The nurse understands that the priority nursing ac on needed when medical asepsis is used
includes:
a. handwashing.
b. surgical procedures.
c. autoclaving of instruments.
d. steriliza on of equipment.
a. handwashing.
Handwashing with soap and water is:
a. the most effec ve way to reduce the number of bacteria on the nurse's hands.
b. more effec ve than alcohol-based products for washing hands.
c. necessary for hand hygiene if hands are visibly soiled.
d. not necessary if the nurse wears ar ficial nails.
c. necessary for hand hygiene if hands are visibly soiled.
When caring for pa ents, the nurse understands that the single most important technique to
prevent and control the transmission of infec on is:
a. hand hygiene.
b. the use of disposable gloves.
c. the use of isola on precau ons.
d. steriliza on of equipment.
a. hand hygiene.
Which of the following measures is appropriate when a nurse is washing his or her hands?
a. Use very hot water.
b. Leave rings and watches in place.
c. Lather for at least 15 to 20 seconds.
d. Keep the fingers and hands up and the elbows down.
c. lather for at least 15 to 20 seconds
The nurse shows an understanding of the psychological implica ons for a pa ent on isola on
when planning care to control the risk for:
a. denial.
b. aggression.
,c. regression.
d. isola on.
e. depression.
d. isola on.
An appropriate technique for the nurse to implement for the pa ent on isola on precau ons is
to:
a. double-bag all disposable items and linens.
b. put another gown over the one worn if it has become wet.
c. place specimen containers in plas c bags for transport.
d. hand items to be reused directly to a nurse standing outside the room.
c. place specimen containers in plas c bags for transport.
Before entering the room of a pa ent on isola on where all protec ve barriers are required, the
nurse first puts on the:
a. gown.
b. gloves.
c. eyewear.
d. mask/respirator.
a. gown.
The pa ent is presen ng to the hospital with a high fever and a produc ve cough. He says that
he hasn't felt right since he returned from visi ng Somalia about a month before admission. He
also states that he has lost about 20 pounds in the last month and frequently wakes up in the
middle of the night sweaty and "clammy." What should the nurse prepare to do?
a. Place the pa ent on contact isola on.
b. Place the pa ent in a nega ve-pressure room.
c. Place the pa ent on droplet precau ons.
d. Use standard precau ons only.
b. Place the pa ent in a nega ve-pressure room.
For pa ents with which of the following condi ons should the nurse implement airborne
precau ons?
a. Rubella
b. Influenza
c. Tuberculosis
d. Pediculosis
c. tuberculosis
,The pa ent is admi7ed to the pediatric unit with severe pertussis. The nurse explains to the
parents and the child that the pa ent will be treated with the use of:
a. airborne precau ons.
b. standard precau ons only.
c. droplet precau ons.
d. contact isola on.
c. droplet precau ons.
Droplet precau ons will be ins tuted for the pa ent admi7ed to the infec ous disease unit
with:
a. streptococcal pharyngi s.
b. herpes simplex.
c. pulmonary TB.
d. measles.
a. streptococcal pharyngi s.
The pa ent has been hospitalized for several days and has received mul ple intravenous
an bio c medica ons. This morning, the pa ent had three episodes of severe, foul-smelling
diarrhea. The nurse should ins tute:
a. contact precau ons.
b. standard precau ons only.
c. airborne precau ons.
d. droplet precau ons.
a. contact precau ons.
What should the nurse do to break the chain of infec on at the reservoir level?
a. Change a soiled dressing.
b. Keep drainage systems intact.
c. Cover the nose and mouth when sneezing.
d. Avoid contact of the uniform with soiled items.
a. Change a soiled dressing.
The pa ent is admi7ed with mumps. The nurse knows that she will have to:
a. put the pa ent in a private room.
b. place the pa ent on standard precau ons.
c. wear a mask when closer than 3 feet to the pa ent.
d. place the pa ent on contact precau ons.
c. wear a mask when closer than 3 feet to the pa ent.
, For an infec on to take place, which of the following must be present? (Select all that apply.)
a. Pathogen and reservoir
b. Portals of exit and entry
c. Mode of transmission
d. Suscep ble host
A,B,C,D
If hands are not visibly soiled, the nurse may use an alcohol-based hand rub in which of the
following situa ons? (Select all that apply.)
a. Before having direct contact with pa ents
b. A?er contact with a pa ent's intact skin
c. A?er contact with body fluids or excre ons
d. A?er removing gloves
A,B,C,D
The nurse is planning to care for a pa ent diagnosed with possible tuberculosis (TB).
Assessment of possible TB may be based on which of the following? (Select all that apply.)
a. A posi ve AFB smear or culture
b. Signs or symptoms of TB
c. Cavita on on chest x-ray study
d. History of recent exposure
e. TB skin test
A,B,C,D
The nurse is aware that normal flora that does not cause disease but does prevent disease-
causing microorganisms from reproducing is known as:
a. sebum.
b. the epidermis.
c. resident bacteria.
d. the dermis.
c. resident bacteria.
In rela on to hygiene and the acute care se@ng, the nurse knows that which of the following
statements is true?
a. The disposable bath is a less desirable form of bathing than the tradi onal basin bath.
b. The disposable bath is a more desirable form of bathing than the tradi onal basin bath.