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107 Exam 1 Practice Questions And Answers Guaranteed Pass A+

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The nurse is providing an inservice educational program for the interproffessional healthcare team about infection control precautions. What teaching will the nurse include? (Select all that apply.) a. keep client's environment clean. b. use standard precautions only for patients with infection. c. practice hand hygiene. d. use equipment repetitively on clients with similar conditions. e. wear PPE. - Correct Answersa, c, e Wearing PPE, practicing hand hygiene, and keeping the client's environment clean interferes with the chain of infection. Standard precautions should be used for all patients and equipment should be cleaned, disinfected, or sterilized between use. A nurse is assessing a client with dental problems including irritation, inflammation, and bleeding gums. The nurse recognizes that what condition may be contributing to these signs and symptoms? a. plaque b. sordes c. gingivitis d. periodontal disease - Correct Answersc The client has gingivitis, which develops when bacteria multiply and build up between teeth and gums, leading to irritation, inflammation, and bleeding. Bleeding gums are not a symptom of sordes, plaque, or periodontal disease. Sordes are dried crusts containing mucus and are common on the lips and teeth of unconscious clients. Plaque is a substance that supports the growth of mouth bacteria; it is composed of mucin and other gritty substances in saliva. Periodontal disease is a condition that results in the destruction of the tooth-supporting structures and jawbone. A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis. Which precaution should the nurse take when transporting the specimens? a. Wear gloves and a gown when transporting the specimen. b. Place the specimens into plastic biohazard bags. c. Swab the outside of each specimen container with alcohol prior to transport. d. Place each of the three sealed specimens in a separate paper bag. - Correct Answersb Specimens should be placed in sealed plastic bags to prevent them from becoming contaminated or causing the transmission of infective microorganisms. Paper bags are not used for this purpose and it is not customary to swab the outside of specimen containers. Standard precautions should be implemented, but this does not necessitate the use of a gown in all cases. A nurse is helping another nurse fasten the knot of the cover gown before assisting a colleague with a dressing change. Which advantage does a cover gown offer? a. It decomposes easily with other biodegradable items. b. Its loose-fitting waist straps avoid contaminating the waist. c. It is durable enough to be used for the duration of the nurse's shift. d. Its snug-fitting wristbands avoid contaminating the forearms. - Correct Answersd The advantage of a cover gown is that its close-fitting wristbands help avoid contaminating the forearms. Cover gowns are not biodegradable; after use, they are laundered or incinerated. Cover gowns are never loose-fitting; instead, fasteners at the neck and waist keep the gown securely closed, thus covering all the wearer's clothing. A gown is never worn between contacts with more than one client. The nurse is teaching a nursing student about caring for a client with dentures. Which education will the nurse provide? a. "Clean dentures with hot water to eliminate bacteria." b. "Hold dentures over a plastic basin or towel when cleaning them." c. "Use your ungloved hands to remove an unconscious client's dentures." d. "After brushing dentures, leave them out of the client's mouth overnight." - Correct Answersb Gloves should always be used to remove an unconscious client's dentures. Dentures should be cleaned in cold or tepid water, and then replaced into the client's mouth so the gum lines do not begin to change. Holding dentures over a plastic basin or towel when cleaning them is appropriate, so if dentures are dropped, they will not break. A student nurse is preforming hand washing in the clinical setting. Which observation would require the nursing instructor to intervene? a. has manicured nails that are 1-inch long b. has wedding band on ring finger c. drains hands lower than the wrist d. washes hands for 15 seconds - Correct Answersa Fingernails should be less than 1/4-inch long, as this reduces the reservoir for flora to accumulate, and decreases the chance of tearing or puncturing gloves. Washing hands for 15 seconds is appropriate. A flat wedding band is acceptable. Allowing the hands to drain lower than the wrist promotes gravity drainage. A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered antibiotic. Which type of client is most likely at increased risk for infection? a. child b. older adult c. adult d. pregnant - Correct Answersb Long-term care residents and older adult hospitalized clients are at increased risk for antibiotic-resistant infections. Pneumonia, influenza, urinary tract and skin infections, and TB are common in older people, especially residents of long-term care facilities. These infectious diseases are not commonly seen in young adults, children, or pregnant women admitted to health care facilities. A nurse is spraying disinfectant on the equipment in the room of an older adult client. Which piece of equipment has the highest risk of transmitting infection to an older adult client? a. humidifier b. face shield c. gloves d. bath blanket - Correct Answersa Infections are often transmitted to older adult clients through equipment reservoirs such as indwelling urinary catheters, humidifiers, and oxygen equipment, or through incisional sites such as those for intravenous tubing, parenteral nutrition, or tube feedings. Use of proper aseptic techniques is essential to prevent the introduction of microorganisms. Bath blankets, face shields, and gloves are not part of the equipment reservoir that transmits infections to older adult clients. The nurse is teaching a client about hearing aid care. Which teaching is appropriate? (Select all that apply.) a. Store the hearing aid in a very warm environment so that it will not crack. b. Carefully wipe the outer surface of the hearing aid to maintain cleanliness. c. Do not get hair spray or other chemicals on the hearing aid. d. Use a small knife to remove cerumen that becomes embedded in the earpiece. e. Keep extra batteries on hand. - Correct Answersb, c, e, Extra batteries should be kept, in case the battery of the hearing aid goes out or fails. Avoid exposing the device to extreme heat, water, cleaning chemicals, or hair spray. Clean cerumen that has become embedded in the earpiece with a special instrument that comes with the hearing aid. If this is not available, use a thin needle as a substitute. The outer surface of the hearing aid should be occasionally wiped clean to maintain cleanliness. It is not appropriate for the client to store the hearing aid in a very warm environment or use a small knife to remove the cerumen in the earpiece. The nurse is caring for four clients. Which client presents the most susceptibility for infection? a. 46-year old with a foley catheter following anesthesia b. 4-year old receiving antibiotics for strep throat c. 36-year old female experiencing her menstrual cycle d. 30-year old experiencing esophageal reflux - Correct Answersa Indwelling equipment, such as a urinary catheter, makes the client more susceptible to infection. Antibiotics, when used appropriately to treat a known illness such as strep, do not increase the risk of infection. A female experiencing menstruation is a normal body process, and is not at increased risk of infection. Esophageal reflux does not place the client at additional risk of infection. The nurse is caring for a client with tuberculosis. Which precautions will the nurse select for this client? a. standard b. airborne c. droplet d. contact - Correct Answersb Tuberculosis is transmitted via the air. Therefore, airborne precautions are required. Standard, droplet, and contact precautions will not be selected by the nurse for a client who has tuberculosis. A labor and delivery nurse will be participating in a client's emergency caesarean section and intends to apply the principles of surgical asepsis appropriately. Surgical asepsis is most clearly characterized by:

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107 Exam 1 Practice Questions And
Answers Guaranteed Pass A+

The nurse is providing an inservice educational program for the interproffessional healthcare team
about infection control precautions. What teaching will the nurse include? (Select all that apply.)



a. keep client's environment clean.

b. use standard precautions only for patients with infection.

c. practice hand hygiene.

d. use equipment repetitively on clients with similar conditions.

e. wear PPE. - Correct Answersa, c, e



Wearing PPE, practicing hand hygiene, and keeping the client's environment clean interferes with the
chain of infection. Standard precautions should be used for all patients and equipment should be
cleaned, disinfected, or sterilized between use.



A nurse is assessing a client with dental problems including irritation, inflammation, and bleeding gums.
The nurse recognizes that what condition may be contributing to these signs and symptoms?



a. plaque

b. sordes

c. gingivitis

d. periodontal disease - Correct Answersc



The client has gingivitis, which develops when bacteria multiply and build up between teeth and gums,
leading to irritation, inflammation, and bleeding. Bleeding gums are not a symptom of sordes, plaque, or
periodontal disease. Sordes are dried crusts containing mucus and are common on the lips and teeth of
unconscious clients. Plaque is a substance that supports the growth of mouth bacteria; it is composed of
mucin and other gritty substances in saliva. Periodontal disease is a condition that results in the
destruction of the tooth-supporting structures and jawbone.

,A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis.
Which precaution should the nurse take when transporting the specimens?



a. Wear gloves and a gown when transporting the specimen.

b. Place the specimens into plastic biohazard bags.

c. Swab the outside of each specimen container with alcohol prior to transport.

d. Place each of the three sealed specimens in a separate paper bag. - Correct Answersb



Specimens should be placed in sealed plastic bags to prevent them from becoming contaminated or
causing the transmission of infective microorganisms. Paper bags are not used for this purpose and it is
not customary to swab the outside of specimen containers. Standard precautions should be
implemented, but this does not necessitate the use of a gown in all cases.



A nurse is helping another nurse fasten the knot of the cover gown before assisting a colleague with a
dressing change. Which advantage does a cover gown offer?



a. It decomposes easily with other biodegradable items.

b. Its loose-fitting waist straps avoid contaminating the waist.

c. It is durable enough to be used for the duration of the nurse's shift.

d. Its snug-fitting wristbands avoid contaminating the forearms. - Correct Answersd



The advantage of a cover gown is that its close-fitting wristbands help avoid contaminating the
forearms. Cover gowns are not biodegradable; after use, they are laundered or incinerated. Cover
gowns are never loose-fitting; instead, fasteners at the neck and waist keep the gown securely closed,
thus covering all the wearer's clothing. A gown is never worn between contacts with more than one
client.



The nurse is teaching a nursing student about caring for a client with dentures. Which education will the
nurse provide?



a. "Clean dentures with hot water to eliminate bacteria."

, b. "Hold dentures over a plastic basin or towel when cleaning them."

c. "Use your ungloved hands to remove an unconscious client's dentures."

d. "After brushing dentures, leave them out of the client's mouth overnight." - Correct Answersb



Gloves should always be used to remove an unconscious client's dentures. Dentures should be cleaned
in cold or tepid water, and then replaced into the client's mouth so the gum lines do not begin to
change. Holding dentures over a plastic basin or towel when cleaning them is appropriate, so if dentures
are dropped, they will not break.



A student nurse is preforming hand washing in the clinical setting. Which observation would require the
nursing instructor to intervene?



a. has manicured nails that are 1-inch long

b. has wedding band on ring finger

c. drains hands lower than the wrist

d. washes hands for 15 seconds - Correct Answersa



Fingernails should be less than 1/4-inch long, as this reduces the reservoir for flora to accumulate, and
decreases the chance of tearing or puncturing gloves. Washing hands for 15 seconds is appropriate. A
flat wedding band is acceptable. Allowing the hands to drain lower than the wrist promotes gravity
drainage.



A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered
antibiotic. Which type of client is most likely at increased risk for infection?



a. child

b. older adult

c. adult

d. pregnant - Correct Answersb



Long-term care residents and older adult hospitalized clients are at increased risk for antibiotic-resistant
infections. Pneumonia, influenza, urinary tract and skin infections, and TB are common in older people,

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