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Exam (elaborations)

NURS 345 Exam 1 Review Questions and Correct Answers

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Which component of the chain of infection involves the infectious agent leaving the reservoir? A. Source B. Portal of Entry C. Portal of Exit D. Mode of transmission Portal of exit A patient with the respiratory infection influenza contracted the pathogen by which mode of transmission? A. Direct Contact B. Droplet C. Biological D. Airborne Droplet Suctioning allows entry of infectious agents into which portal of entry? A. Respiratory tract B. Blood stream C. Upper GI tract D. Mucous membranes Respiratory tract A health care-associated infection (HAI) may be acquired under which circumstance? A. A treatment is received for another condition in the health care setting B. A health care provider prescribed the incorrect treatment or med C. A complication from a treatment or medication develops that could have been avoided D. An infection fails to respond to treatment or at least two different antibiotics A treatment is received for another condition in the health care setting. During which encounters is a patient at risk for acquiring health associated infections (HAIS)? Select all that apply. A. Dialysis treatment B. Outpatient surgery C. Provider office visit D. Rehabilitation E. Neighborhood pharmacy Dialysis treatment Outpatient surgery Provider office visit The nurse has been splashed in the face with body fluids. In what order will the nurse respond? Wash exposed skin, cuts, and needlestick injuries. Flush splashed areas to the nose and mouth with water.

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Institution
NUR 345
Course
NUR 345

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Uploaded on
August 29, 2024
Number of pages
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Written in
2024/2025
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NURS 345 Exam 1 Review Questions
and Correct Answers
Which component of the chain of infection involves the infectious agent leaving the
reservoir?
A. Source
B. Portal of Entry
C. Portal of Exit
D. Mode of transmission ✅Portal of exit

A patient with the respiratory infection influenza contracted the pathogen by which mode
of transmission?
A. Direct Contact
B. Droplet
C. Biological
D. Airborne ✅Droplet

Suctioning allows entry of infectious agents into which portal of entry?
A. Respiratory tract
B. Blood stream
C. Upper GI tract
D. Mucous membranes ✅Respiratory tract

A health care-associated infection (HAI) may be acquired under which circumstance?
A. A treatment is received for another condition in the health care setting
B. A health care provider prescribed the incorrect treatment or med
C. A complication from a treatment or medication develops that could have been
avoided
D. An infection fails to respond to treatment or at least two different antibiotics ✅A
treatment is received for another condition in the health care setting.

During which encounters is a patient at risk for acquiring health associated infections
(HAIS)? Select all that apply.
A. Dialysis treatment
B. Outpatient surgery
C. Provider office visit
D. Rehabilitation
E. Neighborhood pharmacy ✅Dialysis treatment
Outpatient surgery
Provider office visit

The nurse has been splashed in the face with body fluids. In what order will the nurse
respond? ✅Wash exposed skin, cuts, and needlestick injuries.
Flush splashed areas to the nose and mouth with water.

,Irrigate eyes with clean water or saline if available.
Report exposure to immediate supervisor.

A microorganism is considered to be resistant if it can use of --- or more antibiotics. ✅2

Which infection control issue contributes to antimicrobial resistance? A. Congested
health settings
B. Patient noncompliance
C. People in urban centers
D. Lack of patient education ✅Congested health settings

The nurse recognizes which infectious agents as having acquired drug resistance within
health care settings?
Streptococcus pneumoniae (pneumococcus)
Methicillin-resistant Staphylococcus aureus (MRSA)
Vancomycin-resistant Staphylococcus aureus (VRSA)
Vancomycin-resistant enterococci (VRE)
Clostridium difficile (C-Diff)
Staphylococcus aureus (staph infection) ✅Methicillin-resistant Staphylococcus aureus
(MRSA) Vancomycin-resistant Staphylococcus aureus (VRSA) Vancomycin-resistant
enterococci (VRE)
Clostridium difficile (C-Diff)

A patient infected with which pathogen cannot be treated with antibiotics because the
infectious agent has a protective envelope?
A. Bacterium
B. Virus
C. Fungi
D. Parasite ✅Virus

Which precautions will be implemented for a patient admitted for suspected West Nile
virus?
A. Contact
B. Droplet
C.Airborne
D. Standard ✅Standard

Which patient is considered to be a susceptible host in the chain of infection?
A. 22-year-old undergoing noninvasive treatment for back pain
B. 30-year-old receiving an immunization for hepatitis
C. 70-year-old with diabetes learning about insulin therapy
D. 45-year-old being discharged after minof knee therapy ✅70-year-old with diabetes
learning about insulin therapy

Which infections are considered health care-associated infections (HAIS)?
A. Urinary tract infection related to indwelling catheter

, B. Pneumonia related to presence of ventilator
C. Wound infection related to surgical incision infection after is acquired as
D. Respiratory infection related to influenza
E. Skin infection related to traumatic injury ✅Urinary tract infection related to indwelling
catheter
Pneumonia related to presence of ventilator
Wound infection related to surgical incision

Which factor contributed to the development of a health care-acquired respiratory
infection in an ambulatory diabetic patient receiving an intravenous antibiotic?
A. Excessive activity
B. Decreased oxygenation
C. Current comorbidity
D.Incorrect antibiotic ✅Current comorbidity

Which of these does the nurse recognize as blood Bourne pathogens?
Hepatitis B virus (HBV)
Human immunodeficiency virus (HIV)
Mycobacterium tuberculosis (TB)
Neisseria gonorrhoeae (gonorrhea)
Vancomycin-resistant enterococci (VRE) ✅Hepatitis B virus (HBV)
Human immunodeficiency virus (HIV)

Which of these does the nurse teach the pt in order to avoid antibiotic resistance?
A. Take all of your medication for the full time prescribed.
B. Do not share your medication with family members.
C. Call if you do not understand how to take your medication.
D. If you miss a dose of medication, take it with the next dose. ✅Take all of your
medication for the full time prescribed.

How does animals being injected with antibiotics lead to antibiotic resistance?
A. Creates reservoir of potentially resistant bacteria.
B. Allows for greater exposure to multiple pathogens.
C. Promotes new vectors as sources of transmission
D. Lack of hygiene and sanitation in animal holding areas. ✅Creates a reservoir of
potentially resistant bacteria.

Which factors affect skin integrity? select all that apply.
Medications
Vascular diseases
Excessive
dryness
Nutritional deficits
Darkness exposure ✅Medications
Vascular diseases
Nutritional deficits

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