Deck 26: Asepsis and Infection Control

Question 1

The second line of defense that leads to local capillary dilation and leukocyte infiltration is known as:

A) normal flora.
B) inflammatory response.
C) immune response.
D) humoral immunity.

Answer 1

inflammatory response.

Question 2

The antigen-antibody reaction is an example of what type of immunity?

A) Humoral
B) Cellular
C) Innate
D) Passive

Answer 2

Humoral

Question 3

The nurse correctly identifies which patient as having the greatest risk for infection?

A) An 80-year-old male with an enlarged prostate
B) A 24-year-old female long-distance runner
C) A 50-year-old obese male
D) A 40-year-old sexually active female

Answer 3

An 80-year-old male with an enlarged prostate

Question 4

The nurse notes that a patient's albumin is low and is concerned about the patient's ability to fight infection related to antibodies being made from what?

A) Protein
B) Carbohydrates
C) Fats
D) Vitamins

Question 5

The nurse knows that which of the following skills does not require the use of sterile technique?

A) NG tube insertion
B) Foley catheterization
C) Tracheostomy care
D) PICC line insertion

Question 6

A disease-causing organism is known as:

A) a pathogen.
B) normal flora.
C) a germ.
D) a microorganism.

Question 7

The nurse's stethoscope most correctly represents which possible link in the chain of infection?

A) Source
B) Portal of exit
C) Portal of entry
D) Mode of transmission

Question 8

The nurse understands that which set of vitals most likely indicates infection?

A) 98.6, 75, 18, 120/80
B) 99, 80, 19, 110/70
C) 100.5, 96, 22, 150/100
D) 98.9, 65, 18, 98/62

Question 9

The nurse is caring for a patient who is comatose. Her intervention is appropriate when she performs oral care:

A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.

Question 10

The nurse is preparing to perform suctioning on a new tracheostomy with the potential for forceful expulsion of secretions. What PPE should be worn?

A) Gloves and eyewear
B) Gloves, gown, and mask
C) Eyewear and gown
D) Eyewear, mask, gown, gloves

Question 11

A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection. Which is the most appropriate goal?

A) Patient will ambulate length of hallway this shift.
B) Patient will consume 20% of meals by the end of the week.
C) Patient's incision will be without signs or symptoms of infection at discharge.
D) Patient will verbalize need to stop antibiotics medication when symptom free.

Question 12

For which situation is it inappropriate to use alcohol-based hand sanitizer?

A) Patient with pneumonia
B) Patient with C. difficile
C) Status post-appendectomy
D) Patient with HIV

Question 13

The patient has pertussis. What isolation precaution is correctly implemented?

A) Droplet
B) Airborne
C) Contact
D) Protective

Question 14

The nurse anticipates correctly that what type of medication would be ordered to treat athlete's foot?

A) Antiviral
B) Antibiotic
C) Antihelminth
D) Antifungal

Question 15

The nurse administers an immunization consisting of antibodies against hepatitis B. The nurse knows this is a form of what type of immunity?

A) Naturally acquired passive
B) Naturally acquired active
C) Artificially acquired passive
D) Innate

Question 16

The nurse is teaching a group of patient about diseases such as Rocky Mountain Spotted Fever that are transmitted by ticks. The nurse's explanation would be correct if she states that the tick functions as:

A) vectors.
B) bacteria.
C) viruses.
D) fungi.

Question 17

The patient has hepatitis A. Which isolation precaution is correctly implemented?

A) Airborne
B) Contact
C) Droplet
D) Protective

Question 18

The nurse is explaining to the patient why she is receiving antibiotics. Her answer would be correct if she stated antibiotics are effective against which microorganism?

A) Viruses
B) Fungi
C) Parasites
D) Bacteria

Question 19

The nurse correctly identifies that the most effective method to prevent hospital-acquired infections is:

A) use of sterile technique.
B) isolation protocols.
C) antibiotic use.
D) handwashing.

Question 20

The nurse recognizes the correct order to remove PPE as:

A) gloves, eyewear, gown, mask.
B) mask, eyewear, gown, gloves.
C) gown, mask, eyewear, gloves.
D) gloves, gown, mask, eyewear.

Question 21

Which statement regarding handwashing indicates a need for further education? (Select all that apply.)

A) Wash hands first, then wrists.
B) Rinse from fingertips to wrists.
C) Dry using a scrubbing motion.
D) Turn off faucet with clean, dry paper towel.

Question 22

The nurse is providing education to a patient who is being discharged home on antibiotic therapy. Which of the following statement(s) by the patient indicates further education is needed? (Select all that apply.)

A) "I should take antibiotics every time I am sick."
B) "I should take all antibiotics as prescribed."
C) "I should save all unused antibiotics."
D) "I should stop taking antibiotics when I feel better."

Question 23

The patient is on protective precautions. Which is true regarding these precautions? (Select all that apply.)

A) A positive-pressure room with a HEPA filtration system is required.
B) Special respirator masks should be available and one size fits all.
C) No live plants are allowed in the room.
D) The patient may eat any foods desired.

Question 24

The nurse knows that standard precautions are indicated for: (Select all that apply.)

A) all patients.
B) patients with HIV.
C) patients with MRSA.
D) patients with tuberculosis.
E) None of the above.

Question 25

The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors? (Select all that apply.)

A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production

Question 26

The nurse has placed her sterile gloved hands below her waist. Her hands are now considered:

A) sterile.
B) aseptic.
C) non-sterile.
D) free of disease-causing organisms.