Fundamentals of nursing test bank
latest update A+ graded
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." - answers a. "An infectious disease like
pneumonia may not pose a risk to others."
The patient and the nurse are discussing the vector transmitted 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." - answers c. "When camping, I
will wear insect repellent."
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. - answers d. Wash their hands between each
interaction with children.
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 influence your care?" - answers b. "Do
you have a chronic disease?"
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 first?
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. - answers b.
Utilize SBAR to notify the primary health care provider.
The nurse is providing an education session to an adult community group about the
effects 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 affects the cilia lining the upper airways in the lungs.
c. Smoking can affect the color of the patient's fingernails. d. Smoking tobacco products
can be very expensive. - answers b. Smoking affects the cilia lining the upper airways
in the lungs.
A female adult patient presents to the clinic with reports of a white discharge and itching
in the vaginal area. A nurse is taking a health history. Which question is the priority?
a. "When was the last time you visited your primary health care provider?"
b. "Has this condition affected your eating habits in any way?"
c. "What medications are you currently taking?"
d. "Are you able to sleep at night? - answers c. "What medications are you currently
taking?"
The nurse is caring for a school-aged child who has injured the right leg after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine if the child
is experiencing a localized inflammatory response?
a. Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
b. Chest pain, shortness of breath, and nausea and vomiting c. Dizziness and
disorientation to time, date, and place
d. Edema, redness, tenderness, and loss of function - answers d. Edema, redness,
tenderness, and loss of function
Which interventions utilized by the nurse will indicate the ability to recognize a localized
inflammatory response?
a. Vigorous range-of-motion exercises
b. Turn, cough, and deep breathe
c. Orient to date, time, and place
d. Rest, ice, and elevation - answers d. Rest, ice, and elevation
,The nurse is caring for a group of medical-surgical patients. Which patient is most at
risk for developing an infection?
a. A patient who is in observation for chest pain.
b. A patient who has been admitted with dehydration.
c. A patient who is recovering from a right total hip surgery. d. A patient who has been
admitted for stabilization of heart problems. - answers c. A patient who is recovering
from a right total hip surgery.
The nurse is caring for a patient diagnosed with leukemia and is preparing to provide
fluids through a vascular access (IV) device. Which nursing intervention is a priority in
this procedure?
a. Review the procedure with the patient.
b. Position the patient comfortably.
c. Maintain surgical aseptic technique.
d. Gather available supplies. - answers c. Maintain surgical aseptic technique.
The nurse is caring for an adult patient in the clinic who has been evacuated and is a
victim of flooding. The nurse teaches the patient about rest, exercise, and eating
properly and how to utilize deep breathing and visualization. What is the primary
rationale for the nurse's actions related to the teaching?
a. Topics taught are standard information taught during health care visits.
b. The patient requested this information to teach the extended family members.
c. Stress for long periods of time can lead to exhaustion and decreased resistance to
infection.
d. These techniques will help the patient manage the pain and loss of personal
belongings. - answers c. Stress for long periods of time can lead to exhaustion and
decreased resistance to infection.
The nurse is caring for a patient who is susceptible to infection. Which instruction will
the nurse include in an educational session to decrease the risk of infection?
a. Teaching the patient about fall prevention
b. Teaching the patient to take a temperature
c. Teaching the patient to select nutritious foods
d. Teaching the patient about the effects of alcohol - answers c. Teaching the patient to
select nutritious foods
A diabetic patient presents to the clinic for a dressing change. The wound is located on
the right foot and has purulent yellow drainage. Which action will the nurse take to
prevent the spread of infection?
a. Position the patient comfortably on the stretcher.
b. Explain the procedure for dressing change to the patient. c. Review the medication
list that the patient brought from home.
d. Don gloves and other appropriate personal protective equipment - answers d. Don
gloves and other appropriate personal protective equipment
A patient presents with pneumonia. Which priority intervention should be included in the
plan of care for this patient?
, a. Observe the patient for decreased activity tolerance.
b. Assume the patient is in pain and treat accordingly.
c. Provide the patient ice chips as requested.
d. Maintain the room temperature at 65° F. - answers a. Observe the patient for
decreased activity tolerance.
The nurse is caring for a patient in an intensive care unit who needs a bath. Which
priority action will the nurse take to decrease the potential for a health care-associated
infection?
a. Use local anesthetic on reddened areas.
b. Use nonallergenic tape on dressings.
c. Use a chlorhexidine wash.
d. Use filtered water. - answers c. Use a chlorhexidine wash.
The infection control nurse is reviewing data for the medical-surgical unit. The nurse
notices an increase in postoperative infections from Aspergillus. Which type of health
care-associated infection will the nurse report?
a. Vector
b. Exogenous
c. Endogenous
d. Suprainfection - answers b. Exogenous
The patient has contracted a urinary tract infection (UTI) while in the hospital. Which
action will most likely increase the risk of a patient contracting a UTI?
a. Reusing the patient's graduated receptacle to empty the drainage bag
b. Allowing the drainage bag port to touch the graduated receptacle
c. Emptying the urinary drainage bag at least once a shift
d. Irrigating the catheter infrequently - answers b. Allowing the drainage bag port to
touch the graduated receptacle
Which nursing action will most likely increase a patient's risk for developing a health
care-associated infection?
a. Uses surgical aseptic technique to suction an airway.
b. Uses a clean technique for inserting a urinary catheter.
c. Uses a cleaning stroke from the urinary meatus toward the rectum.
d. Uses a sterile bottled solution more than once within a 24-hour period - answers b.
Uses a clean technique for inserting a urinary catheter.
The nurse is caring for a patient in labor and delivery. When near completing an
assessment of the patient's cervix, the electronic infusion device being used on the
intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the
nurse to take?
a. Complete the assessment, remove gloves, and silence the alarm.
b. Discontinue the assessment, silence the alarm, and assess the intravenous site.
c. Complete the assessment, remove gloves, wash hands, and assess the intravenous
infusion.
latest update A+ graded
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." - answers a. "An infectious disease like
pneumonia may not pose a risk to others."
The patient and the nurse are discussing the vector transmitted 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." - answers c. "When camping, I
will wear insect repellent."
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. - answers d. Wash their hands between each
interaction with children.
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 influence your care?" - answers b. "Do
you have a chronic disease?"
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 first?
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. - answers b.
Utilize SBAR to notify the primary health care provider.
The nurse is providing an education session to an adult community group about the
effects 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 affects the cilia lining the upper airways in the lungs.
c. Smoking can affect the color of the patient's fingernails. d. Smoking tobacco products
can be very expensive. - answers b. Smoking affects the cilia lining the upper airways
in the lungs.
A female adult patient presents to the clinic with reports of a white discharge and itching
in the vaginal area. A nurse is taking a health history. Which question is the priority?
a. "When was the last time you visited your primary health care provider?"
b. "Has this condition affected your eating habits in any way?"
c. "What medications are you currently taking?"
d. "Are you able to sleep at night? - answers c. "What medications are you currently
taking?"
The nurse is caring for a school-aged child who has injured the right leg after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine if the child
is experiencing a localized inflammatory response?
a. Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
b. Chest pain, shortness of breath, and nausea and vomiting c. Dizziness and
disorientation to time, date, and place
d. Edema, redness, tenderness, and loss of function - answers d. Edema, redness,
tenderness, and loss of function
Which interventions utilized by the nurse will indicate the ability to recognize a localized
inflammatory response?
a. Vigorous range-of-motion exercises
b. Turn, cough, and deep breathe
c. Orient to date, time, and place
d. Rest, ice, and elevation - answers d. Rest, ice, and elevation
,The nurse is caring for a group of medical-surgical patients. Which patient is most at
risk for developing an infection?
a. A patient who is in observation for chest pain.
b. A patient who has been admitted with dehydration.
c. A patient who is recovering from a right total hip surgery. d. A patient who has been
admitted for stabilization of heart problems. - answers c. A patient who is recovering
from a right total hip surgery.
The nurse is caring for a patient diagnosed with leukemia and is preparing to provide
fluids through a vascular access (IV) device. Which nursing intervention is a priority in
this procedure?
a. Review the procedure with the patient.
b. Position the patient comfortably.
c. Maintain surgical aseptic technique.
d. Gather available supplies. - answers c. Maintain surgical aseptic technique.
The nurse is caring for an adult patient in the clinic who has been evacuated and is a
victim of flooding. The nurse teaches the patient about rest, exercise, and eating
properly and how to utilize deep breathing and visualization. What is the primary
rationale for the nurse's actions related to the teaching?
a. Topics taught are standard information taught during health care visits.
b. The patient requested this information to teach the extended family members.
c. Stress for long periods of time can lead to exhaustion and decreased resistance to
infection.
d. These techniques will help the patient manage the pain and loss of personal
belongings. - answers c. Stress for long periods of time can lead to exhaustion and
decreased resistance to infection.
The nurse is caring for a patient who is susceptible to infection. Which instruction will
the nurse include in an educational session to decrease the risk of infection?
a. Teaching the patient about fall prevention
b. Teaching the patient to take a temperature
c. Teaching the patient to select nutritious foods
d. Teaching the patient about the effects of alcohol - answers c. Teaching the patient to
select nutritious foods
A diabetic patient presents to the clinic for a dressing change. The wound is located on
the right foot and has purulent yellow drainage. Which action will the nurse take to
prevent the spread of infection?
a. Position the patient comfortably on the stretcher.
b. Explain the procedure for dressing change to the patient. c. Review the medication
list that the patient brought from home.
d. Don gloves and other appropriate personal protective equipment - answers d. Don
gloves and other appropriate personal protective equipment
A patient presents with pneumonia. Which priority intervention should be included in the
plan of care for this patient?
, a. Observe the patient for decreased activity tolerance.
b. Assume the patient is in pain and treat accordingly.
c. Provide the patient ice chips as requested.
d. Maintain the room temperature at 65° F. - answers a. Observe the patient for
decreased activity tolerance.
The nurse is caring for a patient in an intensive care unit who needs a bath. Which
priority action will the nurse take to decrease the potential for a health care-associated
infection?
a. Use local anesthetic on reddened areas.
b. Use nonallergenic tape on dressings.
c. Use a chlorhexidine wash.
d. Use filtered water. - answers c. Use a chlorhexidine wash.
The infection control nurse is reviewing data for the medical-surgical unit. The nurse
notices an increase in postoperative infections from Aspergillus. Which type of health
care-associated infection will the nurse report?
a. Vector
b. Exogenous
c. Endogenous
d. Suprainfection - answers b. Exogenous
The patient has contracted a urinary tract infection (UTI) while in the hospital. Which
action will most likely increase the risk of a patient contracting a UTI?
a. Reusing the patient's graduated receptacle to empty the drainage bag
b. Allowing the drainage bag port to touch the graduated receptacle
c. Emptying the urinary drainage bag at least once a shift
d. Irrigating the catheter infrequently - answers b. Allowing the drainage bag port to
touch the graduated receptacle
Which nursing action will most likely increase a patient's risk for developing a health
care-associated infection?
a. Uses surgical aseptic technique to suction an airway.
b. Uses a clean technique for inserting a urinary catheter.
c. Uses a cleaning stroke from the urinary meatus toward the rectum.
d. Uses a sterile bottled solution more than once within a 24-hour period - answers b.
Uses a clean technique for inserting a urinary catheter.
The nurse is caring for a patient in labor and delivery. When near completing an
assessment of the patient's cervix, the electronic infusion device being used on the
intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the
nurse to take?
a. Complete the assessment, remove gloves, and silence the alarm.
b. Discontinue the assessment, silence the alarm, and assess the intravenous site.
c. Complete the assessment, remove gloves, wash hands, and assess the intravenous
infusion.
