Question 1

Following discharge teaching,the nurse determines that the patient requires additional teaching regarding antibiotic treatment when the patient states:

Accepted Answer

A)  "It is important that I stop taking my medication when I feel completely better."
B)  "I should try to take my medication as evenly spaced apart as possible."
C)  "If I start feeling worse, I should call my health care provider."
D)  "I should not share my medication with anyone." A

Question 2

The nurse instructs the nursing assistant in a long-term care facility regarding infection control measures.Which actions by the nursing assistant demonstrate understanding? (Select all that apply.)

Accepted Answer

A)  Assisting residents with hand hygiene prior to meals
B)  Cleaning incontinent residents as soon as possible
C)  Ensuring residents who require assistance with feeding take prescribed antibiotics during meals
D)  Inspecting residents' skin for open areas during bathing
E)  Assisting residents with hand hygiene after participating in group activities A,B,D,E

Question 3

The home health nurse makes a referral to _____ to supply a home-bound older adult with a daily meal.

Accepted Answer

A)  a community food bank
B)  the Salvation Army
C)  an agency supplying food stamps
D)  Meals on Wheels D

Question 4

The nurse is obtaining a health history on a newly admitted patient.Which information will alert the nurse to an increased risk for this patient developing an infection? (Select all that apply.)

Accepted Answer

A)  The patient reports having unprotected heterosexual sex in three previous relationships.
B)  The patient is employed as a biochemist in a hospital.
C)  The patient's income is considered middle-class level.
D)  The patient reports getting 4 to 5 hours of sleep per night.
E)  The patient is 21% over the suggested normal weight.

Question 5

The nurse uses a picture to show the areas of the body that are protected by normal flora.These areas include the: (Select all that apply.)

Accepted Answer

A)  skin.
B)  bladder.
C)  lower GI tract.
D)  nose and throat.
E)  eye.

Question 6

While assessing an obese resident in a long-term care facility,the nurse finds a red,moist rash under the patient's breasts,in the axilla,and in the inguinal fold.Based on this assessment,the nurse reports to the charge nurse that the resident probably has:

Accepted Answer

A)  a fungal infection.
B)  a bacterial infection.
C)  an allergic reaction.
D)  contact dermatitis.

Question 7

The nurse caring for a patient with general sepsis should notify the charge nurse immediately of the patient's:

Accepted Answer

A)  increased lethargy.
B)  coughing.
C)  elevated blood pressure.
D)  cloudy urine.

Question 8

The nurse explains to the patient who is using Prilosec (a proton pump inhibitor)that the drug has reduced the amount of the natural protector _____ in the stomach lining.

Accepted Answer

A)  lactic acid
B)  lysozyme
C)  cilia
D)  fatty acids

Question 9

When the patient complains,"If this viral infection I have right now can't be helped by antibiotics,why am I taking this expensive acyclovir?" The nurse's best response is,"Acyclovir is:

Accepted Answer

A)  an antiviral drug that kills viruses."
B)  given to many patients with viral infections."
C)  an antiviral drug that prevents your infection from becoming worse."
D)  given to help strengthen your immune system."

Question 10

The nurse caring for a patient with C.difficile should:

Accepted Answer

A)  use only alcohol-based hand cleanser.
B)  wear a mask.
C)  use eye protection.
D)  notify housekeeping to use appropriate cleaning agents.

Question 11

The nurse explains that exposure to a pathogen stimulates the macrophages to migrate to the area of infection to ingest and destroy the pathogen.This is the process of:

Accepted Answer

A)  pathogen neutralization.
B)  immune response.
C)  antibody action.
D)  phagocytosis.

Question 12

The nurse who suffers an accidental needle stick following administration of an intramuscular injection to a patient anticipates that facility protocol will suggest immediate treatment with which type of immunotherapy?

Accepted Answer

A)  IgM
B)  IgD
C)  Ig A
D)  IgG

Question 13

The nurse explains that the four lines of defense the body employs to combat infection are __________,__________,__________,and __________.

Accepted Answer

The answer of The nurse explains that the four lines...

Question 14

The home health nurse advises the patient to treat a fever of 100° F with:

Accepted Answer

A)  aspirin.
B)  Tylenol.
C)  cool baths.
D)  nothing at all.

Question 15

The nurse will use Expanded Precautions when performing care for a patient with:

Accepted Answer

A)  active tuberculosis (T
B)  .
B)  bacterial pneumonia.
C)  a urinary tract infection caused by E. coli.
D)  a fungal infection of the groin and axilla.

Question 16

When the patient complains of the unsightly swelling of her lip at the site of an infection,the nurse explains that the swelling is part of the inflammatory response and acts as a(n):

Accepted Answer

A)  store for blood.
B)  compression wall.
C)  antibody reservoir.
D)  producer of leukocytes.

Question 17

The nurse explains that a vaccination provides defense against infection via:

Accepted Answer

A)  innate immunity.
B)  the inflammatory response.
C)  antibody-mediated immunity.
D)  cell-mediated immunity.

Question 18

The nurse is providing infection control teaching to a patient.Additional patient teaching is warranted by which patient statement?

Accepted Answer

A)  "It is important that I get my whooping cough vaccination as directed by my health care provider."
B)  "Getting plenty of sleep each night will help my immune system."
C)  "I should wash my hands before preparing my food."
D)  "It is important that I take my antibiotic until I feel infection free."

Question 19

The nurse is providing infection control teaching to a group of patients.The patient statement that best demonstrates understanding of the teaching provided is:

Accepted Answer

A)  "I should take an antibiotic at the first sign of an infection."
B)  "Hand hygiene is one of the most effective ways I can prevent the spread of infection."
C)  "Vaccinations only prevent a disease from becoming severe."
D)  "If I eat a nutritious diet, it will be difficult for me to get an infection."

Question 20

The frustrated patient with a fungal infection complains,"Why is the infection taking so long to heal?" The nurse's most informative response would be that:

Accepted Answer

A)  fungal infections are essentially incurable.
B)  fungi form spores, which make them difficult to kill.
C)  fungi can be considered natural flora and are protected by the body.
D)  fungi can alter the patient's DNA and RNA.

Exam 6: Infection Prevention and Control