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TEST BANK FOR CURRENT MEDICAL DIAGNOSIS Chapter 1. Disease Prevention & Health Promotion
AND TREATMENT 2023/2024 62ND EDITION BY BY 1. Which of the following behaviors indicates the highest potential for spreading
infections among clients? The nurse:
MAXINE PAPADAKIS A+
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds.
3) washes hands only after leaving each room.
4) uses cold water for medical asepsis.
a
a
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
hM
hM
i
i
1) Airborne microbes from other patients
2) Contact with contaminated equipment
W
W
t
t
u
u
3) Hands of healthcare workers
4) Exposure from family members
b
b
M
M
3. Which of the following nursing activities is of highest priority for maintaining
medical asepsis?
m
m
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the
disease is considered a:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
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,Created By: A Solution Created By: A Solution
5. A patient is admitted to the hospital with tuberculosis. Which precautions must 3) Decline
the nurse institute when caring for this patient? 4) Convalescence
5) 8.
1) Droplet transmission 9. A patient develops localized heat and erythema over an area on the lower leg.
2) Airborne transmission These findings are indicative of which secondary defense against infection?
3) Direct contact
1) Phagocytosis
4) Indirect contact 2) Complement cascade
a
a
6. A patient becomes infected with oral candidiasis (thrush) while receiving 3) Inflammation
intravenous antibiotics to treat a systemic infection. Which type of infection has the patient 4) Immunity
hM
hM
i
i
developed? 10. The patient suddenly develops hives, shortness of breath, and wheezing after
1) Endogenous nosocomial receiving an antibiotic. Which antibody is primarily responsible for this patients response?
W
W
1) IgA
t
t
u
u
2) Exogenous nosocomial
3) Latent 2) IgE
b
b
M
M
3) IgG
4) Primary
m
m
7.The nurse assists a surgeon with central venous catheter insertion. Which action 4) IgM
is necessary to help maintain sterile technique? 11. What type of immunity is provided by intravenous (IV) administration of
1) Closing the patients door to limit room traffic while preparing the sterile field immunoglobulin G?
1) Cell-mediated
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field 2) Passive
4) Remaining 6 inches away from the sterile field during the procedure 3) Humoral
8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
His condition has stabilized, and his temperature has returned to normal. Which stage of 4) Active
infection is the patient most likely experiencing?
12. A patient asks the nurse why there is no vaccine available for the common
1) Incubation cold. Which response by the nurse is correct?
2) Prodromal 1) The virus mutates too rapidly to develop a vaccine.
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,Created By: A Solution Created By: A Solution
2) Vaccines are developed only for very serious illnesses. Return the tray with a note to dietary services so it can be cleaned and reused for the
3) Researchers are focusing efforts on an HIV vaccine. 3) next meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and
4) The virus for the common cold has not been identified. 4) dispose of it there.
1 . A patient who has a temperature of 101F (38.3C) most likely requires: 1 . How much liquid soap should the nurse use for effective hand washing? At least:
1) acetaminophen (Tylenol). 1) 2 mL
2) increased fluids. 2) 3 mL
a
a
3) bedrest. 3) 6 mL
4) tepid bath.
hM
hM
i
i
14. Why is a lotion without petroleum preferred over a petroleum-based product 4) 7 mL
as a skin protectant? It:
W
W
18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand
t
t
u
u
1) Prevents microorganisms from adhering to the skin. solution over all surfaces of the hands?
2) Facilitates the absorption of latex proteins through the skin. 1) When fingers feel sticky
b
b
M
M
3) Decreases the risk of latex allergies. 2) After 5 to 10 seconds
m
m
4) Prevents the skin from drying and chaffing. 3) When leaving the clients room
15. For which range of time must a nurse wash her hands before working in the
operating room? 4) Once fingers and hands feel dry
1) 1 to 2 minutes 19. A patient is admitted to the hospital for chemotherapy and has a low white
2) 2 to 4 minutes blood cell count. Which precaution should the staff take with this patient?
3) 2 to 6 minutes 1) Contact
4) 6 to 10 minutes 2) Protective
16. How should the nurse dispose of the breakfast tray of a patient who requires 3) Droplet
airborne isolation?
1) Place the tray in a specially marked trash can inside the patients room. 4) Airborne
Place the tray in a special isolation bag held by a second healthcare worker at the
2) patients door.
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20. While donning sterile gloves, the nurse notices the edges of the glove package 1. In which situation would using standard precautions be adequate? Select all that apply.
are slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be
on the outside of the glove package. What is the best action for the nurse to take at this point?
1) While interviewing a client with a productive cough
1) Continue using the gloves inside the package because the package is intact. 2) While helping a client to perform his own hygiene care
2) Remove gloves from sterile field and use a new pair of sterile gloves. 3) While aiding a client to ambulate after surgery
3) Throw all supplies away that were to be used and begin again.
4) Use the gloves and make sure the yellow edges of the package do not touch the client. 4) While inserting a peripheral intravenous catheter
21. The nurse is removing personal protective equipment (PPE). Which item 2. Which of the following protect(s) the body against infection? Select all that apply.
a
a
should be removed first?
1) Eating a healthy well-balanced diet
hM
hM
i
i
1) Gown 2) Being an older adult or an infant
2) Gloves
W
W
3) Leisure activities three times a week
t
t
u
u
3) Face shield 4) Exercising for 30 minutes 5 days a week
3. The nurse is teaching a group of newly hired nursing assistive personnel (NAP)
b
b
M
M
4) Hair covering about proper hand washing. The nurse will know that the teaching was effective if the NAP
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the demonstrate what? Select all that apply. The NAP:
m
m
nurses actions, listing the most important one first.
A. Contact employee health 1) uses a paper towel to turn off the faucet.
B. Complete an incident report 2) holds fingertips above the wrists while rinsing off the soap.
C. Wash the exposed area 3) removes all rings and watch before washing hands.
D. Report to another nurse that she is leaving the immediate area.
4) cleans underneath each fingernail.
1) 1, 2, 3, 4 4. Alcohol-based solutions for hand hygiene can be used to combat which types of
2) 2, 3, 4, 1 organisms? Select all that apply.
3) 3, 4, 1, 2 1) Virus
4) 4, 1, 2, 3 2) Bacterial spores
Multiple Response 3) Yeast
Identify one or more choices that best complete the statement or answer the question.
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TEST BANK FOR CURRENT MEDICAL DIAGNOSIS Chapter 1. Disease Prevention & Health Promotion
AND TREATMENT 2023/2024 62ND EDITION BY BY 1. Which of the following behaviors indicates the highest potential for spreading
infections among clients? The nurse:
MAXINE PAPADAKIS A+
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds.
3) washes hands only after leaving each room.
4) uses cold water for medical asepsis.
a
a
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
hM
hM
i
i
1) Airborne microbes from other patients
2) Contact with contaminated equipment
W
W
t
t
u
u
3) Hands of healthcare workers
4) Exposure from family members
b
b
M
M
3. Which of the following nursing activities is of highest priority for maintaining
medical asepsis?
m
m
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the
disease is considered a:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
https://www.stuvia.com/user/asolution https://www.stuvia.com/user/asolution
,Created By: A Solution Created By: A Solution
5. A patient is admitted to the hospital with tuberculosis. Which precautions must 3) Decline
the nurse institute when caring for this patient? 4) Convalescence
5) 8.
1) Droplet transmission 9. A patient develops localized heat and erythema over an area on the lower leg.
2) Airborne transmission These findings are indicative of which secondary defense against infection?
3) Direct contact
1) Phagocytosis
4) Indirect contact 2) Complement cascade
a
a
6. A patient becomes infected with oral candidiasis (thrush) while receiving 3) Inflammation
intravenous antibiotics to treat a systemic infection. Which type of infection has the patient 4) Immunity
hM
hM
i
i
developed? 10. The patient suddenly develops hives, shortness of breath, and wheezing after
1) Endogenous nosocomial receiving an antibiotic. Which antibody is primarily responsible for this patients response?
W
W
1) IgA
t
t
u
u
2) Exogenous nosocomial
3) Latent 2) IgE
b
b
M
M
3) IgG
4) Primary
m
m
7.The nurse assists a surgeon with central venous catheter insertion. Which action 4) IgM
is necessary to help maintain sterile technique? 11. What type of immunity is provided by intravenous (IV) administration of
1) Closing the patients door to limit room traffic while preparing the sterile field immunoglobulin G?
1) Cell-mediated
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field 2) Passive
4) Remaining 6 inches away from the sterile field during the procedure 3) Humoral
8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
His condition has stabilized, and his temperature has returned to normal. Which stage of 4) Active
infection is the patient most likely experiencing?
12. A patient asks the nurse why there is no vaccine available for the common
1) Incubation cold. Which response by the nurse is correct?
2) Prodromal 1) The virus mutates too rapidly to develop a vaccine.
https://www.stuvia.com/user/asolution https://www.stuvia.com/user/asolution
,Created By: A Solution Created By: A Solution
2) Vaccines are developed only for very serious illnesses. Return the tray with a note to dietary services so it can be cleaned and reused for the
3) Researchers are focusing efforts on an HIV vaccine. 3) next meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and
4) The virus for the common cold has not been identified. 4) dispose of it there.
1 . A patient who has a temperature of 101F (38.3C) most likely requires: 1 . How much liquid soap should the nurse use for effective hand washing? At least:
1) acetaminophen (Tylenol). 1) 2 mL
2) increased fluids. 2) 3 mL
a
a
3) bedrest. 3) 6 mL
4) tepid bath.
hM
hM
i
i
14. Why is a lotion without petroleum preferred over a petroleum-based product 4) 7 mL
as a skin protectant? It:
W
W
18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand
t
t
u
u
1) Prevents microorganisms from adhering to the skin. solution over all surfaces of the hands?
2) Facilitates the absorption of latex proteins through the skin. 1) When fingers feel sticky
b
b
M
M
3) Decreases the risk of latex allergies. 2) After 5 to 10 seconds
m
m
4) Prevents the skin from drying and chaffing. 3) When leaving the clients room
15. For which range of time must a nurse wash her hands before working in the
operating room? 4) Once fingers and hands feel dry
1) 1 to 2 minutes 19. A patient is admitted to the hospital for chemotherapy and has a low white
2) 2 to 4 minutes blood cell count. Which precaution should the staff take with this patient?
3) 2 to 6 minutes 1) Contact
4) 6 to 10 minutes 2) Protective
16. How should the nurse dispose of the breakfast tray of a patient who requires 3) Droplet
airborne isolation?
1) Place the tray in a specially marked trash can inside the patients room. 4) Airborne
Place the tray in a special isolation bag held by a second healthcare worker at the
2) patients door.
https://www.stuvia.com/user/asolution https://www.stuvia.com/user/asolution
, Created By: A Solution Created By: A Solution
20. While donning sterile gloves, the nurse notices the edges of the glove package 1. In which situation would using standard precautions be adequate? Select all that apply.
are slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be
on the outside of the glove package. What is the best action for the nurse to take at this point?
1) While interviewing a client with a productive cough
1) Continue using the gloves inside the package because the package is intact. 2) While helping a client to perform his own hygiene care
2) Remove gloves from sterile field and use a new pair of sterile gloves. 3) While aiding a client to ambulate after surgery
3) Throw all supplies away that were to be used and begin again.
4) Use the gloves and make sure the yellow edges of the package do not touch the client. 4) While inserting a peripheral intravenous catheter
21. The nurse is removing personal protective equipment (PPE). Which item 2. Which of the following protect(s) the body against infection? Select all that apply.
a
a
should be removed first?
1) Eating a healthy well-balanced diet
hM
hM
i
i
1) Gown 2) Being an older adult or an infant
2) Gloves
W
W
3) Leisure activities three times a week
t
t
u
u
3) Face shield 4) Exercising for 30 minutes 5 days a week
3. The nurse is teaching a group of newly hired nursing assistive personnel (NAP)
b
b
M
M
4) Hair covering about proper hand washing. The nurse will know that the teaching was effective if the NAP
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the demonstrate what? Select all that apply. The NAP:
m
m
nurses actions, listing the most important one first.
A. Contact employee health 1) uses a paper towel to turn off the faucet.
B. Complete an incident report 2) holds fingertips above the wrists while rinsing off the soap.
C. Wash the exposed area 3) removes all rings and watch before washing hands.
D. Report to another nurse that she is leaving the immediate area.
4) cleans underneath each fingernail.
1) 1, 2, 3, 4 4. Alcohol-based solutions for hand hygiene can be used to combat which types of
2) 2, 3, 4, 1 organisms? Select all that apply.
3) 3, 4, 1, 2 1) Virus
4) 4, 1, 2, 3 2) Bacterial spores
Multiple Response 3) Yeast
Identify one or more choices that best complete the statement or answer the question.
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