WorksheetsInfection Control and Precautions Quiz
Total questions: 39
Worksheet time: 20mins
A 20 year-old client has an infected leg wound from a motorcycle accident, and the client has returned home from the hospital. The client is to keep the affected leg elevated and is on contact precautions. The client wants to know if visitors can come. The appropriate response from the home health nurse is that:
Visitors must wear a mask and a gown
There are no special requirements for visitors of clients on contact
Visitors should wash their hands before and after touching the client
Visitors should wear gloves if they touch the client
Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which medical condition?
Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
A positive purified protein derivative with an abnormal chest x-ray
A tentative diagnosis of viral pneumonia with productive brown sputum.
Advanced carcinoma of the lung with hemoptysis
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse do first?
Institute seizure precautions
Monitor neurologic status every hour
Place in respiratory/secretion precautions
Cefataxime IV 50 mg/kg/day divided q6h
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What type of isolation is most appropriate for this client?
Reverse
Airbourne
Standard precautions
Contact
Which of these clients with associated lab reports is a priority for the nurse to report to the public health department within the next 24 hours?
An infant with a positive culture of stool of Shigella
An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
A young adult commercial pilot with a positive histopathological examination from an induced sputum for Pneumocystis carinii
A middle-aged nurse with a history of varicella-zoster virus and with crops of vesicles on an erythematous base that appear on the skin
A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include during the instructions to the client is which of these statements?
In the initial 48 hours avoid contact with children and pregnant women, and after urination or defecation flush the commode twice
Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the dose, do so in the toilet and flush it twice
Your family can use the same bathroom that you use without any special precautions
Drink plenty of water and empty your bladder often during the initial 3 days of therapy
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, to be implemented is which of these?
Apply appropriate signs outside and inside the room
Apply a mask with a shield if there is a risk of fluid splash
Wear a gown to change soiled linens from incontinence
Have gloves on while handling bedpans with feces
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these protocols would be a priority for the nurse to implement?
Have the client cough into a tissue and dispose in a separate bag
Instruct the client to cover the mouth with a tissue when coughing
Reinforce for all to wash their hands before and after entering the room
Place client in a negative pressure private room and have all who enter the room use masks with shields
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice in the school. The information that would be most important to include would be which of these statements?
The treatment requires reapplication in 8 to 10 days
Bedding and clothing can be boiled or steamed
Children are not to share hats, scarves and combs
Nit combs are necessary to comb out nits.
During the care of a client with a salmonella infection, the primary nursing intervention to limit transmission is which of these approaches?
Wash hands thoroughly before and after client contact
Wear gloves when in contact with body secretions
Double glove when in contact with feces or vomitus
Wear gloves when disposing of contaminated linens
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased anxiety, and difficulty breathing. The nurse expects that the first action in the sequence of care for this client will be to
Maintain the airway
Administer epinephrine 1:1000 as ordered
Monitor for hypotension with shock
Administer diphenhydramine as ordered
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type of precautions is the appropriate type to use when performing postmortem care?
Airborne precautions
Droplet precautions
Contact precautions
Compromised host precautions
The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP, IPV, Hepatitis B and HIB immunizations. She reports that the baby feels very warm, cries inconsolably for as long as 3 hours, and has had several shaking spells. In addition to referring her to the emergency room, the nurse should document the reaction on the baby's record and expect which of the following?
DTaP
Hepatitis B
Polio
H. Influenza
The nurse is teaching a class on HIV prevention. Which of the following should be emphasized as increasing risk?
Donating blood
Using public bathrooms
Unprotected sex
Touching person with AIDS
Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students?
Scratching the head more than usual
Flakes evident on a student’s shoulders
Oval pattern occipital hair loss
Whitish oval specks sticking to the hair
A client is admitted with a right upper lobe infiltrate and to rule out tuberculosis. The most appropriate action by the nurse to protect the self would be which of these?
Negative room ventilation
Face mask with shield
Particulate respirator mask
Airborne precautions
To prevent drug resistance common to tubercle bacilli, the nurse is aware that which of the following agents are usually added to drug therapy?
Anti-inflammatory agent
High doses of B complex vitamins
Aminoglycoside antibiotic
Two anti-tuberculosis drugs
A client had arrived in the USA from a developing country 1 week prior. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS with a history of unintended weight loss, drug abuse, night sweats, productive cough and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of?
Acute tuberculosis with a productive cough of discolored sputum for over three months
Lupus and vesicles on one side of the middle trunk from the back to the abdomen
Pseudomembranous colitis and C. difficile.
Exacerbation of polyarthritis with severe pain
The nurse is attending a workshop about caring for persons infected with Hepatitis. Which statement is correct when referring to the incidence rate for Hepatitis?
The number of persons in a population who develop Hepatitis B during a specific period of time
The total number of persons in a population who have Hepatitis B at a particular time
The percentage of deaths resulting from Hepatitis B during a specific time
The occurrence of Hepatitis B in the population at a particular time
The nurse is taking a health history from parents of a child admitted with possible Reye's Syndrome. Which recent illness would the nurse recognize as increasing the risk to develop Reye's Syndrome?
Rubeola
Meningitis
Varicella
Hepatitis
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
MMR
Hib
IPV
DtaP
The recent increase in the reported cases of active tuberculosis (TB) in the United States is attributed to which factor?
The increased homeless population in major cities
The rise in reported cases of positive HIV infections
The migration patterns of people from foreign countries
The aging of the population located in group homes
A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in the plan of care within the initial 24 hours for this client?
Wear masks with shields if potential splash
Use disposable utensils and plates for meals
Wear gown and gloves during client contact
Provide soft easily digested food with frequent snacks
A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?
Playing with toys in a back yard flower garden
Eating small amounts of grass while playing 'farm'
Playing with cars on the pavement near burning leaves
Throwing a ball to a neighborhood child who has poison ivy
A primary nursing action with the focus of comfort should be to
Suggest 3 to 4 warm sitz baths per day
Cleanse the genitalia twice a day with soap and water
Spray warm water over genitalia after urination
Apply heat or cold to lesions as desired
The nurse knows that the most likely cause of the HSV-1 infection in this client is
Immunosuppression
Emotional stress
Unprotected sexual activities
Contact with saliva
When teaching adolescents about sexually transmitted diseases, what should the nurse emphasize that is the most common infection?
Gonorrhea
Chlamydia
Herpes
HIV
The nurse responds to the student about how it is determined that a person has AIDS other than a positive HIV test.
The complaints of at least 3 common findings.
The absence of any opportunistic infection.
CD4 lymphocyte count is less than 200.
Developmental delays in children.
Which of the following nursing interventions is a priority?
Counsel the woman to consent to HIV screening
Perform tests for sexually transmitted diseases
Discuss her high risk for cervical cancer
Which action should the nurse take first?
Ask client to cough sputum into container
Have the client take several deep breaths
Provide a appropriate specimen container
Assist with oral hygiene
The appropriate response from the home health nurse is that:
Visitors must wear a mask and a gown
There are no special requirements for visitors of clients on contact precautions
Visitors should wash their hands before and after touching the client
Visitors should wear gloves if they touch the client
The nurse would ensure airborne precautions for a client with which medical condition?
Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
A positive purified protein derivative with an abnormal chest x-ray
A tentative diagnosis of viral pneumonia with productive brown sputum
Advanced carcinoma of the lung with hemoptasis
What type of isolation is most appropriate for this client?
Reverse
Airbourne
Standard precautions
Contact
Which of these clients with associated lab reports is a priority for the nurse to report to the public health department within the next 24 hours?
An infant with a postive culture of stool for Shigella
An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
A young adult commercial pilot with a positive histopathological examination from an induced sputum for Pneumocystis carinii
A middle-aged nurse with a history of varicella-zoster virus and with crops of vesicles on an erythematous base that appear on the skin
The most significant routine infection control strategy, in addition to handwashing, to be implemented is which of these?
Apply appropriate signs outside and inside the room
Apply a mask with a shield if there is a risk of fluid splash
Wear a gown to change soiled linens from incontinence
Have gloves on while handling bedpans with feces
Which approach is the best way to prevent infections when providing care to clients in the home setting?
Handwashing before and after examination of clients
Wearing nonpowdered latex free gloves to examine the client
Using a barrier between the client's furniture and the nurse's bag
Wearing a mask with a shield during any eye/mouth/nose examination
Which of these protocols would be a priority for the nurse to implement?
Have the client cough into a tissue and dispose in a separate bag
Instruct the client to cover the mouth with a tissue when coughing
Reinforce for all to wash their hands before and after entering the room
Place client in a negative pressure private room and have all who enter the room use masks with shields
Transmission of HIV from an infected individual to another person occurs:
Most frequently in nurses with needlesticks
Only if there is a large viral load in the blood
Most commonly as a result of sexual contact
In all infants born to women with HIV infection
What is the cause of characteristic lesions in diphtheria?
Patches of grayish membrane
Infectious mononucleosis
Liberation of specific toxin
Bacte
