TEST BANK
q
, Chapter 1. Disease Prevention & Health Promotion
q q q q q q
1. Which of the following behaviors indicates the highest potential for spreading infections
q q q q q q q q q q q q
q among clients? The nurse:
q q q
1) disinfects dirty hands with antibacterial soap. q q q q q
2) allows alcohol-based rub to dry for 10 seconds.
q q q q q q q
3) washes hands only after leaving each room. q q q q q q
4) uses cold water for medical asepsis.
q q q q q
2. What is the most frequent cause of the spread of infection among institutionalized
q q q q q q q q q q q q q
q patients?
1) Airborne microbes from other patients q q q q
2) Contact with contaminated equipment q q q
3) Hands of healthcare workers q q q
4) Exposure from family members q q q
3. Which of the following nursing activities is of highest priority for maintaining medical
q q q q q q q q q q q q q
q asepsis?
1) Washing hands q
2) Donning gloves q
3) Applying sterile drapes q q
4) Wearing a gown q q
4. A patient infected with a virus but who does not have any outward sign of the disease is
q q q q q q q q q q q q q q q q q q
q considered a: q
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
q q q q q q q q q q q q q q
q institute when caring for this patient?
q q q q q
1) Droplet transmission q
2) Airborne transmission q
3) Direct contact q
4) Indirect contact q
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
q q q q q q q q q q q
q antibiotics to treat a systemic infection. Which type of infection has the patient developed?
q q q q q q q q q q q q q
1) Endogenous nosocomial q
2) Exogenous nosocomial q
3)
Latent
4)
Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
q q q q q q q q q q q q
q necessary to help maintain sterile technique?
q q q q q
1) Closing the patients door to limit room traffic while preparing the sterile field
q q q q q q q q q q q q
2) Using clean procedure gloves to handle sterile equipment
q q q q q q q
3) Placing the nonsterile syringes containing flush solution on the sterile field
q q q q q q q q q q
4) Remaining 6 inches away from the sterile field during the procedure q q q q q q q q q q
q 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
q q q q q q q q q q q q q q q
q His condition has stabilized, and his temperature has returned to normal. Which stage of infection
q q q q q q q q q q q q q q
q is the patient most likely experiencing?
q q q q q
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
q q q q q q q q q q q q q q q
q findings are indicative of which secondary defense against infection?
q q q q q q q q
1) Phagocytosis
2)
Complement cascade q
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
q q q q q q q q q q q q q
q antibiotic. Which antibody is primarily responsible for this patients response?
q q q q q q q q q
1) IgA
2) IgE
3)
IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
q q q q q q q q q q q
q immunoglobulin G? q
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
q q q q q q q q q q q q q q q q
q response by the nurse is correct?
q q q q q
1) The virus mutates too rapidly to develop a vaccine.
q q q q q q q q
2) Vaccines are developed only for very serious illnesses. q q q q q q q
3) Researchers are focusing efforts on an HIV vaccine. q q q q q q q
4) The virus for the common cold has not been identified.
q q q q q q q q q
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
q q q q q q q q q q q q q
1) acetaminophen (Tylenol). q
2) increased fluids. q
3) bedrest.
4) tepid bath. q
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
q q q q q q q q q q q q q q
q protectant? It: q
1) Prevents microorganisms from adhering to the skin. q q q q q q
2) Facilitates the absorption of latex proteins through the skin. q q q q q q q q
3) Decreases the risk of latex allergies. q q q q q
4) Prevents the skin from drying and chaffing. q q q q q q
15. For which range of time must a nurse wash her hands before working in the operating
q q q q q q q q q q q q q q q q
q room?
1) 1 to 2 minutes q q q
2) 2 to 4 minutes
q q q
3) 2 to 6 minutes
q q q
4) 6 to 10 minutes
q q q
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
q q q q q q q q q q q q q q q
q isolation?
1) Place the tray in a specially marked trash can inside the patients room.
q q q q q q q q q q q q
Place the tray in a special isolation bag held by a second healthcare worker at the
q q q q q q q q q q q q q q q
2) patients door. q
Return the tray with a note to dietary services so it can be cleaned and reused for the
q q q q q q q q q q q q q q q q q
3) next meal. q
Carry the tray to an isolation trash receptacle located in the dirty utility room and
q q q q q q q q q q q q q q
4) dispose of it there. q q q
1 . How much liquid soap should the nurse use for effective hand washing? At least:
q q q q q q q q q q q q q q q
1) 2 mLq
2) 3 mLq
3) 6 mLq
4) 7 mLq
q
, Chapter 1. Disease Prevention & Health Promotion
q q q q q q
1. Which of the following behaviors indicates the highest potential for spreading infections
q q q q q q q q q q q q
q among clients? The nurse:
q q q
1) disinfects dirty hands with antibacterial soap. q q q q q
2) allows alcohol-based rub to dry for 10 seconds.
q q q q q q q
3) washes hands only after leaving each room. q q q q q q
4) uses cold water for medical asepsis.
q q q q q
2. What is the most frequent cause of the spread of infection among institutionalized
q q q q q q q q q q q q q
q patients?
1) Airborne microbes from other patients q q q q
2) Contact with contaminated equipment q q q
3) Hands of healthcare workers q q q
4) Exposure from family members q q q
3. Which of the following nursing activities is of highest priority for maintaining medical
q q q q q q q q q q q q q
q asepsis?
1) Washing hands q
2) Donning gloves q
3) Applying sterile drapes q q
4) Wearing a gown q q
4. A patient infected with a virus but who does not have any outward sign of the disease is
q q q q q q q q q q q q q q q q q q
q considered a: q
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
q q q q q q q q q q q q q q
q institute when caring for this patient?
q q q q q
1) Droplet transmission q
2) Airborne transmission q
3) Direct contact q
4) Indirect contact q
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
q q q q q q q q q q q
q antibiotics to treat a systemic infection. Which type of infection has the patient developed?
q q q q q q q q q q q q q
1) Endogenous nosocomial q
2) Exogenous nosocomial q
3)
Latent
4)
Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
q q q q q q q q q q q q
q necessary to help maintain sterile technique?
q q q q q
1) Closing the patients door to limit room traffic while preparing the sterile field
q q q q q q q q q q q q
2) Using clean procedure gloves to handle sterile equipment
q q q q q q q
3) Placing the nonsterile syringes containing flush solution on the sterile field
q q q q q q q q q q
4) Remaining 6 inches away from the sterile field during the procedure q q q q q q q q q q
q 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
q q q q q q q q q q q q q q q
q His condition has stabilized, and his temperature has returned to normal. Which stage of infection
q q q q q q q q q q q q q q
q is the patient most likely experiencing?
q q q q q
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
q q q q q q q q q q q q q q q
q findings are indicative of which secondary defense against infection?
q q q q q q q q
1) Phagocytosis
2)
Complement cascade q
3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
q q q q q q q q q q q q q
q antibiotic. Which antibody is primarily responsible for this patients response?
q q q q q q q q q
1) IgA
2) IgE
3)
IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
q q q q q q q q q q q
q immunoglobulin G? q
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
q q q q q q q q q q q q q q q q
q response by the nurse is correct?
q q q q q
1) The virus mutates too rapidly to develop a vaccine.
q q q q q q q q
2) Vaccines are developed only for very serious illnesses. q q q q q q q
3) Researchers are focusing efforts on an HIV vaccine. q q q q q q q
4) The virus for the common cold has not been identified.
q q q q q q q q q
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
q q q q q q q q q q q q q
1) acetaminophen (Tylenol). q
2) increased fluids. q
3) bedrest.
4) tepid bath. q
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
q q q q q q q q q q q q q q
q protectant? It: q
1) Prevents microorganisms from adhering to the skin. q q q q q q
2) Facilitates the absorption of latex proteins through the skin. q q q q q q q q
3) Decreases the risk of latex allergies. q q q q q
4) Prevents the skin from drying and chaffing. q q q q q q
15. For which range of time must a nurse wash her hands before working in the operating
q q q q q q q q q q q q q q q q
q room?
1) 1 to 2 minutes q q q
2) 2 to 4 minutes
q q q
3) 2 to 6 minutes
q q q
4) 6 to 10 minutes
q q q
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
q q q q q q q q q q q q q q q
q isolation?
1) Place the tray in a specially marked trash can inside the patients room.
q q q q q q q q q q q q
Place the tray in a special isolation bag held by a second healthcare worker at the
q q q q q q q q q q q q q q q
2) patients door. q
Return the tray with a note to dietary services so it can be cleaned and reused for the
q q q q q q q q q q q q q q q q q
3) next meal. q
Carry the tray to an isolation trash receptacle located in the dirty utility room and
q q q q q q q q q q q q q q
4) dispose of it there. q q q
1 . How much liquid soap should the nurse use for effective hand washing? At least:
q q q q q q q q q q q q q q q
1) 2 mLq
2) 3 mLq
3) 6 mLq
4) 7 mLq
