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c 2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - 42 c c c
, Chapter 1. Disease Prevention & Health Promotion
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1. Which of the following behaviors indicates the highest potential for spreading infections among
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c clients? The nurse:
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1) disinfects dirtyhands withantibacterial soap. c c c c c
2) allows alcohol-based rub to dryfor 10 seconds.
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3) washes hands onlyafter leavingeach room.c c c c c c
4) uses cold water for medical asepsis.
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2. What is the most frequent cause of the spread of infection among institutionalized
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patients?
1) Airborne microbes from other patients c c c c
2) Contact withcontaminated equipment c c c
3) Hands ofhealthcare workers c c c
4) Exposure from familymembers c c c
3. Which of the following nursing activities is of highest priority for maintaining medical
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c asepsis?
1) Washing hands c
2) Donning gloves c
3) Applyingsterile drapes c c
4) Wearing a gown c c
4. Apatient infected witha virus but whodoes not have any outward sign ofthedisease is
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c considered a: c
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
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c institute when caring for this patient?
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1) Droplet transmission c
2) Airborne transmission c
3) Direct contact c
4) Indirect contact c
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
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c antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenous nosocomial c
2) Exogenous nosocomial c
3)
Latent
4)
Primary
7.The nurseassists asurgeon with central venous catheter insertion. Which action is
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c necessary to help maintain sterile technique?
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1) Closing thepatients door to limit room traffic while preparing the sterile field c c c c c c c c c c c c
2) Usingclean procedure gloves tohandle sterile equipment c c c c c c c
3) Placingthe nonsterile syringes containing flush solution on the sterile field c c c c c c c c c c
4) Remaining6 inches away from the sterile field during the procedure c c c c c c c c c c
c 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
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c His condition has stabilized, and his temperature has returned to normal. Which stage of infection
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c is the patient most likely experiencing?
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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
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c findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade c
3)Inflammation
4)Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
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c antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
3)
IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
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c immunoglobulin G? c
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
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c response by the nurse is correct?
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1) The virus mutates too rapidly todevelop a vaccine.
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2) Vaccines are developed onlyfor veryserious illnesses. c c c c c c c
3) Researchers are focusing efforts onan HIV vaccine. c c c c c c c
4) The virus for the common cold has not been identified.
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1 . A patient who has a temperature of 101F (38.3C) most likelyrequires:
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1) acetaminophen(Tylenol). c
2) increased fluids. c
3) bedrest.
4) tepid bath. c
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
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c protectant? It: c
1) Prevents microorganisms from adhering tothe skin. c c c c c c
2) Facilitates theabsorption of latex proteins through theskin. c c c c c c c c
3) Decreases therisk oflatex allergies. c c c c c
4) Prevents the skin from drying and chaffing. c c c c c c
15. For which range of time must a nurse wash her hands before working in the operating
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c room?
1) 1 to2 minutes c c c
2) 2 to4 minutes c c c
3) 2 to6 minutes c c c
4) 6 to10 minutes c c c
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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c isolation?
1) Placethe tray in a specially marked trash can inside the patients room.
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Placethe tray in aspecial isolation bag held by a second healthcare worker at the
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2) patients door. c
Returnthe traywith a note todietaryservices so it can be cleaned and reused for the
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3) next meal. c
Carrythe trayto an isolation trash receptacle located in the dirtyutilityroom and
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4) dispose of it there. c c c
1 . How much liquid soap should the nurseuse for effective hand washing? At least:
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1) 2 mL c
2) 3 mL c
3) 6 mL c
4) 7 mL c