,Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds.
3) washes hands only after leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
institute when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3) Direct contact
4) Indirect contact
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
antibiotics to treat a systemic infection. Which type of infection has the patient developed?
1) Endogenous nosocomial
2) Exogenous nosocomial
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
necessary to help maintain sterile technique?
1) Closing the patients door to limit room traffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away from the sterile field during the procedure
8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
days. His condition has stabilized, and his temperature has returned to normal. Which stage of
infection is the patient most likely experiencing?
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
findings are indicative of which secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
immunoglobulin G?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A ipatient iasks ithe inurse iwhy ithere iis ino ivaccine iavailable ifor ithe icommon icold.
iWhich iresponse iby ithe inurse iis icorrect?
1) The ivirus imutates itoo irapidly ito idevelop ia ivaccine.
2) Vaccines iare ideveloped ionly ifor ivery iserious iillnesses.
3) Researchers iare ifocusing iefforts ion ian iHIV ivaccine.
4) The ivirus ifor ithe icommon icold ihas inot ibeen iidentified.
1 i. iA ipatient iwho ihas ia itemperature iof i101F i(38.3C) imost ilikely irequires:
1) acetaminophen i (Tylenol).
2) increased ifluids.
3) bedrest.
4) tepid ibath.
14. iWhy iis ia ilotion iwithout ipetroleum ipreferred iover ia ipetroleum-based iproduct ias ia
iskin iprotectant? iIt:
1) Prevents imicroorganisms ifrom iadhering ito ithe iskin.
2) Facilitates ithe iabsorption iof ilatex iproteins ithrough ithe iskin.
3) Decreases ithe irisk iof ilatex iallergies.
4) Prevents ithe iskin ifrom idrying iand ichaffing.
15. iFor iwhich irange iof itime imust ia inurse iwash iher ihands ibefore iworking iin ithe
ioperating iroom?
1) 1 ito i2 iminutes
2) 2 ito i4 iminutes
3) 2 ito i6 iminutes
4) 6 ito i10 iminutes
16. iHow ishould ithe inurse idispose iof ithe ibreakfast itray iof ia ipatient iwho irequires
iairborne iisolation?
1) Place ithe itray iin ia ispecially imarked i trash ican iinside ithe ipatients iroom.
Place ithe itray iin ia ispecial iisolation ibag iheld iby ia isecond ihealthcare iworker iat ithe
2) patients idoor.
Return ithe itray iwith ia inote ito idietary iservices iso iit ican ibe icleaned iand ireused ifor ithe
3) next imeal.
Carry ithe itray ito ian iisolation itrash ireceptacle ilocated iin ithe idirty iutility iroom iand
4) dispose iof iit ithere.
1 i. iHow imuch iliquid isoap ishould ithe inurse iuse ifor ieffective ihand iwashing? iAt ileast:
1) 2 imL
2) 3 imL
3) 6 imL
4) 7 imL