NSG 122 - Infection Control UPDATED ACTUAL Questions and CORRECT
Answers
Which description correctly identifies a health care- 2
associated infection (HAI)? Health care-associated infections (HAIs) result from delivery of health services in
1. The patient receives IV antibiotics while hospitalized. a health care setting and were not present at the time of admission.
2. The infection was not present at the time of admission.
3. The six elements of the chain of infection remain intact.
4. The patient is colonized with drug-resistant organisms.
1. An infectious agent or pathogen 1.D
2. A reservoir or source for pathogen growth 2.C
3. A portal of exit from the reservoir 3.B
4. A method or mode of transmission 4.A
5. A portal of entrance into the host 5.F
6. A susceptible host 6.E
A.Droplets in the air
B.Visitor coughing
C.Visitor
D.Pseudomonas aeruginosa
E.The patient
F.Respiratory system
,It is determined that the patient has developed a health 1, 2, 3
care-associated infection of Pseudomonas pneumonia
that developed from the presence of contaminated water Performing hand hygiene is essential to breaking the chain of infection because
and a dirty health care environment. What measures can the major mode of transmission of microorganisms is the hands of the health care
be taken to help break the chain of infection? (Select all worker.
that apply.) Discarding standing water and rinsing cups after use will help eliminate a potential
1 Performing hand hygiene before and after contact with reservoir for pathogen growth.
the patient Understanding by the patient and family is essential to maintaining infection
2 Discarding standing water and rinsing cups after use. control practices. Patient/family teaching is a responsibility of the nurse.
3 Teaching the patient and family about the source and
transmission of infections, the reason for susceptibility,
and infection-control principles
4 Having the patient wear an oxygen mask
1 _____ reduces the number of microorganisms present. 1.A
2. ________ eliminates microorganisms from an area. 2.B
A. medical asepsis
B. surgical asepsis
Identify risk factors for this patient developing an 2, 3, 4, 5
infection. Select all that apply.
1. Being discharged home Receiving chemotherapy may place the patient in an immunocompromised state,
2. Having chemotherapy creating a decreased resistance to infection.
3. Being malnourished Weakness associated with malnutrition and chronic illness may decrease a
4. Overcrowded health care facility patient's resistance to infection.
5. IV insertion and blood sampling Risk factors for health care-associated infection include crowding within a health
6.Resistance to antibiotics care facility.
Invasive procedures, such as the insertion of an IV catheter or blood drawing,
disrupt the body's natural defense barriers.
The use of standard precautions is determined by the False
patient's likelihood of carrying a communicable illness.
True Any patient may be a source for infection; therefore, standard precautions should
False always be implemented.
Standard precautions are used to protect you from True
potential contact with blood and body fluids. Standard precautions are used to protect you (and any health care worker) from
True potential exposure to infectious diseases as a result of contact with blood and
False body fluids.
"Standard precautions" means that you should use gloves, False
mask, eye protection, and a gown when a patient is
placed on isolation. Standard precautions include the use of gloves, masks, eye protection, and
True gowns when there is a risk of being splattered with infectious materials regardless
False of the location of a patient.
, A patient is admitted with a diagnosis of methicillin- 1
resistant Staphylococcus aureus (MRSA) found in the
sputum. In addition to using standard precautions, what Colonization or infection with multidrug-resistant organisms such as MRSA in the
action should the nurse take? sputum requires contact precautions because of potential direct or environmental
1. Institute contact precautions. contact with sputum. It is recommended that the health care worker wear a mask
2. Have the patient and visitors wear a mask at all times. if within 3 feet of the patient.
3. No additional actions are necessary because the
patient is already colonized with MRSA.
4. Institute airborne precautions and place patient in a
negative pressure airflow room.
A patient was diagnosed with a urinary tract infection. The 2
patient has been drinking fruit juice and has increased his
intake of fluids but has failed to take his antibiotic as The patient is displaying generalized symptoms that indicate a systemic infection.
prescribed because it caused gastric upset. Three days Symptoms of a localized infection such as the urinary tract may include pain,
later, the patient presents to the clinic with fever, malaise, burning from edematous membranes, and frequency of urination. Because the
nausea, and vomiting. What might you suspect? patient failed to be treated as prescribed, you might suspect that the patient's
1. The patient probably has the flu. urinary tract infection has ascended to the kidney, producing more systemic
2. The patient may now have a systemic infection. symptoms of infection. Gastrointestinal (GI) disturbance may be a side effect of
3. The patient is displaying signs of a localized infection. the antibiotic. An allergic response would be more likely suspected if the patient
4. The patient is experiencing an allergic response to his developed a rash, hives, urticaria, or difficulty breathing.
medication.
The nurse is preparing to insert a urinary catheter. To 1.
perform this procedure, the nurse will use:
1. Surgical asepsis (sterile technique). Inserting a urinary catheter requires sterile technique (surgical asepsis) to prevent
2. Medical asepsis (clean technique). the introduction of any microorganisms into the urinary bladder during the
3. Droplet precautions. procedure. Medical asepsis (clean technique) is used to reduce the number or
4. Standard precautions. transmission of microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard precaution in
which the recommended barrier method includes the use of a mask. Standard
precautions refer to wearing personal protective equipment (PPE) when there is
potential contact with blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On 1
entering station 1, the nurse dons a pair of clean
disposable gloves. The nurse sees that the patient has a The nurse is demonstrating the use of standard precautions. Standard precautions
gunshot wound to the chest and is concerned there may are used to protect the nurse from potential contact with blood and body fluids.
be splattering of infectious materials. The nurse applies Because there is a risk of being splattered with infectious materials, the nurse
goggles, a mask, and a gown. What is this called? should use gloves, mask, eye protection, and a gown. Standard precautions
1.Following standard precautions. should become a routine part of her practice and thus be observed in every
2. Using medical asepsis. patient encounter. Medical asepsis (or clean technique), includes procedures used
3. Using surgical asepsis. to reduce the number of and prevent the spread of microorganisms. Surgical
4.Infection control to prevent a health care-acquired asepsis (or sterile technique) includes procedures used to eliminate all
infection. microorganisms from an area. Health care-acquired infections are those that
develop as a result of a stay or visit in a health care facility and that were absent at
the time of admission.
Answers
Which description correctly identifies a health care- 2
associated infection (HAI)? Health care-associated infections (HAIs) result from delivery of health services in
1. The patient receives IV antibiotics while hospitalized. a health care setting and were not present at the time of admission.
2. The infection was not present at the time of admission.
3. The six elements of the chain of infection remain intact.
4. The patient is colonized with drug-resistant organisms.
1. An infectious agent or pathogen 1.D
2. A reservoir or source for pathogen growth 2.C
3. A portal of exit from the reservoir 3.B
4. A method or mode of transmission 4.A
5. A portal of entrance into the host 5.F
6. A susceptible host 6.E
A.Droplets in the air
B.Visitor coughing
C.Visitor
D.Pseudomonas aeruginosa
E.The patient
F.Respiratory system
,It is determined that the patient has developed a health 1, 2, 3
care-associated infection of Pseudomonas pneumonia
that developed from the presence of contaminated water Performing hand hygiene is essential to breaking the chain of infection because
and a dirty health care environment. What measures can the major mode of transmission of microorganisms is the hands of the health care
be taken to help break the chain of infection? (Select all worker.
that apply.) Discarding standing water and rinsing cups after use will help eliminate a potential
1 Performing hand hygiene before and after contact with reservoir for pathogen growth.
the patient Understanding by the patient and family is essential to maintaining infection
2 Discarding standing water and rinsing cups after use. control practices. Patient/family teaching is a responsibility of the nurse.
3 Teaching the patient and family about the source and
transmission of infections, the reason for susceptibility,
and infection-control principles
4 Having the patient wear an oxygen mask
1 _____ reduces the number of microorganisms present. 1.A
2. ________ eliminates microorganisms from an area. 2.B
A. medical asepsis
B. surgical asepsis
Identify risk factors for this patient developing an 2, 3, 4, 5
infection. Select all that apply.
1. Being discharged home Receiving chemotherapy may place the patient in an immunocompromised state,
2. Having chemotherapy creating a decreased resistance to infection.
3. Being malnourished Weakness associated with malnutrition and chronic illness may decrease a
4. Overcrowded health care facility patient's resistance to infection.
5. IV insertion and blood sampling Risk factors for health care-associated infection include crowding within a health
6.Resistance to antibiotics care facility.
Invasive procedures, such as the insertion of an IV catheter or blood drawing,
disrupt the body's natural defense barriers.
The use of standard precautions is determined by the False
patient's likelihood of carrying a communicable illness.
True Any patient may be a source for infection; therefore, standard precautions should
False always be implemented.
Standard precautions are used to protect you from True
potential contact with blood and body fluids. Standard precautions are used to protect you (and any health care worker) from
True potential exposure to infectious diseases as a result of contact with blood and
False body fluids.
"Standard precautions" means that you should use gloves, False
mask, eye protection, and a gown when a patient is
placed on isolation. Standard precautions include the use of gloves, masks, eye protection, and
True gowns when there is a risk of being splattered with infectious materials regardless
False of the location of a patient.
, A patient is admitted with a diagnosis of methicillin- 1
resistant Staphylococcus aureus (MRSA) found in the
sputum. In addition to using standard precautions, what Colonization or infection with multidrug-resistant organisms such as MRSA in the
action should the nurse take? sputum requires contact precautions because of potential direct or environmental
1. Institute contact precautions. contact with sputum. It is recommended that the health care worker wear a mask
2. Have the patient and visitors wear a mask at all times. if within 3 feet of the patient.
3. No additional actions are necessary because the
patient is already colonized with MRSA.
4. Institute airborne precautions and place patient in a
negative pressure airflow room.
A patient was diagnosed with a urinary tract infection. The 2
patient has been drinking fruit juice and has increased his
intake of fluids but has failed to take his antibiotic as The patient is displaying generalized symptoms that indicate a systemic infection.
prescribed because it caused gastric upset. Three days Symptoms of a localized infection such as the urinary tract may include pain,
later, the patient presents to the clinic with fever, malaise, burning from edematous membranes, and frequency of urination. Because the
nausea, and vomiting. What might you suspect? patient failed to be treated as prescribed, you might suspect that the patient's
1. The patient probably has the flu. urinary tract infection has ascended to the kidney, producing more systemic
2. The patient may now have a systemic infection. symptoms of infection. Gastrointestinal (GI) disturbance may be a side effect of
3. The patient is displaying signs of a localized infection. the antibiotic. An allergic response would be more likely suspected if the patient
4. The patient is experiencing an allergic response to his developed a rash, hives, urticaria, or difficulty breathing.
medication.
The nurse is preparing to insert a urinary catheter. To 1.
perform this procedure, the nurse will use:
1. Surgical asepsis (sterile technique). Inserting a urinary catheter requires sterile technique (surgical asepsis) to prevent
2. Medical asepsis (clean technique). the introduction of any microorganisms into the urinary bladder during the
3. Droplet precautions. procedure. Medical asepsis (clean technique) is used to reduce the number or
4. Standard precautions. transmission of microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard precaution in
which the recommended barrier method includes the use of a mask. Standard
precautions refer to wearing personal protective equipment (PPE) when there is
potential contact with blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On 1
entering station 1, the nurse dons a pair of clean
disposable gloves. The nurse sees that the patient has a The nurse is demonstrating the use of standard precautions. Standard precautions
gunshot wound to the chest and is concerned there may are used to protect the nurse from potential contact with blood and body fluids.
be splattering of infectious materials. The nurse applies Because there is a risk of being splattered with infectious materials, the nurse
goggles, a mask, and a gown. What is this called? should use gloves, mask, eye protection, and a gown. Standard precautions
1.Following standard precautions. should become a routine part of her practice and thus be observed in every
2. Using medical asepsis. patient encounter. Medical asepsis (or clean technique), includes procedures used
3. Using surgical asepsis. to reduce the number of and prevent the spread of microorganisms. Surgical
4.Infection control to prevent a health care-acquired asepsis (or sterile technique) includes procedures used to eliminate all
infection. microorganisms from an area. Health care-acquired infections are those that
develop as a result of a stay or visit in a health care facility and that were absent at
the time of admission.
