CURRENT Medical Diagnosis and Treatment
59th Edition Papadakis,Mcphee
Testbank/Studyguide
Chapter 1. Disease Prevention & Health Promotion
ot ot ot ot ot ot
1. Which of the following behaviors indicates the highest potential for spreading infections a
ot ot ot ot ot ot ot ot ot ot ot ot ot
mong clients? The nurse:
ot ot ot
1) disinfects dirty hands with antibacterial soap. ot ot ot ot ot
2) allows alcohol-based rub to dry for 10 seconds.
ot ot ot ot ot ot ot
3) washes hands only after leaving each room.
ot ot ot ot ot ot
4) uses cold water for medical asepsis.
ot ot ot ot ot
2. What is the most frequent cause of the spread of infection among institutionalized p
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
atients?
1) Airborne microbes from other patients ot ot ot ot
2) Contact with contaminated equipment ot ot ot
3) Hands of healthcare workers ot ot ot
4) Exposure from family members ot ot ot
3. Which of the following nursing activities is of highest priority for maintaining medical as
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
epsis?
1) Washing hands ot
2) Donning gloves ot
3) Applying sterile drapes ot ot
4) Wearing a gown ot ot
4. A patient infected with a virus but who does not have any outward sign of the disease is co
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
nsidered a: ot
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse in
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
stitute when caring for this patient?
ot ot ot ot ot
1) Droplet transmission ot
2) Airborne transmission ot
3) Direct contact ot
4) Indirect contact ot
,o t6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous an
o t ot ot ot ot ot ot ot ot ot ot ot ot
tibiotics to treat a systemic infection. Which type of infection has the patient developed?
ot ot ot ot ot ot ot ot ot ot ot ot ot
1) Endogenous nosocomial ot
2) Exogenous nosocomial ot
3)
Latent
4)
Primary
o 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 da
t o t ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ys. His condition has stabilized, and his temperature has returned to normal. Which stage of infe
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ction is the patient most likely experiencing?
ot ot ot ot ot ot
1) Incubation
2) Prodromal
3)
Decline
4)
Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is ne
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
cessary to help maintain sterile technique?
ot ot ot ot ot
1) Closing the patients door to limit room traffic while preparing the sterile field ot ot ot ot ot ot ot ot ot ot ot ot
2) Using clean procedure gloves to handle sterile equipment
ot ot ot ot ot ot ot
3)
Placing the nonsterile syringes containing flush solution on the sterile field ot ot ot ot ot ot ot ot ot ot
4)
Remaining 6 inches away from the sterile field during the procedure ot ot ot ot ot ot ot ot ot ot
9. A patient develops localized heat and erythema over an area on the lower leg. These fi
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ndings are indicative of which secondary defense against infection?
ot ot ot ot ot ot ot ot
1) Phagocytosis
2) Complement cascade ot
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving a
ot ot ot ot ot ot ot ot ot ot ot ot ot
n antibiotic. Which antibody is primarily responsible for this patients response?
ot ot ot ot ot ot ot ot ot ot
1) IgA
2) IgE
IgG 3)
IgM 4)
11. What type of immunity is provided by intravenous (IV) administration of i
ot ot ot ot ot ot ot ot ot ot ot ot
mmunoglobulin G? ot
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 re
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
sponse by the nurse is correct?
ot ot ot ot ot
1) The virus mutates too rapidly to develop a vaccine.
ot ot ot ot ot ot ot ot
2) Vaccines are developed only for very serious illnesses. ot ot ot ot ot ot ot
3) Researchers are focusing efforts on an HIV vaccine. ot ot ot ot ot ot ot
4) The virus for the common cold has not been identified.
ot ot ot ot ot ot ot ot ot
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
ot ot ot ot ot ot ot ot ot ot ot ot
1) acetaminophen (Tylenol). ot
2) increased fluids. ot
3) bedrest.
4) tepid bath. ot
14. Why is a lotion without petroleum preferred over a petroleum-
ot ot ot ot ot ot ot ot ot ot
based product as a skin protectant? It:
ot ot ot ot ot ot
1) Prevents microorganisms from adhering to the skin. ot ot ot ot ot ot
2) Facilitates the absorption of latex proteins through the skin. ot ot ot ot ot ot ot ot
3) Decreases the risk of latex allergies. ot ot ot ot ot
4) Prevents the skin from drying and chaffing. ot ot ot ot ot ot
15. For which range of time must a nurse wash her hands before working in the operating ro
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
om?
1) 1 to 2 minutes
ot ot ot
2) 2 to 4 minutes
ot ot ot
3) 2 to 6 minutes
ot ot ot
4) 6 to 10 minutes ot ot ot
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne is
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
olation?
1) Place the tray in a specially marked trash can inside the patients room.
ot ot ot ot ot ot ot ot ot ot ot ot
Place the tray in a special isolation bag held by a second healthcare worker at the patients d
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
2) oor.
Return the tray with a note to dietary services so it can be cleaned and reused for the next m
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
3) eal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose o
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
4) f it there. ot ot
1 . How much liquid soap should the nurse use for effective hand washing? At least:
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
1) 2 mL ot
2) 3 mL ot
3) 6 mL ot
4) 7 mL ot
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution o
ot ot ot ot ot ot ot ot ot ot ot ot ot
ver all surfaces of the hands?
ot ot ot ot ot
1) When fingers feel sticky ot ot ot
2) After 5 to 10 seconds ot ot ot ot
3) When leaving the clients room ot ot ot ot
4) Once fingers and hands feel dry ot ot ot ot ot
19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell co
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
unt. Which precaution should the staff take with this patient?
ot ot ot ot ot ot ot ot ot
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are sligh
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
tly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on the outs
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ide of the glove package. What is the best action for the nurse to take at this point?
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
1) Continue using the gloves inside the package because the package is intact. ot ot ot ot ot ot ot ot ot ot ot
2) Remove gloves from sterile field and use a new pair of sterile gloves. ot ot ot ot ot ot ot ot ot ot ot ot
3) Throw all supplies away that were to be used and begin again. ot ot ot ot ot ot ot ot ot ot ot
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
21. The nurse is removing personal protective equipment (PPE). Which item should be re
ot ot ot ot ot ot ot ot ot ot ot ot ot
moved first? ot
1) Gown
2) Gloves
3) Face shield ot
4) Hair covering ot
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses ac
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
tions, listing the most important one first.
ot ot ot ot ot ot
A. Contact employee health ot ot
B. Complete an incident report ot ot ot
C. Wash the exposed area ot ot ot
D. Report to another nurse that she is leaving the immediate area.
ot ot ot ot ot ot ot ot ot ot
1) 1, 2, 3, 4 ot ot ot
2) 2, 3, 4, 1 ot ot ot
3) 3, 4, 1, 2 ot ot ot
4) 4, 1, 2, 3 ot ot ot
Multiple Response ot
Identify one or more choices that best complete the statement or answer the question.
ot ot ot ot ot ot ot ot ot ot ot ot ot
1. In which situation would using standard precautions be adequate? Select all that apply.
ot ot ot ot ot ot ot ot ot ot ot ot ot
59th Edition Papadakis,Mcphee
Testbank/Studyguide
Chapter 1. Disease Prevention & Health Promotion
ot ot ot ot ot ot
1. Which of the following behaviors indicates the highest potential for spreading infections a
ot ot ot ot ot ot ot ot ot ot ot ot ot
mong clients? The nurse:
ot ot ot
1) disinfects dirty hands with antibacterial soap. ot ot ot ot ot
2) allows alcohol-based rub to dry for 10 seconds.
ot ot ot ot ot ot ot
3) washes hands only after leaving each room.
ot ot ot ot ot ot
4) uses cold water for medical asepsis.
ot ot ot ot ot
2. What is the most frequent cause of the spread of infection among institutionalized p
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
atients?
1) Airborne microbes from other patients ot ot ot ot
2) Contact with contaminated equipment ot ot ot
3) Hands of healthcare workers ot ot ot
4) Exposure from family members ot ot ot
3. Which of the following nursing activities is of highest priority for maintaining medical as
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
epsis?
1) Washing hands ot
2) Donning gloves ot
3) Applying sterile drapes ot ot
4) Wearing a gown ot ot
4. A patient infected with a virus but who does not have any outward sign of the disease is co
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
nsidered a: ot
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse in
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
stitute when caring for this patient?
ot ot ot ot ot
1) Droplet transmission ot
2) Airborne transmission ot
3) Direct contact ot
4) Indirect contact ot
,o t6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous an
o t ot ot ot ot ot ot ot ot ot ot ot ot
tibiotics to treat a systemic infection. Which type of infection has the patient developed?
ot ot ot ot ot ot ot ot ot ot ot ot ot
1) Endogenous nosocomial ot
2) Exogenous nosocomial ot
3)
Latent
4)
Primary
o 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 da
t o t ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ys. His condition has stabilized, and his temperature has returned to normal. Which stage of infe
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ction is the patient most likely experiencing?
ot ot ot ot ot ot
1) Incubation
2) Prodromal
3)
Decline
4)
Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is ne
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
cessary to help maintain sterile technique?
ot ot ot ot ot
1) Closing the patients door to limit room traffic while preparing the sterile field ot ot ot ot ot ot ot ot ot ot ot ot
2) Using clean procedure gloves to handle sterile equipment
ot ot ot ot ot ot ot
3)
Placing the nonsterile syringes containing flush solution on the sterile field ot ot ot ot ot ot ot ot ot ot
4)
Remaining 6 inches away from the sterile field during the procedure ot ot ot ot ot ot ot ot ot ot
9. A patient develops localized heat and erythema over an area on the lower leg. These fi
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ndings are indicative of which secondary defense against infection?
ot ot ot ot ot ot ot ot
1) Phagocytosis
2) Complement cascade ot
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving a
ot ot ot ot ot ot ot ot ot ot ot ot ot
n antibiotic. Which antibody is primarily responsible for this patients response?
ot ot ot ot ot ot ot ot ot ot
1) IgA
2) IgE
IgG 3)
IgM 4)
11. What type of immunity is provided by intravenous (IV) administration of i
ot ot ot ot ot ot ot ot ot ot ot ot
mmunoglobulin G? ot
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 re
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
sponse by the nurse is correct?
ot ot ot ot ot
1) The virus mutates too rapidly to develop a vaccine.
ot ot ot ot ot ot ot ot
2) Vaccines are developed only for very serious illnesses. ot ot ot ot ot ot ot
3) Researchers are focusing efforts on an HIV vaccine. ot ot ot ot ot ot ot
4) The virus for the common cold has not been identified.
ot ot ot ot ot ot ot ot ot
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
ot ot ot ot ot ot ot ot ot ot ot ot
1) acetaminophen (Tylenol). ot
2) increased fluids. ot
3) bedrest.
4) tepid bath. ot
14. Why is a lotion without petroleum preferred over a petroleum-
ot ot ot ot ot ot ot ot ot ot
based product as a skin protectant? It:
ot ot ot ot ot ot
1) Prevents microorganisms from adhering to the skin. ot ot ot ot ot ot
2) Facilitates the absorption of latex proteins through the skin. ot ot ot ot ot ot ot ot
3) Decreases the risk of latex allergies. ot ot ot ot ot
4) Prevents the skin from drying and chaffing. ot ot ot ot ot ot
15. For which range of time must a nurse wash her hands before working in the operating ro
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
om?
1) 1 to 2 minutes
ot ot ot
2) 2 to 4 minutes
ot ot ot
3) 2 to 6 minutes
ot ot ot
4) 6 to 10 minutes ot ot ot
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne is
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
olation?
1) Place the tray in a specially marked trash can inside the patients room.
ot ot ot ot ot ot ot ot ot ot ot ot
Place the tray in a special isolation bag held by a second healthcare worker at the patients d
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
2) oor.
Return the tray with a note to dietary services so it can be cleaned and reused for the next m
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
3) eal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose o
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
4) f it there. ot ot
1 . How much liquid soap should the nurse use for effective hand washing? At least:
ot ot ot ot ot ot ot ot ot ot ot ot ot ot
1) 2 mL ot
2) 3 mL ot
3) 6 mL ot
4) 7 mL ot
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution o
ot ot ot ot ot ot ot ot ot ot ot ot ot
ver all surfaces of the hands?
ot ot ot ot ot
1) When fingers feel sticky ot ot ot
2) After 5 to 10 seconds ot ot ot ot
3) When leaving the clients room ot ot ot ot
4) Once fingers and hands feel dry ot ot ot ot ot
19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell co
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
unt. Which precaution should the staff take with this patient?
ot ot ot ot ot ot ot ot ot
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are sligh
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
tly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on the outs
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
ide of the glove package. What is the best action for the nurse to take at this point?
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
1) Continue using the gloves inside the package because the package is intact. ot ot ot ot ot ot ot ot ot ot ot
2) Remove gloves from sterile field and use a new pair of sterile gloves. ot ot ot ot ot ot ot ot ot ot ot ot
3) Throw all supplies away that were to be used and begin again. ot ot ot ot ot ot ot ot ot ot ot
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
21. The nurse is removing personal protective equipment (PPE). Which item should be re
ot ot ot ot ot ot ot ot ot ot ot ot ot
moved first? ot
1) Gown
2) Gloves
3) Face shield ot
4) Hair covering ot
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses ac
ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot ot
tions, listing the most important one first.
ot ot ot ot ot ot
A. Contact employee health ot ot
B. Complete an incident report ot ot ot
C. Wash the exposed area ot ot ot
D. Report to another nurse that she is leaving the immediate area.
ot ot ot ot ot ot ot ot ot ot
1) 1, 2, 3, 4 ot ot ot
2) 2, 3, 4, 1 ot ot ot
3) 3, 4, 1, 2 ot ot ot
4) 4, 1, 2, 3 ot ot ot
Multiple Response ot
Identify one or more choices that best complete the statement or answer the question.
ot ot ot ot ot ot ot ot ot ot ot ot ot
1. In which situation would using standard precautions be adequate? Select all that apply.
ot ot ot ot ot ot ot ot ot ot ot ot ot
