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2024, 63rd Edition
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By Maxine Papadakis, Stephen Mcphee
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Chapters 1 - gh gh gh
42
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,Chapter 1. Disease Prevention & Health Promotion
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1. Which of the following behaviors indicates the highest potential for spreading
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vb infections among clients? The nurse:
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1) disinfects dirty hands withantibacterial soap. vb vb vb vb
2) allows alcohol-based rub to dry for 10 seconds.
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3) washes hands onlyafter leaving each room.
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4) uses cold water for medical asepsis.
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2. What is the most frequent cause of the spread of infection among institutionalized
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patients?
1) Airborne microbes from other patients vb vb vb vb
2) Contact with contaminated equipment
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3) Hands of healthcare workers
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4) Exposure from familymembers vb vb
3. Which of the following nursing activities is of highest priority for
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vb maintaining medical asepsis? vb vb
1) Washing hands vb
2) Donning gloves vb
3) Applying sterile drapes vb vb
4) Wearing a gown vb vb
4. A patient infected witha virus but who does not have any outward sign of the
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disease is considered a:
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1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions
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vb must the nurse institute when caring for this patient?
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1) Droplet transmission vb
2) Airborne transmission vb
3) Direct contact vb
4) Indirect contact vb
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving
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intravenous antibiotics to treat a systemic infection. Which type of infection
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has the patient developed?
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1) Endogenous nosocomial vb
2) Exogenous nosocomial vb
3) Latent
4) Primary
7.The nurse assists a surgeon withcentral venous catheter insertion. Which action
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vb is necessary to help maintain sterile technique?
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1) Closing the patients door to limit room traffic while preparing the sterile field
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2) Using clean procedure gloves to handle sterile equipment
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3) Placing the nonsterile syringes containing flush solution on the sterile field
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4) Remaining 6 inches away from the sterile field during the procedure
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8.A patient admitted to the hospital with pneumonia has been receiving
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v b antibiotics for 2 days. His condition has stabilized, and his temperature has returned to
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vb normal. Which stage of infection is the patient most likely experiencing?
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1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. A patient develops localized heat and erythema over an area on the lower
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vb leg. These findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade vb
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after
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vb receiving an antibiotic. Which antibody is primarily responsible for this patients
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vb response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV)
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administration of immunoglobulin G?
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1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common
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cold. Which response by the nurse is correct?
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1) The virus mutates too rapidly to develop a vaccine.
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2) Vaccines are developed only for very serious illnesses. vb vb vb vb vb vb vb
3) Researchers are focusing efforts on an HIV vaccine. vb vb vb vb gh gh vb
4) The virus for the common cold has not been identified.
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1 . A patient who has a temperature of 101F (38.3C) most likely requires:
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1) acetaminophen (Tylenol). gh
2) increased fluids. vb
3) bedrest.
4) tepid bath. vb
14. Why is a lotion without petroleum preferred over a petroleum-based product
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vb as a skin protectant? It:
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1) Prevents microorganisms from adhering to the skin.
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2) Facilitates the absorption of latex proteins through the skin.
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3) Decreases the risk of latex allergies. vb vb vb vb vb
4) Prevents the skin from drying and chaffing. vb vb vb vb vb vb
15. For which range of time must a nurse wash her hands before working
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in the operating room?
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1) 1 to 2 minutes vb vb vb
2) 2 to 4 minutes
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3) 2 to 6 minutes
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4) 6 to 10 minutes vb vb vb
16. How should the nurse dispose of the breakfast tray of a patient who
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vb requires airborne isolation?
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1) Place the tray in a specially marked trash can inside the patients room.
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Place the tray in a special isolation bag held by a second healthcare worker at the
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2) patients door. vb
Return the tray with a note to dietary services so it can be cleaned and reused for the
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3) next meal. vb
Carrythe tray to an isolation trash receptacle located in the dirty utility room and
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4) dispose of it there. vb vb vb
1 . How much liquid soap should the nurse use for effective hand washing? At least:
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1) 2 mL vb
2) 3 mL vb
3) 6 mL vb
4) 7 mL vb