NU 372 Exam 1 Practice Exam
Questions and All Correct Actual
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 - 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 - 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
, 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. - 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 -
Answer D.
A first episode of OM that occurs within 3 months of life increases risk of recurrent OM.
Recurrent OM is three episodes within the past 3 months or four episodes within the past year.
When an otoscopic examination is performed on an older adult patient, the tympanic
membrane may be:
Questions and All Correct Actual
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 - 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 - 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
, 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. - 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 -
Answer D.
A first episode of OM that occurs within 3 months of life increases risk of recurrent OM.
Recurrent OM is three episodes within the past 3 months or four episodes within the past year.
When an otoscopic examination is performed on an older adult patient, the tympanic
membrane may be:
