CURRENT
CURRENTMedical
MedicalDiagnosis
Diagnosisand
j
andTTreatment
j reatment 2j
j
j
j j
j j
020 Test
2019Bank/Complete Guide
Testbank/Studyguide
j j j j
Chapterj1.jDiseasejPreventionj&jHealthjPromotion
1.jWhichjofjthejfollowingjbehaviorsjindicatesjthejhighestjpotentialjforjspreadingjinfectionsja
mongjclients?jThejnurse:
1) disinfectsjdirtyjhandsjwithjantibacterialjsoap.
2) allowsjalcohol-basedjrubjtojdryjforj10jseconds.
3) washesjhandsjonlyjafterjleavingjeachjroom.
4) usesjcoldjwaterjforjmedicaljasepsis.
2.jWhatjisjthejmostjfrequentjcausejofjthejspreadjofjinfectionjamongjinstitutionalizedjpa
tients?
1) Airbornejmicrobesjfromjotherjpatients
2) Contactjwithjcontaminatedjequipment
3) Handsjofjhealthcarejworkers
4) Exposurejfromjfamilyjmembers
3.jWhichjofjthejfollowingjnursingjactivitiesjisjofjhighestjpriorityjforjmaintainingjmedicaljas
epsis?
1) Washingjhands
2) Donningjgloves
3) Applyingjsterilejdrapes
4) Wearingjajgown
4.jAjpatientjinfectedjwithjajvirusjbutjwhojdoesjnotjhavejanyjoutwardjsignjofjthejdiseasejisjcon
sideredja:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5.jAjpatientjisjadmittedjtojthejhospitaljwithjtuberculosis.jWhichjprecautionsjmustjthejnursejins
titutejwhenjcaringjforjthisjpatient?
1) Dropletjtransmission
2) Airbornejtransmission
3) Directjcontact
4) Indirectjcontact
Copyrightj2022jMedjCjFile
,j j6.jAjpatientjbecomesjinfectedjwithjoraljcandidiasisj(thrush)jwhilejreceivingjintravenousjantib
ioticsjtojtreatjajsystemicjinfection.jWhichjtypejofjinfectionjhasjthejpatientjdeveloped?
1) Endogenousjnosocomial
2) Exogenousjnosocomial
3) Latent
4) Primary
j j 7.jAjpatientjadmittedjtojthejhospitaljwithjpneumoniajhasjbeenjreceivingjantibioticsjforj2jdays.j
Hisjconditionjhasjstabilized,jandjhisjtemperaturejhasjreturnedjtojnormal.jWhichjstagejofjinfectio
njisjthejpatientjmostjlikelyjexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8.jThejnursejassistsjajsurgeonjwithjcentraljvenousjcatheterjinsertion.jWhichjactionjisjne
cessaryjtojhelpjmaintainjsterilejtechnique?
1) Closingjthejpatientsjdoorjtojlimitjroomjtrafficjwhilejpreparingjthejsterilejfield
2) Usingjcleanjprocedurejglovesjtojhandlejsterilejequipment
3) Placingjthejnonsterilejsyringesjcontainingjflushjsolutionjonjthejsterilejfield
4) Remainingj6jinchesjawayjfromjthejsterilejfieldjduringjthejprocedure
9.jAjpatientjdevelopsjlocalizedjheatjandjerythemajoverjanjareajonjthejlowerjleg.jThesejfin
dingsjarejindicativejofjwhichjsecondaryjdefensejagainstjinfection?
1) Phagocytosis
2) Complementjcascade
3) Inflammation
4) Immunity
10.jThejpatientjsuddenlyjdevelopsjhives,jshortnessjofjbreath,jandjwheezingjafterjreceivingjan
jantibiotic.jWhichjantibodyjisjprimarilyjresponsiblejforjthisjpatientsjresponse?
1) IgA
2) IgE
3)IgG
4)IgM
11.jWhatjtypejofjimmunityjisjprovidedjbyjintravenousj(IV)jadministrationjofji
mmunoglobulinjG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
Copyrightj2022jMedjCjFile
, 12.jAjpatientjasksjthejnursejwhyjtherejisjnojvaccinejavailablejforjthejcommonjcold.jWhichjres
ponsejbyjthejnursejisjcorrect?
1) Thejvirusjmutatesjtoojrapidlyjtojdevelopjajvaccine.
2) Vaccinesjarejdevelopedjonlyjforjveryjseriousjillnesses.
3) ResearchersjarejfocusingjeffortsjonjanjHIVjvaccine.
4) Thejvirusjforjthejcommonjcoldjhasjnotjbeenjidentified.
1 .jAjpatientjwhojhasjajtemperaturejofj101Fj(38.3C)jmostjlikelyjrequires:
1) acetaminophenj(Tylenol).
2) increasedjfluids.
3) bedrest.
4) tepidjbath.
14.jWhyjisjajlotionjwithoutjpetroleumjpreferredjoverjajpetroleum-
basedjproductjasjajskinjprotectant?jIt:
1) Preventsjmicroorganismsjfromjadheringjtojthejskin.
2) Facilitatesjthejabsorptionjofjlatexjproteinsjthroughjthejskin.
3) Decreasesjthejriskjofjlatexjallergies.
4) Preventsjthejskinjfromjdryingjandjchaffing.
15.jForjwhichjrangejofjtimejmustjajnursejwashjherjhandsjbeforejworkingjinjthejoperatingjroo
m?
1) 1jtoj2jminutes
2) 2jtoj4jminutes
3) 2jtoj6jminutes
4) 6jtoj10jminutes
16.jHowjshouldjthejnursejdisposejofjthejbreakfastjtrayjofjajpatientjwhojrequiresjairbornejiso
lation?
1) Placejthejtrayjinjajspeciallyjmarkedjtrashjcanjinsidejthejpatientsjroom.
Placejthejtrayjinjajspecialjisolationjbagjheldjbyjajsecondjhealthcarejworkerjatjthejpatientsjd
2) oor.
Returnjthejtrayjwithjajnotejtojdietaryjservicesjsojitjcanjbejcleanedjandjreusedjforjthejnextjm
3) eal.
Carryjthejtrayjtojanjisolationjtrashjreceptaclejlocatedjinjthejdirtyjutilityjroomjandjdisposejo
4) fjitjthere.
1 .jHowjmuchjliquidjsoapjshouldjthejnursejusejforjeffectivejhandjwashing?jAtjleast:
1) 2jmL
2) 3jmL
3) 6jmL
4) 7jmL
Copyrightj2022jMedjCjFile
, 18.jTojassurejeffectiveness,jwhenjshouldjthejnursejstopjrubbingjantisepticjhandjsolutionjov
erjalljsurfacesjofjthejhands?
1) Whenjfingersjfeeljsticky
2) Afterj5jtoj10jseconds
3) Whenjleavingjthejclientsjroom
4) Oncejfingersjandjhandsjfeeljdry
19.jAjpatientjisjadmittedjtojthejhospitaljforjchemotherapyjandjhasjajlowjwhitejbloodjcelljcou
nt.jWhichjprecautionjshouldjthejstaffjtakejwithjthisjpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20.jWhilejdonningjsterilejgloves,jthejnursejnoticesjthejedgesjofjthejglovejpackagejarejslightl
yjyellow.jThejyellowjareajisjoverj1jinchjawayjfromjthejglovesjandjonlyjappearsjtojbejonjthejoutsid
ejofjthejglovejpackage.jWhatjisjthejbestjactionjforjthejnursejtojtakejatjthisjpoint?
1) Continuejusingjthejglovesjinsidejthejpackagejbecausejthejpackagejisjintact.
2) Removejglovesjfromjsterilejfieldjandjusejajnewjpairjofjsterilejgloves.
3) Throwjalljsuppliesjawayjthatjwerejtojbejusedjandjbeginjagain.
4) Usejthejglovesjandjmakejsurejthejyellowjedgesjofjthejpackagejdojnotjtouchjthejclient.
21.jThejnursejisjremovingjpersonaljprotectivejequipmentj(PPE).jWhichjitemjshouldjbejre
movedjfirst?
1) Gown
2) Gloves
3) Facejshield
4) Hairjcovering
22.jAjnursejisjsplashedjinjthejfacejbyjbodyjfluidjduringjajprocedure.jPrioritizejthejnursesjact
ions,jlistingjthejmostjimportantjonejfirst.
A. Contactjemployeejhealth
B. Completejanjincidentjreport
C. Washjthejexposedjarea
D. Reportjtojanotherjnursejthatjshejisjleavingjthejimmediatejarea.
1) 1,j2,j3,j4
2) 2,j3,j4,j1
3) 3,j4,j1,j2
4) 4,j1,j2,j3
MultiplejResponse
Identifyjonejorjmorejchoicesjthatjbestjcompletejthejstatementjorjanswerjthejquestion.
1.jInjwhichjsituationjwouldjusingjstandardjprecautionsjbejadequate?jSelectjalljthatjapply.
Copyrightj2022jMedjCjFile
CURRENTMedical
MedicalDiagnosis
Diagnosisand
j
andTTreatment
j reatment 2j
j
j
j j
j j
020 Test
2019Bank/Complete Guide
Testbank/Studyguide
j j j j
Chapterj1.jDiseasejPreventionj&jHealthjPromotion
1.jWhichjofjthejfollowingjbehaviorsjindicatesjthejhighestjpotentialjforjspreadingjinfectionsja
mongjclients?jThejnurse:
1) disinfectsjdirtyjhandsjwithjantibacterialjsoap.
2) allowsjalcohol-basedjrubjtojdryjforj10jseconds.
3) washesjhandsjonlyjafterjleavingjeachjroom.
4) usesjcoldjwaterjforjmedicaljasepsis.
2.jWhatjisjthejmostjfrequentjcausejofjthejspreadjofjinfectionjamongjinstitutionalizedjpa
tients?
1) Airbornejmicrobesjfromjotherjpatients
2) Contactjwithjcontaminatedjequipment
3) Handsjofjhealthcarejworkers
4) Exposurejfromjfamilyjmembers
3.jWhichjofjthejfollowingjnursingjactivitiesjisjofjhighestjpriorityjforjmaintainingjmedicaljas
epsis?
1) Washingjhands
2) Donningjgloves
3) Applyingjsterilejdrapes
4) Wearingjajgown
4.jAjpatientjinfectedjwithjajvirusjbutjwhojdoesjnotjhavejanyjoutwardjsignjofjthejdiseasejisjcon
sideredja:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5.jAjpatientjisjadmittedjtojthejhospitaljwithjtuberculosis.jWhichjprecautionsjmustjthejnursejins
titutejwhenjcaringjforjthisjpatient?
1) Dropletjtransmission
2) Airbornejtransmission
3) Directjcontact
4) Indirectjcontact
Copyrightj2022jMedjCjFile
,j j6.jAjpatientjbecomesjinfectedjwithjoraljcandidiasisj(thrush)jwhilejreceivingjintravenousjantib
ioticsjtojtreatjajsystemicjinfection.jWhichjtypejofjinfectionjhasjthejpatientjdeveloped?
1) Endogenousjnosocomial
2) Exogenousjnosocomial
3) Latent
4) Primary
j j 7.jAjpatientjadmittedjtojthejhospitaljwithjpneumoniajhasjbeenjreceivingjantibioticsjforj2jdays.j
Hisjconditionjhasjstabilized,jandjhisjtemperaturejhasjreturnedjtojnormal.jWhichjstagejofjinfectio
njisjthejpatientjmostjlikelyjexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8.jThejnursejassistsjajsurgeonjwithjcentraljvenousjcatheterjinsertion.jWhichjactionjisjne
cessaryjtojhelpjmaintainjsterilejtechnique?
1) Closingjthejpatientsjdoorjtojlimitjroomjtrafficjwhilejpreparingjthejsterilejfield
2) Usingjcleanjprocedurejglovesjtojhandlejsterilejequipment
3) Placingjthejnonsterilejsyringesjcontainingjflushjsolutionjonjthejsterilejfield
4) Remainingj6jinchesjawayjfromjthejsterilejfieldjduringjthejprocedure
9.jAjpatientjdevelopsjlocalizedjheatjandjerythemajoverjanjareajonjthejlowerjleg.jThesejfin
dingsjarejindicativejofjwhichjsecondaryjdefensejagainstjinfection?
1) Phagocytosis
2) Complementjcascade
3) Inflammation
4) Immunity
10.jThejpatientjsuddenlyjdevelopsjhives,jshortnessjofjbreath,jandjwheezingjafterjreceivingjan
jantibiotic.jWhichjantibodyjisjprimarilyjresponsiblejforjthisjpatientsjresponse?
1) IgA
2) IgE
3)IgG
4)IgM
11.jWhatjtypejofjimmunityjisjprovidedjbyjintravenousj(IV)jadministrationjofji
mmunoglobulinjG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
Copyrightj2022jMedjCjFile
, 12.jAjpatientjasksjthejnursejwhyjtherejisjnojvaccinejavailablejforjthejcommonjcold.jWhichjres
ponsejbyjthejnursejisjcorrect?
1) Thejvirusjmutatesjtoojrapidlyjtojdevelopjajvaccine.
2) Vaccinesjarejdevelopedjonlyjforjveryjseriousjillnesses.
3) ResearchersjarejfocusingjeffortsjonjanjHIVjvaccine.
4) Thejvirusjforjthejcommonjcoldjhasjnotjbeenjidentified.
1 .jAjpatientjwhojhasjajtemperaturejofj101Fj(38.3C)jmostjlikelyjrequires:
1) acetaminophenj(Tylenol).
2) increasedjfluids.
3) bedrest.
4) tepidjbath.
14.jWhyjisjajlotionjwithoutjpetroleumjpreferredjoverjajpetroleum-
basedjproductjasjajskinjprotectant?jIt:
1) Preventsjmicroorganismsjfromjadheringjtojthejskin.
2) Facilitatesjthejabsorptionjofjlatexjproteinsjthroughjthejskin.
3) Decreasesjthejriskjofjlatexjallergies.
4) Preventsjthejskinjfromjdryingjandjchaffing.
15.jForjwhichjrangejofjtimejmustjajnursejwashjherjhandsjbeforejworkingjinjthejoperatingjroo
m?
1) 1jtoj2jminutes
2) 2jtoj4jminutes
3) 2jtoj6jminutes
4) 6jtoj10jminutes
16.jHowjshouldjthejnursejdisposejofjthejbreakfastjtrayjofjajpatientjwhojrequiresjairbornejiso
lation?
1) Placejthejtrayjinjajspeciallyjmarkedjtrashjcanjinsidejthejpatientsjroom.
Placejthejtrayjinjajspecialjisolationjbagjheldjbyjajsecondjhealthcarejworkerjatjthejpatientsjd
2) oor.
Returnjthejtrayjwithjajnotejtojdietaryjservicesjsojitjcanjbejcleanedjandjreusedjforjthejnextjm
3) eal.
Carryjthejtrayjtojanjisolationjtrashjreceptaclejlocatedjinjthejdirtyjutilityjroomjandjdisposejo
4) fjitjthere.
1 .jHowjmuchjliquidjsoapjshouldjthejnursejusejforjeffectivejhandjwashing?jAtjleast:
1) 2jmL
2) 3jmL
3) 6jmL
4) 7jmL
Copyrightj2022jMedjCjFile
, 18.jTojassurejeffectiveness,jwhenjshouldjthejnursejstopjrubbingjantisepticjhandjsolutionjov
erjalljsurfacesjofjthejhands?
1) Whenjfingersjfeeljsticky
2) Afterj5jtoj10jseconds
3) Whenjleavingjthejclientsjroom
4) Oncejfingersjandjhandsjfeeljdry
19.jAjpatientjisjadmittedjtojthejhospitaljforjchemotherapyjandjhasjajlowjwhitejbloodjcelljcou
nt.jWhichjprecautionjshouldjthejstaffjtakejwithjthisjpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
20.jWhilejdonningjsterilejgloves,jthejnursejnoticesjthejedgesjofjthejglovejpackagejarejslightl
yjyellow.jThejyellowjareajisjoverj1jinchjawayjfromjthejglovesjandjonlyjappearsjtojbejonjthejoutsid
ejofjthejglovejpackage.jWhatjisjthejbestjactionjforjthejnursejtojtakejatjthisjpoint?
1) Continuejusingjthejglovesjinsidejthejpackagejbecausejthejpackagejisjintact.
2) Removejglovesjfromjsterilejfieldjandjusejajnewjpairjofjsterilejgloves.
3) Throwjalljsuppliesjawayjthatjwerejtojbejusedjandjbeginjagain.
4) Usejthejglovesjandjmakejsurejthejyellowjedgesjofjthejpackagejdojnotjtouchjthejclient.
21.jThejnursejisjremovingjpersonaljprotectivejequipmentj(PPE).jWhichjitemjshouldjbejre
movedjfirst?
1) Gown
2) Gloves
3) Facejshield
4) Hairjcovering
22.jAjnursejisjsplashedjinjthejfacejbyjbodyjfluidjduringjajprocedure.jPrioritizejthejnursesjact
ions,jlistingjthejmostjimportantjonejfirst.
A. Contactjemployeejhealth
B. Completejanjincidentjreport
C. Washjthejexposedjarea
D. Reportjtojanotherjnursejthatjshejisjleavingjthejimmediatejarea.
1) 1,j2,j3,j4
2) 2,j3,j4,j1
3) 3,j4,j1,j2
4) 4,j1,j2,j3
MultiplejResponse
Identifyjonejorjmorejchoicesjthatjbestjcompletejthejstatementjorjanswerjthejquestion.
1.jInjwhichjsituationjwouldjusingjstandardjprecautionsjbejadequate?jSelectjalljthatjapply.
Copyrightj2022jMedjCjFile
