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r 2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - 42 r r r
, Chapter1. Disease Prevention &HealthPromotion
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1. Which of the following behaviors indicates the highest potential for spreading infections among
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r clients? The nurse:
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1) disinfects dirtyhands withantibacterialsoap. r r r r r
2) allows alcohol-based rub todryfor 10 seconds. r r r r r r r
3) washes hands onlyafter leavingeach room. r r r r r r
4) usescold water for medical asepsis. r r r r r
2. What is the most frequent cause of the spread of infection among institutionalized
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patients?
1) Airbornemicrobes from otherpatients r r r r
2) Contactwithcontaminated equipment r r r
3) Hands ofhealthcare workers r r r
4) Exposurefrom familymembers r r r
3. Which of the following nursing activities is of highest priority for maintaining medical
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r asepsis?
1) Washinghands r
2) Donninggloves r
3) Applyingsteriledrapes r r
4) Wearing a gown r r
4. Apatient infected witha virus butwhodoes not haveany outward sign ofthedisease is
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r considered a: r
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
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r institute when caring for this patient?
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1) Droplettransmission r
2) Airborne transmission r
3) Directcontact r
4) Indirectcontact r
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
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r antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenousnosocomial r
2) Exogenousnosocomial r
3) Latent
4) Primary
7.The nurseassists asurgeonwithcentralvenous catheter insertion. Which action is
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r necessary to help maintain sterile technique?
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1) Closing thepatients door to limitroom traffic while preparing thesterile field r r r r r r r r r r r r
2) Usingcleanprocedure gloves tohandle sterileequipment r r r r r r r
3) Placingthe nonsterile syringes containing flushsolution on thesterile field r r r r r r r r r r
4) Remaining6 inches away from thesterile field duringthe procedure r r r r r r r r r r
r 8.A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.
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r His condition has stabilized, and his temperature has returned to normal. Which stage of infection is
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r the patient most likely experiencing?
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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
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r findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade r
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
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r antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
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r immunoglobulin G? r
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
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r response by the nurse is correct?
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1) The virus mutates toorapidlytodevelop a vaccine.
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2) Vaccines are developed onlyfor veryserious illnesses. r r r r r r r
3) Researchers are focusing efforts onanHIV vaccine. r r r r r r r
4) The virus forthe common cold has not been identified.
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1 . Apatient who has a temperature of101F (38.3C) most likelyrequires:
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1) acetaminophen(Tylenol). r
2) increased fluids. r
3) bedrest.
4) tepidbath. r
14. Whyis a lotion without petroleum preferred over a petroleum-based product as a skin
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r protectant? It: r
1) Prevents microorganisms from adhering totheskin. r r r r r r
2) Facilitates theabsorption oflatex proteins through theskin. r r r r r r r r
3) Decreases therisk oflatex allergies. r r r r r
4) Preventstheskin from dryingand chaffing. r r r r r r
15. For which range of time must a nurse wash her hands before working in the operating room?
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1) 1 to2 minutes
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2) 2 to4 minutes r r r
3) 2 to6 minutes r r r
4) 6 to10 minutes r r r
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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r isolation?
1) Placethe tray in aspecially marked trash can insidethepatients room.
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Placethe tray in aspecial isolationbag held by asecond healthcare worker at the
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2) patients door. r
Returnthe traywith a note todietaryservices so it canbe cleaned and reused for the
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3) next meal. r
Carrythe traytoan isolation trash receptacle located in the dirtyutilityroom and
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4) dispose of it there. r r r
1 . How much liquid soap should the nurseuse for effective hand washing? At least:
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1) 2 mL r
2) 3 mL r
3) 6 mL r
4) 7 mL r