Question 1

A nurse explains that although some drugs reduce inflammation, they also hinder the body's immune response.What are examples of such drugs?

Accepted Answer

A)  Antihistamines and salicylates 
B)  Bronchodilators and corticosteroids 
C)  Cardiotonic and anticholinergics 
D)  Diuretics and sedatives 
A)  Antihistamines and salicylates 
B)  Bronchodilators and corticosteroids 
C)  Cardiotonic and anticholinergics 
D)  Diuretics and sedatives B

Question 2

After receiving an injection of penicillin, a patient undergoes an anaphylactic reaction.What should the nurse do first?

Accepted Answer

A)  Administer oxygen. 
B)  Prepare fluids to combat shock. 
C)  Notify the charge nurse. 
D)  Cover with several blankets. 
A)  Administer oxygen. 
B)  Prepare fluids to combat shock. 
C)  Notify the charge nurse. 
D)  Cover with several blankets. A

Question 3

With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of histamine.What is responsible for releasing histamine?

Accepted Answer

A)  Neutrophils 
B)  Eosinophils 
C)  Basophils 
D)  Monocytes 
A)  Neutrophils 
B)  Eosinophils 
C)  Basophils 
D)  Monocytes C

Question 4

A nurse is discussing the body's first and second lines of defense against infection with a community group.What does the body's first line of defense include?

Accepted Answer

A)  Teeth 
B)  Sweat 
C)  White blood cells 
D)  T lymphocytes 
A)  Teeth 
B)  Sweat 
C)  White blood cells 
D)  T lymphocytes

Question 5

The organs involved in immunity include the tonsils, spleen, and lymph nodes.What other organ is involved in immunity?

Accepted Answer

A)  Liver 
B)  Lungs 
C)  Periosteum 
D)  Pancreas 
A)  Liver 
B)  Lungs 
C)  Periosteum 
D)  Pancreas

Question 6

A community picnic is held.A number of the attendees become ill after the picnic.How was the pathogen acquired?

Accepted Answer

A)  Indirect contact 
B)  Common vehicle 
C)  Airborne transmission 
D)  Vector transmission 
A)  Indirect contact 
B)  Common vehicle 
C)  Airborne transmission 
D)  Vector transmission

Question 7

Which patient diagnosis is most likely related to acquiring a health care-associated infection?

Accepted Answer

A)  Abdominal abscess after a ruptured appendix 
B)  Lice and nits that have come from the emergency department 
C)  Urinary infection after the insertion of a Foley catheter 
D)  Two-day, postoperative foot fungus after a hip replacement 
A)  Abdominal abscess after a ruptured appendix 
B)  Lice and nits that have come from the emergency department 
C)  Urinary infection after the insertion of a Foley catheter 
D)  Two-day, postoperative foot fungus after a hip replacement

Question 8

The daughter of an 89-year-old resident in a long-term care facility asks if she may give her father an over-the-counter (OTC)antihistamine that she uses for seasonal allergy.What is the nurse's most appropriate response?

Accepted Answer

A)  "Yes.OTCs are mild and very helpful." 
B)  "No.Many antihistamines cause confusion in the older adult." 
C)  "Yes.The drug might energize him so he won't be so drowsy." 
D)  "No.Allergic symptoms should be allowed to run their course." 
A)  "Yes.OTCs are mild and very helpful." 
B)  "No.Many antihistamines cause confusion in the older adult." 
C)  "Yes.The drug might energize him so he won't be so drowsy." 
D)  "No.Allergic symptoms should be allowed to run their course."

Question 9

A nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ______.

Accepted Answer

The answer of A nurse reminds the patient who is...

Question 10

A mosquito or a fly carries an organism that infects another living organism.What is this mode of transmission of infection?

Accepted Answer

A)  Common vehicle 
B)  Direct excretion 
C)  Ingestion 
D)  Vector 
A)  Common vehicle 
B)  Direct excretion 
C)  Ingestion 
D)  Vector

Question 11

Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP), a serious pulmonary infection caused by ______.

Accepted Answer

The answer of Persons with human immunodeficiency virus (HIV)have acquired...

Question 12

A patient receiving a large intramuscular dose of antibiotic was asked to please wait 20 to 30 minutes before checking out.What is the reason for this request?

Accepted Answer

A)  The office staff needs to make sure that the right medicine was administered before the patient leaves. 
B)  The nurse always forgets to ask the patient about allergies before administering the antibiotic. 
C)  Antibiotics are a common source of severe allergic reactions within the first few minutes after an injection. 
D)  The staff wants to make sure that the patient has time to pay for the services delivered that day. 
A)  The office staff needs to make sure that the right medicine was administered before the patient leaves. 
B)  The nurse always forgets to ask the patient about allergies before administering the antibiotic. 
C)  Antibiotics are a common source of severe allergic reactions within the first few minutes after an injection. 
D)  The staff wants to make sure that the patient has time to pay for the services delivered that day.

Question 13

Which vitamin can enhance wound healing?

Accepted Answer

A)  A 
B)  B 
C)  C 
D)  D 
A)  A 
B)  B 
C)  C 
D)  D

Question 14

A patient is hospitalized with cryptococcal pneumonia and AIDS.What is the most important Standard Precaution for the health care team to implement?

Accepted Answer

A)  Hands are washed before and after gloving. 
B)  After gloves are put on, they do not need to be changed until care is finished. 
C)  Needles and sharps should be placed in puncture-resistant containers on the medicine cart out of the room. 
D)  Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate." 
A)  Hands are washed before and after gloving. 
B)  After gloves are put on, they do not need to be changed until care is finished. 
C)  Needles and sharps should be placed in puncture-resistant containers on the medicine cart out of the room. 
D)  Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."

Question 15

The Centers for Disease Control and Prevention (CDC)has issued new guidelines for infection control.Nursing care plans for patients with infection should mainly address which protocol?

Accepted Answer

A)  Disease-specific precautions 
B)  Manner in which clean gloves are worn 
C)  Standard Precautions guidelines 
D)  Placement of needles and sharps 
A)  Disease-specific precautions 
B)  Manner in which clean gloves are worn 
C)  Standard Precautions guidelines 
D)  Placement of needles and sharps

Question 16

A nurse caring for a patient who is immunosuppressed is diligent about protecting the patient from infection.When visitors come in, in addition to having them put on isolation attire, what should the nurse also prohibit?

Accepted Answer

A)  Battery-operated DVD player 
B)  Book 
C)  Potted plant 
D)  Box of candy 
A)  Battery-operated DVD player 
B)  Book 
C)  Potted plant 
D)  Box of candy

Question 17

A school nurse cautions a group of parents about children playing barefoot on dirt.To what infectious agents can this action expose the children?

Accepted Answer

A)  Helminthes 
B)  Protozoa 
C)  Rickettsiae 
D)  Mycoplasmas 
A)  Helminthes 
B)  Protozoa 
C)  Rickettsiae 
D)  Mycoplasmas

Question 18

What is required by medical asepsis that is not required by surgical asepsis?

Accepted Answer

A)  Good hand washing technique 
B)  That no nonsterile product comes into contact with the patient 
C)  Elimination of all microorganisms 
D)  Hand washing with antimicrobial soap for 3 minutes 
A)  Good hand washing technique 
B)  That no nonsterile product comes into contact with the patient 
C)  Elimination of all microorganisms 
D)  Hand washing with antimicrobial soap for 3 minutes

Question 19

An air conditioner duct cleaning is recommended by a home health nurse.What should this precaution prevent the spread of in the patient's home?

Accepted Answer

A)  Bacteria 
B)  Viruses 
C)  Fungi 
D)  Protozoa 
A)  Bacteria 
B)  Viruses 
C)  Fungi 
D)  Protozoa

Question 20

On a visit to administer the fifth in a series of 10 antibiotic doses, a home health nurse is told that the patient is now complaining about a bothersome vaginal discharge.The nurse communicates the problem and arranges for medication.What is the most likely cause of the vaginal discharge?

Accepted Answer

A)  Poor genital hygiene-not changing underwear often enough 
B)  Allergy to the soap or soap products used in the genital area 
C)  Superinfection response to the antibiotic medication 
D)  Sexual contact with another infected person 
A)  Poor genital hygiene-not changing underwear often enough 
B)  Allergy to the soap or soap products used in the genital area 
C)  Superinfection response to the antibiotic medication 
D)  Sexual contact with another infected person

Exam 5: Immunity, Inflammation, and Infection

A nurse explains that although some drugs reduce inflammation, they also hinder the body's immune response.What are examples of such drugs?

After receiving an injection of penicillin, a patient undergoes an anaphylactic reaction.What should the nurse do first?

With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of histamine.What is responsible for releasing histamine?

A nurse is discussing the body's first and second lines of defense against infection with a community group.What does the body's first line of defense include?

The organs involved in immunity include the tonsils, spleen, and lymph nodes.What other organ is involved in immunity?

A community picnic is held.A number of the attendees become ill after the picnic.How was the pathogen acquired?

Which patient diagnosis is most likely related to acquiring a health care-associated infection?

The daughter of an 89-year-old resident in a long-term care facility asks if she may give her father an over-the-counter (OTC)antihistamine that she uses for seasonal allergy.What is the nurse's most appropriate response?

A nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ______.

A mosquito or a fly carries an organism that infects another living organism.What is this mode of transmission of infection?

Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP), a serious pulmonary infection caused by ______.

A patient receiving a large intramuscular dose of antibiotic was asked to please wait 20 to 30 minutes before checking out.What is the reason for this request?

Which vitamin can enhance wound healing?

A patient is hospitalized with cryptococcal pneumonia and AIDS.What is the most important Standard Precaution for the health care team to implement?

The Centers for Disease Control and Prevention (CDC)has issued new guidelines for infection control.Nursing care plans for patients with infection should mainly address which protocol?

A nurse caring for a patient who is immunosuppressed is diligent about protecting the patient from infection.When visitors come in, in addition to having them put on isolation attire, what should the nurse also prohibit?

A school nurse cautions a group of parents about children playing barefoot on dirt.To what infectious agents can this action expose the children?

What is required by medical asepsis that is not required by surgical asepsis?

An air conditioner duct cleaning is recommended by a home health nurse.What should this precaution prevent the spread of in the patient's home?

On a visit to administer the fifth in a series of 10 antibiotic doses, a home health nurse is told that the patient is now complaining about a bothersome vaginal discharge.The nurse communicates the problem and arranges for medication.What is the most likely cause of the vaginal discharge?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders