NSG 3100 - EXAM 2 QUESTIONS AND ANSWERS
The nurse recognizes which term to identify the second line of defense that leads to
local capillary dilation and leukocyte infiltration?
A. Normal flora
B. Inflammatory response
C. Immune response
D. Humoral immunity - Answers - B. Inflammatory response
The nurse knows that the antigen-antibody reaction is an example of what type of
immunity?
A. Humoral
B. Cellular
C. Innate
D. Passive - Answers - A. Humoral
The nurse uses what term to identify a disease-causing organism?
A. Pathogen
B. Normal flora
C. Vector
D. Microorganism - Answers - A. Pathogen
The nurse is explaining to the patient why antibiotics are being administered. The
answer would be correct if the nurse stated antibiotics are effective against which
microorganism?
A. Viruses
B. Fungi
C. Parasites
D. Bacteria - Answers - D. Bacteria
The nurse anticipates correctly that what medication category would be ordered to treat
athlete's foot?
A. Antiviral
B. Antibiotic
C. Antihelminth
D. Antifungal - Answers - D. Antifungal
,The nurse recognizes that the stethoscope most correctly represents which possible link
in the chain of infection?
A. Source
B. Portal of exit
C. Portal of entry
D. Mode of transmission - Answers - D. Mode of transmission
The nurse is teaching a group of patients about diseases that are transmitted by ticks.
Which term would the nurse use when identifying the function of a tick in spreading
disease?
A. Vectors
B. Bacteria
C. Viruses
D. Fungi - Answers - A. Vectors
What response would the nurse provide to correctly identify the most effective method
to prevent hospital-acquired infections?
A. Use of sterile technique
B. Isolation protocols
C. Antibiotic use
D. Handwashing - Answers - D. Handwashing
The nurse correctly identifies which patient as having the greatest risk for infection?
A. An 80-year-old male with an enlarged prostate
B. A 24-year-old female long-distance runner
C. A 50-year-old obese male
D. A 40-year-old sexually active female - Answers - A. An 80-year-old male with an
enlarged prostate
The nurse understands that which set of vital signs most likely indicates infection?
A. T: 98.6 °F (37.0 °C), P: 75 beats/min, R: 18 breaths/min, BP 120/80 mm Hg
B. T: 99 °F (37.2 °C), P: 80 beats/min, R: 18 breaths/min, BP: 110/70 mm Hg
C. T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm Hg
D. T: 98.9 °F (37.1 °C), P: 66 beats/min, R: 18 breaths/min, BP: 98/62 mm Hg -
Answers - C. T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm
Hg
A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection.
The nurse identifies which goal to be most appropriate?
, A. Patient will ambulate length of hallway this shift.
B. Patient will consume 20% of meals by the end of the week.
C. Patient's incision will be without signs or symptoms of infection at discharge.
D. Patient will verbalize need to stop antibiotics medication when symptom free. -
Answers - C. Patient's incision will be without signs or symptoms of infection at
discharge.
The nurse is caring for a patient who is comatose. When preforming oral hygiene, which
interval is most appropriate?
A. Every shift
B. Twice daily
C. Every 4 hours
D. Daily - Answers - C. Every 4 hours
The nurse knows which skill does not require the use of sterile technique?
A. NG tube insertion
B. Foley catheterization
C. Tracheostomy care
D. PICC line insertion - Answers - A. NG tube insertion
The nurse recognizes which situation to be inappropriate to use alcohol-based hand
sanitizer?
A. Patient with pneumonia
B. Patient with Clostridium difficile
C. Status post-appendectomy
D. Patient with HIV - Answers - B. Patient with Clostridium difficile
The nurse is preparing to perform suctioning on a new tracheostomy with the potential
for forceful expulsion of secretions and identifies what PPE (personal protective
equipment) should be worn?
A. Gloves and eyewear
B. Gloves, gown, and mask
C. Eyewear and gown
D. Eyewear, mask, gown, and gloves - Answers - D. Eyewear, mask, gown, and gloves
Which isolation precaution should the nurse implement for the patient who has been
diagnosed with hepatitis A?
A. Airborne
B. Contact
C. Droplet
D. Protective - Answers - B. Contact
The nurse recognizes which term to identify the second line of defense that leads to
local capillary dilation and leukocyte infiltration?
A. Normal flora
B. Inflammatory response
C. Immune response
D. Humoral immunity - Answers - B. Inflammatory response
The nurse knows that the antigen-antibody reaction is an example of what type of
immunity?
A. Humoral
B. Cellular
C. Innate
D. Passive - Answers - A. Humoral
The nurse uses what term to identify a disease-causing organism?
A. Pathogen
B. Normal flora
C. Vector
D. Microorganism - Answers - A. Pathogen
The nurse is explaining to the patient why antibiotics are being administered. The
answer would be correct if the nurse stated antibiotics are effective against which
microorganism?
A. Viruses
B. Fungi
C. Parasites
D. Bacteria - Answers - D. Bacteria
The nurse anticipates correctly that what medication category would be ordered to treat
athlete's foot?
A. Antiviral
B. Antibiotic
C. Antihelminth
D. Antifungal - Answers - D. Antifungal
,The nurse recognizes that the stethoscope most correctly represents which possible link
in the chain of infection?
A. Source
B. Portal of exit
C. Portal of entry
D. Mode of transmission - Answers - D. Mode of transmission
The nurse is teaching a group of patients about diseases that are transmitted by ticks.
Which term would the nurse use when identifying the function of a tick in spreading
disease?
A. Vectors
B. Bacteria
C. Viruses
D. Fungi - Answers - A. Vectors
What response would the nurse provide to correctly identify the most effective method
to prevent hospital-acquired infections?
A. Use of sterile technique
B. Isolation protocols
C. Antibiotic use
D. Handwashing - Answers - D. Handwashing
The nurse correctly identifies which patient as having the greatest risk for infection?
A. An 80-year-old male with an enlarged prostate
B. A 24-year-old female long-distance runner
C. A 50-year-old obese male
D. A 40-year-old sexually active female - Answers - A. An 80-year-old male with an
enlarged prostate
The nurse understands that which set of vital signs most likely indicates infection?
A. T: 98.6 °F (37.0 °C), P: 75 beats/min, R: 18 breaths/min, BP 120/80 mm Hg
B. T: 99 °F (37.2 °C), P: 80 beats/min, R: 18 breaths/min, BP: 110/70 mm Hg
C. T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm Hg
D. T: 98.9 °F (37.1 °C), P: 66 beats/min, R: 18 breaths/min, BP: 98/62 mm Hg -
Answers - C. T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm
Hg
A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection.
The nurse identifies which goal to be most appropriate?
, A. Patient will ambulate length of hallway this shift.
B. Patient will consume 20% of meals by the end of the week.
C. Patient's incision will be without signs or symptoms of infection at discharge.
D. Patient will verbalize need to stop antibiotics medication when symptom free. -
Answers - C. Patient's incision will be without signs or symptoms of infection at
discharge.
The nurse is caring for a patient who is comatose. When preforming oral hygiene, which
interval is most appropriate?
A. Every shift
B. Twice daily
C. Every 4 hours
D. Daily - Answers - C. Every 4 hours
The nurse knows which skill does not require the use of sterile technique?
A. NG tube insertion
B. Foley catheterization
C. Tracheostomy care
D. PICC line insertion - Answers - A. NG tube insertion
The nurse recognizes which situation to be inappropriate to use alcohol-based hand
sanitizer?
A. Patient with pneumonia
B. Patient with Clostridium difficile
C. Status post-appendectomy
D. Patient with HIV - Answers - B. Patient with Clostridium difficile
The nurse is preparing to perform suctioning on a new tracheostomy with the potential
for forceful expulsion of secretions and identifies what PPE (personal protective
equipment) should be worn?
A. Gloves and eyewear
B. Gloves, gown, and mask
C. Eyewear and gown
D. Eyewear, mask, gown, and gloves - Answers - D. Eyewear, mask, gown, and gloves
Which isolation precaution should the nurse implement for the patient who has been
diagnosed with hepatitis A?
A. Airborne
B. Contact
C. Droplet
D. Protective - Answers - B. Contact
