Exam (elaborations)
Chapter 14. Medical Asepsis and Infection Control.
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 14. Medical Asepsis and Infection Control.
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Chapter 14. Medical Asepsis and Infection ControlMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. Standard precautions are required when
A. An infection is spread by indirect contact with an organism.
B. Caring for any patient, whether or not an infection has been identified.
C. A pathogen can spread via moist droplets.
D. An infection that is transmitted on air currents is present.
2. The nurse is teaching a group of newly hired unlicensed assistive personnel (UAP) about proper
hand washing. The nurse recognizes that teaching has been effective if the UAP is observed washing
hands for at least
A. 1 minute.
B. 3 minutes.
C. 45 seconds.
D. 20 seconds.
3. The staff is caring for a patient with a stage 2 pressure ulcer. Wound culture results come back
revealing that methicillin-resistant staphylococcus aureus (MRSA) was cultured from the wound.
The best action of the staff is to
A. Instruct all visitors to be fitted for a special mask which should be worn when
entering the patient’s room.
B. Don a clean gown and gloves each time the patient’s room is entered and care is
provided.
C. Place the patient in a room with another patient who requires droplet precautions.
D. Notify the supervisor that the patient should be transferred to a negative-pressure
room.
4. The nurse is caring for a group of hospitalized patients. To help reduce hospital-acquired infections,
the nurse should first
A. Provide small bedside bags to dispose of used tissues.
B. Administer antibiotics as ordered.
C. Use strict hand washing before and after care of each patient.
D. Instruct each staff member to wear a mask while providing care.
5. The nurse is caring for a patient who has been diagnosed with Clostridium difficile. The nurse would
expect the patient’s plan of care to include
A. Acyclovir.
B. Penicillin.
C. Vancomycin.
D. Amputation.
6. Normal flora is best defined as
A. Small bacteria that are found in the environment.
B. Germs that exist on the surface of inanimate objects.
C. Microorganisms that are found normally in the human body.
, D. A virus and other pathogens that are harmless to humans.
7. A patient who was admitted with suspected pneumonia is admitted to the medical unit. The nurse
recognizes that which of the following information will be most helpful in determining which
antibiotics will be used?
A. Severity of the pneumonia on chest x-ray (CXR).
B. Patient’s highest temperature.
C. Patient’s white blood cell count.
D. Pathology results, including Gram staining.
8. While caring for an individual who was admitted with a fever of unknown origin, the patient asks,
“Why are they giving me three different antibiotics?” The nurse’s best response is:
A. “The doctor doesn’t really know what is causing your fever and wants to make
sure to kill bacteria, viruses, and fungi.”
B. “Since you’ve recently been overseas, it is important to treat you for helminths
and protozoa, which need different antibiotics.”
C. “Since the source of your infection isn’t known, a culture to identify what specific
type of bacteria you have cannot be done.”
D. “Just like adding different spices to a recipe enhances the flavor of a dish, this
combination of antibiotics is needed to make each drug work.”
9. The nurse receives a call from a woman who states, “My 4-year-old son acts like he has an ear
infection again. He gets these all the time, and the doctor told me just to call the office next time and
that you would call in a prescription for an antibiotic right away.” The nurse’s best response is:
A. “I’ll have to wait until the doctor comes in to see what we should do.”
B. “Many ear infections are viral and antibiotics won’t help. It would be best to bring
your son in to be seen.”
C. “Does your son have a fever or any other symptoms of the flu?”
D. “I’m sure that will be fine. Can you tell me which pharmacy you use?”
10. The nurse recognizes that the individual who is most likely to have an illness caused by protozoa is
A. A 15 year old who just returned from nature camp who is complaining of
cramping and diarrhea.
B. A 22 year old who flew into town from another state complaining of a sore throat
and ear pain.
C. A 55 year old complaining of dyspnea and a productive cough.
D. A 41-year-old traveling salesman who has joint pain and bilateral pedal edema.
11. The nurse is caring for an individual with vague gastrointestinal complaints. The nurse suspects that
the patient may have a tapeworm because
A. The patient was recently in Asia.
B. The patient reports a history of diverticulitis.
C. The patient chews ice.
D. The patient likes rare beef.
12. The individual who is most at risk for developing shingles is
A. A 43 year old who received a tetanus booster.
B. A 21 year old who had the varicella vaccine 10 years ago.
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