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2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - 42
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, Chapter 1. Disease Prevention & Health Promotion
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1. Which of the following behaviors indicates the highest potential for spreading infections
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among clients? The nurse:
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1) disinfects dirty hands with antibacterial soap. b b b b b
2) allows alcohol-based rub to dry for 10 seconds.
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3) washes hands only after leaving each room.
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4) uses cold water for medical asepsis.
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2. What is the most frequent cause of the spread of infection among institutionalized
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patients?
1) Airborne microbes from other patients b b b b
2) Contact with contaminated equipment b b b
3) Hands of healthcare workers b b b
4) Exposure from family members b b b
3. Which of the following nursing activities is of highest priority for maintaining medical
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asepsis?
b
1) Washing hands b
2) Donning gloves b
3) Applying sterile drapes b b
4) Wearing a gown b b
4. A patient infected with a virus but who does not have any outward sign of the disease is
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considered a:
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1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
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institute when caring for this patient?
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1) Droplet transmission b
2) Airborne transmission b
3) Direct contact b
4) Indirect contact b
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
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antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenous nosocomial b
2) Exogenous nosocomial b
3)
Latent
4)
Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
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necessary to help maintain sterile technique?
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1) Closing the patients door to limit room traffic while preparing the sterile field
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2) Using clean procedure gloves to handle sterile equipment
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3)Placing the nonsterile syringes containing flush solution on the sterile field
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4)Remaining 6 inches away from the sterile field during the procedure b b b b b b b b b b
b8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
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days. His condition has stabilized, and his temperature has returned to normal. Which stage of
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infection is the patient most likely experiencing?
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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
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findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade b
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
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an antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
3)
IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
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immunoglobulin G?
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1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common cold. Which
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response by the nurse is correct?
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1) The virus mutates too rapidly to develop a vaccine.
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2) Vaccines are developed only for very serious illnesses. b b b b b b b
3) Researchers are focusing efforts on an HIV vaccine. b b b b b b b
4) The virus for the common cold has not been identified.
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1 . A patient who has a temperature of 101F (38.3C) most likely requires:
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1) acetaminophen (Tylenol). b
2) increased fluids. b
3) bedrest.
4) tepid bath. b
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
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protectant? It:
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1) Prevents microorganisms from adhering to the skin. b b b b b b
2) Facilitates the absorption of latex proteins through the skin. b b b b b b b b
3) Decreases the risk of latex allergies. b b b b b
4) Prevents the skin from drying and chaffing. b b b b b b
15. For which range of time must a nurse wash her hands before working in the operating
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room?
b
1) 1 to 2 minutes b b b
2) 2 to 4 minutes b b b
3) 2 to 6 minutes b b b
4) 6 to 10 minutes b b b
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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isolation?
b
1) Place the tray in a specially marked trash can inside the patients room.
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Place the tray in a special isolation bag held by a second healthcare worker at the
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2) patients door. b
Return the tray with a note to dietary services so it can be cleaned and reused for the
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3) next meal. b
Carry the tray to an isolation trash receptacle located in the dirty utility room and
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4) dispose of it there. b b b
1 . How much liquid soap should the nurse use for effective hand washing? At least:
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1) 2 mL b
2) 3 mL b
3) 6 mL b
4) 7 mL b