Test Bank Current Medical Diagnosis and Treatment, 63rd Edition By
Maxine Papadakis and Stephen Mcphee ALL Chapters 1 - 42 fully
covered and updated 2025/2026 ISBN: 9781265556037
Chapter 1. Disease Prevention & Health Promotion
1. Which of the 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 nosocomia
2) Exogenous nosocomial
3) Latent
4) Primary
7. 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
8. 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
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 virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses.
3) Researchers are focusing efforts on an HIV vaccine.
4) The virus for the common cold has not been identified.
1 . A patient who has a temperature of 101F (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 from adhering to the skin.
2) Facilitates the absorption of latex proteins through the skin.
3) Decreases the risk of latex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range of time 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 of the breakfast tray of a 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 tray with a note to dietary services so it can be cleaned and reused for the
3) next meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and
4) dispose of it 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
18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand
solution over all surfaces of the hands?
1) When fingers feel sticky
2) After 5 to 10 seconds
3) When leaving the clients room
4) Once fingers and hands feel dry
19. A patient is admitted to the hospital for chemotherapy and has a low white blood
cell count. Which precaution should the staff take with this patient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package
are slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to
be on the outside of the glove package. What is the best action for the nurse to take at
this point?
1) Continue using the gloves inside the package because the package is intact.
2) Remove gloves from sterile field and use a new pair of sterile gloves.
3) Throw all supplies away that were to be used and begin again.
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
Maxine Papadakis and Stephen Mcphee ALL Chapters 1 - 42 fully
covered and updated 2025/2026 ISBN: 9781265556037
Chapter 1. Disease Prevention & Health Promotion
1. Which of the 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 nosocomia
2) Exogenous nosocomial
3) Latent
4) Primary
7. 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
8. 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
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 virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses.
3) Researchers are focusing efforts on an HIV vaccine.
4) The virus for the common cold has not been identified.
1 . A patient who has a temperature of 101F (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 from adhering to the skin.
2) Facilitates the absorption of latex proteins through the skin.
3) Decreases the risk of latex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range of time 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 of the breakfast tray of a 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 tray with a note to dietary services so it can be cleaned and reused for the
3) next meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and
4) dispose of it 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
18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand
solution over all surfaces of the hands?
1) When fingers feel sticky
2) After 5 to 10 seconds
3) When leaving the clients room
4) Once fingers and hands feel dry
19. A patient is admitted to the hospital for chemotherapy and has a low white blood
cell count. Which precaution should the staff take with this patient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package
are slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to
be on the outside of the glove package. What is the best action for the nurse to take at
this point?
1) Continue using the gloves inside the package because the package is intact.
2) Remove gloves from sterile field and use a new pair of sterile gloves.
3) Throw all supplies away that were to be used and begin again.
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
