Deck 26: Asepsis and Infection Control
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Deck 26: Asepsis and Infection Control
1
The patient has hepatitis A.Which isolation precaution is correctly implemented?
A) Airborne
B) Contact
C) Droplet
D) Protective
A) Airborne
B) Contact
C) Droplet
D) Protective
Contact
2
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
A) Source
B) Portal of exit
C) Portal of entry
D) Mode of transmission
Mode of transmission
3
The antigen-antibody reaction is an example of what type of immunity?
A) Humoral
B) Cellular
C) Innate
D) Passive
A) Humoral
B) Cellular
C) Innate
D) Passive
Humoral
4
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
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
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5
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.
A) use of sterile technique.
B) isolation protocols.
C) antibiotic use.
D) handwashing.
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6
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
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
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7
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
A) NG tube insertion
B) Foley catheterization
C) Tracheostomy care
D) PICC line insertion
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8
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.
A) vectors.
B) bacteria.
C) viruses.
D) fungi.
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9
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
A) Gloves and eyewear
B) Gloves,gown,and mask
C) Eyewear and gown
D) Eyewear,mask,gown,gloves
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10
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
A) Patient with pneumonia
B) Patient with C.difficile
C) Status post-appendectomy
D) Patient with HIV
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11
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.
A) gloves,eyewear,gown,mask.
B) mask,eyewear,gown,gloves.
C) gown,mask,eyewear,gloves.
D) gloves,gown,mask,eyewear.
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12
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
A) Protein
B) Carbohydrates
C) Fats
D) Vitamins
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13
A disease-causing organism is known as:
A) a pathogen.
B) normal flora.
C) a germ.
D) a microorganism.
A) a pathogen.
B) normal flora.
C) a germ.
D) a microorganism.
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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
A) Antiviral
B) Antibiotic
C) Antihelminth
D) Antifungal
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15
The patient has pertussis.What isolation precaution is correctly implemented?
A) Droplet
B) Airborne
C) Contact
D) Protective
A) Droplet
B) Airborne
C) Contact
D) Protective
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16
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.
A) normal flora.
B) inflammatory response.
C) immune response.
D) humoral immunity.
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17
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.
A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.
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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
A) Viruses
B) Fungi
C) Parasites
D) Bacteria
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19
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
A) Naturally acquired passive
B) Naturally acquired active
C) Artificially acquired passive
D) Innate
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20
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.
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.
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21
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 above
A) all patients.
B) patients with HIV.
C) patients with MRSA.
D) patients with tuberculosis.
E) None of above
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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."
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."
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23
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.
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.
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24
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.
A) sterile.
B) aseptic.
C) non-sterile.
D) free of disease-causing organisms.
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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
A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production
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26
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.
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.
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