Test Bank For Current Medical Diagnosis And Treatment 20246
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2nd Edition By Maxine Papadakis, Stephen Mcphee, Michael Rabo
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w & Kenneth Mcquaid j j j
Chapterj1.jDiseasejPreventionj&jHealthjPromotion
j
1.jWhichjofjthejfollowingjbehaviorsjindicatesjthejhighestjpotentialjforjspreadingjinfectionsjam
ongjclients?jThejnurse:
1) disinfectsjdirtyjhandsjwithjantibacterialjsoap.
2) allowsjalcohol-basedjrubjtojdryjforj10jseconds.
3) washesjhandsjonlyjafterjleavingjeachjroom.
4) usesjcoldjwaterjforjmedicaljasepsis.
j
2.jWhatjisjthejmostjfrequentjcausejofjthejspreadjofjinfectionjamongjinstitutionalizedjpati
ents?
1) Airbornejmicrobesjfromjotherjpatients
2) Contactjwithjcontaminatedjequipment
3) Handsjofjhealthcarejworkers
4) Exposurejfromjfamilyjmembers
j
3.jWhichjofjthejfollowingjnursingjactivitiesjisjofjhighestjpriorityjforjmaintainingjmedicaljasep
sis?
1) Washingjhands
2) Donningjgloves
3) Applyingjsterilejdrapes
4) Wearingjajgown
j
4.jAjpatientjinfectedjwithjajvirusjbutjwhojdoesjnotjhavejanyjoutwardjsignjofjthejdiseasejisjconsi
deredja:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
j
5.jAjpatientjisjadmittedjtojthejhospitaljwithjtuberculosis.jWhichjprecautionsjmustjthejnursejinsti
tutejwhenjcaringjforjthisjpatient?
1) Dropletjtransmission
2) Airbornejtransmission
3) Directjcontact
4) Indirectjcontact
,j
6.jAjpatientjbecomesjinfectedjwithjoraljcandidiasisj(thrush)jwhilejreceivingjintravenousjanti
bioticsjtojtreatjajsystemicjinfection.jWhichjtypejofjinfectionjhasjthejpatientjdeveloped?
1) Endogenousjnosocomial
2) Exogenousjnosocomial
3) Latent
4) Primary
jjjjjjjjj7.jAjpatientjadmittedjtojthejhospitaljwithjpneumoniajhasjbeenjreceivingjantibioticsjforj2jdays.jHi
sjconditionjhasjstabilized,jandjhisjtemperaturejhasjreturnedjtojnormal.jWhichjstagejofjinfectionjisjt
hejpatientjmostjlikelyjexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
j
8.jThejnursejassistsjajsurgeonjwithjcentraljvenousjcatheterjinsertion.jWhichjactionjisjnec
essaryjtojhelpjmaintainjsterilejtechnique?
1) Closingjthejpatientsjdoorjtojlimitjroomjtrafficjwhilejpreparingjthejsterilejfield
2) Usingjcleanjprocedurejglovesjtojhandlejsterilejequipment
3) Placingjthejnonsterilejsyringesjcontainingjflushjsolutionjonjthejsterilejfield
4) Remainingj6jinchesjawayjfromjthejsterilejfieldjduringjthejprocedure
j
9.jAjpatientjdevelopsjlocalizedjheatjandjerythemajoverjanjareajonjthejlowerjleg.jThesejfindi
ngsjarejindicativejofjwhichjsecondaryjdefensejagainstjinfection?
1) Phagocytosis
2) Complementjcascade
3) Inflammation
4) Immunity
j
10.jThejpatientjsuddenlyjdevelopsjhives,jshortnessjofjbreath,jandjwheezingjafterjreceivingjanja
ntibiotic.jWhichjantibodyjisjprimarilyjresponsiblejforjthisjpatientsjresponse?
1) IgA
2) IgE
3) IgG
4) IgM
j
11.jWhatjtypejofjimmunityjisjprovidedjbyjintravenousj(IV)jadministrationjofjim
munoglobulinjG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,j
12.jAjpatientjasksjthejnursejwhyjtherejisjnojvaccinejavailablejforjthejcommonjcold.jWhichjrespo
nsejbyjthejnursejisjcorrect?
1) Thejvirusjmutatesjtoojrapidlyjtojdevelopjajvaccine.
2) Vaccinesjarejdevelopedjonlyjforjveryjseriousjillnesses.
3) ResearchersjarejfocusingjeffortsjonjanjHIVjvaccine.
4) Thejvirusjforjthejcommonjcoldjhasjnotjbeenjidentified.
1j.jAjpatientjwhojhasjajtemperaturejofj101Fj(38.3C)jmostjlikelyjrequires:
1) acetaminophenj(Tylenol).
2) increasedjfluids.
3) bedrest.
4) tepidjbath.
j 14.jWhyjisjajlotionjwithoutjpetroleumjpreferredjoverjajpetroleum-
basedjproductjasjajskinjprotectant?jIt:
1) Preventsjmicroorganismsjfromjadheringjtojthejskin.
2) Facilitatesjthejabsorptionjofjlatexjproteinsjthroughjthejskin.
3) Decreasesjthejriskjofjlatexjallergies.
4) Preventsjthejskinjfromjdryingjandjchaffing.
j
15.jForjwhichjrangejofjtimejmustjajnursejwashjherjhandsjbeforejworkingjinjthejoperatingjroom
?
1) 1jtoj2jminutes
2) 2jtoj4jminutes
3) 2jtoj6jminutes
4) 6jtoj10jminutes
j
16.jHowjshouldjthejnursejdisposejofjthejbreakfastjtrayjofjajpatientjwhojrequiresjairbornejisola
tion?
1) Placejthejtrayjinjajspeciallyjmarkedjtrashjcanjinsidejthejpatientsjroom.
Placejthejtrayjinjajspecialjisolationjbagjheldjbyjajsecondjhealthcarejworkerjatjthe
2) patientsjdoor.
Returnjthejtrayjwithjajnotejtojdietaryjservicesjsojitjcanjbejcleanedjandjreusedjforjthe
3) nextjmeal.
Carryjthejtrayjtojanjisolationjtrashjreceptaclejlocatedjinjthejdirtyjutilityjroomjand
4) disposejofjitjthere.
1j.jHowjmuchjliquidjsoapjshouldjthejnursejusejforjeffectivejhandjwashing?jAtjleast:
1) 2jmL
2) 3jmL
3) 6jmL
4) 7jmL
, j
18.jTojassurejeffectiveness,jwhenjshouldjthejnursejstopjrubbingjantisepticjhandjsolutionjove
rjalljsurfacesjofjthejhands?
1) Whenjfingersjfeeljsticky
2) Afterj5jtoj10jseconds
3) Whenjleavingjthejclientsjroom
4) Oncejfingersjandjhandsjfeeljdry
j
19.jAjpatientjisjadmittedjtojthejhospitaljforjchemotherapyjandjhasjajlowjwhitejbloodjcelljcount
.jWhichjprecautionjshouldjthejstaffjtakejwithjthisjpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
j
20.jWhilejdonningjsterilejgloves,jthejnursejnoticesjthejedgesjofjthejglovejpackagejarejslightlyj
yellow.jThejyellowjareajisjoverj1jinchjawayjfromjthejglovesjandjonlyjappearsjtojbejonjthejoutsidejofjt
hejglovejpackage.jWhatjisjthejbestjactionjforjthejnursejtojtakejatjthisjpoint?
1) Continuejusingjthejglovesjinsidejthejpackagejbecausejthejpackagejisjintact.
2) Removejglovesjfromjsterilejfieldjandjusejajnewjpairjofjsterilejgloves.
3) Throwjalljsuppliesjawayjthatjwerejtojbejusedjandjbeginjagain.
4) Usejthejglovesjandjmakejsurejthej yellowjedgesjofjthejpackagejdojnotjtouchjthejclient.
j
21.jThejnursejisjremovingjpersonaljprotectivejequipmentj(PPE).jWhichjitemjshouldjbejrem
ovedjfirst?
1) Gown
2) Gloves
3) Facejshield
4) Hairjcovering
j
22.jAjnursejisjsplashedjinjthejfacejbyjbodyjfluidjduringjajprocedure.jPrioritizejthejnursesjactio
ns,jlistingjthejmostjimportantjonejfirst.
A. Contactjemployeejhealth
B. Completejanjincidentjreport
C. Washjthejexposedjarea
D. Reportjtojanotherjnursejthatjshejisjleavingjthejimmediatejarea.j1)
1,j2,j3,j4
2) 2,j3,j4,j1
3) 3,j4,j1,j2
4) 4,j1,j2,j3
MultiplejResponse
Identifyjonejorjmorejchoicesjthatjbestjcompletejthejstatementjorjanswerjthejquestion.
j 1.jInjwhichjsituationjwouldjusingjstandardjprecautionsjbejadequate?jSelectjalljthatjapply.
j j j j j j j j j
2nd Edition By Maxine Papadakis, Stephen Mcphee, Michael Rabo
j
j j j j j j j
w & Kenneth Mcquaid j j j
Chapterj1.jDiseasejPreventionj&jHealthjPromotion
j
1.jWhichjofjthejfollowingjbehaviorsjindicatesjthejhighestjpotentialjforjspreadingjinfectionsjam
ongjclients?jThejnurse:
1) disinfectsjdirtyjhandsjwithjantibacterialjsoap.
2) allowsjalcohol-basedjrubjtojdryjforj10jseconds.
3) washesjhandsjonlyjafterjleavingjeachjroom.
4) usesjcoldjwaterjforjmedicaljasepsis.
j
2.jWhatjisjthejmostjfrequentjcausejofjthejspreadjofjinfectionjamongjinstitutionalizedjpati
ents?
1) Airbornejmicrobesjfromjotherjpatients
2) Contactjwithjcontaminatedjequipment
3) Handsjofjhealthcarejworkers
4) Exposurejfromjfamilyjmembers
j
3.jWhichjofjthejfollowingjnursingjactivitiesjisjofjhighestjpriorityjforjmaintainingjmedicaljasep
sis?
1) Washingjhands
2) Donningjgloves
3) Applyingjsterilejdrapes
4) Wearingjajgown
j
4.jAjpatientjinfectedjwithjajvirusjbutjwhojdoesjnotjhavejanyjoutwardjsignjofjthejdiseasejisjconsi
deredja:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
j
5.jAjpatientjisjadmittedjtojthejhospitaljwithjtuberculosis.jWhichjprecautionsjmustjthejnursejinsti
tutejwhenjcaringjforjthisjpatient?
1) Dropletjtransmission
2) Airbornejtransmission
3) Directjcontact
4) Indirectjcontact
,j
6.jAjpatientjbecomesjinfectedjwithjoraljcandidiasisj(thrush)jwhilejreceivingjintravenousjanti
bioticsjtojtreatjajsystemicjinfection.jWhichjtypejofjinfectionjhasjthejpatientjdeveloped?
1) Endogenousjnosocomial
2) Exogenousjnosocomial
3) Latent
4) Primary
jjjjjjjjj7.jAjpatientjadmittedjtojthejhospitaljwithjpneumoniajhasjbeenjreceivingjantibioticsjforj2jdays.jHi
sjconditionjhasjstabilized,jandjhisjtemperaturejhasjreturnedjtojnormal.jWhichjstagejofjinfectionjisjt
hejpatientjmostjlikelyjexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
j
8.jThejnursejassistsjajsurgeonjwithjcentraljvenousjcatheterjinsertion.jWhichjactionjisjnec
essaryjtojhelpjmaintainjsterilejtechnique?
1) Closingjthejpatientsjdoorjtojlimitjroomjtrafficjwhilejpreparingjthejsterilejfield
2) Usingjcleanjprocedurejglovesjtojhandlejsterilejequipment
3) Placingjthejnonsterilejsyringesjcontainingjflushjsolutionjonjthejsterilejfield
4) Remainingj6jinchesjawayjfromjthejsterilejfieldjduringjthejprocedure
j
9.jAjpatientjdevelopsjlocalizedjheatjandjerythemajoverjanjareajonjthejlowerjleg.jThesejfindi
ngsjarejindicativejofjwhichjsecondaryjdefensejagainstjinfection?
1) Phagocytosis
2) Complementjcascade
3) Inflammation
4) Immunity
j
10.jThejpatientjsuddenlyjdevelopsjhives,jshortnessjofjbreath,jandjwheezingjafterjreceivingjanja
ntibiotic.jWhichjantibodyjisjprimarilyjresponsiblejforjthisjpatientsjresponse?
1) IgA
2) IgE
3) IgG
4) IgM
j
11.jWhatjtypejofjimmunityjisjprovidedjbyjintravenousj(IV)jadministrationjofjim
munoglobulinjG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,j
12.jAjpatientjasksjthejnursejwhyjtherejisjnojvaccinejavailablejforjthejcommonjcold.jWhichjrespo
nsejbyjthejnursejisjcorrect?
1) Thejvirusjmutatesjtoojrapidlyjtojdevelopjajvaccine.
2) Vaccinesjarejdevelopedjonlyjforjveryjseriousjillnesses.
3) ResearchersjarejfocusingjeffortsjonjanjHIVjvaccine.
4) Thejvirusjforjthejcommonjcoldjhasjnotjbeenjidentified.
1j.jAjpatientjwhojhasjajtemperaturejofj101Fj(38.3C)jmostjlikelyjrequires:
1) acetaminophenj(Tylenol).
2) increasedjfluids.
3) bedrest.
4) tepidjbath.
j 14.jWhyjisjajlotionjwithoutjpetroleumjpreferredjoverjajpetroleum-
basedjproductjasjajskinjprotectant?jIt:
1) Preventsjmicroorganismsjfromjadheringjtojthejskin.
2) Facilitatesjthejabsorptionjofjlatexjproteinsjthroughjthejskin.
3) Decreasesjthejriskjofjlatexjallergies.
4) Preventsjthejskinjfromjdryingjandjchaffing.
j
15.jForjwhichjrangejofjtimejmustjajnursejwashjherjhandsjbeforejworkingjinjthejoperatingjroom
?
1) 1jtoj2jminutes
2) 2jtoj4jminutes
3) 2jtoj6jminutes
4) 6jtoj10jminutes
j
16.jHowjshouldjthejnursejdisposejofjthejbreakfastjtrayjofjajpatientjwhojrequiresjairbornejisola
tion?
1) Placejthejtrayjinjajspeciallyjmarkedjtrashjcanjinsidejthejpatientsjroom.
Placejthejtrayjinjajspecialjisolationjbagjheldjbyjajsecondjhealthcarejworkerjatjthe
2) patientsjdoor.
Returnjthejtrayjwithjajnotejtojdietaryjservicesjsojitjcanjbejcleanedjandjreusedjforjthe
3) nextjmeal.
Carryjthejtrayjtojanjisolationjtrashjreceptaclejlocatedjinjthejdirtyjutilityjroomjand
4) disposejofjitjthere.
1j.jHowjmuchjliquidjsoapjshouldjthejnursejusejforjeffectivejhandjwashing?jAtjleast:
1) 2jmL
2) 3jmL
3) 6jmL
4) 7jmL
, j
18.jTojassurejeffectiveness,jwhenjshouldjthejnursejstopjrubbingjantisepticjhandjsolutionjove
rjalljsurfacesjofjthejhands?
1) Whenjfingersjfeeljsticky
2) Afterj5jtoj10jseconds
3) Whenjleavingjthejclientsjroom
4) Oncejfingersjandjhandsjfeeljdry
j
19.jAjpatientjisjadmittedjtojthejhospitaljforjchemotherapyjandjhasjajlowjwhitejbloodjcelljcount
.jWhichjprecautionjshouldjthejstaffjtakejwithjthisjpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
j
20.jWhilejdonningjsterilejgloves,jthejnursejnoticesjthejedgesjofjthejglovejpackagejarejslightlyj
yellow.jThejyellowjareajisjoverj1jinchjawayjfromjthejglovesjandjonlyjappearsjtojbejonjthejoutsidejofjt
hejglovejpackage.jWhatjisjthejbestjactionjforjthejnursejtojtakejatjthisjpoint?
1) Continuejusingjthejglovesjinsidejthejpackagejbecausejthejpackagejisjintact.
2) Removejglovesjfromjsterilejfieldjandjusejajnewjpairjofjsterilejgloves.
3) Throwjalljsuppliesjawayjthatjwerejtojbejusedjandjbeginjagain.
4) Usejthejglovesjandjmakejsurejthej yellowjedgesjofjthejpackagejdojnotjtouchjthejclient.
j
21.jThejnursejisjremovingjpersonaljprotectivejequipmentj(PPE).jWhichjitemjshouldjbejrem
ovedjfirst?
1) Gown
2) Gloves
3) Facejshield
4) Hairjcovering
j
22.jAjnursejisjsplashedjinjthejfacejbyjbodyjfluidjduringjajprocedure.jPrioritizejthejnursesjactio
ns,jlistingjthejmostjimportantjonejfirst.
A. Contactjemployeejhealth
B. Completejanjincidentjreport
C. Washjthejexposedjarea
D. Reportjtojanotherjnursejthatjshejisjleavingjthejimmediatejarea.j1)
1,j2,j3,j4
2) 2,j3,j4,j1
3) 3,j4,j1,j2
4) 4,j1,j2,j3
MultiplejResponse
Identifyjonejorjmorejchoicesjthatjbestjcompletejthejstatementjorjanswerjthejquestion.
j 1.jInjwhichjsituationjwouldjusingjstandardjprecautionsjbejadequate?jSelectjalljthatjapply.
