CORRECT ANSWERS
What are the recommended cleansing agents for hand hygiene in any setting when the risk of
infection is high? ANSW✅✅antimicrobial products
A female client is on isolation because she acquired a methicillin resistant S. aureus (MRSA) infection
after hospitalization for hip replacement surgery. What name is given to this kind of infection?
ANSW✅✅Nosocomial
A nurse has completed morning care for a client. There is no visible soiling on her hands. What type
of technique is recommended by the CDC for hand hygiene? ANSW✅✅clean hands with an
alcohol-based handrub
Which of the following statements about glove use and hand hygiene is true? ANSW✅✅artificial
fingernails should not be worn by staff involved in direct client care
An experienced nurse is teaching a student nurse the proper use of hand hygiene. Which of the
following is an accurate guideline that should be discussed? ANSW✅✅hand hygiene must be
performed after contact with inanimate objects near the client
The nurse is aware that an antiviral medication is most effective when given during which phase of
the infectious process? ANSW✅✅Prodromal stage
A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry with the
nurse practitioner because he would not give me any antibiotics." What would be the most accurate
response by the nurse? ANSW✅✅"Antibiotics have no effect on viruses."
Of all possible nursing interventions to break the chain of infection, which is the most effective?
ANSW✅✅practicing hand hygiene
A college-aged student has influenza. At what stage of the infection is the student most infectious?
ANSW✅✅prodromal stage
What is the minimal amount of time that a nurse should scrub hands that are not visibly soiled for
effective hand hygiene? ANSW✅✅20 seconds
, nursing process: assessment ANSW✅✅collection, validation, and communication of patient data;
determining a NEED for nursing care
nursing process: diagnosis ANSW✅✅analysis of patient data to identify patient strengths an
health problems; different from doctor diagnosis
nursing process: outcome identification and planning ANSW✅✅specification of patient outcomes
to prevent, reduce, or resolve problems identified in the related dx; establish priorities, selecting
interventions
nursing process: implementation ANSW✅✅carrying out the plan of care
nursing process: evaluation ANSW✅✅determine success or failure. if failure, start the whole thing
over
apical pulse is taken for how many seconds? ANSW✅✅60
radial pulse is taken for how many seconds? ANSW✅✅30 (x2)
where is the center for thermoregulation? ANSW✅✅hypothalamus
conduction ANSW✅✅heat transferred from inanimate object to person
evaporation ANSW✅✅transfer energy between objects in contact
convection ANSW✅✅transfer energy between objects and environment (cooking with air in
convection oven)
radiation ANSW✅✅transfer energy by emission of electromagnetic rdiation
pulse definition ANSW✅✅wave produced in wall of an artery with each heartbeat