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WorksheetsInfection Control
Total questions: 55
Worksheet time: 2hrs 50mins
Name
Class
Date
1.
The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to
a)
Encourage preschool children to eat a nutritious diet.
b)
Encourage parents to provide a multivitamin to the children.
c)
Clean the toys every afternoon before putting them away.
d)
Wash their hands between each interaction with children.
2.
The nurse is admitting a patient with an infectious disease process. What question would be appropriate for a nurse to ask this patient?
a)
“Do you have a chronic disease, and how long have you had it?”
b)
“Do you have any children living in the home?”
c)
“What is your marital status—single, married, or divorced?”
d)
“Do you have any cultural or religious beliefs that will influence your care?”
3.
The nurse is providing an education session to an adult community group about the effects of smoking. Which of the following is the most important point to be included in the educational session?
a)
Smoke from tobacco products clings to your clothing and hair.
b)
Smoking affects the cilia lining the upper airways in the lungs.
c)
Smoking tobacco products can be very expensive.
d)
Smoking can affect the color of the patient’s fingernails.
4.
The nurse is caring for a school-aged child who has injured his leg after a bicycle accident. To determine whether the child is experiencing a localized inflammatory response, the nurse should assess for which of these signs and symptoms?
a)
Fever, malaise, anorexia, and nausea and vomiting
b)
Chest pain, shortness of breath, and nausea and vomiting
c)
Dizziness and disorientation to time, date, and place
d)
Edema, redness, tenderness, and loss of function
5.
Which interventions utilized by the nurse would indicate the ability to recognize the inflammatory response?
a)
Rest, ice, compression, and elevation
b)
Turn, cough, and deep breathe
c)
Orient to date, time, and place
d)
Passive range-of-motion exercises
6.
The nurse is caring for a patient who is susceptible to infection. Which of the following nursing interventions will assist in decreasing the risk of infection?
a)
Teaching the patient about fall prevention
b)
Teaching the patient to select nutritious foods
c)
Teaching the patient to take a temperature
d)
Teaching the patient about the effects of alcohol
7.
The nurse is caring for a patient with a nursing diagnosis of risk for infection. Aware of the need for Standard Precautions, the nurse is careful to
a)
Teach the patient about good nutrition.
b)
Wear eyewear when emptying a urinary drainage bag.
c)
Avoid contact with intact skin without wearing gloves.
d)
Don gloves when wearing artificial nails.
8.
The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. The nurse’s best next step is to
a)
Clean hands with wipes from the bedside table.
b)
Wash hands with an antimicrobial soap and water.
c)
Use an alcohol-based waterless hand gel.
d)
Instruct the patient to wash his face and hands.
9.
The nurse is performing hand hygiene before assisting a physician with insertion of a chest tube. While washing hands, the nurse touches the sink. What is the next action the nurse should take?
a)
Inform the physician and recruit another nurse to assist.
b)
Rinse and dry hands, and begin assisting the physician.
c)
Repeat handwashing using antiseptic soap,
d)
Extend the handwashing procedure to 5 minutes.
10.
The home health nurse is teaching a patient and family about hand hygiene in the home. The nurse is sure to emphasize washing hands before
a)
And after shaking hands.
b)
And after treatments.
c)
Opening the refrigerator.
d)
And after using a computer.
11.
The nurse is caring for a patient on Contact Precautions. Which of the following actions would be appropriate to prevent the spread of disease?
a)
Wear a gown, gloves, face mask, and goggles for interactions with the patient.
b)
Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.
c)
Place the patient in a room with negative airflow.
d)
Transport the patient quickly when going to the radiology department.
12.
The nurse is changing linens for a postoperative patient and feels a stick in her hand. A nonactivated safe needle is noted in the linens. This scenario would indicate that the nurse may be at risk for
a)
Hepatitis B.
b)
Clostridium difficile.
c)
Methicillin-resistant Staphylococcus aureus.
d)
Diphtheria
13.
What would be required after exposure of a nurse to blood by a cut from a scalpel in the perioperative area?
a)
Removing sterile gloves and disposing of in kick bucket
b)
Placing the scalpel in a needle safe container
c)
Testing the patient and offering treatment to the nurse
d)
Providing a medical evaluation of the nurse to the manager
14.
Which of the following most accurately defines an infection?
a)
an illness resulting from living in an unclean environment
b)
the result of lack of knowledge about food preparation
c)
a disease resulting from pathogens in or on the body
d)
an acute or chronic illness resulting from traumatic injury
15.
A nurse caring for a patient who has gas gangrene knows that this infection originated in which of the following reservoirs?
a)
other people
b)
food
c)
soil
d)
animals
16.
A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate?
a)
a reservoir
b)
an infectious agent
c)
a portal of exit
d)
a portal of entry
17.
A man on an airplane is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man?
a)
direct contact
b)
indirect contact
c)
vectors
d)
airborne route
18.
A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called “the kissing disease.” The nurse explains that the organisms causing this disease were transmitted by:
a)
indirect contact.
b)
direct contact
c)
airborne route.
d)
vectors
19.
Of all possible nursing interventions to break the chain of infection, which is the most effective?
a)
administering medications
b)
providing good skin care
c)
practicing hand hygiene
d)
wearing gloves at all times
20.
Which of the following questions asked by the nurse when taking a patient’s health history would collect data about infection control?
a)
“Tell me what you eat in each 24-hour period.”
b)
“Do you sleep well and wake up feeling healthy?”
c)
“What were the causes of death for your family members?”
d)
“When did you complete your immunizations?”
21.
A college-aged student has influenza. At what stage of the infection is the student most infectious?
a)
incubation period
b)
prodromal stage
c)
full stage of illness
d)
convalescent period
22.
Which of the following is an example of the body’s defense against infection?
a)
racial characteristics
b)
body shape and size
c)
immune response
d)
level of susceptibility
23.
A nurse has seen several patients at a community health center. Which of the patients would be most at risk for developing an infection?
a)
an older adult with several chronic illnesses
b)
an infant who has just received first immunizations
c)
an adolescent who had a basketball physical
d)
a middle-aged adult with joint pain and stiffness
24.
A nurse is teaching adolescents how to prevent infections. What statement by one of the adolescents indicates that more teaching is needed?
a)
“I will wash my hands before and after going to the bathroom.”
b)
“I don’t wear a condom when I have sex, but I know my partners.”
c)
“I always eat fruits and vegetables, and I sleep 8 hours a night.”
d)
“When I have an infection, I rest and take my medications.”
25.
The following procedures have been ordered and implemented for a hospitalized patient. Which procedure carries the greatest risk for a nosocomial infection?
a)
enema
b)
intramuscular injections
c)
heat lamp
d)
urinary catheterization
26.
What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high?
a)
liquid or bar hand soap
b)
cold water
c)
hot water
d)
antimicrobial products
27.
A nurse has completed morning care for a patient. There is no visible soiling on her hands. What type of technique is recommended by the CDC for hand hygiene?
a)
Do not wash hands, apply clean gloves.
b)
Wash hands with soap and water.
c)
Clean hands with an alcohol-based handrub.
d)
Wash hands with soap and water, follow with handrub.
28.
How long should a healthcare worker scrub hands that are not visibly soiled for effective hand hygiene?
a)
15 seconds
b)
30 seconds
c)
1 minute
d)
5 minutes
29.
Which of the following statements is true of healthcare personnel and good hand hygiene?
a)
Hand hygiene is carefully followed.
b)
Compliance is difficult to achieve.
c)
Only nurses need to practice hand hygiene.
d)
Wearing gloves reduces the need for hand hygiene.
30.
What is the correct rationale for using body substance precautions?
a)
The risk of transmitting HIV in sputum and urine is nonexistent.
b)
Disease-specific isolation procedures are adequate protection.
c)
Only actively infected patients are considered contagious.
d)
All body substances are considered potentially infectious.
31.
The latest CDC guidelines designate standard precautions for all substances except which of the following?
a)
urine
b)
blood
c)
sweat
d)
vomitus
32.
The nurse explains to the patient the first line of defense against infection is:
a)
frequent hand washing with soap and water.
b)
early intervention with antibiotics.
c)
staying home when sick.
d)
intact skin and mucous membranes.
33.
To protect the school-age children from communicable disease, the school nurse maintains records on the children’s
a)
allergies
b)
medications
c)
diabetes
d)
immunizations
34.
What is the most common patient site for development of nosocomial infections?
a)
Surgical wound
b)
Respiratory tract
c)
Bloodstream
d)
urinary tract
35.
A patient has sexual intercourse with someone infected with HIV. The vehicle of transmission is
a)
semen
b)
blood
c)
wound drainage
d)
sputum
36.
A patient with HIV is the
a)
pathogen
b)
virulence
c)
specificity
d)
carrier
37.
Which of the following factors have contributed to resistant microbial strains?
a)
Use of antibiotics for bacterial infections
b)
Use of antibiotics for viral infections
c)
Use of Neosporin with abrasions
d)
Use of vitamins with animals
38.
An infection or the products of infection carried throughout the body by the blood is called
a)
contamination
b)
Infectious disease
c)
septicemia
d)
Viral illness
39.
Any microorganism capable of disrupting normal physiologic body processes is a
a)
bacterium
b)
fomite
c)
pathogen
d)
virus
40.
The nurse washes her hands for 1 minute before caring for her patient. The rationale for this is
a)
To provide safe and effective nursing care
b)
To prevent her from developing disease
c)
Freedom from disease-producing organisms
d)
The sterilization of her hands to prevent infection
41.
What is the most common reason people contact healthcare providers?
a)
Sleeplessness
b)
Infectious disease
c)
anxiety
d)
pain
42.
A nurse is discussing the body’s first and second lines of defense against infection with a community group. What does the body’s first line of defense include?
a)
teeth
b)
sweat
c)
White blood cells
d)
T lymphocytes
43.
A mosquito or a fly carries an organism that infects another living organism. What is this mode of transmission of infection?
a)
Common vehicle
b)
Direct excretion
c)
ingestion
d)
vector
44.
The organs involved in immunity include the tonsils, spleen, and lymph nodes. What other organ is involved in immunity?
a)
liver
b)
lungs
c)
periosteum
d)
pancreas
45.
A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?
a)
Auditing staff members’ hand hygiene practices
b)
Ensuring clients are placed in appropriate isolation
c)
Establishing a policy to remove urinary catheters quickly
d)
Teaching staff members about infection control methods
46.
A student nurse asks why brushing clients’ teeth with a toothbrush in the intensive care unit is important to infection control. What response by the registered nurse is best?
a)
“It mechanically removes biofilm on teeth.”
b)
“It’s easier to clean all surfaces with a brush.”
c)
“Oral care is important to all our clients.”
d)
“Toothbrushes last longer than oral swabs.”
47.
A client is admitted with possible sepsis. Which action should the nurse perform first?
a)
Administer antibiotics.
b)
Give an antipyretic.
c)
Place the client in isolation.
d)
Obtain specified cultures.
48.
A client has been exposed to an infectious organism but has no clinical manifestations of disease. The nurse cautions the client that this period of time is the
a)
cell gap.
b)
immune response.
c)
infection curve.
d)
latent period.
49.
For clients thought to be in the period of communicability for influenza, the community health nurse will focus the interventions on
a)
ensuring that clients do not infect others.
b)
evaluating clients’ response to the organism.
c)
protecting clients from complications.
d)
supporting clients’ immune systems.
50.
Jayson, 1 year old child has a staph skin infection. Her brother has also developed the same infection. Which behavior by the children is most likely to have caused the transmission of the organism?
a)
Bathing together.
b)
Coughing on each other.
c)
Sharing pacifiers.
d)
Eating off the same plate.
51.
A patient says to the nurse, “what is a culture?” What would be the best response by the nurse?
a)
“A culture measures the level of an antibiotic.”
b)
“A culture identifies an antibiotic’s effect on a pathogen.”
c)
“A culture determines the appropriate medication dosage to be used.”
d)
“A culture identifies the presence of disease-causing microorganisms.”
52.
The nurse wants to ensure that a hospitalized patient with a healthy immune system does not contract an infectious disease. What nursing action should the nurse identify to reduce this patient’s susceptibility to an infection?
a)
Planning adequate nutrition
b)
Daily bathing with soap and water
c)
Assessing vital signs every 4 hours
d)
Admitting the patient to a private room
53.
The nurse is preparing to give a newly prescribed antibiotic to a patient with an infected surgical incision. Which action is essential for the nurse to do before giving the antibiotic?
a)
Perform ordered cultures.
b)
Check the patient’s temperature.
c)
Give the patient something to eat.
d)
Document the wound’s appearance.
54.
The nurse is preparing to provide patient care. Which item is the most important for the nurse to wear if the possibility of handling body secretions exists?
a)
mask
b)
gown
c)
gloves
d)
goggles
55.
The nurse is contributing to a staff education program about infection control. Which information should the nurse recommend including as an example of a portal of exit for a pathogen in the chain of infection?
a)
Hair
b)
Nails
c)
Mucous membranes
d)
Central nervous system
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