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. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
institute when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3) Direct contact
4) Indirect contact
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
antibiotics to treat a systemic infection. Which type of infection has the patient developed?
1) Endogenous nosocomial
2) Exogenous nosocomial
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
necessary to help maintain sterile technique?
1) Closing the patients door to limit room traffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away from the sterile field during the procedure
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. A patient develops localized heat and erythema over an area on the lower leg. These
findings are indicative of which secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
immunoglobulin G?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. rA rpatient rasks rthe rnurse rwhy rthere ris rno rvaccine ravailable rfor rthe rcommon
rcold. rWhich rresponse rby rthe rnurse ris rcorrect?
1) The rvirus rmutates rtoo rrapidly rto rdevelop ra rvaccine.
2) Vaccines rare rdeveloped ronly rfor rvery rserious rillnesses.
3) Researchers rare rfocusing refforts ron ran rHIV rvaccine.
4) The rvirus rfor rthe rcommon rcold rhas rnot rbeen ridentified.
1 r. rA rpatient rwho rhas ra rtemperature rof r101F r(38.3C) rmost rlikely rrequires:
1) acetaminophen r(Tylenol).
2) increased rfluids.
3) bedrest.
4) tepid rbath.
14. rWhy ris ra rlotion rwithout rpetroleum rpreferred rover ra rpetroleum-based rproduct
ras ra rskin rprotectant? rIt:
1) Prevents rmicroorganisms rfrom radhering rto rthe rskin.
2) Facilitates rthe rabsorption rof rlatex rproteins rthrough rthe rskin.
3) Decreases rthe rrisk rof rlatex rallergies.
4) Prevents rthe rskin rfrom rdrying rand rchaffing.
15. rFor rwhich rrange rof rtime rmust ra rnurse rwash rher rhands rbefore rworking rin
rthe roperating rroom?
1) 1 rto r2 rminutes
2) 2 rto r4 rminutes
3) 2 rto r6 rminutes
4) 6 rto r10 rminutes
16. rHow rshould rthe rnurse rdispose rof rthe rbreakfast rtray rof ra rpatient rwho
rrequires rairborne risolation?
1) Place rthe rtray rin ra rspecially rmarked rtrash rcan rinside rthe rpatients rroom.
Place rthe rtray rin ra rspecial risolation rbag rheld rby ra rsecond rhealthcare rworker rat rthe
2) patients rdoor.
Return rthe rtray rwith ra rnote rto rdietary rservices rso rit rcan rbe rcleaned rand rreused rfor rthe
3) next rmeal.
Carry rthe rtray rto ran risolation rtrash rreceptacle rlocated rin rthe rdirty rutility rroom rand
4) dispose rof rit rthere.
1 r. rHow rmuch rliquid rsoap rshould rthe rnurse ruse rfor reffective rhand rwashing? rAt rleast:
1) 2 rmL
2) 3 rmL
3) 6 rmL
4) 7 rmL