CURRENTMedical Diagnosis andTreatment b b b b
2019 Testbank/Studyguide b b
Chapter 1. Disease Prevention & Health Promotion
b b b b b b
1. Which of the following behaviors indicates the highest potential for spreading infections
b b b b b b b b b b b b
b among clients? The nurse:
b b b
1) disinfects dirty hands with antibacterial soap. b b b b b
2) allows alcohol-based rub to dry for 10 seconds.
b b b b b b b
3) washes hands only after leaving each room.
b b b b b b
4) uses cold water for medical asepsis.
b b b b b
2. What is the most frequent cause of the spread of infection among institutionalized
b b b b b b b b b b b b b
b patients?
1) Airborne microbes from other patients b b b b
2) Contact with contaminated equipment b b b
3) Hands of healthcare workers b b b
4) Exposure from family members b b b
3. Which of the following nursing activities is of highest priority for maintaining medical
b b b b b b b b b b b b b
b asepsis?
1) Washing hands b
2) Donning gloves b
3) Applying sterile drapes b b
4) Wearing a gown b b
4. A patient infected with a virus but who does not have any outward sign of the disease is
b b b b b b b b b b b b b b b b b b
b considered a: b
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
b b b b b b b b b b b b b b
b institute when caring for this patient?
b b b b b
1) Droplet transmission b
2) Airborne transmission b
3) Direct contact b
4) Indirect contact b
, b 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
b b b b b b b b b b b b
b antibiotics to treat a systemic infection. Which type of infection has the patient developed?
b b b b b b b b b b b b b
1) Endogenous nosocomial b
2) Exogenous nosocomial b
3) Latent
4) Primary
b 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
b b b b b b b b b b b b b b b
b days. His condition has stabilized, and his temperature has returned to normal. Which stage of
b b b b b b b b b b b b b b
b infection is the patient most likely experiencing?
b b b b b b
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is
b b b b b b b b b b b b b
b necessary to help maintain sterile technique?
b b b b b
1) Closing the patients door to limit room traffic while preparing the sterile field
b b b b b b b b b b b b
2) Using clean procedure gloves to handle sterile equipment
b b b b b b b
3) Placing the nonsterile syringes containing flush solution on the sterile field
b b b b b b b b b b
4) Remaining 6 inches away from the sterile field during the procedure b b b b b b b b b b
9. A patient develops localized heat and erythema over an area on the lower leg. These
b b b b b b b b b b b b b b b
b findings are indicative of which secondary defense against infection?
b b b b b b b b
1) Phagocytosis
2) Complement cascade b
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
b b b b b b b b b b b b
b an antibiotic. Which antibody is primarily responsible for this patients response?
b b b b b b b b b b
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
b b b b b b b b b b b
b immunoglobulin G? b
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common cold. Which
b b b b b b b b b b b b b b b b
b response by the nurse is correct?
b b b b b
1) The virus mutates too rapidly to develop a vaccine.
b b b b b b b b
2) Vaccines are developed only for very serious illnesses. b b b b b b b
3) Researchers are focusing efforts on an HIV vaccine. b b b b b b b
4) The virus for the common cold has not been identified.
b b b b b b b b b
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
b b b b b b b b b b b b
1) acetaminophen (Tylenol). b
2) increased fluids. b
3) bedrest.
4) tepid bath. b
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
b b b b b b b b b b b b b b
b protectant? It: b
1) Prevents microorganisms from adhering to the skin. b b b b b b
2) Facilitates the absorption of latex proteins through the skin. b b b b b b b b
3) Decreases the risk of latex allergies. b b b b b
4) Prevents the skin from drying and chaffing. b b b b b b
15. For which range of time must a nurse wash her hands before working in the operating
b b b b b b b b b b b b b b b b
b room?
1) 1 to 2 minutes
b b b
2) 2 to 4 minutes
b b b
3) 2 to 6 minutes
b b b
4) 6 to 10 minutes
b b b
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
b b b b b b b b b b b b b b b
b isolation?
1) Place the tray in a specially marked trash can inside the patients room.
b b b b b b b b b b b b
Place the tray in a special isolation bag held by a second healthcare worker at the patients
b b b b b b b b b b b b b b b b
2) door.
b
Return the tray with a note to dietary services so it can be cleaned and reused for the next
b b b b b b b b b b b b b b b b b b
3) meal.
b
Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose
b b b b b b b b b b b b b b b
4) of it there.
b b b
1 . How much liquid soap should the nurse use for effective hand washing? At least:
b b b b b b b b b b b b b b
1) 2 mLb
2) 3 mLb
3) 6 mLb
4) 7 mLb
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution
b b b b b b b b b b b b
b over all surfaces of the hands?
b b b b b
1) When fingers feel sticky b b b
2) After 5 to 10 seconds b b b b
3) When leaving the clients room b b b b
4) Once fingers and hands feel dry b b b b b
19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell
b b b b b b b b b b b b b b b b
b count. Which precaution should the staff take with this patient?
b b b b b b b b b
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are
b b b b b b b b b b b b b b
b slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on
b b b b b b b b b b b b b b b b b b
b the outside of the glove package. What is the best action for the nurse to take at this point?
b b b b b b b b b b b b b b b b b b
1) Continue using the gloves inside the package because the package is intact. b b b b b b b b b b b
2) Remove gloves from sterile field and use a new pair of sterile gloves. b b b b b b b b b b b b
3) Throw all supplies away that were to be used and begin again. b b b b b b b b b b b
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
b b b b b b b b b b b b b b b b
21. The nurse is removing personal protective equipment (PPE). Which item should be
b b b b b b b b b b b b
b removed first? b
1) Gown
2) Gloves
3) Face shield b
4) Hair covering b
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses
b b b b b b b b b b b b b b b b
actions, listing the most important one first.
b b b b b b b
A. Contact employee health b b
B. Complete an incident report b b b
C. Wash the exposed area b b b
D. Report to another nurse that she is leaving the immediate area.
b b b b b b b b b b
1) 1, 2, 3, 4 b b b
2) 2, 3, 4, 1 b b b
3) 3, 4, 1, 2 b b b
4) 4, 1, 2, 3 b b b
Multiple Response b
Identify one or more choices that best complete the statement or answer the question.
b b b b b b b b b b b b b
1. In which situation would using standard precautions be adequate? Select all that apply.
b b b b b b b b b b b b b
2019 Testbank/Studyguide b b
Chapter 1. Disease Prevention & Health Promotion
b b b b b b
1. Which of the following behaviors indicates the highest potential for spreading infections
b b b b b b b b b b b b
b among clients? The nurse:
b b b
1) disinfects dirty hands with antibacterial soap. b b b b b
2) allows alcohol-based rub to dry for 10 seconds.
b b b b b b b
3) washes hands only after leaving each room.
b b b b b b
4) uses cold water for medical asepsis.
b b b b b
2. What is the most frequent cause of the spread of infection among institutionalized
b b b b b b b b b b b b b
b patients?
1) Airborne microbes from other patients b b b b
2) Contact with contaminated equipment b b b
3) Hands of healthcare workers b b b
4) Exposure from family members b b b
3. Which of the following nursing activities is of highest priority for maintaining medical
b b b b b b b b b b b b b
b asepsis?
1) Washing hands b
2) Donning gloves b
3) Applying sterile drapes b b
4) Wearing a gown b b
4. A patient infected with a virus but who does not have any outward sign of the disease is
b b b b b b b b b b b b b b b b b b
b considered a: b
1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
b b b b b b b b b b b b b b
b institute when caring for this patient?
b b b b b
1) Droplet transmission b
2) Airborne transmission b
3) Direct contact b
4) Indirect contact b
, b 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
b b b b b b b b b b b b
b antibiotics to treat a systemic infection. Which type of infection has the patient developed?
b b b b b b b b b b b b b
1) Endogenous nosocomial b
2) Exogenous nosocomial b
3) Latent
4) Primary
b 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
b b b b b b b b b b b b b b b
b days. His condition has stabilized, and his temperature has returned to normal. Which stage of
b b b b b b b b b b b b b b
b infection is the patient most likely experiencing?
b b b b b b
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is
b b b b b b b b b b b b b
b necessary to help maintain sterile technique?
b b b b b
1) Closing the patients door to limit room traffic while preparing the sterile field
b b b b b b b b b b b b
2) Using clean procedure gloves to handle sterile equipment
b b b b b b b
3) Placing the nonsterile syringes containing flush solution on the sterile field
b b b b b b b b b b
4) Remaining 6 inches away from the sterile field during the procedure b b b b b b b b b b
9. A patient develops localized heat and erythema over an area on the lower leg. These
b b b b b b b b b b b b b b b
b findings are indicative of which secondary defense against infection?
b b b b b b b b
1) Phagocytosis
2) Complement cascade b
3) Inflammation
4) Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
b b b b b b b b b b b b
b an antibiotic. Which antibody is primarily responsible for this patients response?
b b b b b b b b b b
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
b b b b b b b b b b b
b immunoglobulin G? b
1) Cell-mediated
2) Passive
3) Humoral
4) Active
, 12. A patient asks the nurse why there is no vaccine available for the common cold. Which
b b b b b b b b b b b b b b b b
b response by the nurse is correct?
b b b b b
1) The virus mutates too rapidly to develop a vaccine.
b b b b b b b b
2) Vaccines are developed only for very serious illnesses. b b b b b b b
3) Researchers are focusing efforts on an HIV vaccine. b b b b b b b
4) The virus for the common cold has not been identified.
b b b b b b b b b
1 . A patient who has a temperature of 101F (38.3C) most likely requires:
b b b b b b b b b b b b
1) acetaminophen (Tylenol). b
2) increased fluids. b
3) bedrest.
4) tepid bath. b
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
b b b b b b b b b b b b b b
b protectant? It: b
1) Prevents microorganisms from adhering to the skin. b b b b b b
2) Facilitates the absorption of latex proteins through the skin. b b b b b b b b
3) Decreases the risk of latex allergies. b b b b b
4) Prevents the skin from drying and chaffing. b b b b b b
15. For which range of time must a nurse wash her hands before working in the operating
b b b b b b b b b b b b b b b b
b room?
1) 1 to 2 minutes
b b b
2) 2 to 4 minutes
b b b
3) 2 to 6 minutes
b b b
4) 6 to 10 minutes
b b b
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
b b b b b b b b b b b b b b b
b isolation?
1) Place the tray in a specially marked trash can inside the patients room.
b b b b b b b b b b b b
Place the tray in a special isolation bag held by a second healthcare worker at the patients
b b b b b b b b b b b b b b b b
2) door.
b
Return the tray with a note to dietary services so it can be cleaned and reused for the next
b b b b b b b b b b b b b b b b b b
3) meal.
b
Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose
b b b b b b b b b b b b b b b
4) of it there.
b b b
1 . How much liquid soap should the nurse use for effective hand washing? At least:
b b b b b b b b b b b b b b
1) 2 mLb
2) 3 mLb
3) 6 mLb
4) 7 mLb
, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution
b b b b b b b b b b b b
b over all surfaces of the hands?
b b b b b
1) When fingers feel sticky b b b
2) After 5 to 10 seconds b b b b
3) When leaving the clients room b b b b
4) Once fingers and hands feel dry b b b b b
19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell
b b b b b b b b b b b b b b b b
b count. Which precaution should the staff take with this patient?
b b b b b b b b b
1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are
b b b b b b b b b b b b b b
b slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on
b b b b b b b b b b b b b b b b b b
b the outside of the glove package. What is the best action for the nurse to take at this point?
b b b b b b b b b b b b b b b b b b
1) Continue using the gloves inside the package because the package is intact. b b b b b b b b b b b
2) Remove gloves from sterile field and use a new pair of sterile gloves. b b b b b b b b b b b b
3) Throw all supplies away that were to be used and begin again. b b b b b b b b b b b
4) Use the gloves and make sure the yellow edges of the package do not touch the client.
b b b b b b b b b b b b b b b b
21. The nurse is removing personal protective equipment (PPE). Which item should be
b b b b b b b b b b b b
b removed first? b
1) Gown
2) Gloves
3) Face shield b
4) Hair covering b
22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses
b b b b b b b b b b b b b b b b
actions, listing the most important one first.
b b b b b b b
A. Contact employee health b b
B. Complete an incident report b b b
C. Wash the exposed area b b b
D. Report to another nurse that she is leaving the immediate area.
b b b b b b b b b b
1) 1, 2, 3, 4 b b b
2) 2, 3, 4, 1 b b b
3) 3, 4, 1, 2 b b b
4) 4, 1, 2, 3 b b b
Multiple Response b
Identify one or more choices that best complete the statement or answer the question.
b b b b b b b b b b b b b
1. In which situation would using standard precautions be adequate? Select all that apply.
b b b b b b b b b b b b b
