Question 1

A patient is hospitalized with pertussis. The nurse should place the patient on what type of precautions?

Accepted Answer

A)  Contact Precautions 
B)  Airborne Precautions 
C)  Droplet Precautions 
D)  Standard Precautions 
A)  Contact Precautions 
B)  Airborne Precautions 
C)  Droplet Precautions 
D)  Standard Precautions

Question 2

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:

Accepted Answer

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

Question 3

The nurse is instructing one of the facility's unlicensed assistive personnel (UAP) about how to correctly use a sharps container. The nurse recognizes that further instruction is warranted when the UAP states, "I will:

Accepted Answer

A)  drop sharp items, including needles, into a sharps container." 
B)  shake the sharps container gently to settle the contents." 
C)  put my fingers inside the opening to push the item well inside the container." 
D)  replace the sharps container when it is two thirds full." 
A)  drop sharp items, including needles, into a sharps container." 
B)  shake the sharps container gently to settle the contents." 
C)  put my fingers inside the opening to push the item well inside the container." 
D)  replace the sharps container when it is two thirds full."

Question 4

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

Accepted Answer

A)  patient already has a blood-borne infection. 
B)  patient's defenses are already engaged with the initial infection. 
C)  ulcer will make this patient bedfast. 
D)  stasis ulcers predispose the elderly to pneumonia and urinary infections. 
A)  patient already has a blood-borne infection. 
B)  patient's defenses are already engaged with the initial infection. 
C)  ulcer will make this patient bedfast. 
D)  stasis ulcers predispose the elderly to pneumonia and urinary infections.

Question 5

The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC is:

Accepted Answer

A)  that new diseases have continued to appear for which the older isolation techniques were ineffective. 
B)  based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease. 
C)  complicated and hard to follow. 
D)  based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens. 
A)  that new diseases have continued to appear for which the older isolation techniques were ineffective. 
B)  based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease. 
C)  complicated and hard to follow. 
D)  based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens.

Question 6

When caring for a patient on Droplet Precautions, it is most important for the nurse to:

Accepted Answer

A)  wear the appropriate respiratory device for any entry into the room. 
B)  cover the patient with a clean sheet when transporting the patient to x-ray. 
C)  wear a gown and gloves for any contact with the patient. 
D)  wear a mask if working within 3 feet of the patient. 
A)  wear the appropriate respiratory device for any entry into the room. 
B)  cover the patient with a clean sheet when transporting the patient to x-ray. 
C)  wear a gown and gloves for any contact with the patient. 
D)  wear a mask if working within 3 feet of the patient.

Question 7

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:

Accepted Answer

A)  increase assessment for specific signs of illness. 
B)  increase fluid intake. 
C)  place the patient in isolation. 
D)  report findings to the Infection Preventionist Officer. 
A)  increase assessment for specific signs of illness. 
B)  increase fluid intake. 
C)  place the patient in isolation. 
D)  report findings to the Infection Preventionist Officer.

Question 8

When the nurse is explaining Tier 2 as developed by the Hospital Infection Control Practices Advisory Committees (HICPAC), the nurse will emphasize that the purpose of Tier 2 is to:

Accepted Answer

A)  interrupt the mode of transmission. 
B)  monitor the efficiency of the treatment. 
C)  be put in place of Standard Precautions. 
D)  update all information relative to infections. 
A)  interrupt the mode of transmission. 
B)  monitor the efficiency of the treatment. 
C)  be put in place of Standard Precautions. 
D)  update all information relative to infections.

Question 9

In caring for a patient with active tuberculosis, the nurse should anticipate:

Accepted Answer

A)  wearing an N95 mask. 
B)  wearing two masks to better filter microorganisms. 
C)  donning a mask only in the case of close contact. 
D)  placing a mask on the patient while care is being performed. 
A)  wearing an N95 mask. 
B)  wearing two masks to better filter microorganisms. 
C)  donning a mask only in the case of close contact. 
D)  placing a mask on the patient while care is being performed.

Question 10

A patient is hospitalized with suspected disseminated zoster (varicella). The nurse should anticipate that this patient will be placed on _____ Precautions.

Accepted Answer

A)  Standard 
B)  Droplet 
C)  Airborne 
D)  Contact 
A)  Standard 
B)  Droplet 
C)  Airborne 
D)  Contact

Question 11

The nurse performing a surgical scrub is aware that the average time for the scrub is _____ minutes.

Accepted Answer

A)  3 
B)  5 
C)  6 
D)  7 
A)  3 
B)  5 
C)  6 
D)  7

Question 12

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:

Accepted Answer

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

Question 13

The nurse cautions that a person in the incubation period of an infection:

Accepted Answer

A)  has identifiable signs of a specific illness. 
B)  can transmit the disease although he or she does not feel ill. 
C)  will seek medical attention for the relief of symptoms. 
D)  will always exhibit symptoms within 48 hours. 
A)  has identifiable signs of a specific illness. 
B)  can transmit the disease although he or she does not feel ill. 
C)  will seek medical attention for the relief of symptoms. 
D)  will always exhibit symptoms within 48 hours.

Question 14

Differences between Airborne and Droplet Precautions include which of the following? (Select all that apply.)

Accepted Answer

A)  A surgical mask must be worn with Airborne Precautions. 
B)  Patients on Droplet Precautions do not need to wear a surgical mask when outside their rooms. 
C)  A surgical mask must be worn if working within 3 feet of a patient on Droplet Precautions. 
D)  Airborne Precautions include placing the patient in a negative-pressure room. 
E)  A specialized respirator mask must be worn with patients on Droplet Precautions.
F)Standard Precautions need to be used only with patients on Airborne Precautions. 
A)  A surgical mask must be worn with Airborne Precautions. 
B)  Patients on Droplet Precautions do not need to wear a surgical mask when outside their rooms. 
C)  A surgical mask must be worn if working within 3 feet of a patient on Droplet Precautions. 
D)  Airborne Precautions include placing the patient in a negative-pressure room. 
E)  A specialized respirator mask must be worn with patients on Droplet Precautions.
F)Standard Precautions need to be used only with patients on Airborne Precautions.

Question 15

A nurse is caring for a patient in protective isolation for extreme immunosuppression. Before entering the room, which of the following actions should the nurse take? (Select all that apply.)

Accepted Answer

A)  Don a gown. 
B)  Don a mask. 
C)  Put on gloves. 
D)  Apply a head covering. 
E)  Apply shoe coverings.
F) Bring in the blood pressure cuff and stethoscope. 
A)  Don a gown. 
B)  Don a mask. 
C)  Put on gloves. 
D)  Apply a head covering. 
E)  Apply shoe coverings.
F) Bring in the blood pressure cuff and stethoscope.

Exam 17: Infection Prevention and Control in the Hospital and Home

A patient is hospitalized with pertussis. The nurse should place the patient on what type of precautions?

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:

The nurse is instructing one of the facility's unlicensed assistive personnel (UAP) about how to correctly use a sharps container. The nurse recognizes that further instruction is warranted when the UAP states, "I will:

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC is:

When caring for a patient on Droplet Precautions, it is most important for the nurse to:

When the nurse is explaining Tier 2 as developed by the Hospital Infection Control Practices Advisory Committees (HICPAC), the nurse will emphasize that the purpose of Tier 2 is to:

In caring for a patient with active tuberculosis, the nurse should anticipate:

A patient is hospitalized with suspected disseminated zoster (varicella). The nurse should anticipate that this patient will be placed on _____ Precautions.

The nurse performing a surgical scrub is aware that the average time for the scrub is _____ minutes.

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:

The nurse cautions that a person in the incubation period of an infection:

Differences between Airborne and Droplet Precautions include which of the following? (Select all that apply.)

A nurse is caring for a patient in protective isolation for extreme immunosuppression. Before entering the room, which of the following actions should the nurse take? (Select all that apply.)

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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