CURRENTMedicalDiagnosisandTreatment i.d i.d i.d i.d
2019 Testbank/Studyguide i.d i .d
Chapter1. Disease Prevention &HealthPromotion
i.d i.d i.d i.d i.d i.d
1. Which of the followingbehaviors indicates the highest potential for spreading infections
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d among clients? The nurse:
i.d i.d i.d
1) disinfects dirtyhands withantibacterialsoap. i.d i.d i.d i.d i.d
2) allows alcohol-based rub todryfor 10 seconds. i.d i.d i.d i.d i.d i.d i.d
3) washes hands onlyafter leavingeachroom. i .d i.d i.d i.d i.d i.d
4) uses cold water for medical asepsis. i.d i.d i.d i.d i.d
2. What is the most frequent cause of the spread of infection among institutionalized
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d patients?
1) Airborne microbes from otherpatients i.d i.d i.d i.d
2) Contactwithcontaminated equipment i.d i.d i.d
3) Hands ofhealthcare workers i.d i.d i.d
4) Exposure from familymembers i.d i .d i.d
3. Which of the following nursingactivities is of highest priorityfor maintainingmedical
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d asepsis?
1) Washing hands i.d
2) Donning gloves i.d
3) Applyingsteriledrapes i.d i.d
4) Wearinga gown i.d i.d
4. Apatient infected witha virus butwhodoes not haveanyoutward sign ofthedisease is
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d considered a: i.d
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d institute when caring for this patient?
i.d i.d i.d i.d i.d
1) Droplettransmission d.i
2) Airborne transmission i.d
3) Directcontact i.d
4) Indirectcontact i.d
, i . 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
d i . d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d antibiotics to treat a systemic infection. Which type of infection has the patient developed? i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) Endogenous nosocomial i.d
2) Exogenous nosocomial i.d
3) Latent
4) Primary
i 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
. d i . d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d days. His condition has stabilized, and his temperature has returned to normal. Which stage of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d infection is the patient most likely experiencing? i.d i.d i.d i.d i.d i.d
1) Incubation
2) Prodromal
3)
Decline
4)
Convalescence
8. Thenurseassists asurgeonwithcentralvenous catheter insertion.Which action is
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d necessary to help maintain sterile technique? i.d i.d i.d i.d i.d
1) Closing thepatients door to limitroom trafficwhile preparingthesterile field i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
2) Usingcleanprocedure gloves to handlesterile equipment i.d i.d i.d i.d i.d i.d i.d
3)
Placingthe nonsterile syringes containing flushsolution on thesterile field i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
4)
Remaining6 inches awayfromthesterile field during the procedure i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d
9. A patient develops localized heat and erythema over an areaon the lower leg. These
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d findings are indicative of which secondary defense against infection?
i.d i.d i.d i.d i.d i.d i.d i.d
1) Phagocytosis
2) Complementcascade i.d
3)
Inflammation
4)
Immunity
10. The patient suddenlydevelops hives, shortness of breath, andwheezing after receiving an
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d antibiotic. Which antibody is primarily responsible for this patients response? i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) IgA
2) IgE
IgG3)
IgM4)
11. What type of immunityis provided byintravenous (IV) administration of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d immunoglobulin G? i.d
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse whythere is no vaccineavailable forthe common cold. Which
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d response by the nurse is correct?
i.d i.d i.d i.d i.d
1) The virus mutates toorapidlytodevelop a vaccine. i.d i .d i.d i.d i.d i.d i.d i.d
2) Vaccines aredeveloped onlyfor veryserious illnesses. i.d i.d i.d i.d i.d i.d i.d
3) Researchers are focusing efforts onanHIV vaccine. i.d i.d i.d i.d i.d i.d i.d
4) Thevirus forthe common cold has not been identified. i.d i.d i.d i.d i.d i .d i.d i.d i.d
1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d
1) acetaminophen(Tylenol). i.d
2) increasedfluids. i.d
3) bedrest.
4) tepid bath. i.d
14. Whyis a lotion without petroleum preferred over a petroleum-based product as a skin
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d protectant? It: i.d
1) Prevents microorganisms fromadheringtotheskin. i.d i.d i.d i.d i.d i.d
2) Facilitates theabsorption oflatex proteins throughtheskin. i.d i.d i .d i.d i.d i.d i.d i.d
3) Decreases therisk oflatex allergies. i.d i.d i.d i.d i .d
4) Prevents theskin from dryingand chaffing. i.d i.d i.d i.d i.d i.d
15. For which range of time must a nurse wash her hands before working in the operating room?
i.d i.d i .d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) 1 to2 minutes i.d i.d i .d
2) 2 to4 minutesi.d i.d i .d
3) 2 to6 minutesi.d i.d i .d
4) 6 to10 minutes i.d i.d i .d
16. How should the nurse dispose of the breakfast trayof a patient who requires airborne
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d isolation?
1) Placethe trayin aspeciallymarked trashcan inside thepatients room. i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d i.d i.d
Placethetrayin aspecial isolationbag heldbyasecond healthcare worker atthe patients door.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
2)
Returnthe traywith a note todietaryservices so itcanbe cleaned andreused for the next meal. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d
3)
Carrythe traytoan isolation trash receptacle located in the dirtyutilityroom and dispose of it i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
4) there. i.d
1 . How much liquid soap should the nurseuse for effective hand washing? At least:
i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d i.d i.d i.d i.d
1) 2 mL i.d
2) 3 mL i.d
3) 6 mL i.d
4) 7 mL i.d
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution over
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d all surfaces of the hands?
i.d i.d i.d i.d
1) Whenfingers feelsticky i.d i .d i.d
2) After 5 to10 seconds i.d i.d i.d i.d
3) When leaving theclients room i.d i.d i.d i.d
4) Once fingers and hands feeldry i.d i.d i.d i .d i.d
19. A patient is admitted to the hospital for chemotherapyand has a low white blood cell count.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d Which precaution should the staff take with this patient?
i.d i.d i.d i.d i.d i.d i.d i.d
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are slightly
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
yellow. The yellow area is over 1 inch away from the gloves and onlyappears to be on the outside of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
the glove package. What is the best action for the nurse to take at this point?
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) Continueusing the gloves inside thepackagebecause thepackage is intact. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
2) Removegloves from sterile field and use a new pair ofsterile gloves. i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d i.d
3) Throw all supplies awaythat were tobeused and begin again. i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d i.d
4) Usethe gloves and make sure the yellow edges of the package do not touchthe client. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
21. The nurse is removing personal protective equipment (PPE). Which item should be
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d removed first? i.d
1) Gown
2) Gloves
3) Faceshield i.d
4) Hair covering i.d
22. A nurse is splashed in the face bybodyfluid during a procedure. Prioritize the nurses
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
actions, listing the most important one first.
i.d i.d i.d i.d i.d i.d i.d
A. Contactemployee health i.d i.d
B. Completean incidentreport i.d i.d i.d
C. Wash theexposed area i.d i.d i .d
D. Report toanother nursethatshe is leavingthe immediate area.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) 1, 2, 3, 4 i.d i.d i .d
2) 2, 3, 4, 1 i.d i.d i .d
3) 3, 4, 1, 2 i.d i.d i .d
4) 4, 1, 2, 3 i.d i.d i .d
MultipleResponse i.d
Identifyoneor more choices that bestcomplete the statement or answer the question.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1. Inwhichsituation would using standard precautions beadequate?Select all thatapply.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
2019 Testbank/Studyguide i.d i .d
Chapter1. Disease Prevention &HealthPromotion
i.d i.d i.d i.d i.d i.d
1. Which of the followingbehaviors indicates the highest potential for spreading infections
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d among clients? The nurse:
i.d i.d i.d
1) disinfects dirtyhands withantibacterialsoap. i.d i.d i.d i.d i.d
2) allows alcohol-based rub todryfor 10 seconds. i.d i.d i.d i.d i.d i.d i.d
3) washes hands onlyafter leavingeachroom. i .d i.d i.d i.d i.d i.d
4) uses cold water for medical asepsis. i.d i.d i.d i.d i.d
2. What is the most frequent cause of the spread of infection among institutionalized
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d patients?
1) Airborne microbes from otherpatients i.d i.d i.d i.d
2) Contactwithcontaminated equipment i.d i.d i.d
3) Hands ofhealthcare workers i.d i.d i.d
4) Exposure from familymembers i.d i .d i.d
3. Which of the following nursingactivities is of highest priorityfor maintainingmedical
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d asepsis?
1) Washing hands i.d
2) Donning gloves i.d
3) Applyingsteriledrapes i.d i.d
4) Wearinga gown i.d i.d
4. Apatient infected witha virus butwhodoes not haveanyoutward sign ofthedisease is
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d considered a: i.d
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d institute when caring for this patient?
i.d i.d i.d i.d i.d
1) Droplettransmission d.i
2) Airborne transmission i.d
3) Directcontact i.d
4) Indirectcontact i.d
, i . 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
d i . d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d antibiotics to treat a systemic infection. Which type of infection has the patient developed? i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) Endogenous nosocomial i.d
2) Exogenous nosocomial i.d
3) Latent
4) Primary
i 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
. d i . d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d days. His condition has stabilized, and his temperature has returned to normal. Which stage of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d infection is the patient most likely experiencing? i.d i.d i.d i.d i.d i.d
1) Incubation
2) Prodromal
3)
Decline
4)
Convalescence
8. Thenurseassists asurgeonwithcentralvenous catheter insertion.Which action is
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d necessary to help maintain sterile technique? i.d i.d i.d i.d i.d
1) Closing thepatients door to limitroom trafficwhile preparingthesterile field i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
2) Usingcleanprocedure gloves to handlesterile equipment i.d i.d i.d i.d i.d i.d i.d
3)
Placingthe nonsterile syringes containing flushsolution on thesterile field i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
4)
Remaining6 inches awayfromthesterile field during the procedure i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d
9. A patient develops localized heat and erythema over an areaon the lower leg. These
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d findings are indicative of which secondary defense against infection?
i.d i.d i.d i.d i.d i.d i.d i.d
1) Phagocytosis
2) Complementcascade i.d
3)
Inflammation
4)
Immunity
10. The patient suddenlydevelops hives, shortness of breath, andwheezing after receiving an
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d antibiotic. Which antibody is primarily responsible for this patients response? i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) IgA
2) IgE
IgG3)
IgM4)
11. What type of immunityis provided byintravenous (IV) administration of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d immunoglobulin G? i.d
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse whythere is no vaccineavailable forthe common cold. Which
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d response by the nurse is correct?
i.d i.d i.d i.d i.d
1) The virus mutates toorapidlytodevelop a vaccine. i.d i .d i.d i.d i.d i.d i.d i.d
2) Vaccines aredeveloped onlyfor veryserious illnesses. i.d i.d i.d i.d i.d i.d i.d
3) Researchers are focusing efforts onanHIV vaccine. i.d i.d i.d i.d i.d i.d i.d
4) Thevirus forthe common cold has not been identified. i.d i.d i.d i.d i.d i .d i.d i.d i.d
1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d
1) acetaminophen(Tylenol). i.d
2) increasedfluids. i.d
3) bedrest.
4) tepid bath. i.d
14. Whyis a lotion without petroleum preferred over a petroleum-based product as a skin
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d protectant? It: i.d
1) Prevents microorganisms fromadheringtotheskin. i.d i.d i.d i.d i.d i.d
2) Facilitates theabsorption oflatex proteins throughtheskin. i.d i.d i .d i.d i.d i.d i.d i.d
3) Decreases therisk oflatex allergies. i.d i.d i.d i.d i .d
4) Prevents theskin from dryingand chaffing. i.d i.d i.d i.d i.d i.d
15. For which range of time must a nurse wash her hands before working in the operating room?
i.d i.d i .d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) 1 to2 minutes i.d i.d i .d
2) 2 to4 minutesi.d i.d i .d
3) 2 to6 minutesi.d i.d i .d
4) 6 to10 minutes i.d i.d i .d
16. How should the nurse dispose of the breakfast trayof a patient who requires airborne
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d isolation?
1) Placethe trayin aspeciallymarked trashcan inside thepatients room. i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d i.d i.d
Placethetrayin aspecial isolationbag heldbyasecond healthcare worker atthe patients door.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
2)
Returnthe traywith a note todietaryservices so itcanbe cleaned andreused for the next meal. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d
3)
Carrythe traytoan isolation trash receptacle located in the dirtyutilityroom and dispose of it i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d
4) there. i.d
1 . How much liquid soap should the nurseuse for effective hand washing? At least:
i.d i.d i.d i.d i.d i.d i .d i.d i.d i.d i.d i.d i.d i.d
1) 2 mL i.d
2) 3 mL i.d
3) 6 mL i.d
4) 7 mL i.d
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution over
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d all surfaces of the hands?
i.d i.d i.d i.d
1) Whenfingers feelsticky i.d i .d i.d
2) After 5 to10 seconds i.d i.d i.d i.d
3) When leaving theclients room i.d i.d i.d i.d
4) Once fingers and hands feeldry i.d i.d i.d i .d i.d
19. A patient is admitted to the hospital for chemotherapyand has a low white blood cell count.
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d Which precaution should the staff take with this patient?
i.d i.d i.d i.d i.d i.d i.d i.d
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are slightly
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
yellow. The yellow area is over 1 inch away from the gloves and onlyappears to be on the outside of
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
the glove package. What is the best action for the nurse to take at this point?
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
1) Continueusing the gloves inside thepackagebecause thepackage is intact. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
2) Removegloves from sterile field and use a new pair ofsterile gloves. i.d i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d i.d
3) Throw all supplies awaythat were tobeused and begin again. i.d i.d i.d i.d i.d i.d i.d i.d i .d i.d i.d
4) Usethe gloves and make sure the yellow edges of the package do not touchthe client. i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
21. The nurse is removing personal protective equipment (PPE). Which item should be
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
i.d removed first? i.d
1) Gown
2) Gloves
3) Faceshield i.d
4) Hair covering i.d
22. A nurse is splashed in the face bybodyfluid during a procedure. Prioritize the nurses
i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d i.d
actions, listing the most important one first.
i.d i.d i.d i.d i.d i.d i.d
A. Contactemployee health i.d i.d
B. Completean incidentreport i.d i.d i.d
C. Wash theexposed area i.d i.d i .d
D. Report toanother nursethatshe is leavingthe immediate area.
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1) 1, 2, 3, 4 i.d i.d i .d
2) 2, 3, 4, 1 i.d i.d i .d
3) 3, 4, 1, 2 i.d i.d i .d
4) 4, 1, 2, 3 i.d i.d i .d
MultipleResponse i.d
Identifyoneor more choices that bestcomplete the statement or answer the question.
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1. Inwhichsituation would using standard precautions beadequate?Select all thatapply.
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