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PDATE 2024 62nd Edition By Maxine Papadakis, Stephen Mcphee,
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Michael Rabow & Kenneth Mcquaid
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Chapters1.sDiseasesPreventions&sHealthsPromotion
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1.sWhichsofsthesfollowingsbehaviorssindicatesstheshighestspotentialsforsspreadingsinfectionssa
mongsclients?sThesnurse:
1) disinfectssdirtyshandsswithsantibacterialssoap.
2) allowssalcohol-basedsrubstosdrysfors10sseconds.
3) washesshandssonlysaftersleavingseachsroom.
4) usesscoldswatersforsmedicalsasepsis.
s
2.sWhatsissthesmostsfrequentscausesofsthesspreadsofsinfectionsamongsinstitutionalizedspat
ients?
1) Airbornesmicrobessfromsotherspatients
2) Contactswithscontaminatedsequipment
3) Handssofshealthcaresworkers
4) Exposuresfromsfamilysmembers
s
3.sWhichsofsthesfollowingsnursingsactivitiessissofshighestsprioritysforsmaintainingsmedicalsas
epsis?
1) Washingshands
2) Donningsgloves
3) Applyingssterilesdrapes
4) Wearingsasgown
s
4.sAspatientsinfectedswithsasvirussbutswhosdoessnotshavesanysoutwardssignsofsthesdiseasesisscon
sideredsa:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
s
5.sAspatientsissadmittedstostheshospitalswithstuberculosis.sWhichsprecautionssmuststhesnursesins
tituteswhenscaringsforsthisspatient?
1) Dropletstransmission
2) Airbornestransmission
3) Directscontact
4) Indirectscontact
,s
6.sAspatientsbecomessinfectedswithsoralscandidiasiss(thrush)swhilesreceivingsintravenoussan
tibioticsstostreatsassystemicsinfection.sWhichstypesofsinfectionshassthespatientsdeveloped?
1) Endogenoussnosocomial
2) Exogenoussnosocomial
3) Latent
4) Primary
sssssssss7.sAspatientsadmittedstostheshospitalswithspneumoniashassbeensreceivingsantibioticssfors2sdays.
sHissconditionshassstabilized,sandshisstemperatureshassreturnedstosnormal.sWhichsstagesofsinfectio
nsissthespatientsmostslikelysexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
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8.sThesnursesassistssassurgeonswithscentralsvenousscathetersinsertion.sWhichsactionsissne
cessarystoshelpsmaintainssterilestechnique?
1) Closingsthespatientssdoorstoslimitsroomstrafficswhilespreparingsthessterilesfield
2) Usingscleansproceduresglovesstoshandlessterilesequipment
3) Placingsthesnonsterilessyringesscontainingsflushssolutionsonsthessterilesfield
4) Remainings6sinchessawaysfromsthessterilesfieldsduringsthesprocedure
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9.sAspatientsdevelopsslocalizedsheatsandserythemasoversansareasonstheslowersleg.sThesesfin
dingssaresindicativesofswhichssecondarysdefensesagainstsinfection?
1) Phagocytosis
2) Complementscascade
3) Inflammation
4) Immunity
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10.sThespatientssuddenlysdevelopsshives,sshortnesssofsbreath,sandswheezingsaftersreceivingsan
antibiotic.sWhichsantibodysissprimarilysresponsiblesforsthisspatientssresponse?
s
1) IgA
2) IgE
3) IgG
4) IgM
s
11.sWhatstypesofsimmunitysissprovidedsbysintravenouss(IV)sadministrationsofsi
mmunoglobulinsG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,s
12.sAspatientsaskssthesnurseswhystheresissnosvaccinesavailablesforsthescommonscold.sWhichsres
ponsesbysthesnursesisscorrect?
1) Thesvirussmutatesstoosrapidlystosdevelopsasvaccine.
2) Vaccinessaresdevelopedsonlysforsverysserioussillnesses.
3) ResearcherssaresfocusingseffortssonsansHIVsvaccine.
4) Thesvirussforsthescommonscoldshassnotsbeensidentified.
1s.sAspatientswhoshassastemperaturesofs101Fs(38.3C)smostslikelysrequires:
1) acetaminophens(Tylenol).
2) increasedsfluids.
3) bedrest.
4) tepidsbath.
s 14.sWhysissaslotionswithoutspetroleumspreferredsoversaspetroleum-
basedsproductsassasskinsprotectant?sIt:
1) Preventssmicroorganismssfromsadheringstosthesskin.
2) Facilitatessthesabsorptionsofslatexsproteinssthroughsthesskin.
3) Decreasessthesrisksofslatexsallergies.
4) Preventssthesskinsfromsdryingsandschaffing.
s
15.sForswhichsrangesofstimesmustsasnurseswashshershandssbeforesworkingsinsthesoperatingsroo
m?
1) 1stos2sminutes
2) 2stos4sminutes
3) 2stos6sminutes
4) 6stos10sminutes
s
16.sHowsshouldsthesnursesdisposesofsthesbreakfaststraysofsaspatientswhosrequiressairbornesiso
lation?
1) Placesthestraysinsasspeciallysmarkedstrashscansinsidesthespatientssroom.
Placesthestraysinsasspecialsisolationsbagsheldsbysassecondshealthcaresworkersatsthe
2) patientssdoor.
Returnsthestrayswithsasnotestosdietarysservicesssositscansbescleanedsandsreusedsforsthe
3) nextsmeal.
Carrysthestraystosansisolationstrashsreceptacleslocatedsinsthesdirtysutilitysroomsand
4) disposesofsitsthere.
1s.sHowsmuchsliquidssoapsshouldsthesnursesusesforseffectiveshandswashing?sAtsleast:
1) 2smL
2) 3smL
3) 6smL
4) 7smL
, s
18.sTosassureseffectiveness,swhensshouldsthesnursesstopsrubbingsantisepticshandssolutionsov
ersallssurfacessofstheshands?
1) Whensfingerssfeelssticky
2) Afters5stos10sseconds
3) Whensleavingsthesclientssroom
4) Oncesfingerssandshandssfeelsdry
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19.sAspatientsissadmittedstostheshospitalsforschemotherapysandshassaslowswhitesbloodscellscou
nt.sWhichsprecautionsshouldsthesstaffstakeswithsthisspatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
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20.sWhilesdonningssterilesgloves,sthesnursesnoticessthesedgessofsthesglovespackagesaresslight
lysyellow.sThesyellowsareasissovers1sinchsawaysfromsthesglovessandsonlysappearsstosbesonsthesoutsid
esofsthesglovespackage.sWhatsissthesbestsactionsforsthesnursestostakesatsthisspoint?
1) Continuesusingsthesglovessinsidesthespackagesbecausesthespackagesissintact.
2) Removesglovessfromssterilesfieldsandsusesasnewspairsofssterilesgloves.
3) Throwsallssuppliessawaysthatswerestosbesusedsandsbeginsagain.
4) Usesthesglovessandsmakessuresthes yellowsedgessofsthespackagesdosnotstouchsthesclient.
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21.sThesnursesissremovingspersonalsprotectivesequipments(PPE).sWhichsitemsshouldsbesre
movedsfirst?
1) Gown
2) Gloves
3) Facesshield
4) Hairscovering
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22.sAsnursesisssplashedsinsthesfacesbysbodysfluidsduringsasprocedure.sPrioritizesthesnursessacti
ons,slistingsthesmostsimportantsonesfirst.
A. Contactsemployeeshealth
B. Completesansincidentsreport
C. Washsthesexposedsarea
D. Reportstosanothersnursesthatsshesissleavingsthesimmediatesarea.s1)
1,s2,s3,s4
2) 2,s3,s4,s1
3) 3,s4,s1,s2
4) 4,s1,s2,s3
MultiplesResponse
Identifysonesorsmoreschoicessthatsbestscompletesthesstatementsorsanswersthesquestion.
s 1.sInswhichssituationswouldsusingsstandardsprecautionssbesadequate?sSelectsallsthatsapply.