Test Bank For Current Medical Diagnosis And Treatment
m9 m9 m9 m9 m9 m9 m9
m9 2024, 63rd Edition
m9 m9
By Maxine Papadakis, Stephen Mcphee
m9 m9 m9 m9
Chapters 1 - 42m9 m9 m9
, Chapter 1. Disease Prevention & Health Promotion
m9 m9 m9 m9 m9 m9
1. Which of the following behaviors indicates the highest potential for spreading
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 infections among clients? The nurse:
m9 m9 m9 m9
1) disinfects dirty hands with antibacterial soap.
m9 m9 m9 m9 m9
2) allows alcohol-based rub to dry for 10 seconds.
m9 m9 m9 m9 m9 m9 m9
3) washes hands only after leaving each room.
m9 m9 m9 m9 m9 m9
4) uses cold water for medical asepsis.
m9 m9 m9 m9 m9
2. What is the most frequent cause of the spread of infection among institutionalized
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
patients?
1) Airborne microbes from other patients m9 m9 m9 m9
2) Contact with contaminated equipmentm9 m9 m9
3) Hands of healthcare workers
m9 m9 m9
4) Exposure from family members m9 m9 m9
3. Which of the following nursing activities is of highest priority for maintaining
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 medical asepsis?
m9
1) Washing hands m9
2) Donning gloves m9
3) Applying sterile drapes m9 m9
4) Wearing a gown m9 m9
4. A patient infected with a virus but who does not have any outward sign of the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
disease is considered a:
m9 m9 m9 m9
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 the nurse institute when caring for this patient?
m9 m9 m9 m9 m9 m9 m9
1) Droplet transmission m9
2) Airborne transmission m9
3) Direct contact m9
4) Indirect contact m9
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
intravenous antibiotics to treat a systemic infection. Which type of infection has the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
patient developed?
m9 m9
1) Endogenous nosocomial m9
2) Exogenous nosocomial m9
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
action is necessary to help maintain sterile technique?
m9 m9 m9 m9 m9 m9 m9 m9
1) Closing the patients door to limit room traffic while preparing the sterile field
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
2) Using clean procedure gloves to handle sterile equipment
m9 m9 m9 m9 m9 m9 m9
3) Placing the nonsterile syringes containing flush solution on the sterile field
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
4) Remaining 6 inches away from the sterile field during the procedure
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m 9 8.A patient admitted to the hospital with pneumonia has been receiving
m 9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 antibiotics for 2 days. His condition has stabilized, and his temperature has returned
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 to normal. Which stage of infection is the patient most likely experiencing?
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. A patient develops localized heat and erythema over an area on the lower
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
leg. These findings are indicative of which secondary defense against infection?
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) Phagocytosis
2) Complement cascade m9
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 receiving an antibiotic. Which antibody is primarily responsible for this patients
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV)
m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 administration of immunoglobulin G? m9 m9 m9
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
cold. Which response by the nurse is correct?
m9 m9 m9 m9 m9 m9 m9 m9
1) The virus mutates too rapidly to develop a vaccine.
m9 m9 m9 m9 m9 m9 m9 m9
2) Vaccines are developed only for very serious illnesses.
m9 m9 m9 m9 m9 m9 m9
3) Researchers are focusing efforts on an HIV vaccine. m9 m9 m9 m9 m9 m9 m9
4) The virus for the common cold has not been identified.
m9 m9 m9 m9 m9 m9 m9 m9 m9
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) acetaminophen (Tylenol). m9
2) increased fluids. m9
3) bedrest.
4) tepid bath. m9
14. Why is a lotion without petroleum preferred over a petroleum-based product
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 as a skin protectant? It:
m9 m9 m9 m9
1) Prevents microorganisms from adhering to the skin.
m9 m9 m9 m9 m9 m9
2) Facilitates the absorption of latex proteins through the skin.
m9 m9 m9 m9 m9 m9 m9 m9
3) Decreases the risk of latex allergies. m9 m9 m9 m9 m9
4) Prevents the skin from drying and chaffing. m9 m9 m9 m9 m9 m9
15. For which range of time must a nurse wash her hands before working in the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
operating room?
m9 m9
1) 1 to 2 minutes m9 m9 m9
2) 2 to 4 minutes
m9 m9 m9
3) 2 to 6 minutes
m9 m9 m9
4) 6 to 10 minutes
m9 m9 m9
16. How should the nurse dispose of the breakfast tray of a patient who requires
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 airborne isolation?
m9
1) Place the tray in a specially marked trash can inside the patients room.
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
Place the tray in a special isolation bag held by a second healthcare worker at the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
2) patients door. m9
Return the tray with a note to dietary services so it can be cleaned and reused for the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
3) next meal. m9
Carry the tray to an isolation trash receptacle located in the dirty utility room and
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
4) dispose of it there. m9 m9 m9
1 . How much liquid soap should the nurse use for effective hand washing? At least:
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) 2 mL m9
2) 3 mL m9
3) 6 mL m9
4) 7 mL m9
m9 m9 m9 m9 m9 m9 m9
m9 2024, 63rd Edition
m9 m9
By Maxine Papadakis, Stephen Mcphee
m9 m9 m9 m9
Chapters 1 - 42m9 m9 m9
, Chapter 1. Disease Prevention & Health Promotion
m9 m9 m9 m9 m9 m9
1. Which of the following behaviors indicates the highest potential for spreading
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 infections among clients? The nurse:
m9 m9 m9 m9
1) disinfects dirty hands with antibacterial soap.
m9 m9 m9 m9 m9
2) allows alcohol-based rub to dry for 10 seconds.
m9 m9 m9 m9 m9 m9 m9
3) washes hands only after leaving each room.
m9 m9 m9 m9 m9 m9
4) uses cold water for medical asepsis.
m9 m9 m9 m9 m9
2. What is the most frequent cause of the spread of infection among institutionalized
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
patients?
1) Airborne microbes from other patients m9 m9 m9 m9
2) Contact with contaminated equipmentm9 m9 m9
3) Hands of healthcare workers
m9 m9 m9
4) Exposure from family members m9 m9 m9
3. Which of the following nursing activities is of highest priority for maintaining
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 medical asepsis?
m9
1) Washing hands m9
2) Donning gloves m9
3) Applying sterile drapes m9 m9
4) Wearing a gown m9 m9
4. A patient infected with a virus but who does not have any outward sign of the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
disease is considered a:
m9 m9 m9 m9
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 the nurse institute when caring for this patient?
m9 m9 m9 m9 m9 m9 m9
1) Droplet transmission m9
2) Airborne transmission m9
3) Direct contact m9
4) Indirect contact m9
, 6. A patient becomes infected with oral candidiasis (thrush) while receiving
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
intravenous antibiotics to treat a systemic infection. Which type of infection has the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
patient developed?
m9 m9
1) Endogenous nosocomial m9
2) Exogenous nosocomial m9
3) Latent
4) Primary
7.The nurse assists a surgeon with central venous catheter insertion. Which
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
action is necessary to help maintain sterile technique?
m9 m9 m9 m9 m9 m9 m9 m9
1) Closing the patients door to limit room traffic while preparing the sterile field
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
2) Using clean procedure gloves to handle sterile equipment
m9 m9 m9 m9 m9 m9 m9
3) Placing the nonsterile syringes containing flush solution on the sterile field
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
4) Remaining 6 inches away from the sterile field during the procedure
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m 9 8.A patient admitted to the hospital with pneumonia has been receiving
m 9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 antibiotics for 2 days. His condition has stabilized, and his temperature has returned
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 to normal. Which stage of infection is the patient most likely experiencing?
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
5) 8.
9. A patient develops localized heat and erythema over an area on the lower
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
leg. These findings are indicative of which secondary defense against infection?
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) Phagocytosis
2) Complement cascade m9
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 receiving an antibiotic. Which antibody is primarily responsible for this patients
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV)
m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 administration of immunoglobulin G? m9 m9 m9
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
cold. Which response by the nurse is correct?
m9 m9 m9 m9 m9 m9 m9 m9
1) The virus mutates too rapidly to develop a vaccine.
m9 m9 m9 m9 m9 m9 m9 m9
2) Vaccines are developed only for very serious illnesses.
m9 m9 m9 m9 m9 m9 m9
3) Researchers are focusing efforts on an HIV vaccine. m9 m9 m9 m9 m9 m9 m9
4) The virus for the common cold has not been identified.
m9 m9 m9 m9 m9 m9 m9 m9 m9
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) acetaminophen (Tylenol). m9
2) increased fluids. m9
3) bedrest.
4) tepid bath. m9
14. Why is a lotion without petroleum preferred over a petroleum-based product
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 as a skin protectant? It:
m9 m9 m9 m9
1) Prevents microorganisms from adhering to the skin.
m9 m9 m9 m9 m9 m9
2) Facilitates the absorption of latex proteins through the skin.
m9 m9 m9 m9 m9 m9 m9 m9
3) Decreases the risk of latex allergies. m9 m9 m9 m9 m9
4) Prevents the skin from drying and chaffing. m9 m9 m9 m9 m9 m9
15. For which range of time must a nurse wash her hands before working in the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
operating room?
m9 m9
1) 1 to 2 minutes m9 m9 m9
2) 2 to 4 minutes
m9 m9 m9
3) 2 to 6 minutes
m9 m9 m9
4) 6 to 10 minutes
m9 m9 m9
16. How should the nurse dispose of the breakfast tray of a patient who requires
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
m9 airborne isolation?
m9
1) Place the tray in a specially marked trash can inside the patients room.
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
Place the tray in a special isolation bag held by a second healthcare worker at the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
2) patients door. m9
Return the tray with a note to dietary services so it can be cleaned and reused for the
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
3) next meal. m9
Carry the tray to an isolation trash receptacle located in the dirty utility room and
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
4) dispose of it there. m9 m9 m9
1 . How much liquid soap should the nurse use for effective hand washing? At least:
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
1) 2 mL m9
2) 3 mL m9
3) 6 mL m9
4) 7 mL m9
