Deck 34: Infection Prevention and Control

Question 1

Which of the following techniques is an example of medical asepsis?

A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment

Answer 1

Using personal protective equipment

Question 2

Ms.Annan,the RN,is assisting the physician with a bronchoscopy.In addition to gloves and eye protection,what personal protective devices are necessary?

A)Surgical mask
B)Sterile gloves
C)Respirator mask
D)Sterile gown

Answer 2

Respirator mask

Question 3

Mr.Marlin is being discharged home after a cholecystectomy.What health teaching should the nurse provide him?

A)Increase intake of fruits and vegetables
B)Apply lotion to the edges of the wound
C)Notify physician if tenderness is present at the wound site
D)Irrigate the wound with hydrogen peroxide daily

Answer 3

Notify physician if tenderness is present at the wound site

Question 4

Which of the following circumstances would provide the client with active natural immunity?

A)Acquiring tetanus and receiving tetanus toxoid
B)Having chickenpox
C)Rabies vaccine after being bitten by a dog
D)Injection of gamma globulin

Question 5

Which of the following actions by the RN would render a sterile field contaminated?

A)Opening the first corner of the field away from oneself
B)Keeping objects on the field 1 inch from the edge
C)Keeping the sterile field in eyesight
D)Transferring a sterile object to the sterile field with a clean gloved hand

Question 6

Which of the following properties would be necessary in a disinfectant to prevent the growth and reproduction of some bacteria?

A)Bacteriostatic
B)Antiseptic
C)Bactericidal
D)Antimicrobial

Question 7

Mrs.Hanson is a 34-year-old who has just been diagnosed with hepatitis A.What health teaching would the home care nurse provide on proper technique for washing hands?

A)Use alcohol-based hand rub after using the toilet
B)Clean the faucet after use
C)Hold hands upward under the faucet
D)Use approximately 2-5 mL of soap

Question 8

Which of the following items most likely would be included in the room of a client who is on contact isolation?

A)Cabinet stocked with gloves and gowns
B)Client's health record
C)Paper towels,sink,and blood pressure cuff
D)Sign on the door

Question 9

Which of the following body defences against infection works by interfering with the replication of a virus?

A)Phagocyte
B)Interferon
C)Macrophage
D)Helminths

Question 10

Ms.Hammond is a student nurse completing a sterile dressing change on her client.Her instructor enters the room and observes Ms.Hammond standing facing her sterile field holding the sterile forceps pointing up.What should her instructor advise her to do next?

A)Set up a new sterile field and start the dressing change over
B)Continue with changing the dressing
C)Turn and report to her instructor about the condition of the incision
D)Cover the incision with a sterile towel and discuss the plan of care for her client

Question 11

Which of the following would be identified as a method of breaking a link in the chain of infection?

A)Empty suction containers in rooms daily
B)Routine precautions for clients in care facilities only
C)Hand hygiene after putting used tissue in pocket
D)Advising Mr.Carson after his surgery to increase his intake of proteins

Question 12

Which of the following individuals is most susceptible to health care associated infection?

A)Middle aged adults
B)Newborn infants
C)School age children
D)Women of childbearing age

Question 13

Mrs.Miller is a food service worker who carries hepatitis A.The food that she serves is potentially what link in the chain of infection?

A)Portal of entry
B)Vehicle borne-transmission
C)Indirect contact transmission
D)Reservoir

Question 14

Which of the following physiological barriers serves as a protective mechanism to prevent infection in the large bowels?

A)Peristalsis
B)Presence of lactoferrin
C)Staphylococcus
D)Inhibiting lysozymes

Question 15

Which of the following clients would be most at risk for a nosocomial infection?

A)A client in the emergency department with abdominal pain
B)A 19-year-old woman in her first trimester of pregnancy
C)A 72-year-old male client with COPD
D)An 86-year-old female client on steroid therapy

Question 16

The RN has just stuck herself with a needle while dropping it into a sharps container.Which of the following steps should be taken next?

A)Complete an injury report
B)Encourage bleeding
C)Initiate first aid
D)Wash/clean the area with soap and water

Question 17

Which of the following terms best describes the presence of microorganisms in the blood?

A)Septicemia
B)Hyperemia
C)Leukocytosis
D)Bacteremia

Question 18

Which of the following techniques best exhibits surgical asepsis?

A)Disinfecting an item before adding it to a sterile field
B)Allowing sterile gloved hands to fall below the waist
C)Suctioning the oral cavity of an unconscious client
D)Touching the inside surface of the first sterile glove while pulling it onto the hand

Question 19

Mr.Jackson,43 years old,is recovering from coronary artery bypass graft surgery.Which of the following factors places him at increased risk for acquiring a post-operative infection?

A)Beta blockers ordered
B)His age
C)PRN sterile dressing changes
D)Glycemic index of 9.3

Question 20

Which of the following nursing measures is appropriate in breaking a link in the chain of infection?

A)Cover mouth and nose when sneezing
B)Place contaminated linens in a paper bag
C)Use personal protective equipment (PPE)sparingly
D)Wear gloves at all times

Question 21

The RN is conducting a staff in-service on standard precautions.Which of the following statements is correct and should be included in the presentation?

A)Cut the needle off a syringe after using it to give a client an injection.
B)Dispose of blood-contaminated materials in a biohazard container.
C)Gloves should not be worn for client care unless body fluids are seen.
D)Wear a mask when in direct contact with all clients.

Question 22

Which of the following precautions is necessary for a client who has just returned from the operating room after a bowel resection with colostomy for intestinal cancer?

A)Isolation
B)Airborne
C)Contact
D)Routine

Question 23

What medical therapy predisposes a person to infection?

A)Radiation cancer treatments
B)Antibiotic medications
C)Blood transfusions
D)Immunization injections

Question 24

The Canadian Immunization Guide of 2006 recommends that health care employers make which of the following vaccination series available to all employees?

A)Rubella
B)Tetanus
C)Hepatitis B
D)HIV antigen

Question 25

Microorganisms were transmitted to an immunocompromised client when a contaminated stethoscope was used to auscultate her chest.Which mode of transmission does this describe?

A)Vehicle-borne
B)Passive transfer
C)Direct contact
D)Vector-borne

Question 26

Which of the following situations is an example of microorganism transmission via droplet contact?

A)The nurse's hand contacts infected wound drainage
B)A virus transmitted through sexual contact
C)Microorganisms from a sneeze contacting a person's oral mucosa
D)An improperly cleaned pair of forceps used to remove a sliver

Question 27

Which of the following sequences of events correctly describes cough etiquette?

A)Coughing or sneezing into their hands and then immediately washing hands with alcohol-based soap
B)Coughing or sneezing into a tissue and discarding the tissue into a biohazardous waste container
C)Coughing into a tissue,disposing of the tissue in a garbage,followed by washing hands with soap and water
D)Coughing into a tissue or cloth that can be reused to save resources,then using alcohol-based hand rub immediately

Question 28

The medical unit has been notified of an admission of a client with tuberculosis.Which of the following precautions should be taken to prevent spread of this disease?

A)Have the client wear a mask during transport from admitting
B)Post sign for routine practices outside his room
C)Explain to client the need for contact precautions
D)Have supply of surgical masks outside his room for use