NURS 642 Test 2 | Advanced Nursing Exam |
Study Guide & Practice Questions Latest
version 2026
Most common cause of hospital acquired infection? - correct answer-catheter
associated UTI
What should happen if a patient presents with existing foley? - correct answer-
Change the foley, if possible just remove the foley and not replace
How to reduce HAIs - correct answer-use proper hand hygiene recommendations,
follow infection prevention protocols, keep patients in the best possible physical
conditions to help them fight infections, and learn to deal with multi drug
resistant organisms, remove lines if possible.
Systemic signs of infection - correct answer-delirium, lethargy, fever or
hypothermia, tachycardia, hypotension
Anatomic site of infection you take into account what? - correct answer-proximity
to vital structures or joints
Presence of purulence can indicate what? - correct answer-infection
,When do symptoms of necrotizing infection occur? - correct answer-late in the
process
Symptoms of necrotizing inection - correct answer-pain disproportionate to
physical findings
violaceous bullae, cutaneous hemorrhage, skin sloughing, skin anesthesia, rapid
progression, gas in tissue
Most effective preventative measure of infection? - correct answer-handwashing
what percentage of patients acquire a Healthcare associated infection? - correct
answer-10%
Most common types of HAI infections? - correct answer-UTI from indwelling
catheters or procedures
blood stream infection from catheter or secondary sites
pneumonia of intubated unconscious patient
SSI
MRSA
CDIFF
Preventative measures (aside from handwashing) of HAI? - correct answer-early
removal of invasive devices or lines
limit spectrum of antibiotic coverage and unnecessary duration to prevent
multidrug resistance
, What are indications for line removal? - correct answer--purulence at insertion
site
-S.areus, candida, or gram neg rods
-persistent bacteremia (>48hr on abx)
-complications (thromboemboli)
What is empiric antibiotics - correct answer-vanco for MRSA
consider gram neg coverage for immunocompromised/critically ill
treatment if patient presents with UTI symptoms and a foley present - correct
answer--remove foley
-treat with 7 days abx specific to culture results
-treat for 14 days if fever, back pain, leukocytosis, or suggest pyelonephritis
SSI (surgical site infection) prevention - correct answer-prophylactic abx IV at
induction of anesthesia or 30-60min prior to skin incision
Treatment for SSI? - correct answer-most common pathogens postop wound
infection are: S.Areus, coagulase-neg staph.
Tx: opening wound, drainage, debriding, culturing, and antibiotics
empiric coverage driven for gram stain for patients with SSI include? - correct
answer-MRSA- vanc
(linezolid if vanc allergy)
Study Guide & Practice Questions Latest
version 2026
Most common cause of hospital acquired infection? - correct answer-catheter
associated UTI
What should happen if a patient presents with existing foley? - correct answer-
Change the foley, if possible just remove the foley and not replace
How to reduce HAIs - correct answer-use proper hand hygiene recommendations,
follow infection prevention protocols, keep patients in the best possible physical
conditions to help them fight infections, and learn to deal with multi drug
resistant organisms, remove lines if possible.
Systemic signs of infection - correct answer-delirium, lethargy, fever or
hypothermia, tachycardia, hypotension
Anatomic site of infection you take into account what? - correct answer-proximity
to vital structures or joints
Presence of purulence can indicate what? - correct answer-infection
,When do symptoms of necrotizing infection occur? - correct answer-late in the
process
Symptoms of necrotizing inection - correct answer-pain disproportionate to
physical findings
violaceous bullae, cutaneous hemorrhage, skin sloughing, skin anesthesia, rapid
progression, gas in tissue
Most effective preventative measure of infection? - correct answer-handwashing
what percentage of patients acquire a Healthcare associated infection? - correct
answer-10%
Most common types of HAI infections? - correct answer-UTI from indwelling
catheters or procedures
blood stream infection from catheter or secondary sites
pneumonia of intubated unconscious patient
SSI
MRSA
CDIFF
Preventative measures (aside from handwashing) of HAI? - correct answer-early
removal of invasive devices or lines
limit spectrum of antibiotic coverage and unnecessary duration to prevent
multidrug resistance
, What are indications for line removal? - correct answer--purulence at insertion
site
-S.areus, candida, or gram neg rods
-persistent bacteremia (>48hr on abx)
-complications (thromboemboli)
What is empiric antibiotics - correct answer-vanco for MRSA
consider gram neg coverage for immunocompromised/critically ill
treatment if patient presents with UTI symptoms and a foley present - correct
answer--remove foley
-treat with 7 days abx specific to culture results
-treat for 14 days if fever, back pain, leukocytosis, or suggest pyelonephritis
SSI (surgical site infection) prevention - correct answer-prophylactic abx IV at
induction of anesthesia or 30-60min prior to skin incision
Treatment for SSI? - correct answer-most common pathogens postop wound
infection are: S.Areus, coagulase-neg staph.
Tx: opening wound, drainage, debriding, culturing, and antibiotics
empiric coverage driven for gram stain for patients with SSI include? - correct
answer-MRSA- vanc
(linezolid if vanc allergy)
