NU 372 Exam 1 Practice NCLEX Questions
With Correct Answers
A |nurse |removes |a |central |line |access |device |once |the |patient |no |longer |requires |intravenous |(IV) |
antibiotics. |This |action |is |an |example |of |which |strategy |to |prevent |antimicrobial |resistance |established
|by |the |Centers |for |Disease |Control |and |Prevention |(CDC)?
A. |Preventing |transmission
B. |Proper |diagnosis
C. |Preventing |infection
D. |Prudent |antibiotic |use |- |VERIFIED |ANSWER✔✔-C. |Preventing |infection
The |CDC's |campaign |to |prevent |the |development |of |antimicrobial |resistance |in |hospitals |focuses |on |
four |approaches: |(1) |prevent |infection, |(2) |diagnose |and |treat |infection |effectively, |(3) |use |
antimicrobials |wisely, |and |(4) |prevent |transmission. |Expeditious |removal |of |invasive |devices, |such |as |
IV |catheters, |and |restricting |these |devices |to |essential |use |are |examples |of |the |CDC's |strategy |to |
prevent |infection.
A |patient |has |acquired |an |infection |while |in |the |hospital. |The |nurse |identifies |this |type |of |infection |as
|what?
A. |Superinfection
B. |Suprainfection
C. |Nosocomial |infection
D. |Resistant |infection |- |VERIFIED |ANSWER✔✔-C. |Nosocomial |infection |
Nosocomial |infections |are |acquired |by |patients |while |in |the |hospital. |Superinfection |and |
suprainfection |are |terms |used |to |describe |the |emergence |of |drug |resistance.
Which |are |examples |of |the |improper |use |of |antibiotic |therapy? |(Select |all |that |apply.)
, A. |Using |surgical |drainage |as |an |adjunct |to |antibiotic |therapy
B. |Treating |a |viral |infection
C. |Basing |treatment |on |sensitivity |reports
D. |Treating |fever |in |an |immunodeficient |patient
E. |Using |dosing |that |results |in |a |superinfection |- |VERIFIED |ANSWER✔✔-B. |Treating |a |viral |infection
E. |Using |dosing |that |results |in |a |superinfection
Common |misuses |of |antibiotics |include |(1) |treatment |of |a |viral |infection, |which |results |in |exposure |of
|the |patient |to |the |risks |of |the |medication |without |providing |any |benefits; |and |(2) |improper |dosing |
(dosing |that |is |too |high |results |in |superinfection). |The |other |answers |are |examples |of |the |proper |use |
of |antimicrobial |therapy.
Before |administering |intravenous |(IV) |penicillin, |the |nurse |should |do |what?
A. |Flush |the |IV |site |with |normal |saline.
B. |Assess |the |patient |for |allergies.
C. |Review |the |patient's |intake |and |output |record.
D. |Determine |the |latest |creatinine |clearance |result. |- |VERIFIED |ANSWER✔✔-B. |Assess |the |patient |for |
allergies
The |principal |adverse |effect |of |penicillins |is |allergic |reaction. |Penicillins |are |contraindicated |in |patients
|with |a |history |of |severe |allergic |reactions |to |penicillins, |cephalosporins, |or |carbapenems. |IV |patency |
is |important, |as |is |monitoring |renal |function, |because |impairment |can |cause |penicillins |to |reach |toxic |
levels; |however, |these |are |not |as |important |as |determining |allergy |status.
Which |of |the |following |children |is |at |risk |of |recurrent |otitis |media |(OM)?
A |An |18-month-old |infant |who |lives |with |a |smoker
B |A |2-year-old |child |who |has |had |two |ear |infections |in |the |past |6 |months
C |A |6-month-old |infant |who |has |a |sibling |who |had |tubes |inserted |at |3 |years |of |age
D |An |18-month-old |infant |who |has |had |three |episodes |of |ear |infections |in |a |5-month |period |- |
VERIFIED |ANSWER✔✔-D.
With Correct Answers
A |nurse |removes |a |central |line |access |device |once |the |patient |no |longer |requires |intravenous |(IV) |
antibiotics. |This |action |is |an |example |of |which |strategy |to |prevent |antimicrobial |resistance |established
|by |the |Centers |for |Disease |Control |and |Prevention |(CDC)?
A. |Preventing |transmission
B. |Proper |diagnosis
C. |Preventing |infection
D. |Prudent |antibiotic |use |- |VERIFIED |ANSWER✔✔-C. |Preventing |infection
The |CDC's |campaign |to |prevent |the |development |of |antimicrobial |resistance |in |hospitals |focuses |on |
four |approaches: |(1) |prevent |infection, |(2) |diagnose |and |treat |infection |effectively, |(3) |use |
antimicrobials |wisely, |and |(4) |prevent |transmission. |Expeditious |removal |of |invasive |devices, |such |as |
IV |catheters, |and |restricting |these |devices |to |essential |use |are |examples |of |the |CDC's |strategy |to |
prevent |infection.
A |patient |has |acquired |an |infection |while |in |the |hospital. |The |nurse |identifies |this |type |of |infection |as
|what?
A. |Superinfection
B. |Suprainfection
C. |Nosocomial |infection
D. |Resistant |infection |- |VERIFIED |ANSWER✔✔-C. |Nosocomial |infection |
Nosocomial |infections |are |acquired |by |patients |while |in |the |hospital. |Superinfection |and |
suprainfection |are |terms |used |to |describe |the |emergence |of |drug |resistance.
Which |are |examples |of |the |improper |use |of |antibiotic |therapy? |(Select |all |that |apply.)
, A. |Using |surgical |drainage |as |an |adjunct |to |antibiotic |therapy
B. |Treating |a |viral |infection
C. |Basing |treatment |on |sensitivity |reports
D. |Treating |fever |in |an |immunodeficient |patient
E. |Using |dosing |that |results |in |a |superinfection |- |VERIFIED |ANSWER✔✔-B. |Treating |a |viral |infection
E. |Using |dosing |that |results |in |a |superinfection
Common |misuses |of |antibiotics |include |(1) |treatment |of |a |viral |infection, |which |results |in |exposure |of
|the |patient |to |the |risks |of |the |medication |without |providing |any |benefits; |and |(2) |improper |dosing |
(dosing |that |is |too |high |results |in |superinfection). |The |other |answers |are |examples |of |the |proper |use |
of |antimicrobial |therapy.
Before |administering |intravenous |(IV) |penicillin, |the |nurse |should |do |what?
A. |Flush |the |IV |site |with |normal |saline.
B. |Assess |the |patient |for |allergies.
C. |Review |the |patient's |intake |and |output |record.
D. |Determine |the |latest |creatinine |clearance |result. |- |VERIFIED |ANSWER✔✔-B. |Assess |the |patient |for |
allergies
The |principal |adverse |effect |of |penicillins |is |allergic |reaction. |Penicillins |are |contraindicated |in |patients
|with |a |history |of |severe |allergic |reactions |to |penicillins, |cephalosporins, |or |carbapenems. |IV |patency |
is |important, |as |is |monitoring |renal |function, |because |impairment |can |cause |penicillins |to |reach |toxic |
levels; |however, |these |are |not |as |important |as |determining |allergy |status.
Which |of |the |following |children |is |at |risk |of |recurrent |otitis |media |(OM)?
A |An |18-month-old |infant |who |lives |with |a |smoker
B |A |2-year-old |child |who |has |had |two |ear |infections |in |the |past |6 |months
C |A |6-month-old |infant |who |has |a |sibling |who |had |tubes |inserted |at |3 |years |of |age
D |An |18-month-old |infant |who |has |had |three |episodes |of |ear |infections |in |a |5-month |period |- |
VERIFIED |ANSWER✔✔-D.
