CURRENTMedical
MedicalDiagnosis
Diagnosisand
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020 Test
2019Bank/Complete Guide
Testbank/Studyguide
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Chapterf1.fDiseasefPreventionf&fHealthfPromotion
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1.fWhichfofftheffollowingfbehaviorsfindicatesfthefhighestfpotentialfforfspreadingfinfectionsfam
ongfclients?fThefnurse:
1) disinfectsfdirtyfhandsfwithfantibacterialfsoap.
2) allowsfalcohol-basedfrubftofdryfforf10fseconds.
3) washesfhandsfonlyfafterfleavingfeachfroom.
4) usesfcoldfwaterfforfmedicalfasepsis.
f
2.fWhatfisfthefmostffrequentfcausefoffthefspreadfoffinfectionfamongfinstitutionalizedfpati
ents?
1) Airbornefmicrobesffromfotherfpatients
2) Contactfwithfcontaminatedfequipment
3) Handsfoffhealthcarefworkers
4) Exposureffromffamilyfmembers
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3.fWhichfofftheffollowingfnursingfactivitiesfisfoffhighestfpriorityfforfmaintainingfmedicalfase
psis?
1) Washingfhands
2) Donningfgloves
3) Applyingfsterilefdrapes
4) Wearingfafgown
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4.fAfpatientfinfectedfwithfafvirusfbutfwhofdoesfnotfhavefanyfoutwardfsignfoffthefdiseasefisfconsi
deredfa:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
f
5.fAfpatientfisfadmittedftofthefhospitalfwithftuberculosis.fWhichfprecautionsfmustfthefnursefinst
itutefwhenfcaringfforfthisfpatient?
1) Dropletftransmission
2) Airborneftransmission
3) Directfcontact
4) Indirectfcontact
, 6.fAfpatientfbecomesfinfectedfwithforalfcandidiasisf(thrush)fwhilefreceivingfintravenousfantib
fffffffff
ioticsftoftreatfafsystemicfinfection.fWhichftypefoffinfectionfhasfthefpatientfdeveloped?
1) Endogenousfnosocomial
2) Exogenousfnosocomial
3) Latent
4) Primary
fffffffff7.fAfpatient fadmittedftofthefhospitalfwithfpneumoniafhas fbeenfreceivingfantibioticsfforf2fdays.f
Hisfconditionfhasfstabilized,fandfhisftemperaturefhasfreturnedftofnormal.fWhichfstagefoffinfectionf
isfthefpatientfmostflikelyfexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
f
8.fThefnursefassistsfafsurgeonfwithfcentralfvenousfcatheterfinsertion.fWhichfactionfisfnec
essaryftofhelpfmaintainfsterileftechnique?
1) Closingfthefpatientsfdoorftoflimitfroomftrafficfwhilefpreparingfthefsterileffield
2) Usingfcleanfprocedurefglovesftofhandlefsterilefequipment
3) Placingfthefnonsterilefsyringesfcontainingfflushfsolutionfonfthefsterileffield
4) Remainingf6finchesfawayffromfthefsterileffieldfduringfthefprocedure
f
9.fAfpatientfdevelopsflocalizedfheatfandferythemafoverfanfareafonftheflowerfleg.fTheseffind
ingsfarefindicativefoffwhichfsecondaryfdefensefagainstfinfection?
1) Phagocytosis
2) Complementfcascade
3) Inflammation
4) Immunity
f
10.fThefpatientfsuddenlyfdevelopsfhives,fshortnessfoffbreath,fandfwheezingfafterfreceivingfanf
antibiotic.fWhichfantibodyfisfprimarilyfresponsiblefforfthisfpatientsfresponse?
1) IgA
2) IgE
3) IgG
4) IgM
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11.fWhatftypefoffimmunityfisfprovidedfbyfintravenousf(IV)fadministrationfoffim
munoglobulinfG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,f
12.fAfpatientfasksfthefnursefwhyftherefisfnofvaccinefavailablefforfthefcommonfcold.fWhichfresp
onsefbyfthefnursefisfcorrect?
1) Thefvirusfmutatesftoofrapidlyftofdevelopfafvaccine.
2) Vaccinesfarefdevelopedfonlyfforfveryfseriousfillnesses.
3) ResearchersfareffocusingfeffortsfonfanfHIVfvaccine.
4) Thefvirusfforfthefcommonfcoldfhasfnotfbeenfidentified.
1 .fAfpatientfwhofhasfaftemperaturefoff101Ff(38.3C)fmostflikelyfrequires:
1) acetaminophenf(Tylenol).
2) increasedffluids.
3) bedrest.
4) tepidfbath.
f 14.fWhyfisfaflotionfwithoutfpetroleumfpreferredfoverfafpetroleum-
basedfproductfasfafskinfprotectant?fIt:
1) Preventsfmicroorganismsffromfadheringftofthefskin.
2) Facilitatesfthefabsorptionfofflatexfproteinsfthroughfthefskin.
3) Decreasesfthefriskfofflatexfallergies.
4) Preventsfthefskinffromfdryingfandfchaffing.
f
15.fForfwhichfrangefofftimefmustfafnursefwashfherfhandsfbeforefworkingfinfthefoperatingfroo
m?
1) 1ftof2fminutes
2) 2ftof4fminutes
3) 2ftof6fminutes
4) 6ftof10fminutes
f
16.fHowfshouldfthefnursefdisposefoffthefbreakfastftrayfoffafpatientfwhofrequiresfairbornefisol
ation?
1) Placeftheftrayfinfafspeciallyfmarkedftrashfcanfinsidefthefpatientsfroom.
Placeftheftrayfinfafspecialfisolationfbagfheldfbyfafsecondfhealthcarefworkerfatfthefpati
2) entsfdoor.
Returnftheftrayfwithfafnoteftofdietaryfservicesfsofitfcanfbefcleanedfandfreusedfforfthefnextfmea
3) l.
Carryftheftrayftofanfisolationftrashfreceptacleflocatedfinfthefdirtyfutilityfroomfandfdis
4) posefoffitfthere.
1 .fHowfmuchfliquidfsoapfshouldfthefnursefusefforfeffectivefhandfwashing?fAtfleast:
1) 2fmL
2) 3fmL
3) 6fmL
4) 7fmL
, f
18.fTofassurefeffectiveness,fwhenfshouldfthefnursefstopfrubbingfantisepticfhandfsolutionfov
erfallfsurfacesfoffthefhands?
1) Whenffingersffeelfsticky
2) Afterf5ftof10fseconds
3) Whenfleavingfthefclientsfroom
4) Onceffingersfandfhandsffeelfdry
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19.fAfpatientfisfadmittedftofthefhospitalfforfchemotherapyfandfhasfaflowfwhitefbloodfcellfcou
nt.fWhichfprecautionfshouldfthefstaffftakefwithfthisfpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
f
20.fWhilefdonningfsterilefgloves,fthefnursefnoticesfthefedgesfoffthefglovefpackagefarefslightl
yfyellow.fThefyellowfareafisfoverf1finchfawayffromfthefglovesfandfonlyfappearsftofbefonfthefoutsidef
offthefglovefpackage.fWhatfisfthefbestfactionfforfthefnurseftoftakefatfthisfpoint?
1) Continuefusingfthefglovesfinsidefthefpackagefbecausefthefpackagefisfintact.
2) Removefglovesffromfsterileffieldfandfusefafnewfpairfoffsterilefgloves.
3) Throwfallfsuppliesfawayfthatfwereftofbefusedfandfbeginfagain.
4) Usefthefglovesfandfmakefsurefthef yellowfedgesfoffthefpackagefdofnotftouchfthefclient.
f
21.fThefnursefisfremovingfpersonalfprotectivefequipmentf(PPE).fWhichfitemfshouldfbefre
movedffirst?
1) Gown
2) Gloves
3) Facefshield
4) Hairfcovering
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22.fAfnursefisfsplashedfinftheffacefbyfbodyffluidfduringfafprocedure.fPrioritizefthefnursesfacti
ons,flistingfthefmostfimportantfoneffirst.
A. Contactfemployeefhealth
B. Completefanfincidentfreport
C. Washfthefexposedfarea
D. Reportftofanotherfnursefthatfshefisfleavingfthefimmediatefarea.
1) 1,f2,f3,f4
2) 2,f3,f4,f1
3) 3,f4,f1,f2
4) 4,f1,f2,f3
MultiplefResponse
Identifyfoneforfmorefchoicesfthatfbestfcompletefthefstatementforfanswerfthefquestion.
f 1.fInfwhichfsituationfwouldfusingfstandardfprecautionsfbefadequate?fSelectfallfthatfapply.