Question 1

Which of the following nursing actions would most increase a patient's risk for developing a health care-associated infection?

Accepted Answer

A)  Use of surgical aseptic technique to suction an airway 
B)  Urinary catheter drainage bag placed below the level of the bladder 
C)  Clean technique for inserting a urinary catheter 
D)  Use of a sterile bottled solution more than once within a 24-hour period

Question 2

The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit.What items will the nurse need to care for this patient?

Accepted Answer

A)  Private room 
B)  Negative-pressure airflow in room 
C)  Communication signs for Droplet Precautions 
D)  Communication signs for Airborne Precautions 
E)  Surgical mask, gown, gloves, eyewear
F) N95 respirator, gown, gloves, eyewear

Question 3

The nurse is caring for a patient in Contact Precautions.The nurse includes hand hygiene as part of the plan of care to (Select all that apply).

Accepted Answer

A)  Provide an uninterrupted chain of infection. 
B)  Decrease the incidence of health care-associated infection. 
C)  Protect the nurse from transmission of the microbes. 
D)  Decrease the transmission of microbes to other patients. 
E)  Prevent contamination of clean supplies.
F) Decrease the drying effects of soap.

Question 4

The nurse is caring for a patient on Contact Precautions.Which of the following actions would be appropriate to prevent the spread of disease?

Accepted Answer

A)  Wear a gown, gloves, face mask, and goggles for interactions with the patient. 
B)  Use a dedicated blood pressure cuff that stays in the room and is used for that patient only. 
C)  Place the patient in a room with negative airflow. 
D)  Transport the patient quickly when going to the radiology department.

Question 5

The nurse is providing an educational session for a group of preschool workers.The nurse reminds the group that the most important thing to do to prevent the spread of infection is to

Accepted Answer

A)  Encourage preschool children to eat a nutritious diet. 
B)  Encourage parents to provide a multivitamin to the children. 
C)  Clean the toys every afternoon before putting them away. 
D)  Wash their hands between each interaction with children.

Question 6

The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding.The patient presents with signs and symptoms of a urinary tract infection.Along with needed education surrounding this diagnosis,the nurse teaches the patient about rest,exercise,eating properly,and how to utilize deep breathing and visualization.Which of these explanations would best support these nursing interventions?

Accepted Answer

A)  Urinary tract infections are painful, and these techniques would help with managing the pain. 
B)  Interventions listed are standard topics taught during health care visits. 
C)  Stress for long periods of time can lead to exhaustion and decreased resistance to infection. 
D)  The patient requested this information to teach to extended family at home.

Question 7

The nurse is performing hand hygiene before assisting a physician with insertion of a chest tube.While washing hands,the nurse touches the sink.What is the next action the nurse should take?

Accepted Answer

A)  Inform the physician and recruit another nurse to assist. 
B)  Rinse and dry hands, and begin assisting the physician. 
C)  Repeat handwashing using antiseptic soap, 
D)  Extend the handwashing procedure to 5 minutes.

Question 8

The nurse is dressed and is preparing to care for a patient in the perioperative area.The nurse has scrubbed her hands and has donned a sterile gown and gloves.Which action would indicate a break in sterile technique?

Accepted Answer

A)  Touching protective eyewear 
B)  Standing with hands folded on chest 
C)  Accepting sterile supplies from the surgeon 
D)  Staying with the sterile table once it is open

Question 9

The nurse is caring for a patient with an incision.Which of the following actions would best indicate an understanding of medical and surgical asepsis?

Accepted Answer

A)  Donning sterile gown and gloves to remove the wound dressing 
B)  Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing 
C)  Donning clean goggles, gown, and gloves to dress the wound 
D)  Utilizing clean gloves to remove the dressing and clean supplies for the new dressing

Question 10

The patient has contracted a urinary tract infection while in the hospital.Which of these actions would most likely increase the risk of a patient contracting a urinary tract infection (UTI)?

Accepted Answer

A)  Emptying the urinary drainage bag once a shift 
B)  Reusing the patient's graduated receptacle to empty the drainage bag 
C)  Allowing the drainage bag port to touch the graduated receptacle 
D)  Providing perineal hygiene at least once a shift

Question 11

The patient and the nurse are discussing Rickettsia rickettsii-Rocky Mountain spotted fever.Which patient statement to the nurse indicates understanding regarding the mode of transmission of this disease?

Accepted Answer

A)  "When I go camping, I will be sure to wear sunscreen." 
B)  "When I go camping, I will drink bottled water." 
C)  "When I go camping, I will be sure to wear insect repellent." 
D)  "When I go camping, I will be sure to use hand gel on my hands."

Question 12

The nurse has been caring for a patient in the perioperative area for several hours.The surgical mask the nurse is wearing has become moist.The nurse's best next step is to

Accepted Answer

A)  Change the mask when relieved. 
B)  Air-dry the mask while at lunch, and reapply. 
C)  Ask for relief, step out of the surgical area, and apply a new mask. 
D)  Not change the mask, if the nurse is comfortable.

Question 13

The nurse is caring for a patient who is susceptible to infection.Which of the following nursing interventions will assist in decreasing the risk of infection?

Accepted Answer

A)  Teaching the patient about fall prevention 
B)  Teaching the patient to select nutritious foods 
C)  Teaching the patient to take a temperature 
D)  Teaching the patient about the effects of alcohol

Question 14

The nurse is inserting a peripherally inserted central catheter (PICC)into the patient.Aware of the potential for health care-associated infection,the nurse is careful to

Accepted Answer

A)  Prepare the skin with 2% chlorhexidine gluconate. 
B)  Select a catheter of appropriate size for the appropriate vein. 
C)  Use nonallergenic tape and dressings on the patient. 
D)  Utilize local anesthetic on the site as ordered.

Question 15

The nurse manager is evaluating current infection control data for the intensive care unit.The nurse compares past patient data with current data to look for trends.The nurse manager examines the chain of infection for possible solutions.Arrange these items in the proper order.(All answers are utilized.)

Accepted Answer

A)  A mode of transmission 
B)  An infectious agent or pathogen 
C)  A susceptible host 
D)  A reservoir or source for pathogen growth 
E)  A portal of entry to a host
F) A portal of exit from the reservoir

Question 16

The nurse is caring for a patient in the endoscopy area.The nurse observes the technician performing these tasks.Which of these observations would require the nurse to intervene?

Accepted Answer

A)  Washing hands after removing gloves 
B)  Placing the endoscope in a container for transfer 
C)  Removing gloves to transfer the endoscope 
D)  Disinfecting endoscopes in the workroom

Question 17

The circulating nurse in the perioperative area is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy.Which of the following behaviors indicate to the nurse that the procedure has been done correctly?

Accepted Answer

A)  Surgical cap and face mask are in place. 
B)  Surgical technologist ties the back of the gown. 
C)  Surgical technologist touches only inside of gown. 
D)  Surgical technologist slips arms into arm holes simultaneously. 
E)  Surgical technologist uses hands covered by sleeves to open gloves.
F) Fingers are extended fully into both gloves.

Question 18

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area.During the health history,which of these questions should the nurse prioritize?

Accepted Answer

A)  "When was the last time you visited the physician?" 
B)  "Has this condition affected your eating habits?" 
C)  "What medications are you currently taking?" 
D)  "Are you able to sleep at night?"

Question 19

The nurse is caring for a group of medical-surgical patients.The patient most at risk for developing an infection is the patient who

Accepted Answer

A)  Is in observation for chest pain. 
B)  Is recovering from a right total hip arthroplasty. 
C)  Has been admitted with dehydration. 
D)  Has been admitted for stabilization of atrial fibrillation.

Question 20

The nurse is caring for a patient with a nursing diagnosis of risk for infection.Aware of the need for Standard Precautions,the nurse is careful to

Accepted Answer

A)  Teach the patient about good nutrition. 
B)  Wear eyewear when emptying a urinary drainage bag. 
C)  Avoid contact with intact skin without wearing gloves. 
D)  Don gloves when wearing artificial nails.

Exam 28: Infection Prevention and Control