07/04/2017

3rd Day -infection control-Omar ... Total Questions: 34

Most Correct Answers: #2 Least Correct Answers: #19

1.    What is the most frequent cause of the spread of infection among

institutionalized patients?
A Airborne microbes from other patients
12/101
B Contact with contaminated equipment
10/101
C
63/101
Hands of healthcare workers
D
3/101
Exposure from family members

2.    Which of the following is the FIRST priority in preventing infections when

providing care for a client?
A Handwashing
81/101
B Wearing gloves
4/101
C Using a barrier between client’s furniture and nurse’s bag
0/101
D Wearing gowns and goggles
1/101

3.    A nurse is explaining basic principles of asepsis and infection control to a client
who has a respiratory tract infection following birth. The nurse determines the
client understands principles of infection control to follow when the client says:
A “I must use barrier isolation.”
5/101
B “I must wear a gown and gloves.”
8/101
C “I must use individual client care equipment.”
7/101
D “I must practice frequent handwashing.”
65/101

4.    To assure effectiveness, when should the nurse stop rubbing antiseptic hand
solution over all surfaces of the hands?
A When fingers feel sticky
5/101
B After 5 to 10 seconds
37/101
C When leaving the clients room
12/101
D Once fingers and hands feel dry
30/101

Page 1 of 9
5.    For which range of time must a nurse wash her hands before working in the
operating room?

A 1 to 2 minutes
17/101
B 2 to 4 minutes
13/101
C 2 to 6 minutes
40/101
D 6 to 10 minutes
14/101

6.    How much liquid soap should the nurse use for effective hand washing? At least:

A 2 mL
27/101
B 3 mL
48/101
C 6 mL
8/101
D 7 mL
0/101

7.    The nurse is preparing to assist with a sterile procedure in the surgical suite. An
appropriate technique that the nurse includes in the surgical scrub is to:
A Keep the hands below the elbows throughout the scrub
19/101
B Use a brush on the palms and dorsal surface of the hands
18/101
C Maintain the scrub for at least 2 to 5 minutes
42/101
D Wash well around all jewelry
4/101

8.    Surgical aseptic techniques are employed by a nurse when:

A Inserting an intravenous catheter
45/101
B Placing soiled linen in moisture-resistant bags
2/101
C Disposing of syringes in puncture-proof containers
4/101
D Washing hands before changing a dressing
32/101

9.    The nurse recognizes the appropriate procedures for sterile asepsis. Of the
following, which action is consistent with sterile asepsis?
A Clean forceps may be used to move items on the sterile field.
16/101
B Sterile fields may be prepared well in advance of the procedures.
15/101
C The first small amount of sterile solution should be poured and discarded .
27/101
D Wrapped sterile packages should be opened starting with the flap closest to the nurse.
23/101

Page 2 of 9
10.    A nurse is changing the dressing and accidentally drops the packing onto the
clients abdomen. The client has a large, deep abdominal incision that is packed
with sterile half-inch packing and covered with a dry 4 4 gauze. The nurse should:
A Add alcohol to the packing and insert it into the incision
5/101
B Throw the packing away, and prepare a new one
42/101
C Pick up the packing with sterile forceps, and gently place it into the incision
12/101
D Rinse the packing with sterile water, and put the packing into the incision with sterile
18/101
gloves

11.    A client has requires a mid-abdominal surgical incision which necessitates a

sterile dressing. An appropriate intervention for the nurse to implement in
maintaining sterile asepsis is to:
A Put sterile gloves on before opening sterile packages
28/101
B Discard packages that may have been in contact with the area below waist level
20/101
C Place the cap of the sterile solution well within the sterile field
14/101
D Place sterile items on the very edge of the sterile drape
13/101

12.    The nurse is observing the new staff member work with the client. Of the
following activities, which one has the greatest possibility of contributing to a
nosocomial infection and requires correction?
A Washing hands before applying a dressing
28/101
B Taping a plastic bag to the bed rail for tissue disposal
7/101
C Placing a Foley catheter bag on the bed when transferring a client
29/101
D Using alcohol to cleanse the skin before starting an intravenous line
8/101

13.    In a small rural hospital they work with a wide variety of clients. Of this
afternoon clients admitted, the nurse acknowledges the client with the highest
susceptibility to infection is the individual with:
A Burns
41/101
B Diabetes
13/101
C Pulmonary emphysema
11/101
D Peripheral vascular disease
4/101

Page 3 of 9
14.    An appropriate isolation procedure for the nurse to implement when working
with a client who is found to have methicillin-resistant Staphylococcus aureus
(MRSA) is to:
A Leave all linen in the clients room
19/101
B Place specimen containers in plastic bags for transport
28/101
C Wipe the stethoscope off before removing it from the room
22/101

15.    The nurse is helping the physician perform a sterile procedure at the bedside.
Halfway through the procedure, the nurse believes the physician has
contaminated the sterile field. The nurse should:
A report the physician for violating surgical asepsis and endangering the patient.
4/101
B ask the physician whether she contaminated her glove and the sterile field.
15/101
C point out the possible break in surgical asepsis and provide another set of sterile gloves
45/101
and a fresh sterile field.
D not say anything, because it is near the end of the procedure.
3/101

16.    The nurse can best minimize the risk for infection when initiating an
intravenous site by:
A Proper vein site selection
16/101
B Effective topical skin preparation
17/101
C Appropriate site dressing
15/101
D doning surgical gloves
19/101

17.    A client admitted for an abdominal hysterectomy reports that she has been
under a lot of stress since the death of her mother and wonders how that will affect
her surgery and recovery.

Which of the following nursing interventions reflects the most therapeutic

understanding of the relationship stress has on the body and its ability to recover
from surgery?
A Suggest a demonstration of relaxation techniques
43/101
B Arrange for the hospital chaplain to visit the client
5/101
C Offer to call and get an order for an antianxiety medication
9/101
D Share a personal antidote concerning a similarly stressful situation
8/101

Page 4 of 9
18.    The nurse is providing care for a client who postoperatively has developed an
infected incisional wound and is depressed and anorexic. Which of the following
nursing interventions has priority?
A Sterile wound care
38/101
B Frequent small meals
11/101
C Administration of antidepressant medication
6/101
D Educating the client regarding wound care at home
10/101

19.    The nurse is educating a client diagnosed with type 2 diabetes, who is

susceptible to foot wounds, on how to minimize the risk for infection related to
poor wound healing by not being a susceptible host.

The most appropriate suggestion would be to:

A Inspect feet and legs daily for skin breakdown
20/101
B See a podiatrist regularly for appropriate foot care
9/101
C Keep blood sugar levels within normal range to maximize the ability to heal
23/101
D Eat well-balanced meals in order to provide the nutrients necessary for healing
13/101

20.    A patient has an inguinal hernia repair and later develops a

methicillin-resistant Staphylococcus aureus infection. What is the most important
factor to prevent this infection?
A Surgical asepsis
41/101
B Increased T cells
6/101
C Decreased antibiotics
3/101
D Increased vitamin C
15/101

21.    To eliminate needlesticks as potential hazards to nurses, the nurse should

A Place the uncapped needle on a tray, carry it to the medicine room for disposal
7/101
B Immediately deposit uncapped needles into puncture-proof plastic container
39/101
C Stick the uncapped needle into a Styrofoam block and deposit in a plastic container
3/101
D Slide the needle into the cap and deposit it in a puncture-proof plastic container
15/101

Page 5 of 9
22.    The RN has just been stuck with a syringe while dropping it into a sharps
container that was too full in a clients room. Which of the following steps should be
taken first for a puncture?
A Complete an injury report.
8/101
B Encourage bleeding.
23/101
C Initiate first aid.
9/101
D Wash the area with soap and water.
24/101

23.    The nurse is preparing a presentation on Standard Precautions. Which

statement should be included in the presentation?
A Cut the needle off a syringe after using it to give a client an injection.
9/101
B Dispose of blood-contaminated materials in a biohazard container.
34/101
C Gloves should not be worn for client care unless body fluids are seen.
9/101
D Wear a mask when in direct contact with all clients.
12/101

24.    A patient is discharged home with a draining wound that was infected and for
which he was on Contact Precautions while in the hospital. He lives at home with his
48-year-old wife and their 17-year-old daughter.

It is most important to emphasize to this patient that:

A he should maintain a safe distance from his family.
11/101
B he should use paper plates and disposable utensils.
9/101
C soiled dressings should be disposed of in plastic bags that are tied securely.
28/101
D his family members should wear gloves when handling his plate and eating utensils.
16/101

25.    While irrigating a clients abdominal wound, the irrigate splashes into the
nurses nose and eyes. What should the nurse do?
A Flush the nose and eyes for 510 minutes with water or normal saline.
41/101
B Begin HIV high-risk exposure prophylaxis within 24 hours.
5/101
C Wash the areas with soap and water.
13/101
D Have blood drawn for hepatitis B antibodies.
3/101

Page 6 of 9
26.    A nurse is splashed in the face by body fluid during a procedure. Prioritize the
nurses actions, listing the most important one first.

A. Contact employee health

B. Complete an incident report

C. Wash the exposed area

D. Report to another nurse that she is leaving the immediate area.

A 1, 2, 3, 4
5/101
B 2, 3, 4, 1
5/101
C 3, 4, 1, 2
47/101
D 4, 1, 2, 3
4/101

27.    The patient suddenly develops hives, shortness of breath, and wheezing after
receiving an antibiotic. Which antibody is primarily responsible for this patients
response?
A IgA
12/101
B IgE
25/101
C IgG
15/101
D IgM
9/101

28.    What type of immunity is provided by intravenous (IV) administration of

immunoglobulin G?
A Cell-mediated
6/101
B Passive
27/101
C Humoral
8/101
D Active
19/101

29.    Which of the following circumstances would cause a client to develop active

immunity?
A Becoming ill with tetanus and receiving tetanus toxoid
11/101
B Having chickenpox
37/101
C Receiving a rabies shot after being bitten by a rabid dog
6/101
D Receiving an injection of gamma globulin
6/101

Page 7 of 9
30.    When the patient complains of vague symptoms of malaise and fatigue and
has a low grade fever, but has no other specific signs of illness, the nurse suspects
that this patient is in the prodromal phase of infection (the time immediately before
the illness is diagnosed).

The nurse should include in the plan of care to:

A assessments for specific signs of illness
32/101
B increase fluid intake.
13/101
C place the patient in isolation.
9/101
D report findings to the Infection Preventionist Officer.
6/101

31.    A patient has a nursing diagnosis of Infection, related to inadequate primary

defenses, as evidenced by surgical incision and intravenous (IV) line access.

An appropriate nursing intervention for this patient is to:

A assess and document skin condition around the incision and IV site at each shift.
29/101
B limit visitors to immediate family to decrease exposure to infection.
7/101
C require the use of a face mask by nursing staff when they are providing care.
4/101
D maintain clean technique in the change of wound dressing and IV site.
19/101

32.    What instructions is the most important for the nurse to give a client who is
about to be discharged and has a surgical wound?
A Adjust the diet so it contains more fruits and vegetables.
6/101
B Apply lubricating lotion to the edges of the wound.
8/101
C Notify the physician if with any edema, heat, or tenderness at the wound site.
36/101
D Thoroughly irrigate the wound with hydrogen peroxide.
9/101

33.    The nursing intervention most likely to decrease the chance of health

care-associated infections (HAIs) for a 76-year-old patient following bowel resection
surgery would be to have the patient:
A turn, cough, and deep-breathe every 2 hours.
29/101
B limit ambulation.
7/101
C get blood pressure, pulse, and respirations assessed every 4 hours.
14/101
D keep the room door closed.
9/101

Page 8 of 9
34.    The nurse observes a patient demonstrating wound cleaning. What action
indicates the need for further instruction?
A Using sterile gloves to perform the cleaning
11/101
B Applying an antiseptic to the area
8/101
C Cleaning the area from the outside in
20/101
D Washing hands with soap
18/101

Page 9 of 9