WorksheetsChapter 22. Infection Prevention & Control
Total questions: 30
Worksheet time: 7hrs 25mins
Which nursing behavior indicates the highest potential for spreading infections among clients?
Disinfects dirty hands with antibacterial soap
Allows alcohol-based rub to dry for 10 seconds
Washes hands only when leaving each room
Uses cold water for medical asepsis
What is the most frequent cause of the spread of infection among institutionalized patients?
What is the most frequent cause of the spread of infection among institutionalized patients?
Contact with contaminated equipment
Hands of healthcare workers
Exposure from family members
Which activity is of highest priority for maintaining medical asepsis?
Washing hands
Donning gloves
Applying sterile drapes
Wearing a gown
What is a patient considered who is infected with a virus but who does not have any outward sign of the disease?
Pathogen
Fomite
Vector
Carrier
A patient is admitted to the hospital with tuberculosis. Which precaution must the nurse institute when caring for this patient?
Droplet
Airborne
Direct contact
inDirect contact
A patient becomes infected with oral candidiasis (thrush) while receiving intravenous antibiotics to treat a systemic infection. Which type of infection has the patient developed?
Endogenous healthcare-related
Exogenous healthcare-related
Latent
Primary
A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days. Currently the patient has a normal temperature. Which stage of infection is the patient most likely experiencing?
Incubation
Prodromal
Decline
Convalescence
The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to help maintain sterile technique?
Closing the patient’s door to limit room traffic while preparing the sterile field
Using clean procedure gloves to handle sterile equipment
Placing the nonsterile syringes containing flush solution on the sterile field
Remaining 6 inches away from the sterile field during the procedure
A patient develops localized heat and erythema over an area on the lower leg. These findings are indicative of which secondary defense against infection?
Phagocytosis
Complement cascade
Inflammation
Immunity
The patient is just beginning to feel symptoms after being exposed to an upper respiratory infection. Which antibody would most likely be found in a test of immunoglobin levels?
IgA
IgE
IgG
IgM
What type of immunity is provided by intravenous (IV) administration of immunoglobulin G?
Cell-mediated
Passive
Humoral
Active
A patient asks the nurse why there is no vaccine available for the common cold. Which response by the nurse is correct?
The virus mutates too rapidly to develop a vaccine.
Vaccines are developed only for very serious illnesses.
Researchers are focusing efforts on an HIV vaccine.
Researchers are focusing efforts on an HIV vaccine.
What should the nurse consider for a patient who has a temperature of 101°F (38.3°C)?
Acetaminophen (Tylenol)
Increased fluids
Bedrest
Tepid bath
Why is a lotion without petroleum preferred over a petroleum-based product as a skin protectant?
It prevents microorganisms from adhering to the skin.
It facilitates the absorption of latex proteins through the skin.
It decreases the risk of latex allergies
It prevents the skin from drying and chaffing.
For which range of time must a nurse wash her hands before working in the operating room?
1 to 2 minutes
2 to 4 minutes
2 to 6 minutes
6 to 10 minutes
How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?
Place the tray in a specially marked trash can inside the patient’s room.
Place the tray in a special isolation bag held by a second healthcare worker at the patient’s door.
Return the tray with a note to dietary services so it can be cleaned and reused for the next meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose of it there.
As a general rule, how much liquid soap should the nurse use for effective hand washing?
2mL
3mL
6mL
7mL
To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution over all surfaces of the hands?
When fingers feel sticky
When fingers feel sticky
When leaving the client’s room
Once fingers and hands feel dry
A patient is admitted to the hospital for chemotherapy and has a low white blood cell count. Which precaution should the staff take with this patient?
Contact
Protective
Droplet
Airborne
While donning sterile gloves, the nurse notices the edges of the glove package are slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on the outside of the glove package. What is the best action for the nurse to take at this point?
Continue using the gloves inside the package because the package is intact.
Remove gloves from the sterile field and use a new pair of sterile gloves.
Throw all supplies away that were to be used and begin again.
Use the gloves and make sure the yellow edges of the package do not touch the client
The nurse is removing personal protective equipment (PPE). Which item should be removed first?
Gown
Gloves
Face shield
Hair covering
The nurse reviews the results of a client’s recent wound culture to determine the microorganism causing the infection. Why is the nurse’s action important?
Ensures supplies needed for care are available
Helps determine the amount of nursing care required
Determines whether the microorganism is resistant to antibiotics
Estimates the amount of time the client will be hospitalized
The nurse visits the home of a client with mouth infection. What should the nurse instruct the client to do to adequate disinfect eating utensil?
Boil in hot water.
Wash in the dishwasher.
Soak in a bleach solution.
Microwave on the high setting.
The nurse manager is concerned that an epidemic might be occurring. What did the nurse assess to make this clinical determination?
Unusual disease pattern
Number of clients prescribed antibiotics
Increase in clients prescribed the pneumonia vaccination
Limited number of clients with the influenza vaccination
In which situation would using standard precautions be adequate? Select all that apply.
Interviewing a client with a productive cough
Helping a client to perform his own hygiene care
Aiding a client to ambulate after surgery
Inserting a peripheral intravenous catheter
Emptying a urine collection bag
Which action protects the body against infection? Select all that apply.
Eating a healthy, well-balanced diet
Being an older adult or an infant
Engaging in leisure activities three times a week
Exercising for 30 minutes 5 days a week
Receiving recommended immunizations
The nurse is teaching a group of newly hired nursing assistive personnel (NAP) about proper hand washing. Which NAP action indicates that teaching has been effective? Select all that apply.
Uses a paper towel to turn off the faucet
Holds fingertips above the wrists while rinsing off the soap
Removes all rings and watch before washing hands
Cleans underneath each fingernail
Rubs hands vigorously for 15 seconds
Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply.
Virus
Bacterial spores
Yeast
Mold
Protozoa
A patient with tuberculosis is scheduled for computed tomography (CT). How should the nurse proceed? Select all that apply.
Question the order because the patient must remain in isolation.
Place an N-95 respirator mask on the patient and transport him to the test.
Place a surgical mask on the patient and transport him to CT lab.
Notify the CT department about precautions prior to transport.
Notify housekeeping to clean the CT room before the patient arrives
The nurse asks a client with an infection that cannot be identified about recent travel. Why did the nurse assess about travel? Select all that apply.
Infected travelers serve as reservoirs for pathogens.
It determines which immunizations may be required at this time.
Closed spaces in airplanes provide an environment to transmit pathogens.
It aids in determining the microorganism to which the client was exposed.
It increases the ability to infect many people headed for widespread locations,
