HCAL EXAM 1 | 106 QUESTIONS | WITH ALL
PASSED ANSWERS GRADED A+
What is the most accurate conclusion by the nurse about a patient's immune
system when assessing well-healing wounds that were contaminated during a
car crash? Answer - Innate immunity is being effective.
Which patient finding should the nurse report to the provider? Answer -
Monocytes 5.1 × 109/L
Match the type of immunity with the source from which it is obtained. Answer
- Natural active-Disease
Artificial active-Immunization
Natural passive-Breast milk
Artificial passive-Serum injection
The nurse will anticipate administering a prescribed antibiotic to a patient with
which infection? Answer - Staphylococcus aureus
Which actions will the nurse avoid to prevent indirect transmission of
pathogens when caring for a patient with an infection? Answer - Handling
medical equipment
Changing patient linens
Removing food trays
Disposing of tissues
,Which statement by the patient on droplet precautions indicates
understanding of how to prevent the spread of infection? Answer - I'll cover
my mouth whenever coughing or sneezing
Which clinical manifestations of sepsis differentiate it from a systemic
infection? Answer - Oliguria
Hypotension
Confusion
Hypothermia
Low platelets
Which patient assessment indicates the patient has a chronic infection?
Answer - Persistent fatigue
Match the situation with its definition. Answer - Isolation-Separates those with
disease from those without disease
Quarantine-Restricts movement of those exposed to an infectious agent
Protective isolation-Prevents exposure of person with compromised immunity
from others
Which action by the nurse contributed to a patient developing a health care-
associated infection (HAI)? Answer - Use of alcohol-based hand cleaner prior
to inserting an indwelling urinary catheter
Which action will the nurse take when caring for a patient with drug-resistant
Clostridium difficile (C-Diff) to prevent spreading the infection to other
patients? Answer - Teach the patient to wash hands after toileting.
, The nurse will take which action when caring for the patient admitted with
influenza? Answer - Place in a single room on droplet precautions
Which action will the nurse take when implementing standard precautions?
Answer - Donning gloves prior to administering a patient intramuscular
injection
Which collaborative intervention does the nurse determine to implement for
the patient with an infection, pain, and fever? Answer - Acetaminophen
Which intervention does the nurse determine addresses the collaborative goal
of "eradication of the pathogenic agent"? Answer - Oseltamivir prescribed for
influenza
Which action does the nurse determine to take based on findings of a localized,
purulent, infected leg lesion? Answer - Prepare the patient for incision and
drainage.
When assessing a patient with a respiratory infection, the nurse will anticipate
which abnormal findings? Answer - Lung crackles
Wheezes
Greenish sputum
Heart rate 102 bpm
Oral temperature 101°F
What conclusion can be drawn by the nurse when a patient shows no
improvement in assessment baseline after two weeks of treatment for an
infection? Answer - Collaborative interventions were ineffective.
PASSED ANSWERS GRADED A+
What is the most accurate conclusion by the nurse about a patient's immune
system when assessing well-healing wounds that were contaminated during a
car crash? Answer - Innate immunity is being effective.
Which patient finding should the nurse report to the provider? Answer -
Monocytes 5.1 × 109/L
Match the type of immunity with the source from which it is obtained. Answer
- Natural active-Disease
Artificial active-Immunization
Natural passive-Breast milk
Artificial passive-Serum injection
The nurse will anticipate administering a prescribed antibiotic to a patient with
which infection? Answer - Staphylococcus aureus
Which actions will the nurse avoid to prevent indirect transmission of
pathogens when caring for a patient with an infection? Answer - Handling
medical equipment
Changing patient linens
Removing food trays
Disposing of tissues
,Which statement by the patient on droplet precautions indicates
understanding of how to prevent the spread of infection? Answer - I'll cover
my mouth whenever coughing or sneezing
Which clinical manifestations of sepsis differentiate it from a systemic
infection? Answer - Oliguria
Hypotension
Confusion
Hypothermia
Low platelets
Which patient assessment indicates the patient has a chronic infection?
Answer - Persistent fatigue
Match the situation with its definition. Answer - Isolation-Separates those with
disease from those without disease
Quarantine-Restricts movement of those exposed to an infectious agent
Protective isolation-Prevents exposure of person with compromised immunity
from others
Which action by the nurse contributed to a patient developing a health care-
associated infection (HAI)? Answer - Use of alcohol-based hand cleaner prior
to inserting an indwelling urinary catheter
Which action will the nurse take when caring for a patient with drug-resistant
Clostridium difficile (C-Diff) to prevent spreading the infection to other
patients? Answer - Teach the patient to wash hands after toileting.
, The nurse will take which action when caring for the patient admitted with
influenza? Answer - Place in a single room on droplet precautions
Which action will the nurse take when implementing standard precautions?
Answer - Donning gloves prior to administering a patient intramuscular
injection
Which collaborative intervention does the nurse determine to implement for
the patient with an infection, pain, and fever? Answer - Acetaminophen
Which intervention does the nurse determine addresses the collaborative goal
of "eradication of the pathogenic agent"? Answer - Oseltamivir prescribed for
influenza
Which action does the nurse determine to take based on findings of a localized,
purulent, infected leg lesion? Answer - Prepare the patient for incision and
drainage.
When assessing a patient with a respiratory infection, the nurse will anticipate
which abnormal findings? Answer - Lung crackles
Wheezes
Greenish sputum
Heart rate 102 bpm
Oral temperature 101°F
What conclusion can be drawn by the nurse when a patient shows no
improvement in assessment baseline after two weeks of treatment for an
infection? Answer - Collaborative interventions were ineffective.
