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n 2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - 42
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, 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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clients? The nurse:
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1) disinfects dirtyhands with antibacterial soap. n n n n n
2) allows alcohol-based rub to dry for 10 seconds. n n n n n n n
3) washes hands onlyafter leaving each room. n n n n n n
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 n n n n
2) Contact withcontaminated equipment n n n
3) Hands ofhealthcare workers n n n
4) Exposure from familymembers n n n
3. Which of the following nursing activities is of highest priority for maintaining medical
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asepsis?
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1) Washing hands n
2) Donning gloves n
3) Applyingsterile drapes n n
4) Wearing a gown n n
4. Apatient infected with a virus but whodoes not have any outward sign ofthe disease is
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considered a:
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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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institute when caring for this patient?
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1) Droplet transmission n
2) Airborne transmission n
3) Direct contact n
4) Indirect contact n
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
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antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenous nosocomial n
2) Exogenous nosocomial n
3)
Latent
4)
Primary
7.The nurse assists asurgeon with central venous catheter insertion. Which action is
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necessary to help maintain sterile technique?
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1) Closing the patients door to limit room traffic while preparing the sterile field n n n n n n n n n n n n
2) Using clean procedure gloves to handle sterile equipment n n n n n n n
3) Placingthe nonsterile syringes containing flush solution on the sterile fieldn n n n n n n n n n
4) Remaining6 inches away from the sterile field during the procedure n n n n n n n n n n
n 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
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His condition has stabilized, and his temperature has returned to normal. Which stage of infection
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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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findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade n
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
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antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
IgG3)
IgM4)
11. What type of immunity is provided by intravenous (IV) administration of
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immunoglobulin G?
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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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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. n n n n n n n
3) Researchers are focusing efforts on anHIV vaccine. n n n n n n n
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). n
2) increased fluids. n
3) bedrest.
4) tepid bath. n
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
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protectant? It:
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1) Prevents microorganisms from adhering tothe skin. n n n n n n
2) Facilitates the absorption of latex proteins through theskin. n n n n n n n n
3) Decreases therisk oflatex allergies. n n n n n
4) Prevents the skin from drying and chaffing. n n n n n n
15. For which range of time must a nurse wash her hands before working in the operating
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room?
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1) 1 to 2 minutes n n n
2) 2 to 4 minutes n n n
3) 2 to 6 minutes n n n
4) 6 to 10 minutes n n n
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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isolation?
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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. n
Returnthe traywith a note to dietaryservices so it can be cleaned and reused for the
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3) next meal. n
Carrythe trayto an isolation trash receptacle located in the dirtyutilityroom and
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4) dispose of it there. n n n
1 . How much liquid soap should the nurseuse for effective hand washing? At least:
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1) 2 mL n
2) 3 mL n
3) 6 mL n
4) 7 mL n