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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
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b among clients? The nurse:
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1) disinfects dirtyhands withantibacterial soap. b b b b b




2) allows alcohol-based rub to dryfor 10 seconds.
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3) washes hands onlyafter leaving each room. b b b b b b




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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b patients?
1) Airborne microbes from other patients b b b b




2) Contact withcontaminated equipment b b b




3) Hands ofhealthcare workers b b b




4) Exposurefrom familymembers b b b




3. Which of the following nursing activities is of highest priority for maintaining medical
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b asepsis?
1) Washing hands b




2) Donning gloves b




3) Applying steriledrapes b b




4) Wearing a gown b b




4. Apatient infected with a virus but who does not have any outward sign of thedisease is
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b considered a: b




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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b institute when caring for this patient?
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1) Droplet transmission b




2) Airborne transmission b




3) Direct contact b




4) Indirect contact b

, 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 b




2) Exogenous nosocomial b




3) Latent
4) Primary
7.The nurseassists asurgeon withcentral venous catheter insertion. Which action is
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necessary to help maintain sterile technique?
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1) Closing thepatients door to limit room traffic while preparing the sterile field b b b b b b b b b b b b




2) Using clean procedure gloves to handle sterile equipment b b b b b b b




3) Placingthe nonsterile syringes containing flush solution on the sterile fieldb b b b b b b b b b




4) Remaining 6 inches away from thesterile field duringthe procedure b b b b b b b b b b




b8.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 b




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
3)
IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
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b immunoglobulin G? b




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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b 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. b b b b b b b




3) Researchers are focusing efforts onan HIV vaccine. b b b b b b b




4) The virus for the common cold has not been identified.
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1 . Apatient who has a temperature of 101F (38.3C) most likelyrequires:
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1) acetaminophen (Tylenol). b




2) increased fluids. b




3) bedrest.
4) tepid bath. b




14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
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b protectant? It: b




1) Prevents microorganisms from adhering to theskin. b b b b b b




2) Facilitates theabsorption of latex proteins through theskin. b b b b b b b b




3) Decreases therisk oflatex allergies. b b b b b




4) Prevents theskin from drying and chaffing. b b b b b b




15. For which range of time must a nurse wash her hands before working in the operating
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b room?
1) 1 to 2 minutes b b b




2) 2 to 4 minutes b b b




3) 2 to 6 minutes b b b




4) 6 to 10 minutes b b b




16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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b isolation?
1) Placethe tray in aspecially marked trash can insidethe 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. b




Returnthe traywith a note to dietaryservices so it can be cleaned and reused for the
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3) next meal. b




Carrythe trayto an isolation trash receptacle located in the dirtyutilityroom and
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4) dispose of it there. b b b




1 . How much liquid soap should the nurseuse for effective hand washing? At least:
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1) 2 mL b




2) 3 mL b




3) 6 mL b




4) 7 mL b