Question 1

The nurse is teaching a nursing student about infection. Which is an example of a reservoir of infection?

Accepted Answer

A)  Insect
B)  Virus
C)  Bacteria
D)  Droplets A

Question 2

The nurse is contributing to a staff education program about infection control. What information from the following list should the nurse recommend including about methods that are effective in destroying bacterial spores?

Accepted Answer

A)  Prolonged drying times
B)  Prolonged high temperatures
C)  Cleansing with soap and water
D)  Brief exposure to room temperatures B

Question 3

The nurse is preparing to administer metronidazole (Flagyl) 500 mg in 100 mL of normal saline to run over 1 hour intravenously to a patient with an infection. At what rate will the nurse set the infusion pump? Enter the numeral only.

Accepted Answer

100

Question 4

The nurse is caring for a group of patients. Which patients are at high risk for infection? (Select all that apply.)

Accepted Answer

A)  A patient on the burn unit with third-degree burns
B)  A patient with HIV
C)  A patient with atrial fibrillation (A-fib) 
D)  A patient who takes corticosteroids for asthma
E)  A patient who just finished a round of chemotherapy F) A patient with attention deficit-hyperactivity disorder (ADH
D)

Question 5

For which patient would the nurse wash her hands with soap and water instead of using an alcohol-based hand rub?

Accepted Answer

A)  Administering pills to a patient with HIV
B)  Cleaning stool off of a patient with Clostridium difficile
C)  Taking the temperature of a patient with asthma
D)  Opening a cup of milk for a patient with vertigo

Question 6

The nurse is reviewing orders for a patient with an infection. Which order should the nurse implement last?

Accepted Answer

A)  Administer the antibiotic.
B)  Culture the patient's wound.
C)  Obtain a urine sample.
D)  Obtain a sputum sample.

Question 7

The school nurse is planning to teach a group of school-age children on cough etiquette. What should the nurse emphasize with these students?

Accepted Answer

A)  Sneeze into hands if a tissue is not available.
B)  Place used tissues in backpacks or pockets of clothing.
C)  Wash hands with soap and water for 20 seconds after blowing the nose.
D)  Move 1 foot away from another person when having to sneeze or cough.

Question 8

The nurse is reviewing orders for a newly admitted patient. Which laboratory test can the nurse expect to be ordered for a patient to rule out a systematic infection?

Accepted Answer

A)  Capillary blood glucose (CBG) 
B)  Complete metabolic panel (CMP) 
C)  Complete blood count (CB
C)  
D)  Pancreatic enzymes

Question 9

A patient learns that a serum antibody test is positive. What should the nurse explain to the patient about this test result?

Accepted Answer

A)  An active infection is present.
B)  It is more accurate than a blood culture.
C)  The body has been exposed to an antigen.
D)  A specific antibiotic has been identified for the infection.

Question 10

The nurse is caring for a group of patients. Which patient does the nurse identify at highest risk for developing an infection?

Accepted Answer

A)  A 12-year-old child who plays sports and lives with his parents
B)  A 24-year-old who works at a bank and lives at home
C)  A 45-year-old stay-at-home parent who lives with a friend
D)  A 60-year-old who lives in a long-term care facility

Question 11

A patient requires care that might cause the splattering of body secretions. Which item should the nurse wear when caring for this patient?

Accepted Answer

A)  Cap
B)  Gown
C)  Face shield
D)  Shoe covers

Question 12

A patient develops a hospital-acquired surgical wound infection. Which organism should the nurse recognize as being the most likely cause of this infection?

Accepted Answer

A)  Shigella
B)  Salmonella
C)  Campylobacter
D)  Staphylococcus aureus

Question 13

The nurse is caring for a patient with herpes simplex. Which statement related to disease transmission should the nurse include in the patient's discharge teaching?

Accepted Answer

A)  "Herpes simplex is an airborne disease."
B)  "HEPA filtration is necessary with herpes simplex."
C)  "Herpes simplex is transmitted through direct transmission."
D)  "Vehicle transmission means that particles float through the air."

Question 14

The nurse observes a patient being transported through the hall wearing a mask. For which medical diagnosis should the nurse suspect the patient is receiving care?

Accepted Answer

A)  Measles
B)  Cellulitis
C)  Diphtheria
D)  C difficile

Question 15

A patient is being admitted for treatment of a viral infection. Which diseases should the nurse recognize as being caused by a virus? (Select all that apply.)

Accepted Answer

A)  Measles
B)  Shingles
C)  Gonorrhea
D)  Trichomoniasis
E)  Candida albicans F) Infectious mononucleosis

Question 16

A patient asks a nurse to explain the difference between the Ebola virus versus the Zika virus. Which response by the nurse is accurate?

Accepted Answer

A)  "The Zika virus is transmitted by an infected fruit bat."
B)  "The patient could experience long-term joint and vision problems with the Zika virus."
C)  "A patient will be isolated if he or she contracted the Zika virus."
D)  "ELISA testing is used to diagnose the Ebola virus."

Question 17

The nurse is assisting with the development of an educational program to reduce the incidence of infectious diseases in a community. What topics should the nurse suggest be included in this program? (Select all that apply.)

Accepted Answer

A)  Use of cough etiquette
B)  Performance of hand hygiene
C)  Safe food handling techniques
D)  Use of safety equipment with sports
E)  Importance of receiving immunizations

Question 18

The nurse is teaching a group of nursing students how to wash their hands correctly. Place in order, from 1 to 5, the correct steps for handwashing. ___
A) Rub hands together for 20 seconds. ___
B) Use the paper towel to turn on the faucet. ___
C) Rinse hands together with fingertips pointed downward. ___
D) Dry hands with disposable paper towel. ___
E) Wet hands with warm water, soap, and lather.

Accepted Answer

The answer of The nurse is teaching a group of...

Question 19

The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing assistant indicates a correct understanding of the teaching?

Accepted Answer

A)  "All patients are presumed infectious."
B)  "Isolation is not required for most diseases."
C)  "Patients with a known infection are placed in isolation upon admission."
D)  "Patients are not considered infectious until confirmed so by the laboratory."

Question 20

The nurse is participating in planning care for a patient with mononucleosis. Which action should the nurse recommend to promote recovery?

Accepted Answer

A)  Exercise
B)  Rest periods
C)  Full liquid diet
D)  Fluid restriction

Exam 8: Nursing Care of Patients With Infections