Deck 26: Asepsis and Infection Control

Question 1

The nurse recognizes which term to identify the second line of defense that leads to local capillary dilation and leukocyte infiltration?

A) Normal flora
B) Inflammatory response
C) Immune response
D) Humoral immunity

Answer 1

Inflammatory response

Question 2

Which isolation precaution should the nurse implement for the patient who has been diagnosed with hepatitis A?

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

Answer 2

Contact

Question 3

The nurse is teaching a group of patients about diseases that are transmitted by ticks. Which term would the nurse use when identifying the function of a tick in spreading disease?

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

Answer 3

Vectors

Question 4

When the nurse is wearing sterile gloves, which action would result in the gloves becoming nonsterile?

A) Fold gloved hands until procedure begins.
B) Change a dressing using aseptic technique.
C) Place sterile gloved hands below waist.
D) Use correct protocol when donning sterile gloves.

Question 5

The nurse recognizes which situation to be inappropriate to use alcohol-based hand sanitizer?

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

Question 6

The nurse recognizes that the 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 7

The nurse is caring for a patient who is comatose. When preforming oral hygiene, which interval is most appropriate?

A) Every shift
B) Twice daily
C) Every 4 hours
D) Daily

Question 8

The nurse knows which skill does not require the use of sterile technique?

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

Question 9

When teaching a student nurse about removing PPE, the nurse would include which correct order of equipment removal?

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

Question 10

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

A) T: 98.6 °F (37.0 °C), P: 75 beats/min, R: 18 breaths/min, BP 120/80 mm Hg
B) T: 99 °F (37.2 °C), P: 80 beats/min, R: 18 breaths/min, BP: 110/70 mm Hg
C) T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm Hg
D) T: 98.9 °F (37.1 °C), P: 66 beats/min, R: 18 breaths/min, BP: 98/62 mm Hg

Question 11

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

Question 12

The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors?

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

Question 13

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

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

Question 14

The nurse uses what term to identify a disease-causing organism?

A) Pathogen
B) Normal flora
C) Germ
D) Microorganism

Question 15

What response would the nurse provide to correctly identify the most effective method to prevent hospital-acquired infections?

A) Use of sterile technique
B) Isolation protocols
C) Antibiotic use
D) Handwashing

Question 16

When the patient is diagnosed with pertussis, which isolation precaution should the nurse implement?

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

Question 17

The nurse is preparing to perform suctioning on a new tracheostomy with the potential for forceful expulsion of secretions and identifies what PPE (personal protective equipment) should be worn?

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

Question 18

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

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

Question 19

A patient admitted after abdominal surgery has a Nursing diagnosis of risk for infection. The nurse identifies which goal to be most appropriate?

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 20

The nurse knows that the antigen-antibody reaction is an example of what type of immunity?

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

Question 21

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

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."
E) "If I develop a rash while taking these I will call the provider."

Question 22

The nurse recognizes which statements by the student nurse regarding handwashing indicate a need for further education?

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.
E) Dry the hands in the same order as washing them.

Question 23

The patient is on protective precautions. The nurse knows which statements are true regarding these precautions?

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.
E) Everyone entering the room wears a mask.

Question 24

The nurse knows that standard precautions are indicated for which group(s) of patients?

A) All patients
B) Patients with HIV
C) Patients with MRSA
D) Patients with tuberculosis
E) Patients who are bleeding