Test Bank For Current Medical Diagnosis And Treatment
2024, 63rd Edition
By Maxine Papadakis, Stephen Mcphee
Chapters 1 - 42
, Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds.
3) washes hands only after leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. Apatient is admitted tothe hospitalwith tuberculosis. Which precautions mustthenurse
* * * * * * * * * * * * * *
* institute when caring for this patient?
* * * * *
1) Droplettransmission *
2) Airbornetransmission *
3) Directcontact
*
4) Indirectcontact *
, 6.Apatientbecomesinfectedwithoralcandidiasis(thrush)whilereceivingintravenous
* * * * * * * * * * *
* antibiotics to treat a systemic infection. Which type of infection has the patient developed?
* * * * * * * * * * * * *
1) Endogenousnosocomial *
2) Exogenousnosocomial *
3) Latent
4) Primary
7.Thenurseassistsasurgeonwithcentralvenous catheter insertion.Whichaction is
* * * * * * * * * * * *
* necessary to help maintain sterile technique?
* * * * *
1) Closingthepatients door tolimitroomtrafficwhilepreparingthesterile field * * * * * * * * * * * *
2) Usingcleanprocedure glovestohandlesterileequipment * * * * * * *
3) Placingthe nonsterilesyringes containingflushsolutiononthesterile field * * * * * * * * * *
4) Remaining6 inches awayfromthesterile fieldduringtheprocedure * * * * * * * * * *
* 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
* * * * * * * * * * * * * * *
* His condition has stabilized, and his temperature has returned to normal. Which stage of infection is
* * * * * * * * * * * * * * *
* the patient most likely experiencing?
* * * *
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. Apatient develops localized heat and erythema over an area on thelowerleg. These
* * * * * * * * * * * * * * *
* findings are indicative of which secondary defense against infection?
* * * * * * * *
1) Phagocytosis
2) Complement cascade *
3) Inflammation
4) Immunity
10.Thepatient suddenlydevelopshives, shortness ofbreath, andwheezing after receiving an
* * * * * * * * * * * * *
* antibiotic. Which antibody is primarily responsible for this patients response?
* * * * * * * * *
1) IgA
2) IgE
3) IgG
4) IgM
11.Whattype ofimmunity isprovided byintravenous (IV) administration of
* * * * * * * * * * *
* immunoglobulin G? *
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.Apatientasks thenurse whythereisno vaccine availablefor thecommoncold. Which
* * * * * * * * * * * * * * * *
* response by the nurse is correct?
* * * * *
1) Thevirus mutatestoorapidlytodevelop a vaccine.* * * * * * * *
2) Vaccinesaredeveloped onlyfor veryserious illnesses. * * * * * * *
3) Researchersarefocusingefforts onanHIV vaccine. * * * * * * *
4) Thevirus forthe commoncold has notbeen identified.
* * * * * * * * *
1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
* * * * * * * * * * * * *
1) acetaminophen(Tylenol). *
2) increasedfluids. *
3) bedrest.
4) tepidbath. *
14. Whyis alotionwithout petroleum preferred overa petroleum-based product as askin
* * * * * * * * * * * * * *
* protectant? It: *
1) Preventsmicroorganisms fromadheringtotheskin. * * * * * *
2) Facilitatestheabsorption oflatex proteins throughtheskin. * * * * * * * *
3) Decreasestheriskoflatex allergies. * * * * *
4) Preventstheskinfrom dryingandchaffing. * * * * * *
15. Forwhich range oftime must anursewash her hands before working in theoperating room?
* * * * * * * * * * * * * * * * *
1) 1to2 minutes
* * *
2) 2to4 minutes * * *
3) 2to6 minutes * * *
4) 6to10 minutes * * *
16. Howshould thenursedisposeof thebreakfast tray ofapatient whorequires airborne
* * * * * * * * * * * * * * *
* isolation?
1) Placethetrayinaspeciallymarked trashcan insidethepatients room.
* * * * * * * * * * * *
Placethetrayinaspecial isolationbag heldbyasecond healthcare worker atthe
* * * * * * * * * * * * * * *
2) patientsdoor. *
Returnthe traywith anote todietaryservices soit canbecleaned and reused for the
* * * * * * * * * * * * * * * * *
3) nextmeal. *
Carrythetraytoan isolationtrashreceptacle located in thedirtyutilityroom and
* * * * * * * * * * * * * *
4) disposeofit there. * * *
1 .Howmuchliquidsoap shouldthe nurseusefor effective hand washing? At least:
* * * * * * * * * * * * * * *
1) 2 mL*
2) 3 mL*
3) 6 mL*
4) 7 mL*
2024, 63rd Edition
By Maxine Papadakis, Stephen Mcphee
Chapters 1 - 42
, Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds.
3) washes hands only after leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. Apatient is admitted tothe hospitalwith tuberculosis. Which precautions mustthenurse
* * * * * * * * * * * * * *
* institute when caring for this patient?
* * * * *
1) Droplettransmission *
2) Airbornetransmission *
3) Directcontact
*
4) Indirectcontact *
, 6.Apatientbecomesinfectedwithoralcandidiasis(thrush)whilereceivingintravenous
* * * * * * * * * * *
* antibiotics to treat a systemic infection. Which type of infection has the patient developed?
* * * * * * * * * * * * *
1) Endogenousnosocomial *
2) Exogenousnosocomial *
3) Latent
4) Primary
7.Thenurseassistsasurgeonwithcentralvenous catheter insertion.Whichaction is
* * * * * * * * * * * *
* necessary to help maintain sterile technique?
* * * * *
1) Closingthepatients door tolimitroomtrafficwhilepreparingthesterile field * * * * * * * * * * * *
2) Usingcleanprocedure glovestohandlesterileequipment * * * * * * *
3) Placingthe nonsterilesyringes containingflushsolutiononthesterile field * * * * * * * * * *
4) Remaining6 inches awayfromthesterile fieldduringtheprocedure * * * * * * * * * *
* 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
* * * * * * * * * * * * * * *
* His condition has stabilized, and his temperature has returned to normal. Which stage of infection is
* * * * * * * * * * * * * * *
* the patient most likely experiencing?
* * * *
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. Apatient develops localized heat and erythema over an area on thelowerleg. These
* * * * * * * * * * * * * * *
* findings are indicative of which secondary defense against infection?
* * * * * * * *
1) Phagocytosis
2) Complement cascade *
3) Inflammation
4) Immunity
10.Thepatient suddenlydevelopshives, shortness ofbreath, andwheezing after receiving an
* * * * * * * * * * * * *
* antibiotic. Which antibody is primarily responsible for this patients response?
* * * * * * * * *
1) IgA
2) IgE
3) IgG
4) IgM
11.Whattype ofimmunity isprovided byintravenous (IV) administration of
* * * * * * * * * * *
* immunoglobulin G? *
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.Apatientasks thenurse whythereisno vaccine availablefor thecommoncold. Which
* * * * * * * * * * * * * * * *
* response by the nurse is correct?
* * * * *
1) Thevirus mutatestoorapidlytodevelop a vaccine.* * * * * * * *
2) Vaccinesaredeveloped onlyfor veryserious illnesses. * * * * * * *
3) Researchersarefocusingefforts onanHIV vaccine. * * * * * * *
4) Thevirus forthe commoncold has notbeen identified.
* * * * * * * * *
1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
* * * * * * * * * * * * *
1) acetaminophen(Tylenol). *
2) increasedfluids. *
3) bedrest.
4) tepidbath. *
14. Whyis alotionwithout petroleum preferred overa petroleum-based product as askin
* * * * * * * * * * * * * *
* protectant? It: *
1) Preventsmicroorganisms fromadheringtotheskin. * * * * * *
2) Facilitatestheabsorption oflatex proteins throughtheskin. * * * * * * * *
3) Decreasestheriskoflatex allergies. * * * * *
4) Preventstheskinfrom dryingandchaffing. * * * * * *
15. Forwhich range oftime must anursewash her hands before working in theoperating room?
* * * * * * * * * * * * * * * * *
1) 1to2 minutes
* * *
2) 2to4 minutes * * *
3) 2to6 minutes * * *
4) 6to10 minutes * * *
16. Howshould thenursedisposeof thebreakfast tray ofapatient whorequires airborne
* * * * * * * * * * * * * * *
* isolation?
1) Placethetrayinaspeciallymarked trashcan insidethepatients room.
* * * * * * * * * * * *
Placethetrayinaspecial isolationbag heldbyasecond healthcare worker atthe
* * * * * * * * * * * * * * *
2) patientsdoor. *
Returnthe traywith anote todietaryservices soit canbecleaned and reused for the
* * * * * * * * * * * * * * * * *
3) nextmeal. *
Carrythetraytoan isolationtrashreceptacle located in thedirtyutilityroom and
* * * * * * * * * * * * * *
4) disposeofit there. * * *
1 .Howmuchliquidsoap shouldthe nurseusefor effective hand washing? At least:
* * * * * * * * * * * * * * *
1) 2 mL*
2) 3 mL*
3) 6 mL*
4) 7 mL*
