d. Edema, redness, tenderness, and loss of function correct answers
d. Edema,tenderness, and loss of
redness,
function
Which interventions utilized by the nurse will indicate the ability to recognize
a localized
inflammatory
a. Vigorous range-of-motion
response?
exercises
b. Turn, cough, and deep
breathe
c. Orient to date, time, and
place
d. Rest, ice, and elevation correct answers d. Rest, ice, and
elevation
The nurse is caring for a group of medical-surgical patients. Which patient
is most
risk at
for developing an
infection?
a. A patient who is in observation for
chest
b. pain. who has been admitted with
A patient
dehydration.
,c. A patient who is recovering from a right total hip surgery. d. A patient
who has been
admitted for stabilization of heart problems. correct answers c. A
patient whofrom
recovering is a right total hip
surgery.
The nurse is caring for a patient diagnosed with leukemia and is preparing
to provide
fluids through a vascular access (IV) device. Which nursing intervention is a
priority in
this
procedure?
a. Review the procedure with the
patient.
b. Position the patient
comfortably.
c. Maintain surgical aseptic
technique.
d. Gather available supplies. correct answers c. Maintain surgical aseptic
technique.
The nurse is caring for an adult patient in the clinic who has been
evacuated
victim and is aThe nurse teaches the patient about rest, exercise,
of flooding.
and eating
properly and how to utilize deep breathing and visualization. What is
the primary
rationale for the nurse's actions related to the
teaching?
a. Topics taught are standard information taught during health
care
b. visits.
The patient requested this information to teach the extended family
members.
c. Stress for long periods of time can lead to exhaustion and decreased
resistance to
infectio
n.
d. These techniques will help the patient manage the pain and loss of
personal
belongings. correct answers c. Stress for long periods of time can lead to
exhaustion
and decreased resistance to
infection.
The nurse is caring for a patient who is susceptible to infection. Which
instruction
the will
nurse include in an educational session to decrease the risk of
infection?
a. Teaching the patient about fall
prevention
b. Teaching the patient to take a
temperature
c. Teaching the patient to select nutritious
foods
d. Teaching the patient about the effects of alcohol correct answers c.
Teaching
patient tothe
select nutritious
foods
A diabetic patient presents to the clinic for a dressing change. The wound is
located
the rightonfoot and has purulent yellow drainage. Which action will the
nurse take
prevent thetospread of
infection?
a. Position the patient comfortably on the
b. Explain the procedure for dressing change to the patient. c. Review the
stretcher.
medication
list that the patient brought from
home.
d. Don gloves and other appropriate personal protective equipment correct
answers
Don glovesd. and other appropriate personal protective
equipment
A patient presents with pneumonia. Which priority intervention should be
included
plan in the
of care for this
patient?
a. Observe the patient for decreased activity
tolerance.
b. Assume the patient is in pain and treat
accordingly.
c. Provide the patient ice chips as
requested.
, d. Maintain the room temperature at 65° F. correct answers a. Observe the
patient for activity
decreased
tolerance.
The nurse is caring for a patient in an intensive care unit who needs a
bath. Which
priority action will the nurse take to decrease the potential for a health
care-associated
infectio
n?
a. Use local anesthetic on reddened
areas.
b. Use nonallergenic tape on
dressings.
c. Use a chlorhexidine
wash.
d. Use filtered water. correct answers c. Use a
chlorhexidine wash.
The infection control nurse is reviewing data for the medical-surgical unit.
The nurse
notices an increase in postoperative infections from Aspergillus. Which
type of health infection will the nurse
care-associated
report?
a.
Vector
b.
Exogenous
c.
Endogenous
d. Suprainfection correct answers b.
Exogenous
The patient has contracted a urinary tract infection (UTI) while in the
hospital.
action willWhich
most likely increase the risk of a patient
contracting
a. Reusing the a UTI?
patient's graduated receptacle to empty the
drainage
b. Allowing bag
the drainage bag port to touch the graduated
receptacle
c. Emptying the urinary drainage bag at least
once
d. a shift the catheter infrequently correct answers b. Allowing the
Irrigating
drainage
to touch the baggraduated
port
receptacle
Which nursing action will most likely increase a patient's risk for
developing a health
care-associated
infection?
a. Uses surgical aseptic technique to suction an
b. Uses a clean technique for inserting a urinary
airway.
catheter.
c. Uses a cleaning stroke from the urinary meatus toward the
rectum.
d. Uses a sterile bottled solution more than once within a 24-hour
period correct
answers b. Uses a clean technique for inserting a urinary
catheter.
The nurse is caring for a patient in labor and delivery. When near
completing an
assessment of the patient's cervix, the electronic infusion device being
used on the (IV) infusion alarms. Which sequence of actions is most
intravenous
appropriate
nurse to for the
take?
a. Complete the assessment, remove gloves, and silence
theDiscontinue
b. alarm. the assessment, silence the alarm, and assess the
intravenous
c. Complete site.
the assessment, remove gloves, wash hands, and assess the
intravenous
infusio
n.
d. Discontinue the assessment, remove gloves, use hand gel, and
assess the infusion correct answers c. Complete the assessment,
intravenous
remove
wash gloves,
hands, and assess the intravenous
infusion.
The nurse and a new nurse in orientation are caring for a patient with
pneumonia.
Which statement by the new nurse will indicate a correct
understanding of this
condition
?a. "An infectious disease like pneumonia may not pose a risk to
others."
b. "We need to isolate the patient in a private negative-
pressure
c. "Clinical room."
signs and symptoms are not present in
pneumonia."
d. "The patient will not be able to return home." correct answers a. "An
infectious
disease like pneumonia may not pose a risk to
others."
The patient and the nurse are discussing the vector transmitted Rickettsia
rickettsii—
Rocky Mountain spotted fever. Which patient statement to the nurse
indicates
understanding regarding the mode of transmission for this disease? a.
I"When
will use camping,
sunscreen."
b. "When camping, I will drink bottled
water."
c. "When camping, I will wear insect
repellent."
d. "When camping, I will wash my hands with hand gel." correct answers
c. "When I will wear insect
camping,
repellent."
The nurse is providing an educational session for a group of preschool
workers.
nurse The the group about the most important thing to do to prevent
reminds
the spreadWhich
infection. of information did the nurse share with the preschool
workers?
a. Encourage preschool children to eat a
nutritious
b. Suggest diet.
that parents provide a multivitamin to the
children.
c. Clean the toys every afternoon before putting them away. d. Wash
their hands
between each interaction with children. correct answers d. Wash their
handsinteraction
each between with
children.
The nurse is admitting a patient with an infectious disease process. Which
question
be will
most appropriate for a nurse to ask about the patient's susceptibility to
this infectious
process
a. "Do you have a
?
spouse?"
b. "Do you have a chronic
disease?"
c. "Do you have any children living in the
home?"
d. "Do you have any religious beliefs that will influence your care?" correct
answers
"Do b.
you have a chronic
disease?"
The patient experienced a surgical procedure, and Betadine was utilized as
the surgical
prep. Two days postoperatively, the nurse's assessment indicates that the
incision is
red and has a small amount of purulent drainage. The patient reports
tenderness at the
,incision site. The patient's temperature is 100.5° F, and the WBC is
10,500/mm3.
action should theWhich
nurse take
first?
a. Plan to change the surgical dressing during
the shift. SBAR to notify the primary health care
b. Utilize
provider.
c. Reevaluate the temperature and white blood cell count in
4 hours.
d. Check to see what solution was used for skin preparation in
surgery. b.
answers correct
Utilize SBAR to notify the primary health care
provider.
The nurse is providing an education session to an adult community group
about the
effects of smoking on infection. Which information is most important for
the nurse
include in to
the educational
session?
a. Smoke from tobacco products clings to your clothing
and
b. hair.
Smoking affects the cilia lining the upper airways in
theSmoking
c. lungs. can affect the color of the patient's fingernails. d. Smoking
tobacco
can products
be very expensive. correct answers b. Smoking affects the cilia lining
the upper
airways in the
lungs.
A female adult patient presents to the clinic with reports of a white discharge
and
in theitching
vaginal area. A nurse is taking a health history. Which question is
the"When
a. priority?
was the last time you visited your primary health care
provider?"
b. "Has this condition affected your eating habits in
any
c. way?"
"What medications are you currently
taking?"
d. "Are you able to sleep at night? correct answers c. "What
medications are you
currently
taking?"
The nurse is caring for a school-aged child who has injured the right leg
after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine
if the child
is experiencing a localized inflammatory
response?
a. Malaise, anorexia, enlarged lymph nodes, and increased white
blood
b. Chestcells
pain, shortness of breath, and nausea and vomiting c.
Dizziness and to time, date, and
disorientation
place
d. Edema, redness, tenderness, and loss of function correct answers
d. Edema,tenderness, and loss of
redness,
function
Which interventions utilized by the nurse will indicate the ability to recognize
a localized
inflammatory
a. Vigorous range-of-motion
response?
exercises
b. Turn, cough, and deep
breathe
c. Orient to date, time, and
place
d. Rest, ice, and elevation correct answers d. Rest, ice, and
elevation
The nurse is caring for a group of medical-surgical patients. Which patient
is most
risk at
for developing an
infection?
a. A patient who is in observation for
chest
b. pain. who has been admitted with
A patient
dehydration.
,c. A patient who is recovering from a right total hip surgery. d. A patient
who has been
admitted for stabilization of heart problems. correct answers c. A
patient whofrom
recovering is a right total hip
surgery.
The nurse is caring for a patient diagnosed with leukemia and is preparing
to provide
fluids through a vascular access (IV) device. Which nursing intervention is a
priority in
this
procedure?
a. Review the procedure with the
patient.
b. Position the patient
comfortably.
c. Maintain surgical aseptic
technique.
d. Gather available supplies. correct answers c. Maintain surgical aseptic
technique.
The nurse is caring for an adult patient in the clinic who has been
evacuated
victim and is aThe nurse teaches the patient about rest, exercise,
of flooding.
and eating
properly and how to utilize deep breathing and visualization. What is
the primary
rationale for the nurse's actions related to the
teaching?
a. Topics taught are standard information taught during health
care
b. visits.
The patient requested this information to teach the extended family
members.
c. Stress for long periods of time can lead to exhaustion and decreased
resistance to
infectio
n.
d. These techniques will help the patient manage the pain and loss of
personal
belongings. correct answers c. Stress for long periods of time can lead to
exhaustion
and decreased resistance to
infection.
The nurse is caring for a patient who is susceptible to infection. Which
instruction
the will
nurse include in an educational session to decrease the risk of
infection?
a. Teaching the patient about fall
prevention
b. Teaching the patient to take a
temperature
c. Teaching the patient to select nutritious
foods
d. Teaching the patient about the effects of alcohol correct answers c.
Teaching
patient tothe
select nutritious
foods
A diabetic patient presents to the clinic for a dressing change. The wound is
located
the rightonfoot and has purulent yellow drainage. Which action will the
nurse take
prevent thetospread of
infection?
a. Position the patient comfortably on the
b. Explain the procedure for dressing change to the patient. c. Review the
stretcher.
medication
list that the patient brought from
home.
d. Don gloves and other appropriate personal protective equipment correct
answers
Don glovesd. and other appropriate personal protective
equipment
A patient presents with pneumonia. Which priority intervention should be
included
plan in the
of care for this
patient?
a. Observe the patient for decreased activity
tolerance.
b. Assume the patient is in pain and treat
accordingly.
c. Provide the patient ice chips as
requested.
, d. Maintain the room temperature at 65° F. correct answers a. Observe the
patient for activity
decreased
tolerance.
The nurse is caring for a patient in an intensive care unit who needs a
bath. Which
priority action will the nurse take to decrease the potential for a health
care-associated
infectio
n?
a. Use local anesthetic on reddened
areas.
b. Use nonallergenic tape on
dressings.
c. Use a chlorhexidine
wash.
d. Use filtered water. correct answers c. Use a
chlorhexidine wash.
The infection control nurse is reviewing data for the medical-surgical unit.
The nurse
notices an increase in postoperative infections from Aspergillus. Which
type of health infection will the nurse
care-associated
report?
a.
Vector
b.
Exogenous
c.
Endogenous
d. Suprainfection correct answers b.
Exogenous
The patient has contracted a urinary tract infection (UTI) while in the
hospital.
action willWhich
most likely increase the risk of a patient
contracting
a. Reusing the a UTI?
patient's graduated receptacle to empty the
drainage
b. Allowing bag
the drainage bag port to touch the graduated
receptacle
c. Emptying the urinary drainage bag at least
once
d. a shift the catheter infrequently correct answers b. Allowing the
Irrigating
drainage
to touch the baggraduated
port
receptacle
Which nursing action will most likely increase a patient's risk for
developing a health
care-associated
infection?
a. Uses surgical aseptic technique to suction an
b. Uses a clean technique for inserting a urinary
airway.
catheter.
c. Uses a cleaning stroke from the urinary meatus toward the
rectum.
d. Uses a sterile bottled solution more than once within a 24-hour
period correct
answers b. Uses a clean technique for inserting a urinary
catheter.
The nurse is caring for a patient in labor and delivery. When near
completing an
assessment of the patient's cervix, the electronic infusion device being
used on the (IV) infusion alarms. Which sequence of actions is most
intravenous
appropriate
nurse to for the
take?
a. Complete the assessment, remove gloves, and silence
theDiscontinue
b. alarm. the assessment, silence the alarm, and assess the
intravenous
c. Complete site.
the assessment, remove gloves, wash hands, and assess the
intravenous
infusio
n.
d. Discontinue the assessment, remove gloves, use hand gel, and
assess the infusion correct answers c. Complete the assessment,
intravenous
remove
wash gloves,
hands, and assess the intravenous
infusion.
