TEST BANK FOR CURRENT MEDICAL DIAGNOSIS AND
TREATMENT 59TH EDITION PAPADAKIS,MCPHEE
CURRENT Medical Diagnosis and Treatment
Test Bank/Complete Guide
Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections among
clients? The nurse:
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds. 3) washes hands
only after leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause of the spread of infection among institutionalized patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:
, 1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse institute
when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3)
Direct contact
4) Indirect contact
6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
1) Endogenous nosocomial
2) Exogenous nosocomial
3)
4)
antibiotics to treat a systemic infection. Which type of infection has the patient developed?
Latent
Primary
7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days. His
condition has stabilized, and his temperature has returned to normal. Which stage of infection is the
patient most likely experiencing?
1)
Incubation
2) Prodromal
3) Decline
4) Convalescence
, 8. The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to
help maintain sterile technique?
1) Closing the patients door to limit room traffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away from the sterile field during the procedure
9. A patient develops localized heat and erythema over an area on the lower leg. These
findings are indicative of which secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
immunoglobulin G?
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 response by the nurse is correct?
1) The virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses. 3) Researchers
are focusing efforts on an HIV vaccine.
4) The virus for the common cold has not been identified.
, 13
1) acetaminophen (Tylenol ).
2) increased fluids.
3)
4)
. A patient who has a temperature of 101F (38.3C) most likely requires:
bedrest.
tepid bath.
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin protectant? It:
1) Prevents microorganisms from adhering to the skin.
2) Facilitates the absorption of latex proteins through the skin. 3) Decreases the
risk of latex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range of time must a nurse wash her hands before working in the operating room?
1) 1 to 2 minutes
2) 2 to 4 minutes
3) 2
to 6 minutes
4) 6 to 10 minutes
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?
1) Place the tray in a specially marked trash can inside the patients room.
Place the tray in a special isolation bag held by a second healthcare worker at the 2) patients
door.
Return the tray with a note to dietary services so it can be cleaned and reused for the 3) next
meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and 4) dispose
of it there.
TREATMENT 59TH EDITION PAPADAKIS,MCPHEE
CURRENT Medical Diagnosis and Treatment
Test Bank/Complete Guide
Chapter 1. Disease Prevention & Health Promotion
1. Which of the following behaviors indicates the highest potential for spreading infections among
clients? The nurse:
1) disinfects dirty hands with antibacterial soap.
2) allows alcohol-based rub to dry for 10 seconds. 3) washes hands
only after leaving each room.
4) uses cold water for medical asepsis.
2. What is the most frequent cause of the spread of infection among institutionalized patients?
1) Airborne microbes from other patients
2) Contact with contaminated equipment
3) Hands of healthcare workers
4) Exposure from family members
3. Which of the following nursing activities is of highest priority for maintaining medical
asepsis?
1) Washing hands
2) Donning gloves
3) Applying sterile drapes
4) Wearing a gown
4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:
, 1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse institute
when caring for this patient?
1) Droplet transmission
2) Airborne transmission
3)
Direct contact
4) Indirect contact
6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
1) Endogenous nosocomial
2) Exogenous nosocomial
3)
4)
antibiotics to treat a systemic infection. Which type of infection has the patient developed?
Latent
Primary
7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days. His
condition has stabilized, and his temperature has returned to normal. Which stage of infection is the
patient most likely experiencing?
1)
Incubation
2) Prodromal
3) Decline
4) Convalescence
, 8. The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to
help maintain sterile technique?
1) Closing the patients door to limit room traffic while preparing the sterile field
2) Using clean procedure gloves to handle sterile equipment
3) Placing the nonsterile syringes containing flush solution on the sterile field
4) Remaining 6 inches away from the sterile field during the procedure
9. A patient develops localized heat and erythema over an area on the lower leg. These
findings are indicative of which secondary defense against infection?
1) Phagocytosis
2) Complement cascade
3) Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
an antibiotic. Which antibody is primarily responsible for this patients response?
1) IgA
2) IgE
3) IgG
4) IgM
11. What type of immunity is provided by intravenous (IV) administration of
immunoglobulin G?
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 response by the nurse is correct?
1) The virus mutates too rapidly to develop a vaccine.
2) Vaccines are developed only for very serious illnesses. 3) Researchers
are focusing efforts on an HIV vaccine.
4) The virus for the common cold has not been identified.
, 13
1) acetaminophen (Tylenol ).
2) increased fluids.
3)
4)
. A patient who has a temperature of 101F (38.3C) most likely requires:
bedrest.
tepid bath.
14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin protectant? It:
1) Prevents microorganisms from adhering to the skin.
2) Facilitates the absorption of latex proteins through the skin. 3) Decreases the
risk of latex allergies.
4) Prevents the skin from drying and chaffing.
15. For which range of time must a nurse wash her hands before working in the operating room?
1) 1 to 2 minutes
2) 2 to 4 minutes
3) 2
to 6 minutes
4) 6 to 10 minutes
16. How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?
1) Place the tray in a specially marked trash can inside the patients room.
Place the tray in a special isolation bag held by a second healthcare worker at the 2) patients
door.
Return the tray with a note to dietary services so it can be cleaned and reused for the 3) next
meal.
Carry the tray to an isolation trash receptacle located in the dirty utility room and 4) dispose
of it there.
