Question 1

A family member has been instructed in the administration of subcutaneous medication at home. The nurse instructs her to:

Accepted Answer

A)  break the needle off from the syringe so that it can't be reused and wrap the broken needle and syringe in newspaper and throw them in the garbage. 
B)  recap the needle and dispose of it in the garbage, because it can't accidentally stick anyone with the cap replaced. 
C)  save the used needles and syringes for the visiting nurse, who can collect them and arrange for proper disposal. 
D)  place the used syringe and needle, without recapping it, in a large plastic bottle with a secure lid. 
A)  break the needle off from the syringe so that it can't be reused and wrap the broken needle and syringe in newspaper and throw them in the garbage. 
B)  recap the needle and dispose of it in the garbage, because it can't accidentally stick anyone with the cap replaced. 
C)  save the used needles and syringes for the visiting nurse, who can collect them and arrange for proper disposal. 
D)  place the used syringe and needle, without recapping it, in a large plastic bottle with a secure lid.

Question 2

A patient had abdominal surgery 3 days ago and now has a temperature of 101.2° F and reports feelings of malaise. The nurse assesses the abdominal incision and observes edema around the incision and some purulent drainage. This patient is in the ____________ stage of infection.

Accepted Answer

illness
The illness period of infection

Question 3

The nurse adding sterile liquids to a sterile field should:

Accepted Answer

A)  hold the liquid container high over the sterile field. 
B)  remove the cap and place the container with the inside facing down. 
C)  prepare a new sterile field if it becomes wet during the procedure. 
D)  carefully reach over the sterile field to pour the liquid. 
A)  hold the liquid container high over the sterile field. 
B)  remove the cap and place the container with the inside facing down. 
C)  prepare a new sterile field if it becomes wet during the procedure. 
D)  carefully reach over the sterile field to pour the liquid.

Question 4

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 5

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 6

The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

Accepted Answer

A)  report the health care provider for violating surgical asepsis and endangering the patient. 
B)  ask the health care provider whether she contaminated her glove and the sterile field. 
C)  point out the possible break in surgical asepsis and provide another set of sterile gloves and a fresh sterile field. 
D)  not say anything, because it is near the end of the procedure. 
A)  report the health care provider for violating surgical asepsis and endangering the patient. 
B)  ask the health care provider whether she contaminated her glove and the sterile field. 
C)  point out the possible break in surgical asepsis and provide another set of sterile gloves and a fresh sterile field. 
D)  not say anything, because it is near the end of the procedure.

Question 7

A patient on Airborne Precautions says to the nurse, "I feel like I'm going crazy cooped up in here. I feel like just sneaking out and finding someone to talk to." The best response by the nurse is:

Accepted Answer

A)  "You would be jeopardizing everyone you come into contact with. You could give a lot of innocent people your disease." 
B)  "It won't be long before you can safely get out of here without being a danger to others." 
C)  "You must be feeling bored being shut up in here. Have you been following the wonderful season our football team has been having?" 
D)  "I know just how you feel. Sometimes I can't get outdoors because of the rain, and it's so hard being cooped up." 
A)  "You would be jeopardizing everyone you come into contact with. You could give a lot of innocent people your disease." 
B)  "It won't be long before you can safely get out of here without being a danger to others." 
C)  "You must be feeling bored being shut up in here. Have you been following the wonderful season our football team has been having?" 
D)  "I know just how you feel. Sometimes I can't get outdoors because of the rain, and it's so hard being cooped up."

Question 8

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:

Accepted Answer

A)  is that new diseases have continued to appear for which the older isolation techniques were ineffective. 
B)  is 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)  is complicated and hard to follow. 
D)  is based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens. 
A)  is that new diseases have continued to appear for which the older isolation techniques were ineffective. 
B)  is 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)  is complicated and hard to follow. 
D)  is based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens.

Question 9

The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

Accepted Answer

A)  45-year-old in traction for a fractured femur. 
B)  56-year-old with pneumonia who is receiving oxygen by mask. 
C)  65-year-old with a Foley catheter. 
D)  70-year-old with congestive heart failure attached to a monitor. 
A)  45-year-old in traction for a fractured femur. 
B)  56-year-old with pneumonia who is receiving oxygen by mask. 
C)  65-year-old with a Foley catheter. 
D)  70-year-old with congestive heart failure attached to a monitor.

Question 10

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 11

A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:

Accepted Answer

A)  avoid coughing, sneezing, or unnecessary talking near or over a sterile field." 
B)  avoid reaching across or above a sterile field with my bare hands or arms." 
C)  open the wrapper of a sterile pack toward my body, the proximal flap first." 
D)  keep my sterile gloved hands in sight, away from all unsterile objects." 
A)  avoid coughing, sneezing, or unnecessary talking near or over a sterile field." 
B)  avoid reaching across or above a sterile field with my bare hands or arms." 
C)  open the wrapper of a sterile pack toward my body, the proximal flap first." 
D)  keep my sterile gloved hands in sight, away from all unsterile objects."

Question 12

A nurse is instructing one of the facility's unlicensed assistive personnel (UAP) in ways to prevent health care-associated infections. The nurse recognizes that further instruction is warranted when the UAP states, "I will:

Accepted Answer

A)  wash my hands before and after caring for patients." 
B)  cleanse patients from the rectum to the urinary meatus." 
C)  clean residual urine off the catheter bag when emptying it." 
D)  put all the soiled linen in the hamper in the room." 
A)  wash my hands before and after caring for patients." 
B)  cleanse patients from the rectum to the urinary meatus." 
C)  clean residual urine off the catheter bag when emptying it." 
D)  put all the soiled linen in the hamper in the room."

Question 13

When picking up the first sterile glove, the nurse will:

Accepted Answer

A)  grasp the cuff with the thumb and fingers. 
B)  insert fingers into the opening and pull the glove on while holding the cuff. 
C)  slip a thumb in the opening and grasp the glove between the thumb and fingers. 
D)  leave the glove on a flat surface and work the fingers into the opening. 
A)  grasp the cuff with the thumb and fingers. 
B)  insert fingers into the opening and pull the glove on while holding the cuff. 
C)  slip a thumb in the opening and grasp the glove between the thumb and fingers. 
D)  leave the glove on a flat surface and work the fingers into the opening.

Question 14

The nurse clarifies that the duties of the facility's infection preventionist include: (Select all that apply.)

Accepted Answer

A)  viewing every culture that is performed in the facility that is positive for pathogens. 
B)  investigating possible causes for the occurrence of health care-associated infections (HAIs). 
C)  sanitizing isolation rooms after patients have been discharged. 
D)  counseling persons who have been found to be careless about infection control protocols. 
E)  providing education to health care staff relative to infection control. 
A)  viewing every culture that is performed in the facility that is positive for pathogens. 
B)  investigating possible causes for the occurrence of health care-associated infections (HAIs). 
C)  sanitizing isolation rooms after patients have been discharged. 
D)  counseling persons who have been found to be careless about infection control protocols. 
E)  providing education to health care staff relative to infection control.

Question 15

The nurse collecting a sputum specimen for a patient with staphylococcal pneumonia will:

Accepted Answer

A)  wipe the specimen container with antimicrobial solution and hand carry it to the laboratory. 
B)  double bag the specimen container and send the specimen to the laboratory. 
C)  send the specimen to the laboratory in a Biohazard bag. 
D)  notify the laboratory to collect the contaminated specimen. 
A)  wipe the specimen container with antimicrobial solution and hand carry it to the laboratory. 
B)  double bag the specimen container and send the specimen to the laboratory. 
C)  send the specimen to the laboratory in a Biohazard bag. 
D)  notify the laboratory to collect the contaminated specimen.

Question 16

A patient with primary tuberculosis is on Airborne Precautions, and he spends much of the day sleeping and is confused and awake at night. An appropriate nursing intervention for this patient is to:

Accepted Answer

A)  provide diversionary activities or visitors during the day to decrease his sense of isolation and sensory deprivation. 
B)  arrange for the patient to be transported to the lounge while wearing a surgical mask to provide more stimulation. 
C)  consult with the health care provider for an order for an antidepressant and sleeping medication to treat the depression. 
D)  encourage staff to "visit" with him from the doorway so that they do not have to wear a mask and they can increase his wakeful times during the day. 
A)  provide diversionary activities or visitors during the day to decrease his sense of isolation and sensory deprivation. 
B)  arrange for the patient to be transported to the lounge while wearing a surgical mask to provide more stimulation. 
C)  consult with the health care provider for an order for an antidepressant and sleeping medication to treat the depression. 
D)  encourage staff to "visit" with him from the doorway so that they do not have to wear a mask and they can increase his wakeful times during the day.

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

A family member has been instructed in the administration of subcutaneous medication at home. The nurse instructs her to:

A patient had abdominal surgery 3 days ago and now has a temperature of 101.2° F and reports feelings of malaise. The nurse assesses the abdominal incision and observes edema around the incision and some purulent drainage. This patient is in the ____________ stage of infection.

The nurse adding sterile liquids to a sterile field should:

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

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

The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

A patient on Airborne Precautions says to the nurse, "I feel like I'm going crazy cooped up in here. I feel like just sneaking out and finding someone to talk to." The best response by the nurse is:

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:

The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

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

A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:

A nurse is instructing one of the facility's unlicensed assistive personnel (UAP) in ways to prevent health care-associated infections. The nurse recognizes that further instruction is warranted when the UAP states, "I will:

When picking up the first sterile glove, the nurse will:

The nurse clarifies that the duties of the facility's infection preventionist include: (Select all that apply.)

The nurse collecting a sputum specimen for a patient with staphylococcal pneumonia will:

A patient with primary tuberculosis is on Airborne Precautions, and he spends much of the day sleeping and is confused and awake at night. An appropriate nursing intervention for this patient is to:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and 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, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Safe Lifting, Moving, and Positioning of 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

Nutritional 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 Older Adult

Common Psychosocial Care Problems of Older Adults

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