Chapter 21: Asepsis
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. Fecal matter has contaminated the patients bed sheet. The nurse should:
a. place a folded clean, dry sheet or plastic-backed protector over the soiled sheet
until it dries and then
b. don non-sterile gloves and gown, remove the soiled sheet, replace it with a clean
one, and then dispose plastic bag to prevent skin or clothing contact.
c. remove the soiled sheet without exposure of skin or clothing to the sheet and rinse
it in the patients dilute or remove as much feces as possible.
d. use PPE to remove the sheet and place it in a pillowcase on the floor; then replace
it with a clean sheet
ANS: B
When handling, transporting, or processing linens contaminated with blood or body
fluids, prevention of contact with skin, mucous membranes, and clothing or transfer
of organisms to the environment is most important. The sheets should not be rinsed in
the patients room, nor should they ever be placed on the floor (clean or soiled).
DIF: Cognitive Level: Application REF: k 224, Box 16-3 OBJ:
Clinical Practice #3 TOP: Standard Precautions KEY: Nursing Process
Step: Implementation MSC: NCLEX: Safe Effective Care
Environment: safety and infection control
2. The nurse explains that the bodys normal flora serve as:
a. aids to digestion and blood production.
b. prevention to the colonizing of pathogens.
c. managers of fluid balance of the body.
d. cell rebuilders.
ANS: B
Normal flora of the body prevent harmful microorganisms from colonizing and
multiplying.
DIF: Cognitive Level: Comprehension REF: k 208 OBJ: Clinical
Practice #3 TOP: Prevention of Infection KEY: Nursing Process
Step: Implementation MSC: NCLEX: Physiological Integrity:
physiological adaptation
3. A patient has been diagnosed with Creutzfeldt-Jakob disease (mad cow disease). The
nurse recognizes this disease is caused by a:
a. prion.
b. virus.
c. protozoa.
d. fungus.
ANS: A
Prions are protein particles that lack nucleic acids and are not inactivated by usual
procedures for destroying viruses. They do not trigger an immune response but
, instead cause degenerative neurologic disease such as variant Creutzfeldt-Jakob
disease (mad cow disease).
DIF: Cognitive Level: Knowledge REF: k 209 OBJ: Theory #1
TOP: Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: physiological adaptation
4. A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes
this disease is caused by a tick bite that infected the patient with:
a. Rickettsia rickettsii.
b. Rickettsia prowazekii.
c. Coxiella burnetii.
d. Aspergillus.
ANS: A
Rickettsia rickettsii is the rickettsia responsible for Rocky Mountain spotted fever.
DIF: Cognitive Level: Knowledge REF: k 211 OBJ: Theory #1
TOP: Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: physiological adaptation
5. The nurse is aware that family education is necessary for the control of the most common
helminth infection, which is:
a. hook worms.
b. tape worms.
c. pinworms.
d. round worms.
ANS: C
Pinworms are the most common helminth infection, usually seen in children. Families
must be educated about the control of these parasites.
DIF: Cognitive Level: Knowledge REF: k 210 OBJ: Theory #1
TOP: Helminth Infection KEY: Nursing Process Step:
Planning MSC: NCLEX: Safe Effective Care Environment: safety and
infection control
6. A patient has been diagnosed with vaginal candidiasis. The nurse recognizes that this
condition is usually the result of:
a. unprotected sex.
b. poor personal hygiene.
c. long-term antimicrobial therapy.
d. using bath oils.
ANS: C
Long-term microbial therapy can alter the vaginal flora and cause fungal infections
such as vaginal candidiasis.
DIF: Cognitive Level: Knowledge REF: k 210 OBJ: Theory #1
TOP: Candidiasis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: physiological adaptation
7. A young patient became ill with mononucleosis that she contracted from drinking out of
the same glass as her boyfriend who also had the disease. The glass, an inanimate object,
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. Fecal matter has contaminated the patients bed sheet. The nurse should:
a. place a folded clean, dry sheet or plastic-backed protector over the soiled sheet
until it dries and then
b. don non-sterile gloves and gown, remove the soiled sheet, replace it with a clean
one, and then dispose plastic bag to prevent skin or clothing contact.
c. remove the soiled sheet without exposure of skin or clothing to the sheet and rinse
it in the patients dilute or remove as much feces as possible.
d. use PPE to remove the sheet and place it in a pillowcase on the floor; then replace
it with a clean sheet
ANS: B
When handling, transporting, or processing linens contaminated with blood or body
fluids, prevention of contact with skin, mucous membranes, and clothing or transfer
of organisms to the environment is most important. The sheets should not be rinsed in
the patients room, nor should they ever be placed on the floor (clean or soiled).
DIF: Cognitive Level: Application REF: k 224, Box 16-3 OBJ:
Clinical Practice #3 TOP: Standard Precautions KEY: Nursing Process
Step: Implementation MSC: NCLEX: Safe Effective Care
Environment: safety and infection control
2. The nurse explains that the bodys normal flora serve as:
a. aids to digestion and blood production.
b. prevention to the colonizing of pathogens.
c. managers of fluid balance of the body.
d. cell rebuilders.
ANS: B
Normal flora of the body prevent harmful microorganisms from colonizing and
multiplying.
DIF: Cognitive Level: Comprehension REF: k 208 OBJ: Clinical
Practice #3 TOP: Prevention of Infection KEY: Nursing Process
Step: Implementation MSC: NCLEX: Physiological Integrity:
physiological adaptation
3. A patient has been diagnosed with Creutzfeldt-Jakob disease (mad cow disease). The
nurse recognizes this disease is caused by a:
a. prion.
b. virus.
c. protozoa.
d. fungus.
ANS: A
Prions are protein particles that lack nucleic acids and are not inactivated by usual
procedures for destroying viruses. They do not trigger an immune response but
, instead cause degenerative neurologic disease such as variant Creutzfeldt-Jakob
disease (mad cow disease).
DIF: Cognitive Level: Knowledge REF: k 209 OBJ: Theory #1
TOP: Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: physiological adaptation
4. A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes
this disease is caused by a tick bite that infected the patient with:
a. Rickettsia rickettsii.
b. Rickettsia prowazekii.
c. Coxiella burnetii.
d. Aspergillus.
ANS: A
Rickettsia rickettsii is the rickettsia responsible for Rocky Mountain spotted fever.
DIF: Cognitive Level: Knowledge REF: k 211 OBJ: Theory #1
TOP: Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: physiological adaptation
5. The nurse is aware that family education is necessary for the control of the most common
helminth infection, which is:
a. hook worms.
b. tape worms.
c. pinworms.
d. round worms.
ANS: C
Pinworms are the most common helminth infection, usually seen in children. Families
must be educated about the control of these parasites.
DIF: Cognitive Level: Knowledge REF: k 210 OBJ: Theory #1
TOP: Helminth Infection KEY: Nursing Process Step:
Planning MSC: NCLEX: Safe Effective Care Environment: safety and
infection control
6. A patient has been diagnosed with vaginal candidiasis. The nurse recognizes that this
condition is usually the result of:
a. unprotected sex.
b. poor personal hygiene.
c. long-term antimicrobial therapy.
d. using bath oils.
ANS: C
Long-term microbial therapy can alter the vaginal flora and cause fungal infections
such as vaginal candidiasis.
DIF: Cognitive Level: Knowledge REF: k 210 OBJ: Theory #1
TOP: Candidiasis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: physiological adaptation
7. A young patient became ill with mononucleosis that she contracted from drinking out of
the same glass as her boyfriend who also had the disease. The glass, an inanimate object,
