Edition
By Maxine Papadakis, Stephen Mcphee
Chapters 1 - 42
Cha
pte
r 1.
Dis
eas
e
Pre
ven
tion
&
Hea
lth
Pro
mot
ion
1
.
W
h
i
c
h
o
f
t
h
,e 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
6. A patient becomes infected with oral candidiasis (thrush) while receiving
intravenous antibiotics to treat a systemic infection. Which type of infection 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 room traffic 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 from the 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 of which secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, 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 of immunity is provided by intravenous (IV) administration of
immunoglobulin G?
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 response by the nurse is correct?
, 1) The gvirus gmutates gtoo grapidly gto gdevelop ga gvaccine.
2) Vaccines gare gdeveloped gonly gfor gvery gserious gillnesses.
3) Researchers gare gfocusing gefforts gon gan gHIV gvaccine.
4) The gvirus gfor gthe gcommon gcold ghas gnot gbeen gidentified.
1 g. gA gpatient gwho ghas ga gtemperature gof g101F g(38.3C) gmost glikely grequires:
1) acetaminophen g(Tylenol).
2) increased gfluids.
3) bedrest.
4) tepid gbath.
14. gWhy gis ga glotion gwithout gpetroleum gpreferred gover ga gpetroleum-based gproduct
gas ga gskin gprotectant? gIt:
1) Prevents gmicroorganisms gfrom gadhering gto gthe gskin.
2) Facilitates gthe gabsorption gof glatex gproteins gthrough gthe gskin.
3) Decreases gthe grisk gof glatex gallergies.
4) Prevents gthe gskin gfrom gdrying gand gchaffing.
15. gFor gwhich grange gof gtime gmust ga gnurse gwash gher ghands gbefore gworking gin gthe
goperating groom?
1) 1 gto g2 gminutes
2) 2 gto g4 gminutes
3) 2 gto g6 gminutes
4) 6 gto g10 gminutes
16. gHow gshould gthe gnurse gdispose gof gthe gbreakfast gtray gof ga gpatient gwho
grequires gairborne gisolation?
1) Place gthe gtray gin ga gspecially gmarked gtrash gcan ginside gthe gpatients groom.
Place gthe gtray gin ga gspecial gisolation gbag gheld gby ga gsecond ghealthcare gworker gat gthe
2) patients gdoor.
Return gthe gtray gwith ga gnote gto gdietary gservices gso git gcan gbe gcleaned gand greused gfor gthe
3) next gmeal.
Carry gthe gtray gto gan gisolation gtrash greceptacle glocated gin gthe gdirty gutility groom gand
4) dispose gof git gthere.
1 g. gHow gmuch gliquid gsoap gshould gthe gnurse guse gfor geffective ghand gwashing? gAt gleast:
1) 2 gmL
2) 3 gmL
3) 6 gmL
4) 7 gmL
18. gTo gassure geffectiveness, gwhen gshould gthe gnurse gstop grubbing gantiseptic ghand