CURRENT
CURRENTMedical
MedicalDiagnosis
Diagnosis and
k
k
Treatment2
and Treatment k
k
k
k k
k k
020 Test
2019Bank/Complete
k Guide
Testbank/Studyguide k k k
Chapterk1.kDiseasekPreventionk&kHealthkPromotion
k
1.kWhichkofkthekfollowingkbehaviorskindicateskthekhighestkpotentialkforkspreadingkinfectionska
mongkclients?kTheknurse:
1) disinfectskdirtykhandskwithkantibacterialksoap.
2) allowskalcohol-basedkrubktokdrykfork10kseconds.
3) washeskhandskonlykafterkleavingkeachkroom.
4) useskcoldkwaterkforkmedicalkasepsis.
k
2.kWhatkiskthekmostkfrequentkcausekofkthekspreadkofkinfectionkamongkinstitutionalizedkp
atients?
1) Airbornekmicrobeskfromkotherkpatients
2) Contactkwithkcontaminatedkequipment
3) Handskofkhealthcarekworkers
4) Exposurekfromkfamilykmembers
k
3.kWhichkofkthekfollowingknursingkactivitieskiskofkhighestkprioritykforkmaintainingkmedicalka
sepsis?
1) Washingkhands
2) Donningkgloves
3) Applyingksterilekdrapes
4) Wearingkakgown
k
4.kAkpatientkinfectedkwithkakviruskbutkwhokdoesknotkhavekanykoutwardksignkofkthekdiseasekiskc
onsideredka:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
k
5.kAkpatientkiskadmittedktokthekhospitalkwithktuberculosis.kWhichkprecautionskmustktheknurseki
nstitutekwhenkcaringkforkthiskpatient?
1) Dropletktransmission
2) Airbornektransmission
3) Directkcontact
4) Indirectkcontact
, 6.kAkpatientkbecomeskinfectedkwithkoralkcandidiasisk(thrush)kwhilekreceivingkintravenouska
kkkkkkkkk
ntibioticsktoktreatkaksystemickinfection.kWhichktypekofkinfectionkhaskthekpatientkdeveloped?
1) Endogenousknosocomial
2) Exogenousknosocomial
3) Latent
4) Primary
kkkkkkkkk7.kAkpatientkadmittedktokthekhospitalkwithkpneumoniakhaskbeenkreceivingkantibioticskfork2kda
ys.kHiskconditionkhaskstabilized,kandkhisktemperaturekhaskreturnedktoknormal.kWhichkstagekofkinfe
ctionkiskthekpatientkmostklikelykexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
k
8.kTheknursekassistskaksurgeonkwithkcentralkvenouskcatheterkinsertion.kWhichkactionkiskn
ecessaryktokhelpkmaintainksterilektechnique?
1) Closingkthekpatientskdoorktoklimitkroomktraffickwhilekpreparingktheksterilekfield
2) Usingkcleankprocedurekglovesktokhandleksterilekequipment
3) Placingktheknonsterileksyringeskcontainingkflushksolutionkonktheksterilekfield
4) Remainingk6kincheskawaykfromktheksterilekfieldkduringkthekprocedure
k
9.kAkpatientkdevelopsklocalizedkheatkandkerythemakoverkankareakonktheklowerkleg.kThesekfi
ndingskarekindicativekofkwhichksecondarykdefensekagainstkinfection?
1) Phagocytosis
2) Complementkcascade
3) Inflammation
4) Immunity
k
10.kThekpatientksuddenlykdevelopskhives,kshortnesskofkbreath,kandkwheezingkafterkreceivingka
nkantibiotic.kWhichkantibodykiskprimarilykresponsiblekforkthiskpatientskresponse?
1) IgA
2) IgE
3) IgG
4) IgM
k
11.kWhatktypekofkimmunitykiskprovidedkbykintravenousk(IV)kadministrationkofki
mmunoglobulinkG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,k
12.kAkpatientkasksktheknursekwhyktherekisknokvaccinekavailablekforkthekcommonkcold.kWhichkr
esponsekbyktheknursekiskcorrect?
1) Thekviruskmutatesktookrapidlyktokdevelopkakvaccine.
2) Vaccineskarekdevelopedkonlykforkverykseriouskillnesses.
3) ResearcherskarekfocusingkeffortskonkankHIVkvaccine.
4) Thekviruskforkthekcommonkcoldkhasknotkbeenkidentified.
1 .kAkpatientkwhokhaskaktemperaturekofk101Fk(38.3C)kmostklikelykrequires:
1) acetaminophenk(Tylenol).
2) increasedkfluids.
3) bedrest.
4) tepidkbath.
k 14.kWhykiskaklotionkwithoutkpetroleumkpreferredkoverkakpetroleum-
basedkproductkaskakskinkprotectant?kIt:
1) Preventskmicroorganismskfromkadheringktokthekskin.
2) Facilitateskthekabsorptionkofklatexkproteinskthroughkthekskin.
3) Decreaseskthekriskkofklatexkallergies.
4) Preventskthekskinkfromkdryingkandkchaffing.
k
15.kForkwhichkrangekofktimekmustkaknursekwashkherkhandskbeforekworkingkinkthekoperatingkr
oom?
1) 1ktok2kminutes
2) 2ktok4kminutes
3) 2ktok6kminutes
4) 6ktok10kminutes
k
16.kHowkshouldktheknursekdisposekofkthekbreakfastktraykofkakpatientkwhokrequireskairborneki
solation?
1) Placekthektraykinkakspeciallykmarkedk trashkcankinsidekthekpatientskroom.
Placekthektraykinkakspecialkisolationkbagkheldkbykaksecondkhealthcarekworkerkatkthekp
2) atientskdoor.
Returnkthektraykwithkaknotektokdietarykservicesksokitkcankbekcleanedkandkreusedkforktheknextk
3) meal.
Carrykthektrayktokankisolationktrashkreceptacleklocatedkinkthekdirtykutilitykroomkandkd
4) isposekofkitkthere.
1 .kHowkmuchkliquidksoapkshouldktheknursekusekforkeffectivekhandkwashing?kAtkleast:
1) 2kmL
2) 3kmL
3) 6kmL
4) 7kmL
, k
18.kTokassurekeffectiveness,kwhenkshouldktheknursekstopkrubbingkantiseptickhandksolutionko
verkallksurfacesk ofkthekhands?
1) Whenkfingerskfeelksticky
2) Afterk5ktok10kseconds
3) Whenkleavingkthekclientskroom
4) Oncekfingerskandkhandskfeelkdry
k
19.kAkpatientkiskadmittedktokthekhospitalkforkchemotherapykandkhaskaklowkwhitekbloodkcellkc
ount.kWhichkprecautionkshouldkthekstaffktakekwithkthiskpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
k
20.kWhilekdonningksterilekgloves,ktheknurseknoticeskthekedgeskofkthekglovekpackagekarekslig
htlykyellow.kThekyellowkareakiskoverk1kinchkawaykfromkthekgloveskandkonlykappearsktokbekonktheko
utsidekofkthekglovekpackage.kWhatkiskthekbestkactionkforktheknursektoktakekatkthiskpoint?
1) Continuekusingkthekgloveskinsidekthekpackagekbecausekthekpackagekiskintact.
2) Removekgloveskfromksterilekfieldkandkusekaknewkpairkofksterilekgloves.
3) Throwkallksupplieskawaykthatkwerektokbekusedkandkbeginkagain.
4) Usekthekgloveskandkmakeksurekthekyellowkedgeskofkthekpackagekdoknotktouchkthekclient.
k
21.kTheknursekiskremovingkpersonalkprotectivekequipmentk(PPE).kWhichkitemkshouldkbekr
emovedkfirst?
1) Gown
2) Gloves
3) Facekshield
4) Hairkcovering
k
22.kAknursekisksplashedkinkthekfacekbykbodykfluidkduringkakprocedure.kPrioritizektheknurseska
ctions,klistingkthekmostkimportantkonekfirst.
A. Contactkemployeekhealth
B. Completekankincidentkreport
C. Washkthekexposedkarea
D. Reportktokanotherknursekthatkshekiskleavingkthekimmediatekarea.
1) 1,k2,k3,k4
2) 2,k3,k4,k1
3) 3,k4,k1,k2
4) 4,k1,k2,k3
MultiplekResponse
Identifykonekorkmorekchoiceskthatkbestkcompletekthekstatementkorkanswerkthekquestion.
k 1.kInkwhichksituationkwouldkusingkstandardkprecautionskbekadequate?kSelectkallkthatkapply.
CURRENTMedical
MedicalDiagnosis
Diagnosis and
k
k
Treatment2
and Treatment k
k
k
k k
k k
020 Test
2019Bank/Complete
k Guide
Testbank/Studyguide k k k
Chapterk1.kDiseasekPreventionk&kHealthkPromotion
k
1.kWhichkofkthekfollowingkbehaviorskindicateskthekhighestkpotentialkforkspreadingkinfectionska
mongkclients?kTheknurse:
1) disinfectskdirtykhandskwithkantibacterialksoap.
2) allowskalcohol-basedkrubktokdrykfork10kseconds.
3) washeskhandskonlykafterkleavingkeachkroom.
4) useskcoldkwaterkforkmedicalkasepsis.
k
2.kWhatkiskthekmostkfrequentkcausekofkthekspreadkofkinfectionkamongkinstitutionalizedkp
atients?
1) Airbornekmicrobeskfromkotherkpatients
2) Contactkwithkcontaminatedkequipment
3) Handskofkhealthcarekworkers
4) Exposurekfromkfamilykmembers
k
3.kWhichkofkthekfollowingknursingkactivitieskiskofkhighestkprioritykforkmaintainingkmedicalka
sepsis?
1) Washingkhands
2) Donningkgloves
3) Applyingksterilekdrapes
4) Wearingkakgown
k
4.kAkpatientkinfectedkwithkakviruskbutkwhokdoesknotkhavekanykoutwardksignkofkthekdiseasekiskc
onsideredka:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
k
5.kAkpatientkiskadmittedktokthekhospitalkwithktuberculosis.kWhichkprecautionskmustktheknurseki
nstitutekwhenkcaringkforkthiskpatient?
1) Dropletktransmission
2) Airbornektransmission
3) Directkcontact
4) Indirectkcontact
, 6.kAkpatientkbecomeskinfectedkwithkoralkcandidiasisk(thrush)kwhilekreceivingkintravenouska
kkkkkkkkk
ntibioticsktoktreatkaksystemickinfection.kWhichktypekofkinfectionkhaskthekpatientkdeveloped?
1) Endogenousknosocomial
2) Exogenousknosocomial
3) Latent
4) Primary
kkkkkkkkk7.kAkpatientkadmittedktokthekhospitalkwithkpneumoniakhaskbeenkreceivingkantibioticskfork2kda
ys.kHiskconditionkhaskstabilized,kandkhisktemperaturekhaskreturnedktoknormal.kWhichkstagekofkinfe
ctionkiskthekpatientkmostklikelykexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
k
8.kTheknursekassistskaksurgeonkwithkcentralkvenouskcatheterkinsertion.kWhichkactionkiskn
ecessaryktokhelpkmaintainksterilektechnique?
1) Closingkthekpatientskdoorktoklimitkroomktraffickwhilekpreparingktheksterilekfield
2) Usingkcleankprocedurekglovesktokhandleksterilekequipment
3) Placingktheknonsterileksyringeskcontainingkflushksolutionkonktheksterilekfield
4) Remainingk6kincheskawaykfromktheksterilekfieldkduringkthekprocedure
k
9.kAkpatientkdevelopsklocalizedkheatkandkerythemakoverkankareakonktheklowerkleg.kThesekfi
ndingskarekindicativekofkwhichksecondarykdefensekagainstkinfection?
1) Phagocytosis
2) Complementkcascade
3) Inflammation
4) Immunity
k
10.kThekpatientksuddenlykdevelopskhives,kshortnesskofkbreath,kandkwheezingkafterkreceivingka
nkantibiotic.kWhichkantibodykiskprimarilykresponsiblekforkthiskpatientskresponse?
1) IgA
2) IgE
3) IgG
4) IgM
k
11.kWhatktypekofkimmunitykiskprovidedkbykintravenousk(IV)kadministrationkofki
mmunoglobulinkG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,k
12.kAkpatientkasksktheknursekwhyktherekisknokvaccinekavailablekforkthekcommonkcold.kWhichkr
esponsekbyktheknursekiskcorrect?
1) Thekviruskmutatesktookrapidlyktokdevelopkakvaccine.
2) Vaccineskarekdevelopedkonlykforkverykseriouskillnesses.
3) ResearcherskarekfocusingkeffortskonkankHIVkvaccine.
4) Thekviruskforkthekcommonkcoldkhasknotkbeenkidentified.
1 .kAkpatientkwhokhaskaktemperaturekofk101Fk(38.3C)kmostklikelykrequires:
1) acetaminophenk(Tylenol).
2) increasedkfluids.
3) bedrest.
4) tepidkbath.
k 14.kWhykiskaklotionkwithoutkpetroleumkpreferredkoverkakpetroleum-
basedkproductkaskakskinkprotectant?kIt:
1) Preventskmicroorganismskfromkadheringktokthekskin.
2) Facilitateskthekabsorptionkofklatexkproteinskthroughkthekskin.
3) Decreaseskthekriskkofklatexkallergies.
4) Preventskthekskinkfromkdryingkandkchaffing.
k
15.kForkwhichkrangekofktimekmustkaknursekwashkherkhandskbeforekworkingkinkthekoperatingkr
oom?
1) 1ktok2kminutes
2) 2ktok4kminutes
3) 2ktok6kminutes
4) 6ktok10kminutes
k
16.kHowkshouldktheknursekdisposekofkthekbreakfastktraykofkakpatientkwhokrequireskairborneki
solation?
1) Placekthektraykinkakspeciallykmarkedk trashkcankinsidekthekpatientskroom.
Placekthektraykinkakspecialkisolationkbagkheldkbykaksecondkhealthcarekworkerkatkthekp
2) atientskdoor.
Returnkthektraykwithkaknotektokdietarykservicesksokitkcankbekcleanedkandkreusedkforktheknextk
3) meal.
Carrykthektrayktokankisolationktrashkreceptacleklocatedkinkthekdirtykutilitykroomkandkd
4) isposekofkitkthere.
1 .kHowkmuchkliquidksoapkshouldktheknursekusekforkeffectivekhandkwashing?kAtkleast:
1) 2kmL
2) 3kmL
3) 6kmL
4) 7kmL
, k
18.kTokassurekeffectiveness,kwhenkshouldktheknursekstopkrubbingkantiseptickhandksolutionko
verkallksurfacesk ofkthekhands?
1) Whenkfingerskfeelksticky
2) Afterk5ktok10kseconds
3) Whenkleavingkthekclientskroom
4) Oncekfingerskandkhandskfeelkdry
k
19.kAkpatientkiskadmittedktokthekhospitalkforkchemotherapykandkhaskaklowkwhitekbloodkcellkc
ount.kWhichkprecautionkshouldkthekstaffktakekwithkthiskpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
k
20.kWhilekdonningksterilekgloves,ktheknurseknoticeskthekedgeskofkthekglovekpackagekarekslig
htlykyellow.kThekyellowkareakiskoverk1kinchkawaykfromkthekgloveskandkonlykappearsktokbekonktheko
utsidekofkthekglovekpackage.kWhatkiskthekbestkactionkforktheknursektoktakekatkthiskpoint?
1) Continuekusingkthekgloveskinsidekthekpackagekbecausekthekpackagekiskintact.
2) Removekgloveskfromksterilekfieldkandkusekaknewkpairkofksterilekgloves.
3) Throwkallksupplieskawaykthatkwerektokbekusedkandkbeginkagain.
4) Usekthekgloveskandkmakeksurekthekyellowkedgeskofkthekpackagekdoknotktouchkthekclient.
k
21.kTheknursekiskremovingkpersonalkprotectivekequipmentk(PPE).kWhichkitemkshouldkbekr
emovedkfirst?
1) Gown
2) Gloves
3) Facekshield
4) Hairkcovering
k
22.kAknursekisksplashedkinkthekfacekbykbodykfluidkduringkakprocedure.kPrioritizektheknurseska
ctions,klistingkthekmostkimportantkonekfirst.
A. Contactkemployeekhealth
B. Completekankincidentkreport
C. Washkthekexposedkarea
D. Reportktokanotherknursekthatkshekiskleavingkthekimmediatekarea.
1) 1,k2,k3,k4
2) 2,k3,k4,k1
3) 3,k4,k1,k2
4) 4,k1,k2,k3
MultiplekResponse
Identifykonekorkmorekchoiceskthatkbestkcompletekthekstatementkorkanswerkthekquestion.
k 1.kInkwhichksituationkwouldkusingkstandardkprecautionskbekadequate?kSelectkallkthatkapply.