Deck 41: Medical Asepsis

Question 1

Which practices are associated with Standard Precautions in the care of clients? Select all that apply.

A) Maintenance of the staff's personal immunizations
B) Thorough handwashing with soap and water
C) Always wearing gloves and other protective equipment
D) Handling of all sharps safely
E) Thorough handwashing with antibacterial solution

Answer 1

Maintenance of the staff's personal immunizations
Thorough handwashing with soap and water
Handling of all sharps safely
Thorough handwashing with antibacterial solution

Question 2

Which practices are associated with Standard Precautions when providing care to clients? Select all that apply.

A) Linens are disposed of in accordance with facility policies
B) Surfaces in client environment are disinfected every shift
C) Sterility of needles and catheters are strictly maintained
D) Mouth-to-mouth resuscitation requires the use of mouthpieces
E) The disposal of biohazardous materials is strictly managed

Answer 2

Linens are disposed of in accordance with facility policies
Sterility of needles and catheters are strictly maintained
Mouth-to-mouth resuscitation requires the use of mouthpieces
The disposal of biohazardous materials is strictly managed

Question 3

What statement accurately describes an endogenous microorganism that causes infection?

A) Present within the individual's body
B) Present outside the individual's body
C) Common example is salmonella
D) Common example is Clostridium tetani

Answer 3

Present within the individual's body

Question 4

Which factor places the nurse at highest risk for contracting a nosocomial infection?

A) Repeatedly contacting infectious materials and clients
B) Providing care to clients diagnosed with infections
C) Administering medications to the clients diagnosed with infections
D) Working with numerous staff members in various departments

Question 5

A nurse is caring for a client who has developed a nosocomial infection. What is the most common nosocomial infection?

A) Nasal infections
B) Surgical-site infections
C) Fungal infections
D) Viral infections

Question 6

Which endogenous organism is responsible for impetigo?

A) Staphylococcus epidermidis
B) Staphylococcus aureus
C) Neisseria species
D) Escherichia coli

Question 7

A client at a healthcare facility has been diagnosed with a nosocomial infection, caused as a result of an exogenous microorganism. Which organism should the nurse recognize as possibly responsible for the client's condition?

A) Clostridium perfringens
B) Aspergillus
C) Escherichia coli
D) Neisseria species

Question 8

Which statement accurately describes the process of medical asepsis?

A) Minimizes or eliminates pathogenic organisms
B) Practice of reducing the number of microorganisms
C) Aims to destroy all organisms
D) Is used in the care of surgical clients

Question 9

Which technique practiced by the nurse is an example of medical asepsis?

A) Using a new needle in the administration of IV medications
B) Cleansing the perineum prior to a urinary catheterization
C) Completing a dressing change using sterile 4X4s
D) Wearing gloves to remove an NG tube

Question 10

What should the nurse do to be most effective in preventing the spread of infectious diseases?

A) Assess the client's vital signs every 4 hours
B) Limit the visitors of critically ill clients
C) Wash hands before and after client contact
D) Wear a mask with client contact

Question 11

When is it critical that a nurse complete a long wash? Select all that apply.

A) At the beginning of each shift
B) When hands are visibly soiled
C) After touching blood with a gloved hand
D) After each client contact
E) At the end of each shift

Question 12

When should a nurse use hand sanitization rather than antimicrobial soap and water? Select all that apply.

A) At the beginning of each shift
B) When hands are not visibly soiled
C) After changing a healing wound dressing
D) After performing pericare
E) Between providing oral medications to several clients

Question 13

Which statements accurately identify when the Centers for Disease Control and Prevention (CDC) guidelines require handwashing? Select all that apply.

A) When hands are visibly soiled
B) Before putting gloves on
C) After taking gloves off
D) Initiating contact with any client
E) After handling sterile materials

Question 14

What precautions should the nurse take when using a mask?

A) Tie the top ties behind the neck in a bow.
B) Do not let the mask hang around the neck.
C) Remove the mask with gloves on.
D) Avoid handling the mask by the strings.

Question 15

A client diagnosed with a foot infection is admitted to a healthcare facility. Which data are most important for the nurse to include when documenting the history of the client?

A) Recent medication therapy
B) Height and weight
C) Details of the current infection
D) Details of prior hospitalizations

Question 16

What is the correct order for removing and disposing of gloves after completion of client care?
1) Wash the hands again.
2) Drop gloves into the appropriate waste receptacle.
3) Roll the two gloves together, with the side that was nearest the hands on the outside.
4) Grasp the outside of one glove, near the cuff, with the thumb and forefinger of the other hand, and pull the glove off.
5) Hook the bare thumb or finger inside the other glove and pull it off, turning it inside out and over the already removed glove.

A) 1, 3, 2, 4, 5
B) 2, 4, 3, 5, 1
C) 3, 5, 2, 1, 4
D) 4, 5, 3, 2, 1

Question 17

What is the most commonly used protective item?

A) Gloves
B) Gown
C) Mask
D) Eye protection

Question 18

A client reports swelling of the face, itchy and red eyes, excessive sneezing, an itchy nose, and with some difficulty breathing. The nurse documents the client as experiencing symptoms of a latex allergy. Based on this information, what level of latex allergy is the nurse experiencing?

A) Skin irritation
B) Contact dermatitis
C) Systemic reaction
D) Generalized anaphylaxis

Question 19

What statements associated with the wearing of a protective gown or apron are accurate? Select all that apply.

A) The inside of the gown or apron is clean.
B) The outside of the gown or apron is considered contaminated.
C) A supply of clean gowns or aprons is kept just inside the door of the client's room.
D) Long sleeves should be rolled up above the elbows before donning a gown.
E) Gowns and aprons are donned just inside the client's room.

Question 20

What is the correct sequence for removing personal protective equipment to minimize the potential for disease transmission?
1) Gloves
2) Eye protection
3) Mask
4) Gown or apron

A) 1, 3, 2, 4
B) 2, 1, 4, 3
C) 3, 4, 1, 2
D) 4, 2, 3, 1

Question 21

What instructions should the nurse provide a client's family and visitors when focusing on controlling the spread of the client's infected foot ulcer? Select all that apply.

A) The importance of proper handwashing after having contact with the client
B) Properly disposing of the soiled foot dressings
C) The need to encourage the client to maintain good skin integrity
D) The importance of providing the client with adequate fluid and food intake to encourage wound healing
E) Being sure the client takes the antimicrobial medications as prescribed

Question 22

Which action is effective in reducing the risk of contaminating the upper arms when washing hands?

A) Always point the arms upward when washing them.
B) Always point the arms downward when washing them.
C) Always points the hands upward when washing them.
D) Always point the hands downward when washing them.

Question 23

What is the proper sequence of steps to take following the accidental needlestick?
1) Immediately wash the area thoroughly with germicidal soap and water.
2) Encourage bleeding from the puncture wound.
3) Report the incident to the Employee Health Service.
4) Fill out an incident report.

A) 1, 2, 3, 4
B) 2, 1, 4, 3
C) 3, 1, 2, 4
D) 4, 3, 2, 1