10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
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Chapter 29: Infection Prevention and Control
Chapter 29: Infection Prevention and Control
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse and a new nurse in orientation are caring for a patient with pneumonia. Which statement by the
new nurse will indicate a correct understanding of this condition?
a. “An infectious disease like pneumonia may not pose a risk to others.”
b. “We need to isolate the patient in a private negative-pressure room.”
c. “Clinical signs and symptoms are not present in pneumonia.”
d. “The patient will not be able to return home.”
ANS: A
Infections are infectious and/or communicable. Infectious diseases may not pose a risk for transmission to
others, although they are serious for the patient. Pneumonia is not a communicable disease—a disease that is
transmitted directly from one individual to the next, so there is no need for isolation. A private negative–air
pressure room is used for tuberculosis, not pneumonia. Clinical signs and symptoms are present in
pneumonia. Frequently, patients with pneumonia do return home unless there are extenuating circumstances.
DIF:Apply (application)REF:443
OBJ: Explain the relationship between the infection chain and transmission of infection.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 1/33
,10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
TOP: Evaluation MSC: Safety and Infection Control
2. The patient and the nurse are discussing Rickettsia rickettsii—Rocky Mountain spotted fever. Which patient
statement to the nurse indicates understanding regarding the mode of transmission for this disease?
a. “When camping, I will use sunscreen.”
b. “When camping, I will drink bottled water.”
c. “When camping, I will wear insect repellent.”
d. “When camping, I will wash my hands with hand gel.”
ANS: C
Rocky Mountain spotted fever is caused by bacteria transmitted by the bite of ticks. Wearing a repellent that is
designed for repelling ticks, mosquitoes, and other insects can help in preventing transmission of this disease.
Drinking plenty of uncontaminated water, wearing sunscreen, and using alcohol-based hand gels for cleaning
hands are all important activities to participate in while camping, but they do not contribute to or prevent
transmission of this disease.
DIF:Apply (application)REF:444
OBJ: Explain the relationship between the infection chain and transmission of infection.
TOP: Evaluation MSC: Safety and Infection Control
3. The nurse is providing an educational session for a group of preschool workers. The nurse reminds the
group about the most important thing to do to prevent the spread of infection. Which information did the
nurse share with the preschool workers?
a. Encourage preschool children to eat a nutritious diet.
b. Suggest that parents provide a multivitamin to the children.
c. Clean the toys every afternoon before putting them away.
d. Wash their hands between each interaction with children.
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,10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
ANS: D
The single most important thing that individuals can do to prevent the spread of infection is to wash their
hands before and after eating, going to the bathroom, changing a diaper, and wiping a nose and between
touching each individual child. It is important for preschool children to have a nutritious diet; a healthy
individual can ᯿贄ght infection more e᯿అectively. A health care provider, along with the parent, makes decisions
about dietary supplements. Cleaning the toys can decrease the number of pathogens but is not the most
important thing to do in this scenario.
DIF:Understand (comprehension)REF:443 | 455
OBJ: Give an example of preventing infection for each element of the infection chain.
TOP: Teaching/Learning MSC: Safety and Infection Control
4. The nurse is admitting a patient with an infectious disease process. Which question will be most appropriate
for a nurse to ask about the patient’s susceptibility to this infectious process?
a. “Do you have a spouse?”
b. “Do you have a chronic disease?”
c. “Do you have any children living in the home?”
d. “Do you have any religious beliefs that will in᯿贄uence your care?”
ANS: B
Multiple factors in᯿贄uence a patient’s susceptibility to infection. Patients with chronic diseases such as diabetes
mellitus and multiple sclerosis are also more susceptible to infection because of general debilitation and
nutritional impairment. Other factors include age, nutritional status, trauma, and smoking. The other questions
are part of an admission assessment process but are not pertinent to the infectious disease process.
DIF:Apply (application)REF:449
OBJ: Give an example of preventing infection for each element of the infection chain.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 3/33
, 10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
TOP: Assessment MSC: Safety and Infection Control
5. The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days
postoperatively, the nurse’s assessment indicates that the incision is red and has a small amount of purulent
drainage. The patient reports tenderness at the incision site. The patient’s temperature is 100.5° F, and the
WBC is 10,500/mm3. Which action should the nurse take ᯿贄rst?
a. Plan to change the surgical dressing during the shift.
b. Utilize SBAR to notify the primary health care provider.
c. Reevaluate the temperature and white blood cell count in 4 hours.
d. Check to see what solution was used for skin preparation in surgery.
ANS: B
The nursing assessment indicates signs and symptoms of infection, requiring the primary health care provider
to be noti᯿贄ed of the patient’s needs. SBAR—Situation, Background, Assessment, and Recommendation—can be
utilized to organize thoughts and data and to provide a thorough explanation of the patient’s current status.
The reevaluation of temperature is a good choice, but it will take longer than 4 hours to make a change in the
white blood cells. Changing the dressing may be a need during the shift but is not a ᯿贄rst priority. Checking to
see about the skin preparation used 2 days ago may or may not be useful information at this time.
DIF:Analyze (analysis)REF:450 | 467
OBJ: Give an example of preventing infection for each element of the infection chain.
TOP: Implementation MSC: Safety and Infection Control
6. The nurse is providing an education session to an adult community group about the e᯿అects of smoking on
infection. Which information is most important for the nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing and hair.
b. Smoking a᯿అects the cilia lining the upper airways in the lungs.
c. Smoking can a᯿అect the color of the patient’s ᯿贄ngernails.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 4/33
Nursing Test Banks
One Account Get all Test Banks
Chapter 29: Infection Prevention and Control
Chapter 29: Infection Prevention and Control
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse and a new nurse in orientation are caring for a patient with pneumonia. Which statement by the
new nurse will indicate a correct understanding of this condition?
a. “An infectious disease like pneumonia may not pose a risk to others.”
b. “We need to isolate the patient in a private negative-pressure room.”
c. “Clinical signs and symptoms are not present in pneumonia.”
d. “The patient will not be able to return home.”
ANS: A
Infections are infectious and/or communicable. Infectious diseases may not pose a risk for transmission to
others, although they are serious for the patient. Pneumonia is not a communicable disease—a disease that is
transmitted directly from one individual to the next, so there is no need for isolation. A private negative–air
pressure room is used for tuberculosis, not pneumonia. Clinical signs and symptoms are present in
pneumonia. Frequently, patients with pneumonia do return home unless there are extenuating circumstances.
DIF:Apply (application)REF:443
OBJ: Explain the relationship between the infection chain and transmission of infection.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 1/33
,10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
TOP: Evaluation MSC: Safety and Infection Control
2. The patient and the nurse are discussing Rickettsia rickettsii—Rocky Mountain spotted fever. Which patient
statement to the nurse indicates understanding regarding the mode of transmission for this disease?
a. “When camping, I will use sunscreen.”
b. “When camping, I will drink bottled water.”
c. “When camping, I will wear insect repellent.”
d. “When camping, I will wash my hands with hand gel.”
ANS: C
Rocky Mountain spotted fever is caused by bacteria transmitted by the bite of ticks. Wearing a repellent that is
designed for repelling ticks, mosquitoes, and other insects can help in preventing transmission of this disease.
Drinking plenty of uncontaminated water, wearing sunscreen, and using alcohol-based hand gels for cleaning
hands are all important activities to participate in while camping, but they do not contribute to or prevent
transmission of this disease.
DIF:Apply (application)REF:444
OBJ: Explain the relationship between the infection chain and transmission of infection.
TOP: Evaluation MSC: Safety and Infection Control
3. The nurse is providing an educational session for a group of preschool workers. The nurse reminds the
group about the most important thing to do to prevent the spread of infection. Which information did the
nurse share with the preschool workers?
a. Encourage preschool children to eat a nutritious diet.
b. Suggest that parents provide a multivitamin to the children.
c. Clean the toys every afternoon before putting them away.
d. Wash their hands between each interaction with children.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 2/33
,10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
ANS: D
The single most important thing that individuals can do to prevent the spread of infection is to wash their
hands before and after eating, going to the bathroom, changing a diaper, and wiping a nose and between
touching each individual child. It is important for preschool children to have a nutritious diet; a healthy
individual can ᯿贄ght infection more e᯿అectively. A health care provider, along with the parent, makes decisions
about dietary supplements. Cleaning the toys can decrease the number of pathogens but is not the most
important thing to do in this scenario.
DIF:Understand (comprehension)REF:443 | 455
OBJ: Give an example of preventing infection for each element of the infection chain.
TOP: Teaching/Learning MSC: Safety and Infection Control
4. The nurse is admitting a patient with an infectious disease process. Which question will be most appropriate
for a nurse to ask about the patient’s susceptibility to this infectious process?
a. “Do you have a spouse?”
b. “Do you have a chronic disease?”
c. “Do you have any children living in the home?”
d. “Do you have any religious beliefs that will in᯿贄uence your care?”
ANS: B
Multiple factors in᯿贄uence a patient’s susceptibility to infection. Patients with chronic diseases such as diabetes
mellitus and multiple sclerosis are also more susceptible to infection because of general debilitation and
nutritional impairment. Other factors include age, nutritional status, trauma, and smoking. The other questions
are part of an admission assessment process but are not pertinent to the infectious disease process.
DIF:Apply (application)REF:449
OBJ: Give an example of preventing infection for each element of the infection chain.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 3/33
, 10/15/2016 Chapter 29: Infection Prevention and Control | Nursing Test Banks
TOP: Assessment MSC: Safety and Infection Control
5. The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days
postoperatively, the nurse’s assessment indicates that the incision is red and has a small amount of purulent
drainage. The patient reports tenderness at the incision site. The patient’s temperature is 100.5° F, and the
WBC is 10,500/mm3. Which action should the nurse take ᯿贄rst?
a. Plan to change the surgical dressing during the shift.
b. Utilize SBAR to notify the primary health care provider.
c. Reevaluate the temperature and white blood cell count in 4 hours.
d. Check to see what solution was used for skin preparation in surgery.
ANS: B
The nursing assessment indicates signs and symptoms of infection, requiring the primary health care provider
to be noti᯿贄ed of the patient’s needs. SBAR—Situation, Background, Assessment, and Recommendation—can be
utilized to organize thoughts and data and to provide a thorough explanation of the patient’s current status.
The reevaluation of temperature is a good choice, but it will take longer than 4 hours to make a change in the
white blood cells. Changing the dressing may be a need during the shift but is not a ᯿贄rst priority. Checking to
see about the skin preparation used 2 days ago may or may not be useful information at this time.
DIF:Analyze (analysis)REF:450 | 467
OBJ: Give an example of preventing infection for each element of the infection chain.
TOP: Implementation MSC: Safety and Infection Control
6. The nurse is providing an education session to an adult community group about the e᯿అects of smoking on
infection. Which information is most important for the nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing and hair.
b. Smoking a᯿అects the cilia lining the upper airways in the lungs.
c. Smoking can a᯿అect the color of the patient’s ᯿贄ngernails.
http://boostgrade.info/chapter29infectionpreventionandcontrol/ 4/33
