Edition
By Maxine Papadakis, Stephen Mcphee
Chapters 1 - 42
Cha
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r 1.
Dis
eas
e
Pre
ven
tion
&
Hea
lth
Pro
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1
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W
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,e 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 patient asks the nurse why there is no vaccine available for the common cold.
Which response by the nurse is correct?
, 1) The virus mutates stoo srapidly sto sdevelop sa svaccine.
2) Vaccines sare sdeveloped sonly sfor svery sserious sillnesses.
3) Researchers sare sfocusing sefforts son san sHIV svaccine.
4) The svirus sfor sthe scommon scold shas snot sbeen sidentified.
1 s. sA spatient swho shas sa stemperature sof s101F s(38.3C) smost slikely srequires:
1) acetaminophen s(Tylenol).
2) increased sfluids.
3) bedrest.
4) tepid sbath.
14. sWhy sis sa slotion swithout spetroleum spreferred sover sa spetroleum-based sproduct
sas sa sskin sprotectant? sIt:
1) Prevents smicroorganisms sfrom sadhering sto sthe sskin.
2) Facilitates sthe sabsorption sof slatex sproteins sthrough sthe sskin.
3) Decreases sthe srisk sof slatex sallergies.
4) Prevents sthe sskin sfrom sdrying sand schaffing.
15. sFor swhich srange sof stime smust sa snurse swash sher shands sbefore sworking sin sthe
soperating sroom?
1) 1 sto s2 sminutes
2) 2 sto s4 sminutes
3) 2 sto s6 sminutes
4) 6 sto s10 sminutes
16. sHow sshould sthe snurse sdispose sof sthe sbreakfast stray sof sa spatient swho srequires
sairborne sisolation?
1) Place sthe stray sin sa sspecially smarked strash scan sinside sthe spatients sroom.
Place sthe stray sin sa sspecial sisolation sbag sheld sby sa ssecond shealthcare sworker sat sthe
2) patients sdoor.
Return sthe stray swith sa snote sto sdietary sservices sso sit scan sbe scleaned sand sreused sfor sthe
3) next smeal.
Carry sthe stray sto san sisolation strash sreceptacle slocated sin sthe sdirty sutility sroom sand
4) dispose sof sit sthere.
1 s. sHow smuch sliquid ssoap sshould sthe snurse suse sfor seffective shand swashing? sAt sleast:
1) 2 smL
2) 3 smL
3) 6 smL
4) 7 smL
18. sTo sassure seffectiveness, swhen sshould sthe snurse sstop srubbing santiseptic shand