Question 1

The nurse is caring for a patient in the endoscopy area.The nurse observes the technician performing these tasks.Which of these observations would necessitate intervention by the nurse?

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 2

The nurse is observing a family member changing a dressing for a patient in the home environment.Which of these observations would indicate that the family member has a correct understanding of how to manage contaminated dressings?

Accepted Answer

A) The family member removes gloves and gathers items for disposal. 
B) The family member places the used dressings in a plastic bag. 
C) The family member saves part of the dressing because it is clean. 
D) The family member wraps the used dressing in toilet tissue before placing in the garbage.

Question 3

A patient with diabetes presents to the clinic for a dressing change.The wound is located on the right foot and has purulent yellow drainage.Which of these interventions would be most appropriate for the nurse to provide?

Accepted Answer

A) Position the patient comfortably on the stretcher. 
B) Explain the procedure for dressing change to the patient. 
C) Don gloves and other appropriate personal protective equipment. 
D) Review the medication list that the patient brought from home.

Question 4

The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access device.Which nursing intervention is priority in this procedure?

Accepted Answer

A) Positioning the patient comfortably. 
B) Maintaining aseptic technique. 
C) Gathering available supplies. 
D) Reviewing the procedure with the patient.

Question 5

The nurse and the student nurse are caring for two patients on the medical-surgical unit.One patient is on airborne precautions,and the other is on contact precautions.The nurse explains to the student different interventions for care.What should the nurse include in teaching? (Select all that apply. )

Accepted Answer

A) Be consistent in nursing interventions;there is only one difference in the precautions. 
B) Wash hands before entering and leaving both of the patients' rooms. 
C) Dispose of supplies to prevent the spread of microorganisms. 
D) Apply the knowledge the nurse has of the disease process to prevent the spread of microorganisms. 
E) Patients in airborne precautions wear a mask during transportation to departments.
F)Checking the working order of the negative-pressure room is done on admission and at the time of discharge.

Question 6

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 measure temperature. 
D) Teaching the patient about the effects of alcohol.

Question 7

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 of the chain of infection.(All answers are used. )
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.

Accepted Answer

The answer of The nurse manager is evaluating current infection...

Question 8

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 what?

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 9

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

Accepted Answer

A) The patient who is in observation for chest pain. 
B) The patient who is recovering from a right total hip arthroplasty. 
C) The patient who has been admitted with dehydration. 
D) The patient who has been admitted for stabilization of atrial fibrillation.

Question 10

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 using 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 11

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 behaviours indicate to the nurse that the procedure has been done correctly? (Select all that apply. )

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 12

The nurse is caring for a patient in the labour and delivery area.When an assessment of the patient for dilatation and effacement is nearly completed,the electronic infusion device being used on the IV infusion sounds an alarm.Which of these actions is most appropriate for the nurse to take?

Accepted Answer

A) Complete the assessment,remove gloves,and silence the alarm. 
B) Discontinue the assessment,and assess the intravenous infusion. 
C) Complete the assessment,remove gloves,wash hands,and assess the intravenous infusion. 
D) Discontinue the assessment,remove gloves,use hand gel,and assess the intravenous infusion.

Question 13

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 14

Which interventions utilized by the nurse would indicate the ability to recognize the inflammatory response?

Accepted Answer

A) Rest,ice,compression,and elevation. 
B) Turn,cough,and deep breathe. 
C) Orient to date,time,and place. 
D) Passive range-of-motion exercises.

Question 15

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 hand hygiene,using antiseptic soap. 
D) Extend the hand hygiene procedure to 5 minutes.

Question 16

The nurse is caring for a patient with an order for routine practices.The nurse includes hand hygiene as part of the plan of care to do which of the following? (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 17

The nurse is caring for a school-aged child who has injured his leg after a bicycle accident.To determine whether the child is experiencing a localized inflammatory response,the nurse should assess for which of these signs and symptoms?

Accepted Answer

A) Fever,malaise,anorexia,and nausea and vomiting. 
B) Chest pain,shortness of breath,and nausea and vomiting. 
C) Dizziness and disorientation to time,date,and place. 
D) Edema,redness,tenderness,and loss of function.

Question 18

The nurse is caring for a patient who needs a protective environment.The nurse has provided the care needed and is now leaving the room.Select the correct order for removal of the personal protective equipment and associated tasks.(All answers are used. )
A)Remove eyewear/face shield and goggles.
B)Perform hand hygiene.
C)Remove gloves.
D)Untie gown,allow gown to fall from shoulders,and do not touch outside of gown;dispose of properly.
E)Remove mask by strings;do not touch outside of mask.
F)Dispose of all contaminated supplies and equipment in designated receptacles.
G)Leave room and close the door.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 19

The home health nurse is assessing a new patient.To decrease the risk of infection,which of these questions would be most appropriate to ask? (Select all that apply. )

Accepted Answer

A) "Will you demonstrate how to wash your hands?" 
B) "Do you have a working refrigerator?" 
C) "Can you explain the risk for infection in your home?" 
D) "What are the signs and symptoms of infection?" 
E) "Who runs errands for you?"
F)"Are you able to walk to the mailbox?"

Question 20

The home health nurse is teaching a patient and family about hand hygiene in the home.The nurse is sure to emphasize washing hands at what time?

Accepted Answer

A) Before and after shaking hands. 
B) Before and after treatments. 
C) Before opening the refrigerator. 
D) Before and after using a computer.

Exam 33: Infection Control