Test Bank For Current Medical Diagnosis And Treatment LATEST U
v v v v v v v v v
PDATE 2024 62nd Edition By Maxine Papadakis, Stephen Mcphee,
v v v v v v v v v
Michael Rabow & Kenneth Mcquaid
v v v v
Chapterv1.vDiseasevPreventionv&vHealthvPromotion
v
1.vWhichvofvthevfollowingvbehaviorsvindicatesvthevhighestvpotentialvforvspreadingvinfectionsva
mongvclients?vThevnurse:
1) disinfectsvdirtyvhandsvwithvantibacterialvsoap.
2) allowsvalcohol-basedvrubvtovdryvforv10vseconds.
3) washesvhandsvonlyvaftervleavingveachvroom.
4) usesvcoldvwatervforvmedicalvasepsis.
v
2.vWhatvisvthevmostvfrequentvcausevofvthevspreadvofvinfectionvamongvinstitutionalizedvp
atients?
1) Airbornevmicrobesvfromvothervpatients
2) Contactvwithvcontaminatedvequipment
3) Handsvofvhealthcarevworkers
4) Exposurevfromvfamilyvmembers
v
3.vWhichvofvthevfollowingvnursingvactivitiesvisvofvhighestvpriorityvforvmaintainingvmedicalva
sepsis?
1) Washingvhands
2) Donningvgloves
3) Applyingvsterilevdrapes
4) Wearingvavgown
v
4.vAvpatientvinfectedvwithvavvirusvbutvwhovdoesvnotvhavevanyvoutwardvsignvofvthevdiseasevisvc
onsideredva:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
v
5.vAvpatientvisvadmittedvtovthevhospitalvwithvtuberculosis.vWhichvprecautionsvmustvthevnursevi
nstitutevwhenvcaringvforvthisvpatient?
1) Dropletvtransmission
2) Airbornevtransmission
3) Directvcontact
4) Indirectvcontact
,v
6.vAvpatientvbecomesvinfectedvwithvoralvcandidiasisv(thrush)vwhilevreceivingvintravenousva
ntibioticsvtovtreatvavsystemicvinfection.vWhichvtypevofvinfectionvhasvthevpatientvdeveloped?
1) Endogenousvnosocomial
2) Exogenousvnosocomial
3) Latent
4) Primary
vvvvvvvvv7.vAvpatientvadmittedvtovthevhospitalvwithvpneumoniavhasvbeenvreceivingvantibioticsvforv2vda
ys.vHisvconditionvhasvstabilized,vandvhisvtemperaturevhasvreturnedvtovnormal.vWhichvstagevofvinfe
ctionvisvthevpatientvmostvlikelyvexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
v
8.vThevnursevassistsvavsurgeonvwithvcentralvvenousvcathetervinsertion.vWhichvactionvisvn
ecessaryvtovhelpvmaintainvsterilevtechnique?
1) Closingvthevpatientsvdoorvtovlimitvroomvtrafficvwhilevpreparingvthevsterilevfield
2) Usingvcleanvprocedurevglovesvtovhandlevsterilevequipment
3) Placingvthevnonsterilevsyringesvcontainingvflushvsolutionvonvthevsterilevfield
4) Remainingv6vinchesvawayvfromvthevsterilevfieldvduringvthevprocedure
v
9.vAvpatientvdevelopsvlocalizedvheatvandverythemavovervanvareavonvthevlowervleg.vThesevfi
ndingsvarevindicativevofvwhichvsecondaryvdefensevagainstvinfection?
1) Phagocytosis
2) Complementvcascade
3) Inflammation
4) Immunity
v
10.vThevpatientvsuddenlyvdevelopsvhives,vshortnessvofvbreath,vandvwheezingvaftervreceivingva
nvantibiotic.vWhichvantibodyvisvprimarilyvresponsiblevforvthisvpatientsvresponse?
1) IgA
2) IgE
3) IgG
4) IgM
v
11.vWhatvtypevofvimmunityvisvprovidedvbyvintravenousv(IV)vadministrationvofvi
mmunoglobulinvG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,v
12.vAvpatientvasksvthevnursevwhyvtherevisvnovvaccinevavailablevforvthevcommonvcold.vWhichvr
esponsevbyvthevnursevisvcorrect?
1) Thevvirusvmutatesvtoovrapidlyvtovdevelopvavvaccine.
2) Vaccinesvarevdevelopedvonlyvforvveryvseriousvillnesses.
3) ResearchersvarevfocusingveffortsvonvanvHIVvvaccine.
4) Thevvirusvforvthevcommonvcoldvhasvnotvbeenvidentified.
1v.vAvpatientvwhovhasvavtemperaturevofv101Fv(38.3C)vmostvlikelyvrequires:
1) acetaminophenv(Tylenol).
2) increasedvfluids.
3) bedrest.
4) tepidvbath.
v 14.vWhyvisvavlotionvwithoutvpetroleumvpreferredvovervavpetroleum-
basedvproductvasvavskinvprotectant?vIt:
1) Preventsvmicroorganismsvfromvadheringvtovthevskin.
2) Facilitatesvthevabsorptionvofvlatexvproteinsvthroughvthevskin.
3) Decreasesvthevriskvofvlatexvallergies.
4) Preventsvthevskinvfromvdryingvandvchaffing.
v
15.vForvwhichvrangevofvtimevmustvavnursevwashvhervhandsvbeforevworkingvinvthevoperatingvr
oom?
1) 1vtov2vminutes
2) 2vtov4vminutes
3) 2vtov6vminutes
4) 6vtov10vminutes
v
16.vHowvshouldvthevnursevdisposevofvthevbreakfastvtrayvofvavpatientvwhovrequiresvairbornevis
olation?
1) Placevthevtrayvinvavspeciallyvmarkedvtrashvcanvinsidevthevpatientsvroom.
Placevthevtrayvinvavspecialvisolationvbagvheldvbyvavsecondvhealthcarevworkervatvthe
2) patientsvdoor.
Returnvthevtrayvwithvavnotevtovdietaryvservicesvsovitvcanvbevcleanedvandvreusedvforvthe
3) nextvmeal.
Carryvthevtrayvtovanvisolationvtrashvreceptaclevlocatedvinvthevdirtyvutilityvroomvand
4) disposevofvitvthere.
1v.vHowvmuchvliquidvsoapvshouldvthevnursevusevforveffectivevhandvwashing?vAtvleast:
1) 2vmL
2) 3vmL
3) 6vmL
4) 7vmL
, v
18.vTovassureveffectiveness,vwhenvshouldvthevnursevstopvrubbingvantisepticvhandvsolutionvo
vervallvsurfacesvofvthevhands?
1) Whenvfingersvfeelvsticky
2) Afterv5vtov10vseconds
3) Whenvleavingvthevclientsvroom
4) Oncevfingersvandvhandsvfeelvdry
v
19.vAvpatientvisvadmittedvtovthevhospitalvforvchemotherapyvandvhasvavlowvwhitevbloodvcellvc
ount.vWhichvprecautionvshouldvthevstaffvtakevwithvthisvpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
v
20.vWhilevdonningvsterilevgloves,vthevnursevnoticesvthevedgesvofvthevglovevpackagevarevslig
htlyvyellow.vThevyellowvareavisvoverv1vinchvawayvfromvthevglovesvandvonlyvappearsvtovbevonvthevo
utsidevofvthevglovevpackage.vWhatvisvthevbestvactionvforvthevnursevtovtakevatvthisvpoint?
1) Continuevusingvthevglovesvinsidevthevpackagevbecausevthevpackagevisvintact.
2) Removevglovesvfromvsterilevfieldvandvusevavnewvpairvofvsterilevgloves.
3) Throwvallvsuppliesvawayvthatvwerevtovbevusedvandvbeginvagain.
4) Usevthevglovesvandvmakevsurevthev yellowvedgesvofvthevpackagevdovnotvtouchvthevclient.
v
21.vThevnursevisvremovingvpersonalvprotectivevequipmentv(PPE).vWhichvitemvshouldvbevr
emovedvfirst?
1) Gown
2) Gloves
3) Facevshield
4) Hairvcovering
v
22.vAvnursevisvsplashedvinvthevfacevbyvbodyvfluidvduringvavprocedure.vPrioritizevthevnursesva
ctions,vlistingvthevmostvimportantvonevfirst.
A. Contactvemployeevhealth
B. Completevanvincidentvreport
C. Washvthevexposedvarea
D. Reportvtovanothervnursevthatvshevisvleavingvthevimmediatevarea.v
1) 1,v2,v3,v4
2) 2,v3,v4,v1
3) 3,v4,v1,v2
4) 4,v1,v2,v3
MultiplevResponse
Identifyvonevorvmorevchoicesvthatvbestvcompletevthevstatementvorvanswervthevquestion.
v 1.vInvwhichvsituationvwouldvusingvstandardvprecautionsvbevadequate?vSelectvallvthatvapply.
v v v v v v v v v
PDATE 2024 62nd Edition By Maxine Papadakis, Stephen Mcphee,
v v v v v v v v v
Michael Rabow & Kenneth Mcquaid
v v v v
Chapterv1.vDiseasevPreventionv&vHealthvPromotion
v
1.vWhichvofvthevfollowingvbehaviorsvindicatesvthevhighestvpotentialvforvspreadingvinfectionsva
mongvclients?vThevnurse:
1) disinfectsvdirtyvhandsvwithvantibacterialvsoap.
2) allowsvalcohol-basedvrubvtovdryvforv10vseconds.
3) washesvhandsvonlyvaftervleavingveachvroom.
4) usesvcoldvwatervforvmedicalvasepsis.
v
2.vWhatvisvthevmostvfrequentvcausevofvthevspreadvofvinfectionvamongvinstitutionalizedvp
atients?
1) Airbornevmicrobesvfromvothervpatients
2) Contactvwithvcontaminatedvequipment
3) Handsvofvhealthcarevworkers
4) Exposurevfromvfamilyvmembers
v
3.vWhichvofvthevfollowingvnursingvactivitiesvisvofvhighestvpriorityvforvmaintainingvmedicalva
sepsis?
1) Washingvhands
2) Donningvgloves
3) Applyingvsterilevdrapes
4) Wearingvavgown
v
4.vAvpatientvinfectedvwithvavvirusvbutvwhovdoesvnotvhavevanyvoutwardvsignvofvthevdiseasevisvc
onsideredva:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
v
5.vAvpatientvisvadmittedvtovthevhospitalvwithvtuberculosis.vWhichvprecautionsvmustvthevnursevi
nstitutevwhenvcaringvforvthisvpatient?
1) Dropletvtransmission
2) Airbornevtransmission
3) Directvcontact
4) Indirectvcontact
,v
6.vAvpatientvbecomesvinfectedvwithvoralvcandidiasisv(thrush)vwhilevreceivingvintravenousva
ntibioticsvtovtreatvavsystemicvinfection.vWhichvtypevofvinfectionvhasvthevpatientvdeveloped?
1) Endogenousvnosocomial
2) Exogenousvnosocomial
3) Latent
4) Primary
vvvvvvvvv7.vAvpatientvadmittedvtovthevhospitalvwithvpneumoniavhasvbeenvreceivingvantibioticsvforv2vda
ys.vHisvconditionvhasvstabilized,vandvhisvtemperaturevhasvreturnedvtovnormal.vWhichvstagevofvinfe
ctionvisvthevpatientvmostvlikelyvexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
v
8.vThevnursevassistsvavsurgeonvwithvcentralvvenousvcathetervinsertion.vWhichvactionvisvn
ecessaryvtovhelpvmaintainvsterilevtechnique?
1) Closingvthevpatientsvdoorvtovlimitvroomvtrafficvwhilevpreparingvthevsterilevfield
2) Usingvcleanvprocedurevglovesvtovhandlevsterilevequipment
3) Placingvthevnonsterilevsyringesvcontainingvflushvsolutionvonvthevsterilevfield
4) Remainingv6vinchesvawayvfromvthevsterilevfieldvduringvthevprocedure
v
9.vAvpatientvdevelopsvlocalizedvheatvandverythemavovervanvareavonvthevlowervleg.vThesevfi
ndingsvarevindicativevofvwhichvsecondaryvdefensevagainstvinfection?
1) Phagocytosis
2) Complementvcascade
3) Inflammation
4) Immunity
v
10.vThevpatientvsuddenlyvdevelopsvhives,vshortnessvofvbreath,vandvwheezingvaftervreceivingva
nvantibiotic.vWhichvantibodyvisvprimarilyvresponsiblevforvthisvpatientsvresponse?
1) IgA
2) IgE
3) IgG
4) IgM
v
11.vWhatvtypevofvimmunityvisvprovidedvbyvintravenousv(IV)vadministrationvofvi
mmunoglobulinvG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,v
12.vAvpatientvasksvthevnursevwhyvtherevisvnovvaccinevavailablevforvthevcommonvcold.vWhichvr
esponsevbyvthevnursevisvcorrect?
1) Thevvirusvmutatesvtoovrapidlyvtovdevelopvavvaccine.
2) Vaccinesvarevdevelopedvonlyvforvveryvseriousvillnesses.
3) ResearchersvarevfocusingveffortsvonvanvHIVvvaccine.
4) Thevvirusvforvthevcommonvcoldvhasvnotvbeenvidentified.
1v.vAvpatientvwhovhasvavtemperaturevofv101Fv(38.3C)vmostvlikelyvrequires:
1) acetaminophenv(Tylenol).
2) increasedvfluids.
3) bedrest.
4) tepidvbath.
v 14.vWhyvisvavlotionvwithoutvpetroleumvpreferredvovervavpetroleum-
basedvproductvasvavskinvprotectant?vIt:
1) Preventsvmicroorganismsvfromvadheringvtovthevskin.
2) Facilitatesvthevabsorptionvofvlatexvproteinsvthroughvthevskin.
3) Decreasesvthevriskvofvlatexvallergies.
4) Preventsvthevskinvfromvdryingvandvchaffing.
v
15.vForvwhichvrangevofvtimevmustvavnursevwashvhervhandsvbeforevworkingvinvthevoperatingvr
oom?
1) 1vtov2vminutes
2) 2vtov4vminutes
3) 2vtov6vminutes
4) 6vtov10vminutes
v
16.vHowvshouldvthevnursevdisposevofvthevbreakfastvtrayvofvavpatientvwhovrequiresvairbornevis
olation?
1) Placevthevtrayvinvavspeciallyvmarkedvtrashvcanvinsidevthevpatientsvroom.
Placevthevtrayvinvavspecialvisolationvbagvheldvbyvavsecondvhealthcarevworkervatvthe
2) patientsvdoor.
Returnvthevtrayvwithvavnotevtovdietaryvservicesvsovitvcanvbevcleanedvandvreusedvforvthe
3) nextvmeal.
Carryvthevtrayvtovanvisolationvtrashvreceptaclevlocatedvinvthevdirtyvutilityvroomvand
4) disposevofvitvthere.
1v.vHowvmuchvliquidvsoapvshouldvthevnursevusevforveffectivevhandvwashing?vAtvleast:
1) 2vmL
2) 3vmL
3) 6vmL
4) 7vmL
, v
18.vTovassureveffectiveness,vwhenvshouldvthevnursevstopvrubbingvantisepticvhandvsolutionvo
vervallvsurfacesvofvthevhands?
1) Whenvfingersvfeelvsticky
2) Afterv5vtov10vseconds
3) Whenvleavingvthevclientsvroom
4) Oncevfingersvandvhandsvfeelvdry
v
19.vAvpatientvisvadmittedvtovthevhospitalvforvchemotherapyvandvhasvavlowvwhitevbloodvcellvc
ount.vWhichvprecautionvshouldvthevstaffvtakevwithvthisvpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
v
20.vWhilevdonningvsterilevgloves,vthevnursevnoticesvthevedgesvofvthevglovevpackagevarevslig
htlyvyellow.vThevyellowvareavisvoverv1vinchvawayvfromvthevglovesvandvonlyvappearsvtovbevonvthevo
utsidevofvthevglovevpackage.vWhatvisvthevbestvactionvforvthevnursevtovtakevatvthisvpoint?
1) Continuevusingvthevglovesvinsidevthevpackagevbecausevthevpackagevisvintact.
2) Removevglovesvfromvsterilevfieldvandvusevavnewvpairvofvsterilevgloves.
3) Throwvallvsuppliesvawayvthatvwerevtovbevusedvandvbeginvagain.
4) Usevthevglovesvandvmakevsurevthev yellowvedgesvofvthevpackagevdovnotvtouchvthevclient.
v
21.vThevnursevisvremovingvpersonalvprotectivevequipmentv(PPE).vWhichvitemvshouldvbevr
emovedvfirst?
1) Gown
2) Gloves
3) Facevshield
4) Hairvcovering
v
22.vAvnursevisvsplashedvinvthevfacevbyvbodyvfluidvduringvavprocedure.vPrioritizevthevnursesva
ctions,vlistingvthevmostvimportantvonevfirst.
A. Contactvemployeevhealth
B. Completevanvincidentvreport
C. Washvthevexposedvarea
D. Reportvtovanothervnursevthatvshevisvleavingvthevimmediatevarea.v
1) 1,v2,v3,v4
2) 2,v3,v4,v1
3) 3,v4,v1,v2
4) 4,v1,v2,v3
MultiplevResponse
Identifyvonevorvmorevchoicesvthatvbestvcompletevthevstatementvorvanswervthevquestion.
v 1.vInvwhichvsituationvwouldvusingvstandardvprecautionsvbevadequate?vSelectvallvthatvapply.
