Test Bank
Foundations of Nursing 9th Edition
by Kim Cooper, Kelly Gosnell
MULTIPLE CHOICES
Question. Which description correctly identifies a health care-associated infection (HAI)?
A. The patient receives IV antibiotics while hospitalized.
B. The infection was not present at the time of admission.
C. The six elements of the chain of infection remain intact.
D. The patient is colonized with drug-resistant organisms. - Correct Ans✔✔ B. The infection was not
present at the time of admission.
Question. It is determined that the patient has developed a health care-associated infection of
Pseudomonas pneumonia that developed from the presence of contaminated water and a dirty health
care environment. What measures can be taken to help break the chain of infection? (Select all that
apply.)
A. Performing hand hygiene before and after contact with the patient
B. Discarding standing water and rinsing cups after use.
C. Teaching the patient and family about the source and transmission of infections, the reason for
susceptibility, and infection-control principles
D.Having the patient wear an oxygen mask - Correct Ans✔✔ A. Performing hand hygiene before and
after contact with the patient
B. Discarding standing water and rinsing cups after use.
C. Teaching the patient and family about the source and transmission of infections, the reason for
susceptibility, and infection-control principles
1|Page
, Question. A patient is discharged home with a follow-up plan for continued weekly chemotherapy
treatments on an outpatient basis. Three days later, the patient has increased weakness and refuses to
eat. Concerned, the patient's family brings the patient to the hospital. It is a busy Friday night in the
emergency room, and the patient sits in an overcrowded waiting room for 3 hours before being seen by
a physician. An intravenous line (IV) is started to improve the patient's fluid and electrolyte status, and
blood is drawn for further testing.
Question: Identify risk factors for this patient developing an infection. Select all that apply.
A. Being discharged home
B. Having chemotherapy
C. Being malnourished
D. Overcrowded health care facility
E. IV insertion and blood sampling
F. Resistance to antibiotics - Correct Ans✔✔ B. Having chemotherapy
C. Being malnourished
D. Overcrowded health care facility
E. IV insertion and blood sampling
*not resistance to ABs bc it only makes infection harder to treat but doesn't increase risk of getting one
in the first place
Question. The use of standard precautions is determined by the patient's likelihood of carrying a
communicable illness.
True or False - Correct Ans✔✔ False (Use all the time with any patient)
Question. A patient is admitted with a diagnosis of methicillin-resistant Staphylococcus aureus(MRSA)
found in the sputum. In addition to using standard precautions, what action should the nurse take?
A. Institute airborne precautions and place patient in a negative pressure airflow room.
B. Institute contact precautions.
C. Have the patient and visitors wear a mask at all times.
D. No additional actions are necessary because the patient is already colonized with MRSA. - Correct
Ans✔✔ C. Have the patient and visitors wear a mask at all times (sputum: respiratory so droplet
precautions)
2|Page
,Question. According to the Centers for Disease Control and Prevention (CDC) Guidelines, an alcohol-
based hand rub is used for routine decontamination in which of the following situations? Select all that
apply.
A. When a patient's mucus accidentally gets on the nurse's hand.
B. Before having direct contact with patients.
C. After contact with objects in the immediate vicinity of a patient.
D. After a patient develops a skin tear and blood is present on both the patient and the nurse's hands.
E. After removing gloves. - Correct Ans✔✔ B. Before having direct contact with patients.
C. After contact with objects in the immediate vicinity of a patient.
E. After removing gloves.
Question. You include performing hand hygiene in your nursing care to help break the chain of
infection. At which link in the chain of infection is hand hygiene primarily effective?
A. Pathogen
B. Reservoir
C. Portal of exit
D. Mode of transmission
E. Portal of entry
F. Susceptible host - Correct Ans✔✔ D. Mode of transmission
Question. According to the basic rules of creating and maintaining a sterile field, which of the following
is correct?
A. A sterile field is prepared and covered with a sterile drape until ready to use.
B. The sterile field is within your view.
C. The sterile field is established immediately before the procedure to keep sterile from nonsterile
instruments.
D. Sterile and nonsterile items are placed on the sterile drape for use - Correct Ans✔✔ B. The sterile
field is within your view
3|Page
, Question. You are preparing a sterile field when you realize you will need more sterile gauze for the
dressing change. What action should you take? A. Go and get more sterile gauze before initiating the
actual dressing change.
B. Turn on the call light and request more sterile gauze from the person that responds.
C. Discard the sterile field and its materials, obtain the necessary supplies, and start over.
D. Perform the dressing change using what sterile gauze is available - Correct Ans✔✔ B. Turn on the
call light and request more sterile gauze from the person that responds.
Question. You are assigned to a postoperative patient who underwent knee replacement surgery and
had an ankle pinned. You must perform a dressing change and provide pin care, which requires creating
and maintaining a sterile field. What would be evidence of the patient meeting the expected outcome
24 hours after the procedure? (Select all that apply.)
A. Afebrile
B. WBC within normal limits of 5000 to 10,000 per mm3
C. Purulent drainage noted at pin site
D. Absence of tenderness or edema at surgical sites - Correct Ans✔✔ A. Afebrile
B. WBC within normal limits of 5000 to 10,000 per mm3
D. Absence of tenderness or edema at surgical sites
Question. A nursing instructor is reviewing sterile gloving with a group of students. Which statement, if
made by a student, indicates correct understanding? (Select all that apply.)
A. "Sterile gloves may replace hand hygiene if time is an issue."
B. "Synthetic gloves may be used for individuals with a latex allergy."
C. "The powder in gloves prevents the passage of latex proteins."
D. "Sterile gloves prevent the transmission of pathogenic microorganisms."
E. "Sterile gloves should be used for procedures requiring medical asepsis." - Correct Ans✔✔ B.
"Synthetic gloves may be used for individuals with a latex allergy."
D. "Sterile gloves prevent the transmission of pathogenic microorganisms."
Question. The expected outcome for wearing sterile gloves is:
A. Prevention of contamination of a sterile field
4|Page
Foundations of Nursing 9th Edition
by Kim Cooper, Kelly Gosnell
MULTIPLE CHOICES
Question. Which description correctly identifies a health care-associated infection (HAI)?
A. The patient receives IV antibiotics while hospitalized.
B. The infection was not present at the time of admission.
C. The six elements of the chain of infection remain intact.
D. The patient is colonized with drug-resistant organisms. - Correct Ans✔✔ B. The infection was not
present at the time of admission.
Question. It is determined that the patient has developed a health care-associated infection of
Pseudomonas pneumonia that developed from the presence of contaminated water and a dirty health
care environment. What measures can be taken to help break the chain of infection? (Select all that
apply.)
A. Performing hand hygiene before and after contact with the patient
B. Discarding standing water and rinsing cups after use.
C. Teaching the patient and family about the source and transmission of infections, the reason for
susceptibility, and infection-control principles
D.Having the patient wear an oxygen mask - Correct Ans✔✔ A. Performing hand hygiene before and
after contact with the patient
B. Discarding standing water and rinsing cups after use.
C. Teaching the patient and family about the source and transmission of infections, the reason for
susceptibility, and infection-control principles
1|Page
, Question. A patient is discharged home with a follow-up plan for continued weekly chemotherapy
treatments on an outpatient basis. Three days later, the patient has increased weakness and refuses to
eat. Concerned, the patient's family brings the patient to the hospital. It is a busy Friday night in the
emergency room, and the patient sits in an overcrowded waiting room for 3 hours before being seen by
a physician. An intravenous line (IV) is started to improve the patient's fluid and electrolyte status, and
blood is drawn for further testing.
Question: Identify risk factors for this patient developing an infection. Select all that apply.
A. Being discharged home
B. Having chemotherapy
C. Being malnourished
D. Overcrowded health care facility
E. IV insertion and blood sampling
F. Resistance to antibiotics - Correct Ans✔✔ B. Having chemotherapy
C. Being malnourished
D. Overcrowded health care facility
E. IV insertion and blood sampling
*not resistance to ABs bc it only makes infection harder to treat but doesn't increase risk of getting one
in the first place
Question. The use of standard precautions is determined by the patient's likelihood of carrying a
communicable illness.
True or False - Correct Ans✔✔ False (Use all the time with any patient)
Question. A patient is admitted with a diagnosis of methicillin-resistant Staphylococcus aureus(MRSA)
found in the sputum. In addition to using standard precautions, what action should the nurse take?
A. Institute airborne precautions and place patient in a negative pressure airflow room.
B. Institute contact precautions.
C. Have the patient and visitors wear a mask at all times.
D. No additional actions are necessary because the patient is already colonized with MRSA. - Correct
Ans✔✔ C. Have the patient and visitors wear a mask at all times (sputum: respiratory so droplet
precautions)
2|Page
,Question. According to the Centers for Disease Control and Prevention (CDC) Guidelines, an alcohol-
based hand rub is used for routine decontamination in which of the following situations? Select all that
apply.
A. When a patient's mucus accidentally gets on the nurse's hand.
B. Before having direct contact with patients.
C. After contact with objects in the immediate vicinity of a patient.
D. After a patient develops a skin tear and blood is present on both the patient and the nurse's hands.
E. After removing gloves. - Correct Ans✔✔ B. Before having direct contact with patients.
C. After contact with objects in the immediate vicinity of a patient.
E. After removing gloves.
Question. You include performing hand hygiene in your nursing care to help break the chain of
infection. At which link in the chain of infection is hand hygiene primarily effective?
A. Pathogen
B. Reservoir
C. Portal of exit
D. Mode of transmission
E. Portal of entry
F. Susceptible host - Correct Ans✔✔ D. Mode of transmission
Question. According to the basic rules of creating and maintaining a sterile field, which of the following
is correct?
A. A sterile field is prepared and covered with a sterile drape until ready to use.
B. The sterile field is within your view.
C. The sterile field is established immediately before the procedure to keep sterile from nonsterile
instruments.
D. Sterile and nonsterile items are placed on the sterile drape for use - Correct Ans✔✔ B. The sterile
field is within your view
3|Page
, Question. You are preparing a sterile field when you realize you will need more sterile gauze for the
dressing change. What action should you take? A. Go and get more sterile gauze before initiating the
actual dressing change.
B. Turn on the call light and request more sterile gauze from the person that responds.
C. Discard the sterile field and its materials, obtain the necessary supplies, and start over.
D. Perform the dressing change using what sterile gauze is available - Correct Ans✔✔ B. Turn on the
call light and request more sterile gauze from the person that responds.
Question. You are assigned to a postoperative patient who underwent knee replacement surgery and
had an ankle pinned. You must perform a dressing change and provide pin care, which requires creating
and maintaining a sterile field. What would be evidence of the patient meeting the expected outcome
24 hours after the procedure? (Select all that apply.)
A. Afebrile
B. WBC within normal limits of 5000 to 10,000 per mm3
C. Purulent drainage noted at pin site
D. Absence of tenderness or edema at surgical sites - Correct Ans✔✔ A. Afebrile
B. WBC within normal limits of 5000 to 10,000 per mm3
D. Absence of tenderness or edema at surgical sites
Question. A nursing instructor is reviewing sterile gloving with a group of students. Which statement, if
made by a student, indicates correct understanding? (Select all that apply.)
A. "Sterile gloves may replace hand hygiene if time is an issue."
B. "Synthetic gloves may be used for individuals with a latex allergy."
C. "The powder in gloves prevents the passage of latex proteins."
D. "Sterile gloves prevent the transmission of pathogenic microorganisms."
E. "Sterile gloves should be used for procedures requiring medical asepsis." - Correct Ans✔✔ B.
"Synthetic gloves may be used for individuals with a latex allergy."
D. "Sterile gloves prevent the transmission of pathogenic microorganisms."
Question. The expected outcome for wearing sterile gloves is:
A. Prevention of contamination of a sterile field
4|Page
