Safety and Infection Control EAQ Exam Questions With Correct Answers.

Safety and Infection Control EAQ Exam Questions With Correct Answers. A parent receives a note from school reporting that a student in class has head lice. The parent calls the school nurse to ask how to check for head lice. What instruction should the nurse provide? A. "Ask the child where it itches." B. "Check to see whether your dog has ear mites." C. "Look at your child's head along the scalp line for white dots." D. "Inspect your child's hands and look between the fingers for red lines." A A client has Clostridium difficile. The nurse is providing discharge instructions related to decreasing the risk of transmission to family members. What would be appropriate to include in the client's teaching? A. Increase fluids. B. Increase fiber in the diet. C. Wash hands with soap and water. D. Wash hands with an alcohol-based hand sanitizer. C What is a manifestation of tertiary syphilis? A. Chancre B. Alopecia C. Gummas D. Condylomata lata C What is the most commonly reported sexually transmitted infection (STI)? A. Syphilis B. Chlamydia C. Gonorrhea D. Herpes simplex B What causes condylomata acuminate? A. Chlamydia B. Gonorrhea C. Herpes simplex D. Human papillomavirus (HPV) D A 15-month-old child is hospitalized after ingesting toilet bowl cleaner. The mother confides that she feels guilty about leaving the cleaner where her child could get it. What is the best response by the nurse? A. "Anyone could make a mistake. Don't dwell on it." B. "Let's not worry about the past. Your child is going to get better." C. "It was an accident, but you should consider special locks on your closets." D. "That was careless of you. Please make sure that you poison-proof your house." C A school nurse is asked to develop a program for teachers about infection control, especially focusing on hand washing technique. What is the most effective way for the nurse to evaluate what the teachers have learned? A. Observe the teachers lecture the children about hand hygiene. B. Give an objective written final examination to the teachers. C. Schedule a seminar for the teachers to share their knowledge. D. Watch the teachers demonstrate infection control techniques. D A nurse is caring for a client with scabies. Which information about scabies should the nurse consider when planning care for this client? A. Highly contagious B. Caused by a fungus C. Chronic with exacerbations D. Associated with other allergies A A 2-year-old toddler requires close supervision to protect against potential accidents. The nurse teaches a class for parents about the learning style of toddlers. How do toddlers learn self-protection? A. Through trial-and-error strategies B. By imitating playmates and siblings C. By obeying orders from mother and father D. By playing with age-appropriate toys and puzzles A Which term describes the practice of placing clients with the same infection in a semi-private room? A. Isolating B. Cohorting C. Colonizing D. Cross-referencing B A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be prevented. What is the nurse's response? A. "Scratching causes lesions to become more contagious." B. "Scratching spreads dermatitis to other areas of the body." C. "Scratching results in skin breaks that can lead to infection." D. "Scratching produces changes that are precursors to skin cancer." C An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. What should the nurse tell the girl that may help her wear the bracelet consistently? A. Hide the bracelet under long-sleeved clothes. B. Wear the bracelet when engaging in contact sports. C. Ask her friends to wear bracelets that look like hers. D. Select a bracelet similar to bracelets worn by her peers. D A nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy. How does the nurse explain this choice to the parents? A. The child has minimal step ability in the lower extremities. B. It provides for two points of support on the floor at all times. C. It provides for equal but partial weight bearing on each limb. D. The child has more power in the upper extremities than in the lower extremities. C A nurse is caring for a 13-year-old child who has an external fixation device on the leg. What is the nurse's priority goal when providing pin care? A. Easing pain B. Minimizing scarring C. Preventing infection D. Preventing skin breakdown C A child undergoes tonsillectomy and adenoidectomy for numerous recurrent respiratory tract infections. After the surgery, what should the nurse teach the parents to do? A. Offer crushed ice chips. B. Encourage the intake of ice cream. C. Keep the child in the supine position. D. Gargle with a diluted mouthwash solution. A A nurse in the emergency department is caring for a 9-year-old child with a suspected spinal cord injury sustained while falling off a bicycle. What is the initial nursing action? A. Placing the child's head on a pillow for support B. Immobilizing the child's spine to limit additional injury C. Log-rolling the child to check for lacerations on the back D. Moving the child onto a firm stretcher for transport to the radiography department B What criteria should the nurse consider when determining if an infection should be categorized as a health care-associated infection? A. Originated primarily from an exogenous source B. Is associated with a drug-resistant microorganism C. Occurred in conjunction with treatment for an illness D. Still has the infection despite completing the prescribed therapy C A nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. How should the nurse respond? A. Instruct the client to take a friend along for safety. B. Encourage participation in this activity, because it provides excellent range-of-motion exercise. C. Explain that the incision should not be immersed in water until it has healed. D. Let the client know that swimming can substitute for the prescribed physical therapy. C What should be used to clean needles and syringes between intravenous drug users (IDUs)? A. Bleach B. Hot water C. Ammonia D. Rubbing alcohol A The nurse is providing instruction to a parent of a child with influenza. Which statement by the parent indicates the need for further instruction? A. "I'll manage the fever with baby aspirin." B. "We'll make sure to get a flu shot next season." C. "Providing fluids will help relieve the symptoms." D. "Staying home from school will prevent transmission." A Which pregnancy safety category shows a proven risk of fetal harm, but potential benefits of use during pregnancy may be acceptable despite its risks? A. Category A B. Category C C. Category D D. Category X C A school-aged child is to receive a blood transfusion. What should the nurse do first if an allergic reaction to the blood occurs? A. Shut off the infusion. B. Slow the rate of flow. C. Administer an antihistamine. D. Call the healthcare provider. A A nurse is caring for a young, hyperactive child with attention deficit-hyperactivity disorder who engages in self-destructive behavior. What is the most important nursing objective in the planning of care for this child? A. Keeping the child from inflicting any self-injury B. Helping the child improve communication skills C. Helping the child formulate realistic ego boundaries D. Providing the child with opportunities to discharge energy A What is an example of a type I hypersensitivity reaction? A. Anaphylaxis B. Serum sickness C. Contact dermatitis D. Blood transfusion reaction A A school nurse is planning to teach the importance of hand washing to the children in first grade. What is the most effective approach for this age group? A. Showing a video of the correct hand washing technique B. Demonstrating hand washing and asking for return demonstrations C. Involving them in a discussion about the importance of hand washing D. Describing how germs cause illness and how hand washing prevents disease B A nurse is counseling the family of a child with AIDS. What is the most important concern that the nurse should discuss with the parents? A. Risk for injury B. Susceptibility to infection C. Inadequate nutritional intake D. Altered growth and development B A young child with acute nonlymphoid leukemia is admitted to the pediatric unit with a fever and neutropenia. What are the most appropriate nursing interventions to minimize the complications associated with neutropenia? A. Placing the child in a private room, restricting ill visitors, and using strict hand washing techniques B. Encouraging a well-balanced diet, including iron-rich foods, and helping the child avoid overexertion C. Avoiding rectal temperatures, limiting injections, and applying direct pressure for 5 minutes after venipuncture D. Offering a moist, bland, soft diet; using toothettes rather than a toothbrush; and providing frequent saline mouthwashes A Which of these age groups has the highest incidence of lead poisoning? A. Adult B. Toddler C. Adolescent D. School-age child B An 8-year-old girl who is hospitalized for intravenous antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father indicates a need for further teaching? A. "I'll bring a radio and CD player." B. "I'll bring homework and school supplies." C. "She'll enjoy having a rubber baseball and plastic bat." D. "She'll enjoy rubber stamps and a pretty box to keep them in." C A school nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease? A. "You can catch it while you're getting a tattoo." B. "You're more likely to get it in crowded living conditions." C. "The disease is passed from person to person by casual contact."