AND ANSWERS
The nurse understands that the priority nursing action needed when medical asepsis is used
includes:
a. handwashing.
b. surgical procedures.
c. autoclaving of instruments.
d. sterilization of equipment. - ANS a. handwashing.
Handwashing with soap and water is:
a. the most effective way to reduce the number of bacteria on the nurse's hands.
b. more effective than alcohol-based products for washing hands.
c. necessary for hand hygiene if hands are visibly soiled.
d. not necessary if the nurse wears artificial nails. - ANS c. necessary for hand hygiene if
hands are visibly soiled.
When caring for patients, the nurse understands that the single most important technique to
prevent and control the transmission of infection is:
a. hand hygiene.
b. the use of disposable gloves.
c. the use of isolation precautions.
d. sterilization of equipment. - ANS a. hand hygiene.
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,Which of the following measures is appropriate when a nurse is washing his or her hands?
a. Use very hot water.
b. Leave rings and watches in place.
c. Lather for at least 15 to 20 seconds.
d. Keep the fingers and hands up and the elbows down. - ANS c. lather for at least 15 to 20
seconds
The nurse shows an understanding of the psychological implications for a patient on isolation
when planning care to control the risk for:
a. denial.
b. aggression.
c. regression.
d. isolation.
e. depression. - ANS d. isolation.
An appropriate technique for the nurse to implement for the patient on isolation precautions is
to:
a. double-bag all disposable items and linens.
b. put another gown over the one worn if it has become wet.
c. place specimen containers in plastic bags for transport.
d. hand items to be reused directly to a nurse standing outside the room. - ANS c. place
specimen containers in plastic bags for transport.
Before entering the room of a patient on isolation where all protective barriers are required,
the nurse first puts on the:
a. gown.
b. gloves.
c. eyewear.
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,d. mask/respirator. - ANS a. gown.
The patient is presenting to the hospital with a high fever and a productive cough. He says that
he hasn't felt right since he returned from visiting Somalia about a month before admission. He
also states that he has lost about 20 pounds in the last month and frequently wakes up in the
middle of the night sweaty and "clammy." What should the nurse prepare to do?
a. Place the patient on contact isolation.
b. Place the patient in a negative-pressure room.
c. Place the patient on droplet precautions.
d. Use standard precautions only. - ANS b. Place the patient in a negative-pressure room.
For patients with which of the following conditions should the nurse implement airborne
precautions?
a. Rubella
b. Influenza
c. Tuberculosis
d. Pediculosis - ANS c. tuberculosis
The patient is admitted to the pediatric unit with severe pertussis. The nurse explains to the
parents and the child that the patient will be treated with the use of:
a. airborne precautions.
b. standard precautions only.
c. droplet precautions.
d. contact isolation. - ANS c. droplet precautions.
Droplet precautions will be instituted for the patient admitted to the infectious disease unit
with:
a. streptococcal pharyngitis.
b. herpes simplex.
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, c. pulmonary TB.
d. measles. - ANS a. streptococcal pharyngitis.
The patient has been hospitalized for several days and has received multiple intravenous
antibiotic medications. This morning, the patient had three episodes of severe, foul-smelling
diarrhea. The nurse should institute:
a. contact precautions.
b. standard precautions only.
c. airborne precautions.
d. droplet precautions. - ANS a. contact precautions.
What should the nurse do to break the chain of infection at the reservoir level?
a. Change a soiled dressing.
b. Keep drainage systems intact.
c. Cover the nose and mouth when sneezing.
d. Avoid contact of the uniform with soiled items. - ANS a. Change a soiled dressing.
The patient is admitted with mumps. The nurse knows that she will have to:
a. put the patient in a private room.
b. place the patient on standard precautions.
c. wear a mask when closer than 3 feet to the patient.
d. place the patient on contact precautions. - ANS c. wear a mask when closer than 3 feet to
the patient.
For an infection to take place, which of the following must be present? (Select all that apply.)
a. Pathogen and reservoir
b. Portals of exit and entry
c. Mode of transmission
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