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Chapter 1. Disease Prevention & Health Promotion
1. Which ofthe 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 onlyafter leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause ofthe spread ofinfection among institutionalized
patients?
1) Airborne microbes fromother patients
2) Contact with contaminated equipment
3) Hands ofhealthcare workers
4) Exposure from family members
3. Which ofthe following nursing activities is ofhighest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. Apatient infected with a virus but who does not have any outward sign ofthe 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
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6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
antibiotics to treat a systemic infection. Which type ofinfection has the patient developed?
1) Endogenous nosocomial
2) Exogenous nosocomial
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
necessary to help maintain sterile technique?
1) Closing the patients door to limit roomtraffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away fromthe sterile field during the procedure
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
infection is the patient most likely experiencing?
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
findings are indicative ofwhich secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness ofbreath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type ofimmunity is provided by intravenous (IV) administration of
immunoglobulin G?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
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12. A patient asks the nurse why there is no vaccine available for the common cold. Which
response by the nurse is correct?
1) The virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses.
3) Researchers are focusing efforts on anHIV vaccine.
4) The virus for the common cold has not been identified.
1 . A patient who has a temperature of101 F (38.3C) most likely requires:
1) acetaminophen (Tylenol).
2) increased fluids.
3) bedrest.
4) tepid bath.
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
protectant? It:
1) Prevents microorganisms fromadhering to the skin.
2) Facilitates the absorption oflatex proteins through the skin.
3) Decreases the risk oflatex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range oftime must a nurse wash her hands before working in the operating
room?
1) 1 to 2 minutes
2) 2 to 4 minutes
3) 2 to 6 minutes
4) 6 to 10 minutes
16. How should the nurse dispose ofthe breakfast tray ofa patient who requires airborne
isolation?
1) Place the tray in a specially marked trash can inside the patients room.
Place the tray in a special isolation bag held by a second healthcare worker at the
2) patients door.
Return the traywith a note to dietaryservices so it can be cleaned and reused for the
3) next meal.
Carrythe tray to an isolation trash receptacle located in the dirty utility room and
4) dispose ofit there.
1 . How much liquid soap should the nurse use for effective hand washing? At least:
1) 2 mL
2) 3 mL
3) 6 mL
4) 7 mL
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Chapter 1. Disease Prevention & Health Promotion
1. Which ofthe 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 onlyafter leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause ofthe spread ofinfection among institutionalized
patients?
1) Airborne microbes fromother patients
2) Contact with contaminated equipment
3) Hands ofhealthcare workers
4) Exposure from family members
3. Which ofthe following nursing activities is ofhighest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. Apatient infected with a virus but who does not have any outward sign ofthe 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
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6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
antibiotics to treat a systemic infection. Which type ofinfection has the patient developed?
1) Endogenous nosocomial
2) Exogenous nosocomial
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which action is
necessary to help maintain sterile technique?
1) Closing the patients door to limit roomtraffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away fromthe sterile field during the procedure
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
infection is the patient most likely experiencing?
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
findings are indicative ofwhich secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness ofbreath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type ofimmunity is provided by intravenous (IV) administration of
immunoglobulin G?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
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12. A patient asks the nurse why there is no vaccine available for the common cold. Which
response by the nurse is correct?
1) The virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses.
3) Researchers are focusing efforts on anHIV vaccine.
4) The virus for the common cold has not been identified.
1 . A patient who has a temperature of101 F (38.3C) most likely requires:
1) acetaminophen (Tylenol).
2) increased fluids.
3) bedrest.
4) tepid bath.
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
protectant? It:
1) Prevents microorganisms fromadhering to the skin.
2) Facilitates the absorption oflatex proteins through the skin.
3) Decreases the risk oflatex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range oftime must a nurse wash her hands before working in the operating
room?
1) 1 to 2 minutes
2) 2 to 4 minutes
3) 2 to 6 minutes
4) 6 to 10 minutes
16. How should the nurse dispose ofthe breakfast tray ofa patient who requires airborne
isolation?
1) Place the tray in a specially marked trash can inside the patients room.
Place the tray in a special isolation bag held by a second healthcare worker at the
2) patients door.
Return the traywith a note to dietaryservices so it can be cleaned and reused for the
3) next meal.
Carrythe tray to an isolation trash receptacle located in the dirty utility room and
4) dispose ofit there.
1 . How much liquid soap should the nurse use for effective hand washing? At least:
1) 2 mL
2) 3 mL
3) 6 mL
4) 7 mL
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