Deck 16: Infection Prevention and Control: Protective Mechanisms and Asepsis

Question 1

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

A) the infant is at risk because the baby has not been immunized against the disease.
B) both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective.
C) the baby should receive immune globulin to protect him from the infection.
D) neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Answer 1

neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Question 2

Health personnel should wash their hands with soap and water at the beginning of the shift for:

A) 10 seconds.
B) 15 seconds.
C) 1 minute.
D) 2 minutes.

Answer 2

15 seconds.

Question 3

A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

A) be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.
B) wash hands thoroughly before the dressing change.
C) use gowns, gloves, and masks for any family contact with him.
D) maintain medical asepsis and proper handling of the contaminated dressings.

Answer 3

maintain medical asepsis and proper handling of the contaminated dressings.

Question 4

The nurse is aware that the use of ethylene oxide gas is reserved for the sterilization of:

A) dressings.
B) surgical instruments.
C) heat sensitive items.
D) floors and walls.

Question 5

The nurse explains to the patient who has pneumococcal pneumonia that the lungs serve as the:

A) mode of transfer.
B) transmission of the disease.
C) reservoir.
D) organisms that cause the infection.

Question 6

The nurse recommends a good agent for disinfecting contaminated areas in the home is:

A) to cover the area with boiling water and let air dry.
B) a 1:10 solution of chlorine bleach.
C) a 1:2 solution of alcohol.
D) to soak in a solution of povidone iodine for 30 minutes and rinse with hot water.

Question 7

When the nurse is using a syringe and needle to give a patient an injection, he or she should:

A) never recap the needle afterward to avoid risk of needle stick.
B) carefully break the needle from the syringe, using the needle cover to prevent reuse of a used syringe and needle.
C) throw the needle and syringe immediately in a covered garbage can with a red plastic liner to indicate the materials are biohazards.
D) recap the needle and place it carefully on the patient's table until leaving the room, then discard it in a garbage container in the nurses' medication room.

Question 8

The nurse explains that the immunizations against hepatitis B will:

A) stimulate the body to make antibodies the hepatitis B antigen.
B) offer immediate protection from hepatitis B by the injection of ready-made antibodies.
C) introduce live antigens into the body that will stimulate the production of antibodies.
D) offer protection against hepatitis A, C, and D, in addition to hepatitis B.

Question 9

The nurse using protective nonsterile gloves in the provision of patient care will wash his or her hands after removal of the gloves in order to:

A) avoid transfer of organisms.
B) diminish possibility of latex allergy.
C) keep skin of hands from cracking and drying.
D) enhance the ease of donning a fresh pair of gloves.

Question 10

A nurse teaching family members about hand hygiene in the home would emphasize:

A) keeping fingernails short and avoiding wearing rings.
B) washing hands up to the elbows for 2 minutes the first time in the day, and for 1 minute after a diaper change.
C) using disposable gloves after hand hygiene when feeding the infant.
D) that home care requires less attention to medical asepsis, so hand hygiene is necessary only after toileting or handling soiled diapers.

Question 11

An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is:

A) Staphylococcus aureus.
B) Clostridium difficile.
C) Enterococcus.
D) Escherichia coli.

Question 12

The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when:

A) there is a suspicion of or risk of infection.
B) preventing transmission of respiratory and wound infections.
C) caring for patients who have wounds draining body fluids.
D) caring for all patients.

Question 13

A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?

A) Gown, gloves, and mask
B) Gown, gloves, and goggles (or glasses)
C) Shoe covers, gown, and gloves
D) Reusable gown and mask

Question 14

The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:

A) cough frequently to make up for the loss of cilia.
B) restrict fluid to prevent pulmonary congestion.
C) keep the bed flat to aid in lung expansion.
D) encourage bed rest.

Question 15

When a patient in the ambulatory clinic is diagnosed as having pneumococcal pneumonia, the nurse is aware that this infection:

A) is viral and will not respond to antibiotics.
B) is bacterial and should respond to treatment with antibiotics.
C) is fungal and is caused by the alteration of the normal flora of the lung.
D) is resultant from a resistant organism and extreme caution must be taken.

Question 16

The patient inquires about how his body will kill pathogens unassisted by antibiotics. The nurse responds that a process called phagocytosis will:

A) stimulate the body to make more white blood cells.
B) create antibodies against the pathogen.
C) engulf and destroy the pathogen.
D) stimulate the production of interferons.

Question 17

When removing a used facemask, the nurse correctly:

A) lowers it below his chin to use the next time he enters that patient's room.
B) removes the mask first before removing any other PPE.
C) unties the bottom ties first, then the top, and disposes of the mask without touching it.
D) discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time.

Question 18

The nurse instructing a patient in the home use of disinfectant would include the information that the disinfectant can be used to:

A) decrease organisms on the patient's body but take care not to use it around the patient's eyes or in the mouth.
B) sterilize instruments with a bacteriostatic disinfectant.
C) thoroughly clean and rinse all soap off the equipment before disinfecting it.
D) first remove all organic matter prior to disinfecting.

Question 19

The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis:

A) kills all organisms.
B) is confined to the patient's room.
C) uses sterile attire to protect the patient.
D) uses sterile equipment before contact with the patient.

Question 20

When the nurse performs a procedure using sterile technique in the patient's unit, it means that:

A) the equipment and supplies used are disposable and clean.
B) all organisms have been killed or removed from materials that come in contact with the patient.
C) the nurse will do a 10-minute surgical scrub before beginning the procedure.
D) the nurse will be required to don a sterile gown, mask, and eye shields.

Question 21

The nurse outlines characteristics that affect the virulence of microorganisms, which include: (Select all that apply.)

A) sensitivity to heat.
B) adherence to mucosal surfaces.
C) secretion of enzymes.
D) secretion of toxins.
E) penetration of mucous membranes.

Question 22

The nurse instructs a patient that in order to reduce diseases that are transmitted via droplet, the nose and mouth should be covered by:

A) moistened towelette.
B) handkerchief.
C) clean paper tissue.
D) bent elbow.

Question 23

Older adults are more susceptible to infection for a variety of reasons. The nurse should be aware in planning care because older adults are at risk of infection due to: (Select all that apply.)

A) increased gastric secretions.
B) increased macrophage activity in the lungs.
C) delayed immune response.
D) impaired thorax expansion.
E) urine stasis.

Question 24

The situation in which protective eyewear is required is:

A) suctioning a tracheotomy.
B) applying a dressing on the leg.
C) changing a baby's diaper.
D) gathering the linens off a contaminated bed.

Question 25

Fecal matter has contaminated the patient's bed sheet. The nurse should:

A) place a folded clean, dry sheet or plastic backed protector over the soiled sheet until it dries and then change the sheet.
B) don nonsterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose of the sheet in a plastic bag to prevent skin or clothing contact.
C) remove the soiled sheet without exposure of skin or clothing to the sheet and rinse it in the patient's bathroom sink to dilute or remove as much feces as possible.
D) use PPE to remove the sheet and place it in a pillowcase on the floor; then replace it with a clean sheet.

Question 26

A young patient became ill with mononucleosis that she contracted from drinking out of the same glass as her boyfriend who also had the disease. The glass, an inanimate object, has caused the indirect transmission. The inanimate transmitter is called:

A) fomite.
B) prions.
C) vector.
D) interferon.

Question 27

A patient has been diagnosed with Creutzfeldt Jakob disease (mad cow disease). The nurse recognizes this disease is caused by a:

A) prion.
B) virus.
C) protozoa.
D) fungus.

Question 28

To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

A) request a Foley catheter to be inserted.
B) encourage fluid intake to keep urine dilute.
C) encourage intake of apple juice to keep urine acidic.
D) offer a urinal every 2 hours.

Question 29

The nurse is aware that family education is necessary for the control of the most common helminth infection, which is:

A) hook worms.
B) tape worms.
C) pinworms.
D) round worms.

Question 30

After reading a differential blood count on a patient, the nurse assesses that the patient's infection is viral because the:

A) monocyte count is increased.
B) number of basophils is greatly elevated.
C) monocyte and neutrophil counts are decreased.
D) neutrophil count is decreased and the monocyte and the lymphocyte counts are both elevated.

Question 31

Older adults should receive influenza immunization every ______.

Question 32

A nurse is caring for a patient who was exposed to Bacillus anthracis. The nurse should wash her hands with:

A) soap and water.
B) alcohol wipes.
C) chlorhexidine.
D) an antiseptic.

Question 33

An enzyme found in the mucous membranes that is bactericidal is:

A) lysozyme.
B) ptyalin.
C) serotonin.
D) histamine.

Question 34

The nurse is aware that gram-negative bacteria are capable of causing hemorrhagic shock by the production of a(n) ___________________.

Question 35

The nurse explains that the body's normal flora serves as:

A) aids to digestion and blood production.
B) prevention to the colonizing of pathogens.
C) managers of fluid balance of the body.
D) cell rebuilders.

Question 36

Fleas, ticks, mosquitoes, and other insects that harbor infection are called _____________.

Question 37

Portal of exit transmission can be controlled by: (Select all that apply.)

A) treating infected patients.
B) isolation precautions.
C) effective inoculations.
D) improved hygiene.
E) barrier precautions.

Question 38

The nurse is aware that the first barrier to pathogen invasion is the:

A) skin
B) immunizations.
C) good hygiene.
D) immune response.

Question 39

A patient has been diagnosed with vaginal candidiasis. The nurse recognizes that this condition is usually the result of:

A) unprotected sex.
B) poor personal hygiene.
C) long-term antimicrobial therapy.
D) using bath oils.

Question 40

A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

A) Rickettsia rickettsii.
B) Rickettsia prowazekii.
C) Coxiella burnetii.
D) Aspergillus.

Question 41

Place the process of an inflammatory response in the appropriate sequence. (Separate letters by a comma and space as follows: A, B, C, D, E.)

A) Release of histamine
B) Edema or swelling
C) Redness
D) Cell injury
E) Vasodilation