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1
The MOST effective way to break the chain of infection is by:

1: Performing hand hygiene.

2: Wearing gloves.

3: Placing patients in isolation.

4: Providing private rooms for all patients.

3
A patient's surgical would has become swollen, red, and tender. You note that the patient has a new fever
and leukocytosis. Your best immediate intervention is to:

1: Use surgical technique to change the dressing.

2: Reassure the patient and recheck the wound later.

3: Notify the HCP and support the patient's fluid and nutritional needs.

4: Alert the patient and caregivers to the presence of an infection to ensure care after discharge.

3
A patient has an indwelling urinary catheter. You recognize that the catheter represents a risk for urinary
tract infection because:

1: It keeps an incontinent patient's skin dry.

2: It can get caught in the linens or equipment. 

3: It obstructs the normal flushing action of urine flow.

4: It allows the patient to remain hydrated without having to urinate.

2
You have redressed a patient's wound and now plan to administer a
medication to the patient. It is important to:

1: Remove gloves & perform hand hygiene before leaving the room.

2: Remove glove & perform hand hygiene before administering meds.

3: Leave the gloves on to administer meds.

4: Leave the medication on the bedside table to avoid having to remove


gloves.
4
You need to wear a gown when working with a patient:

1: If the patient's hygiene is poor.

2: If the patient has AIDs or hepatitis 

3: If you are assisting with med. admin.

4: If blood or body fluids may get on your clothing from a task you plan to
perform.

2,3,4
Identify when the nurse should remove gloves and perform hand hygiene.
Select all that apply:

1: Only after wound care.

2: When leaving the room.

3: When you have completed all tasks for the patient.

4: When the specific task you put them on for is completed.

4
The most likely means of transmitting infection between patients is:

1: Exposure to another patient's cough.

2: Sharing equipment among patients.

3: Disposing of soiled linen in a shared linen bag.

4: Contact with health care worker's hands.

1
Your ungloved hands come in contact with the drainage from the patient's
wound. To clean your hands you should:

1: Wash them with soap and water.

2: Use an alcohol-based hand cleaner.

3: Rinse them and use the alcohol-based hand cleaner.

4: Wipe them with a paper towel.

3
A patient is placed on contact precautions for an infection with a resistant
organism. You notice the patient seems to be depressed and withdrawn. The
best intervention is to:

1: Lower the lighting and reduce noise to calm the patient.

2: Reduce the level of precautions to permit greater interaction with the


patient. 

3: Explain the reason for contact precaution and answer the patient's
questions.

4. Limit family and other caregiver visits to reduce the risk for spreading
the infection.

3
After coming in contact with a patient on isolation, visitors are encouraged
to:

1: Wear gloves before eating or handling food.

2: Leave the facility to prevent contamination of others.

3: Perform hand hygiene upon leaving the patient's room.

4: Use an empty room to talk with family members.

3
At the community health fair, a nurse is asked by one of the residents about
the influenza vaccine. The nurse responds to the resident that the influenza
vaccine is recommended for individuals who are:

1: Health care workers.

2: Traveling to other countries.

3: Younger than 6 years of age.

4: Betwen 40 and 65 years of age.

1
A nurse is preparing a room for a patient with with tuberculosis. The
specific aspect for this tier of Standard Precautions that is different than tier
1 is that the care should include:

1: A private room with negative air flow 

2: Hand hygiene after gloves are removed

3: Eye protection if splashing is possible.


4: Disposal of sharps in a puncture-resistant container.

3
A nurse is preparing a teaching plan for patients about the hepatitis B virus.
The nurse informs them that this virus may be transmitted by:

1: Mosquitoes

2: Droplet nuclei

3: Blood products

4: Improperly handled food

4
A nurse is working on a unit with a number of patients who have infectious
diseases. One of the most important methods for reducing the spread of
microorganisms is:

1: Sterilization of equipment

2: The use of gloves and gowns

3: Maintenance of isolation precautions 

4: Hand hygiene before and after patient care

4
The assignment for today for a nurse includes a patient on droplet
precautions, the nurse should routinely use:

1: Regular masks & eyewear 

2: Regular masks, gowns, & gloves

3: Surgical hand hygiene & gloves

4: Particulate filtration masks & gowns

4
The nurse is checking the lab results of a male patient admitted to the
medical unit. The nurse is alerted to the presence of an infection process
based on the finding of:

1: Iron 80g/100 mL

2: Neutrophils 65%

3: Erythrocyte sedimentation rate (ESR)- 13 mm/hr


4: White blood cells: 16,000/mm^3

2
The individual most at risk for a latex allergy is the patient with a history of:

1: Hypertension

2: Congenital heart disease

3: Diabetes mellitus

4: Cholecystitis

3
The nurse implements droplet precautions for the patient with:

1: Pulmonary tuberculosis

2: Varicella 

3: Rubella 

4: Herpes

4
A patient who has had a transplant will require what type of isolation?

1: Contact

2: Airborne

3: Droplet 

4: Protective

1
For a patient with Hepatitis A, the nurse is aware that the disease is
transmitted through:

1: Feces

2: Blood 

3: Skin

4: Droplet nuclei

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