Question 1

What is the most frequent cause of the spread of infection among institutionalized patients?

Accepted Answer

A)  Airborne microbes from other patients 
B)  Contact with contaminated equipment 
C)  Hands of healthcare workers 
D)  Exposure from family members 
A)  Airborne microbes from other patients 
B)  Contact with contaminated equipment 
C)  Hands of healthcare workers 
D)  Exposure from family members

Question 2

A patient infected with a virus but who does not have any outward sign of the disease is considered a:

Accepted Answer

A)  Pathogen 
B)  Fomite 
C)  Vector 
D)  Carrier 
A)  Pathogen 
B)  Fomite 
C)  Vector 
D)  Carrier

Question 3

The nurse is teaching a group of newly hired nursing assistive personnel (NAP)about proper handwashing.The nurse will know that the teaching was effective if the NAP demonstrate which of the following? Select all that apply.

Accepted Answer

A)  Uses a paper towel to turn off the faucet 
B)  Holds fingertips above the wrists while rinsing off the soap 
C)  Removes all rings and watch before washing hands 
D)  Cleans underneath each fingernail 
A)  Uses a paper towel to turn off the faucet 
B)  Holds fingertips above the wrists while rinsing off the soap 
C)  Removes all rings and watch before washing hands 
D)  Cleans underneath each fingernail

Question 4

A patient with tuberculosis is scheduled for computed tomography (CT).How should the nurse proceed? Select all that apply.

Accepted Answer

A)  Question the order because the patient must remain in isolation. 
B)  Place an N-95 respirator mask on the patient and transport him to the test. 
C)  Place a surgical mask on the patient and transport him to CT lab. 
D)  Notify the computed tomography department about precautions prior to transport. 
A)  Question the order because the patient must remain in isolation. 
B)  Place an N-95 respirator mask on the patient and transport him to the test. 
C)  Place a surgical mask on the patient and transport him to CT lab. 
D)  Notify the computed tomography department about precautions prior to transport.

Question 5

As a general rule,how much liquid soap should the nurse use for effective handwashing? At least:

Accepted Answer

A)  2 mL 
B)  3 mL 
C)  6 mL 
D)  7 mL 
A)  2 mL 
B)  3 mL 
C)  6 mL 
D)  7 mL

Question 6

The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:

Accepted Answer

A)  Centrally venous catheter 
B)  Indwelling urinary catheter 
C)  Colostomy 
D)  Nasoenteric feeding tube 
A)  Centrally venous catheter 
B)  Indwelling urinary catheter 
C)  Colostomy 
D)  Nasoenteric feeding tube

Question 7

The nurse is removing personal protective equipment (PPE).Which item should be removed first?

Accepted Answer

A)  Gown 
B)  Gloves 
C)  Face shield 
D)  Hair covering 
A)  Gown 
B)  Gloves 
C)  Face shield 
D)  Hair covering

Question 8

A patient asks the nurse why there is no vaccine available for the common cold.Which response by the nurse is correct?"

Accepted Answer

A)  "The virus mutates too rapidly to develop a vaccine." 
B)  "Vaccines are developed only for very serious illnesses." 
C)  "Researchers are focusing efforts on an HIV vaccine." 
D)  "The virus for the common cold has not been identified." 
A)  "The virus mutates too rapidly to develop a vaccine." 
B)  "Vaccines are developed only for very serious illnesses." 
C)  "Researchers are focusing efforts on an HIV vaccine." 
D)  "The virus for the common cold has not been identified."

Question 9

While donning sterile gloves,the nurse notices the edges of the glove package are slightly yellow.The yellow area is more than 1 inch away from the gloves and only appears to be on the outside of the glove package.What is the best action for the nurse to take at this point?

Accepted Answer

A)  Continue using the gloves inside the package because the package is intact. 
B)  Remove gloves from the sterile field and use a new pair of sterile gloves. 
C)  Throw all supplies away that were to be used and begin again. 
D)  Use the gloves and make sure the yellow edges of the package do not touch the client. 
A)  Continue using the gloves inside the package because the package is intact. 
B)  Remove gloves from the sterile field and use a new pair of sterile gloves. 
C)  Throw all supplies away that were to be used and begin again. 
D)  Use the gloves and make sure the yellow edges of the package do not touch the client.

Question 10

Which of the following behaviors indicates the highest potential for spreading infections among clients? The nurse:

Accepted Answer

A)  Disinfects dirty hands with antibacterial soap 
B)  Allows alcohol-based rub to dry for 10 seconds 
C)  Washes hands primarily after leaving each room 
D)  Uses cold water for medical asepsis 
A)  Disinfects dirty hands with antibacterial soap 
B)  Allows alcohol-based rub to dry for 10 seconds 
C)  Washes hands primarily after leaving each room 
D)  Uses cold water for medical asepsis

Question 11

How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?

Accepted Answer

A)  Place the tray in a specially marked trashcan inside the patient's room. 
B)  Place the tray in a special isolation bag held by a second healthcare worker at the patient's door. 
C)  Return the tray with a note to dietary services so it can be cleaned and reused for the next meal. 
D)  Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose of it there. 
A)  Place the tray in a specially marked trashcan inside the patient's room. 
B)  Place the tray in a special isolation bag held by a second healthcare worker at the patient's door. 
C)  Return the tray with a note to dietary services so it can be cleaned and reused for the next meal. 
D)  Carry the tray to an isolation trash receptacle located in the dirty utility room and dispose of it there.

Question 12

To assure effectiveness,when should the nurse stop rubbing antiseptic hand solution over all surfaces of the hands?

Accepted Answer

A)  When fingers feel sticky 
B)  After 5 to 10 seconds 
C)  When leaving the client's room 
D)  Once fingers and hands feel dry 
A)  When fingers feel sticky 
B)  After 5 to 10 seconds 
C)  When leaving the client's room 
D)  Once fingers and hands feel dry

Question 13

The nurse assists a surgeon with central venous catheter insertion.Which action is necessary to help maintain sterile technique?

Accepted Answer

A)  Closing the patient's door to limit room traffic while preparing the sterile field 
B)  Using clean procedure gloves to handle sterile equipment 
C)  Placing the nonsterile syringes containing flush solution on the sterile field 
D)  Remaining 6 inches away from the sterile field during the procedure 
A)  Closing the patient's door to limit room traffic while preparing the sterile field 
B)  Using clean procedure gloves to handle sterile equipment 
C)  Placing the nonsterile syringes containing flush solution on the sterile field 
D)  Remaining 6 inches away from the sterile field during the procedure

Exam 23: Promoting Asepsis Preventing Infection

What is the most frequent cause of the spread of infection among institutionalized patients?

A patient infected with a virus but who does not have any outward sign of the disease is considered a:

The nurse is teaching a group of newly hired nursing assistive personnel (NAP)about proper handwashing.The nurse will know that the teaching was effective if the NAP demonstrate which of the following? Select all that apply.

A patient with tuberculosis is scheduled for computed tomography (CT).How should the nurse proceed? Select all that apply.

As a general rule,how much liquid soap should the nurse use for effective handwashing? At least:

The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:

The nurse is removing personal protective equipment (PPE).Which item should be removed first?

A patient asks the nurse why there is no vaccine available for the common cold.Which response by the nurse is correct?"

While donning sterile gloves,the nurse notices the edges of the glove package are slightly yellow.The yellow area is more than 1 inch away from the gloves and only appears to be on the outside of the glove package.What is the best action for the nurse to take at this point?

Which of the following behaviors indicates the highest potential for spreading infections among clients? The nurse:

How should the nurse dispose of the breakfast tray of a patient who requires airborne isolation?

To assure effectiveness,when should the nurse stop rubbing antiseptic hand solution over all surfaces of the hands?

The nurse assists a surgeon with central venous catheter insertion.Which action is necessary to help maintain sterile technique?

Evolution of Nursing Thought Action

Critical Thinking: Nursing Process

Nursing Process: Assessment

Nursing Process: Diagnosis

Nursing Process: Planning Outcomes

Nursing Process: Planning Interventions

Nursing Process: Implementation Evaluation

Evidence-Based Practice: Theory Research

Life Span: Infancy Through Middle Adulthood

Life Span: Older Adults

Experiencing Health Illness

Stress Adaptation

Psychosocial Health Illness

The Family

Culture Ethnicity

Spirituality

Loss,Grief, Dying

Documenting Reporting

Teaching Learning

Measuring Vital Signs

Communication Therapeutic Relationships

Health Assessment

Promoting Safety

Facilitating Hygiene

Administering Medications

Nutrition

Urinary Elimination

Bowel Elimination

Sensation,Perception, Cognition

Pain

Physical Activity Mobility

Sexual Health

Sleep and Rest

Skin Integrity-Wound Healing

Oxygenation

Circulation

Fluids,Electrolytes, Acidbase Balance

Perioperative Care

Leading Managing

Nursing Informatics

Promoting Health

Community-Home Health Nursing

Ethics Values

Legal Accountability

Holistic Healing

Filters