Deck 21: Reports, infection Control, emergencies, and Special Services

Question 1

A patient with which condition is most likely to be admitted to immunocompromised isolation?

A)Heart transplant
B)Coronary artery bypass graft (CABG)
C)Cholecystitis
D)Drug overdose

Answer 1

Heart transplant

Question 2

Which is a TRUE statement regarding AIDS?

A)AIDS may be used as the primary diagnosis for hospital admission.
B)The nurse may alert family members and visitors that a patient has AIDS.
C)PCP and KS are the two most frequent opportunistic infections of the patient with AIDS.
D)ARC stands for AIDS-related cancer.

Answer 2

PCP and KS are the two most frequent opportunistic infections of the patient with AIDS.

Question 3

An opportunistic infection is an infection that:

A)takes advantage of a patient's weakened immune system.
B)is spread by a person who is in the wrong place at the wrong time.
C)is spread by an employee who did not practice standard precautions.
D)is acquired from within the hospital.

Answer 3

takes advantage of a patient's weakened immune system.

Question 4

In a cardiac or respiratory arrest,it is most likely that the:

A)patient has been unruly and the police would be involved.
B)HUC would immediately call the emergency department doctor to assist with a code.
C)RN-not the HUC-must advise the hospital telephone operator to page a code.
D)patient's heart contractions or respirations are absent or are grossly insufficient to sustain life.

Question 5

The patient in room 428 does not have a detectable pulse.The patient's nurse asks the health unit coordinator (HUC)to initiate a(n):

A)code arrest.
B)disaster procedure.
C)airborne precaution.
D)incident report.

Question 6

An employee files a complaint regarding safety practices within the hospital.The agency most likely to be involved in investigating this complaint is:

A)ARC.
B)Centers for Disease Control and Prevention (CDC).
C)OSHA.
D)hepatitis B virus (HBV).

Question 7

Acquired immunodeficiency syndrome (AIDS)may be transmitted by:

A)hospital employees who are not careful in washing their hands.
B)standing too close to the sneeze of an infected individual.
C)the blood of a rabid animal.
D)blood,vaginal fluids,and semen.

Question 8

The means of entry for bacteria is by:

A)animals,insects,and food.
B)air,contact,and body excretions.
C)mouth,nostrils,and breaks in the skin.
D)inanimate objects.

Question 9

An RN who is wearing personal protective equipment (PPE)most likely is wearing:

A)scrubs.
B)a pocket protector for everything (pens,scissors,etc. ).
C)shoes designed for long-term wear.
D)a moisture-resistant gown.

Question 10

Which of the following episodes most likely would require an incident report?

A)An employee's laptop is stolen from the car while it is parked in the restaurant parking lot across from the hospital.
B)The doctor changes the patient's medication from intramuscular (IM)to by mouth (PO).
C)The registered nurse (RN)administers quinine instead of quinidine,which was ordered.
D)The relief HUC arrives late for work three times in a row.

Question 11

An infection that is acquired while one is in the hospital is called a(n)_____ infection.

A)nosocomial
B)opportunistic
C)cause-of-action
D)immunodeficiency

Question 12

Patients are at risk for acquiring infection as the result of:

A)noninvasive procedures.
B)reduced exposure to numbers and types of disease-causing microorganisms.
C)lower resistance to infectious microorganisms.
D)poor quality of hospital food.

Question 13

Which statement is TRUE regarding an incident report?

A)The HUC is the most likely employee to view incidents that merit incident reports.
B)The incident report is a part of the patient's permanent medical record.
C)If the HUC sees an occurrence that should be reported,he or she should remain silent;this is a nursing issue.
D)An incident report form should be written for all incidents that occur to anyone,no matter how insignificant they may seem.

Question 14

A disease that is spread by body fluids,that is even more contagious than AIDS,and that poses a great risk to health care workers is:

A)AFB.
B)HBV.
C)PPE.
D)TB.

Question 15

Which of the following guidelines should be followed for electrical safety?

A)Use extension cords so that the medical device can be brought closer to the patient.
B)Leave malfunctioning equipment plugged in but immediately call your maintenance department.
C)Unplug a piece of equipment if someone has spilled liquid on it.
D)Leave the paper shredder plugged in while you are working to clear a jam from it.

Question 16

An episode that does not normally occur within the regular hospital routine is:

A)protective care.
B)risk management.
C)an incident.
D)a standard precaution.

Question 17

A disease caused by Mycobacterium tuberculosis is:

A)Occupational Safety and Health Administration (OSHA).
B)sexually transmitted disease (STD).
C)human immunodeficiency virus (HIV).
D)tuberculosis (TB).

Question 18

The study of the occurrence,distribution,and causes of health and disease in humans is likely to be carried out by a(n):

A)epidemiologist.
B)pathologist.
C)biologist.
D)cardiologist.

Question 19

A procedure that is designed to protect a patient with low resistance to disease from becoming infected is:

A)standard precaution.
B)reverse isolation.
C)pathogenic care.
D)nosocomial isolation.

Question 20

A frequent opportunistic illness that may strike the patient with AIDS is:

A)Pneumocystis jiroveci pneumonia (PCP).
B)Streptococcus.
C)Staphylococcus.
D)Pseudomonas.

Question 21

Which of the following statements is TRUE of mail and floral deliveries to the nursing unit?

A)The HUC may keep any flowers that are delivered to the nursing unit if the patient has been discharged to home.
B)Intensive care unit (ICU)patients normally are allowed to have flowers in their room.
C)If mail arrives for a patient who has been discharged,the HUC would write discharged in pencil on the envelope and forward it to the hospital mailroom.
D)The RN is responsible for mail delivery to assigned patients.

Question 22

Which of the following is a common hospital-acquired infection?

A)Coccidioidomycosis
B)Pneumonitis
C)Pseudomonas
D)Mononucleosis

Question 23

In 1987,the CDC presented a concept to protect health care workers called:

A)disaster precaution.
B)universal precautions.
C)material safety data sheet (MSDS).
D)protective care.

Question 24

The most effective way to prevent infection in the hospital is by:

A)practicing hand hygiene.
B)having health care workers always wear a gown and a mask when in a patient's room.
C)assigning the same patients to the same nurses.
D)teaching patients to change their own dressings.

Question 25

One of the guidelines regarding disclosure of information about a patient with a diagnosis of acquired immunodeficiency syndrome (AIDS)caused by the human immunodeficiency virus (HIV)is that the health care worker may disclose the patient's diagnosis:

A)only to the patient's immediate family.
B)to no one.
C)when ordering a test or procedure on the computer.
D)to all visitors who enter the patient's room.

Question 26

A fire is detected in the medication room wastebasket.An immediate response should be to:

A)announce fire in a loud voice so as to evacuate patients quickly.
B)avoid using the phrase code red,which is the code used during an emergency blood transfusion.
C)walk quickly down the hall and open all doors that are closed.
D)follow the procedures noted by the acronym RACE.

Question 27

Which of the following is the most common way to confirm and identify microorganisms and to determine which antibiotic will destroy the identified microbes?

A)Compare patient's symptoms with other patient's symptoms
B)Culture and sensitivity
C)Hematocrit and hemoglobin
D)Type and screen

Question 28

An MSDS is used to document:

A)employee injuries when hazardous materials are used.
B)violations by a facility when hazardous materials are stored or handled.
C)details on chemical dangers and safety procedures.
D)fire safety guidelines.

Question 29

A patient in airborne precautions would:

A)be required to wear a mask at all times.
B)be placed in a room with high-efficiency filtration.
C)not be allowed to have any visitors.
D)be discharged to a private facility as soon as possible.

Question 30

HIV may not be transmitted by:

A)casual contact.
B)vaginal fluids.
C)blood.
D)semen.

Question 31

Code blue is the term used in hospitals to summon help because:

A)a patient has turned blue.
B)a patient has stopped breathing,or his or her heart has stopped beating.
C)there is a fire in the hospital.
D)an individual is displaying violent behavior.