CURRENT Medical Diagnosis and Treatment
2019 Testbank/Studyguide
Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:
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.
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
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.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
institute when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3) Direct contact
4) Indirect contact
,u u6.uAupatientubecomesuinfecteduwithuoralucandidiasisu(thrush)uwhileureceivinguintravenousu
antibioticsutoutreatuausystemicuinfection.uWhichutypeuofuinfectionuhasutheupatientudeveloped?
1) Endogenousunosocomial
2) Exogenousunosocomial
3) Latent
4) Primary
u u 7.uAupatientuadmittedutoutheuhospitaluwithupneumoniauhasubeenureceivinguantibioticsuforu2
udays.uHisuconditionuhasustabilized,uanduhisutemperatureuhasureturnedutounormal.uWhichustageu
ofuinfectionuisutheupatientumostulikelyuexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8.uTheunurseuassistsuausurgeonuwithucentraluvenousucatheteruinsertion.uWhichuactionui
sunecessaryutouhelpumaintainusterileutechnique?
1) Closingutheupatientsudoorutoulimituroomutrafficuwhileupreparingutheusterileufield
2) Usingucleanuprocedureuglovesutouhandleusterileuequipment
3) Placingutheunonsterileusyringesucontaininguflushusolutionuonutheusterileufield
4) Remainingu6uinchesuawayufromutheusterileufielduduringutheuprocedure
9.uAupatientudevelopsulocalizeduheatuanduerythemauoveruanuareauonutheuloweruleg.uThes
eufindingsuareuindicativeuofuwhichusecondaryudefenseuagainstuinfection?
1) Phagocytosis
2) Complementucascade
3) Inflammation
4) Immunity
10.uTheupatientusuddenlyudevelopsuhives,ushortnessuofubreath,uanduwheezinguafterureceivin
guanuantibiotic.uWhichuantibodyuisuprimarilyuresponsibleuforuthisupatientsuresponse?
1) IgA
2) IgE
3) IgG
4) IgM
11.uWhatutypeuofuimmunityuisuprovidedubyuintravenousu(IV)uadministrationuo
fuimmunoglobulinuG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.uAupatientuasksutheunurseuwhyuthereuisunouvaccineuavailableuforutheucommonucold.uWhic
huresponseubyutheunurseuisucorrect?
1) Theuvirusumutatesutoourapidlyutoudevelopuauvaccine.
2) Vaccinesuareudevelopeduonlyuforuveryuseriousuillnesses.
3) ResearchersuareufocusingueffortsuonuanuHIVuvaccine.
4) Theuvirusuforutheucommonucolduhasunotubeenuidentified.
1 .uAupatientuwhouhasuautemperatureuofu101Fu(38.3C)umostulikelyurequires:
1) acetaminophenu(Tylenol).
2) increasedufluids.
3) bedrest.
4) tepidubath.
14.uWhyuisuaulotionuwithoutupetroleumupreferreduoveruaupetroleum-
baseduproductuasuauskinuprotectant?uIt:
1) Preventsumicroorganismsufromuadheringutoutheuskin.
2) Facilitatesutheuabsorptionuofulatexuproteinsuthroughutheuskin.
3) Decreasesutheuriskuofulatexuallergies.
4) Preventsutheuskinufromudryinguanduchaffing.
15.uForuwhichurangeuofutimeumustuaunurseuwashuheruhandsubeforeuworkinguinutheuoperatin
guroom?
1) 1utou2uminutes
2) 2utou4uminutes
3) 2utou6uminutes
4) 6utou10uminutes
16.uHowushouldutheunurseudisposeuofutheubreakfastutrayuofuaupatientuwhourequiresuairborn
euisolation?
1) Placeutheutrayuinuauspeciallyumarkedutrashucanuinsideutheupatientsuroom.
Placeutheutrayuinuauspecialuisolationubaguheldubyuauseconduhealthcareuworkeruatutheupatie
2) ntsudoor.
Returnutheutrayuwithuaunoteutoudietaryuservicesusouitucanubeucleaneduandureuseduforutheun
3) extumeal.
Carryutheutrayutouanuisolationutrashureceptacleulocateduinutheudirtyuutilityuroomuandudisp
4) oseuofuituthere.
1 .uHowumuchuliquidusoapushouldutheunurseuuseuforueffectiveuhanduwashing?uAtuleast:
1) 2umL
2) 3umL
3) 6umL
4) 7umL
, 18.uTouassureueffectiveness,uwhenushouldutheunurseustopurubbinguantisepticuhandusolutio
nuoveruallusurfacesuofutheuhands?
1) Whenufingersufeelusticky
2) Afteru5utou10useconds
3) Whenuleavingutheuclientsuroom
4) Onceufingersuanduhandsufeeludry
19.uAupatientuisuadmittedutoutheuhospitaluforuchemotherapyuanduhasuaulowuwhiteublooduce
llucount.uWhichuprecautionushouldutheustaffutakeuwithuthisupatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20.uWhileudonningusterileugloves,utheunurseunoticesutheuedgesuofutheugloveupackageuareus
lightlyuyellow.uTheuyellowuareauisuoveru1uinchuawayufromutheuglovesuanduonlyuappearsutoubeuo
nutheuoutsideuofutheugloveupackage.uWhatuisutheubestuactionuforutheunurseutoutakeuatuthisupoint?
1) Continueuusingutheuglovesuinsideutheupackageubecauseutheupackageuisuintact.
2) Removeuglovesufromusterileufielduanduuseuaunewupairuofusterileugloves.
3) Throwuallusuppliesuawayuthatuwereutoubeuuseduandubeginuagain.
4) Useutheuglovesuandumakeusureutheu yellowuedgesuofutheupackageudounotutouchutheuclient.
21.uTheunurseuisuremovingupersonaluprotectiveuequipmentu(PPE).uWhichuitemushouldub
euremovedufirst?
1) Gown
2) Gloves
3) Faceushield
4) Hairucovering
22.uAunurseuisusplasheduinutheufaceubyubodyufluiduduringuauprocedure.uPrioritizeutheunurs
esuactions,ulistingutheumostuimportantuoneufirst.
A. Contactuemployeeuhealth
B. Completeuanuincidentureport
C. Washutheuexposeduarea
D. Reportutouanotherunurseuthatusheuisuleavingutheuimmediateuarea.
1) 1,u2,u3,u4
2) 2,u3,u4,u1
3) 3,u4,u1,u2
4) 4,u1,u2,u3
MultipleuResponse
Identifyuoneuorumoreuchoicesuthatubestucompleteutheustatementuoruanswerutheuquestion.
1.uInuwhichusituationuwoulduusingustandarduprecautionsubeuadequate?uSelectualluthatuapply.
2019 Testbank/Studyguide
Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:
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.
2. What is the most frequent cause of the spread of infection among institutionalized
patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
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.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
institute when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3) Direct contact
4) Indirect contact
,u u6.uAupatientubecomesuinfecteduwithuoralucandidiasisu(thrush)uwhileureceivinguintravenousu
antibioticsutoutreatuausystemicuinfection.uWhichutypeuofuinfectionuhasutheupatientudeveloped?
1) Endogenousunosocomial
2) Exogenousunosocomial
3) Latent
4) Primary
u u 7.uAupatientuadmittedutoutheuhospitaluwithupneumoniauhasubeenureceivinguantibioticsuforu2
udays.uHisuconditionuhasustabilized,uanduhisutemperatureuhasureturnedutounormal.uWhichustageu
ofuinfectionuisutheupatientumostulikelyuexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8.uTheunurseuassistsuausurgeonuwithucentraluvenousucatheteruinsertion.uWhichuactionui
sunecessaryutouhelpumaintainusterileutechnique?
1) Closingutheupatientsudoorutoulimituroomutrafficuwhileupreparingutheusterileufield
2) Usingucleanuprocedureuglovesutouhandleusterileuequipment
3) Placingutheunonsterileusyringesucontaininguflushusolutionuonutheusterileufield
4) Remainingu6uinchesuawayufromutheusterileufielduduringutheuprocedure
9.uAupatientudevelopsulocalizeduheatuanduerythemauoveruanuareauonutheuloweruleg.uThes
eufindingsuareuindicativeuofuwhichusecondaryudefenseuagainstuinfection?
1) Phagocytosis
2) Complementucascade
3) Inflammation
4) Immunity
10.uTheupatientusuddenlyudevelopsuhives,ushortnessuofubreath,uanduwheezinguafterureceivin
guanuantibiotic.uWhichuantibodyuisuprimarilyuresponsibleuforuthisupatientsuresponse?
1) IgA
2) IgE
3) IgG
4) IgM
11.uWhatutypeuofuimmunityuisuprovidedubyuintravenousu(IV)uadministrationuo
fuimmunoglobulinuG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12.uAupatientuasksutheunurseuwhyuthereuisunouvaccineuavailableuforutheucommonucold.uWhic
huresponseubyutheunurseuisucorrect?
1) Theuvirusumutatesutoourapidlyutoudevelopuauvaccine.
2) Vaccinesuareudevelopeduonlyuforuveryuseriousuillnesses.
3) ResearchersuareufocusingueffortsuonuanuHIVuvaccine.
4) Theuvirusuforutheucommonucolduhasunotubeenuidentified.
1 .uAupatientuwhouhasuautemperatureuofu101Fu(38.3C)umostulikelyurequires:
1) acetaminophenu(Tylenol).
2) increasedufluids.
3) bedrest.
4) tepidubath.
14.uWhyuisuaulotionuwithoutupetroleumupreferreduoveruaupetroleum-
baseduproductuasuauskinuprotectant?uIt:
1) Preventsumicroorganismsufromuadheringutoutheuskin.
2) Facilitatesutheuabsorptionuofulatexuproteinsuthroughutheuskin.
3) Decreasesutheuriskuofulatexuallergies.
4) Preventsutheuskinufromudryinguanduchaffing.
15.uForuwhichurangeuofutimeumustuaunurseuwashuheruhandsubeforeuworkinguinutheuoperatin
guroom?
1) 1utou2uminutes
2) 2utou4uminutes
3) 2utou6uminutes
4) 6utou10uminutes
16.uHowushouldutheunurseudisposeuofutheubreakfastutrayuofuaupatientuwhourequiresuairborn
euisolation?
1) Placeutheutrayuinuauspeciallyumarkedutrashucanuinsideutheupatientsuroom.
Placeutheutrayuinuauspecialuisolationubaguheldubyuauseconduhealthcareuworkeruatutheupatie
2) ntsudoor.
Returnutheutrayuwithuaunoteutoudietaryuservicesusouitucanubeucleaneduandureuseduforutheun
3) extumeal.
Carryutheutrayutouanuisolationutrashureceptacleulocateduinutheudirtyuutilityuroomuandudisp
4) oseuofuituthere.
1 .uHowumuchuliquidusoapushouldutheunurseuuseuforueffectiveuhanduwashing?uAtuleast:
1) 2umL
2) 3umL
3) 6umL
4) 7umL
, 18.uTouassureueffectiveness,uwhenushouldutheunurseustopurubbinguantisepticuhandusolutio
nuoveruallusurfacesuofutheuhands?
1) Whenufingersufeelusticky
2) Afteru5utou10useconds
3) Whenuleavingutheuclientsuroom
4) Onceufingersuanduhandsufeeludry
19.uAupatientuisuadmittedutoutheuhospitaluforuchemotherapyuanduhasuaulowuwhiteublooduce
llucount.uWhichuprecautionushouldutheustaffutakeuwithuthisupatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20.uWhileudonningusterileugloves,utheunurseunoticesutheuedgesuofutheugloveupackageuareus
lightlyuyellow.uTheuyellowuareauisuoveru1uinchuawayufromutheuglovesuanduonlyuappearsutoubeuo
nutheuoutsideuofutheugloveupackage.uWhatuisutheubestuactionuforutheunurseutoutakeuatuthisupoint?
1) Continueuusingutheuglovesuinsideutheupackageubecauseutheupackageuisuintact.
2) Removeuglovesufromusterileufielduanduuseuaunewupairuofusterileugloves.
3) Throwuallusuppliesuawayuthatuwereutoubeuuseduandubeginuagain.
4) Useutheuglovesuandumakeusureutheu yellowuedgesuofutheupackageudounotutouchutheuclient.
21.uTheunurseuisuremovingupersonaluprotectiveuequipmentu(PPE).uWhichuitemushouldub
euremovedufirst?
1) Gown
2) Gloves
3) Faceushield
4) Hairucovering
22.uAunurseuisusplasheduinutheufaceubyubodyufluiduduringuauprocedure.uPrioritizeutheunurs
esuactions,ulistingutheumostuimportantuoneufirst.
A. Contactuemployeeuhealth
B. Completeuanuincidentureport
C. Washutheuexposeduarea
D. Reportutouanotherunurseuthatusheuisuleavingutheuimmediateuarea.
1) 1,u2,u3,u4
2) 2,u3,u4,u1
3) 3,u4,u1,u2
4) 4,u1,u2,u3
MultipleuResponse
Identifyuoneuorumoreuchoicesuthatubestucompleteutheustatementuoruanswerutheuquestion.
1.uInuwhichusituationuwoulduusingustandarduprecautionsubeuadequate?uSelectualluthatuapply.
