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2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - 42 b b b
, Chapter1.DiseasePrevention&HealthPromotion
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1. Which of the following behaviors indicates the highest potential for spreading infections among
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b clients? The nurse:
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1) disinfectsdirtyhandswithantibacterialsoap. b b b b b
2) allowsalcohol-based rubtodryfor 10 seconds. b b b b b b b
3) washes hands onlyafter leavingeachroom. b b b b b b
4) usescoldwater formedicalasepsis. b b b b b
2.What is the most frequent cause of the spread of infection among institutionalized
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patients?
1) Airbornemicrobesfromotherpatients b b b b
2) Contactwithcontaminatedequipment b b b
3) Hands ofhealthcareworkers b b b
4) Exposurefromfamilymembers b b b
3. Which ofthe following nursing activitiesis ofhighest priority for maintainingmedical
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b asepsis?
1) Washinghands b
2) Donninggloves b
3) Applyingsteriledrapes b b
4) Wearingagown b b
4.Apatient infected witha virus butwhodoes nothaveanyoutward signofthedisease is
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b considered a: b
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. Apatient is admitted tothe hospitalwith tuberculosis. Which precautions mustthenurse
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b institute when caring for this patient?
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1) Droplettransmission b
2) Airbornetransmission b
3) Directcontact b
4) Indirectcontact b
, 6.Apatientbecomesinfectedwithoralcandidiasis(thrush)whilereceivingintravenous
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b antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenousnosocomial b
2) Exogenousnosocomial b
3) Latent
4) Primary
7.Thenurseassistsasurgeonwithcentralvenous catheter insertion.Whichaction is
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b necessary to help maintain sterile technique?
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1) Closingthepatients door tolimitroomtrafficwhilepreparingthesterile field b b b b b b b b b b b b
2) Usingcleanprocedure glovestohandlesterileequipment b b b b b b b
3) Placingthe nonsterilesyringes containingflushsolutiononthesterile field b b b b b b b b b b
4) Remaining6 inches awayfromthesterile fieldduringtheprocedure b b b b b b b b b b
b 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
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b His condition has stabilized, and his temperature has returned to normal. Which stage of infection is
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b the patient most likely experiencing?
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1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. Apatient develops localized heat and erythema over an area on thelowerleg. These
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b findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade b
3) Inflammation
4) Immunity
10.Thepatient suddenly developshives, shortness ofbreath, andwheezing after receiving an
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b antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
3) IgG
4) IgM
11.Whattype ofimmunity isprovided by intravenous (IV) administration of
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b immunoglobulin G? b
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.Apatientasks thenurse why thereisno vaccine availablefor thecommoncold. Which
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b response by the nurse is correct?
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1) Thevirus mutatestoorapidlytodevelop a vaccine.b b b b b b b b
2) Vaccinesaredeveloped onlyfor veryserious illnesses. b b b b b b b
3) Researchersarefocusingefforts onanHIV vaccine. b b b b b b b
4) Thevirus forthe commoncold has notbeen identified.
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1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
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1) acetaminophen(Tylenol). b
2) increasedfluids. b
3) bedrest.
4) tepidbath. b
14. Whyis alotionwithout petroleum preferred overa petroleum-based product as askin
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b protectant? It: b
1) Preventsmicroorganisms fromadheringtotheskin. b b b b b b
2) Facilitatestheabsorption oflatex proteins throughtheskin. b b b b b b b b
3) Decreasestheriskoflatex allergies. b b b b b
4) Preventstheskinfrom dryingandchaffing. b b b b b b
15. Forwhich range oftime must anursewash her hands before working in theoperating room?
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1) 1to2 minutes
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2) 2to4 minutes b b b
3) 2to6 minutes b b b
4) 6to10 minutes b b b
16. Howshould thenursedisposeof thebreakfast tray ofapatient whorequires airborne
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b isolation?
1) Placethetrayinaspecially marked trashcan insidethepatients room.
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Placethetrayinaspecial isolationbag heldbyasecond healthcare worker atthe
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2) patientsdoor. b
Returnthe traywith anote todietaryservices soit canbecleaned and reused for the
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3) nextmeal. b
Carrythetraytoan isolationtrashreceptacle located in thedirtyutilityroom and
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4) disposeofit there. b b b
1 .Howmuchliquidsoap shouldthe nurseusefor effective hand washing? At least:
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1) 2 mLb
2) 3 mLb
3) 6 mLb
4) 7 mLb