Quiz
Chapter 23: Asepsis and Infection Control
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Questions in this quiz (35)
1A nurse is following the principles of medical asepsis when performing patient care in a hospital setting. Which nursing action performed by the nurse follows these recommended guidelines?
- AThe nurse carries the patient's soiled bed linens close to the body to prevent spreading microorganisms into the air
- BThe nurse places soiled bed linens and hospital gowns on the floor when making the bed
- CThe nurse moves the patient table away from the nurse's body when wiping it off after a meal
- DThe nurse cleans the most soiled items in the patient's bathroom first and follows with the cleaner items
2A school nurse is performing an assessment of a student who states: I'm too tired to keep my head up in class. The student has a low-grade fever. The nurse would interpret these findings as indicating which stage of infection?
- AIncubation period
- BProdromal stage
- CFull stage of illness
- DConvalescent period
3A nurse is caring for patients in an isolation ward. In which situations would the nurse appropriately use an alcohol-based handrub to decontaminate the hands?
- AThe nurse is providing a bed bath for a patient
- BThe nurse has visibly soiled hands after changing the bedding of a patient
- CThe nurse removes gloves when patient care is completed
- DThe nurse is inserting a urinary catheter for a female patient
- EThe nurse is assisting with a surgical placement of a cardiac stent
- FThe nurse removes old magazines from a patient's table
4A nurse is performing hand hygiene after providing patient care. The nurse's hands are not visibly soiled. Which steps in this procedure are performed correctly?
- AThe nurse removes all jewelry including a platinum wedding band
- BThe nurse washes hands to one inch above the wrists
- CThe nurse uses approximately two teaspoons of liquid soap
- DThe nurse keeps hands higher than elbows when placing under faucet
- EThe nurse uses friction motion when washing for at least 15 seconds
- FThe nurse rinses throroughly with water flowing toward fingertips
5The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile dressing change, a procedure that requires surgical asepsis. The nurse must
- AKeep splashes on the sterile field to a minimum
- BCover the nose and mouth with gloved hands if a sneeze is imminent
- CUse forceps soaked in a disinfectant.
- DConsider the outer 1 inch of the sterile field as contaminated
6The nurse caring for patients in a hospital setting institutes CDC standard precaution recommendations for which category of patients?
- AOnly patients with diagnosed infections
- BOnly patients with visible blood, body fluids or sweat
- COnly patients with nonintact sking
- DAll patients receiving care in hospitals
7In addition to standard precautions, the nurse would initiate droplet precautions for which patients?
- AA patient diagnosed with rubella
- BA patient diagnosed with diptheria
- CA patient diagnosed varicella
- DA patient diagnosed with tuberculosis
- EA patient diagnosed with MRSA
- FAn infant diagnosed with adenovirus infection
8A nurse is preparing a sterile field using a packaged sterile drape for a confused patient who is scheduled for a surgical procedure. When setting up the field, the patient accidentally touches an instrument in the sterile field. What is the appropriate nursing action in this situation?
- AAsk another nurse to hold the hand of the patient and continue setting up the field
- BRemove the instrument that was touched by the patient and continue setting up the sterile field
- CDiscard the supplies and prepare a new sterile field with another person holding the patient's hand
- DNo action is necessary since the patient has touched his or her own sterile field
9A nurse who created a sterile field for a patient is adding a sterile solution to the field. What is an appropriate action when performing this task?
- APlace the bottle cap on the table with the edges down
- BHold the bottle inside the edge of the sterile field
- CHold the bottle with the label side opposite the palm of the hand
- DPour the solution from a height of 4-6 inches
10A nurse is finished with patient care. How would the nurse remove PPE when leaving the room?
- ARemove gown, goggles, mask, gloves, and exit the room
- BRemove gloves, perform hand hygiene, then remove gown, mask and goggles
- CUntie gown waistrings, remove gloves, goggles, gown, mask; perform hand hygiene
- DRemove goggles, mask, gloves, gown and perform hand hygiene
11A nurse who is caring for a patient diagnosed with HIV/AIDS incurs a needlestick injury when administering the patient's medications. What would be the priority action of the nurse following the exposure?
- AReport the incident to the appropriate person and file an incident report
- BWash the exposed area with warm water and soap
- CConsent to postexposure prophylaxis at appropriate time
- DSet up counseling sessions regarding safe practice to protect self
12The nurse assesses patients to determine their risk for health care-associated infections. Which hospitalized patient is most at risk for developing this type of infection?
- AA 60 year old patient who smokes two packs of cigarettes daily
- BA 40 year old patient who has a white blood cell count of 6,000mm
- CA 65 year old patient who has an indwelling urinary catheter in place
- DA 60 year old patient who is a vegetarian and slightly underweight
13A nurse is caring for an obese 62 year old patient with arthritis who has developed an open reddened are over his sacrum. What is a priority nursing diagnosis for this patient?
- AImbalanced Nutrition: More Than Body Requirements related to immobility
- BImpaired Physical Mobility related to pain and discomfort
- CChronic pain related to immobility
- DRisk for infection related to altered skin integrity
14A nurse teaches a patient at home to use clean technique when changing a wound dressing. This practice is considered:
- AThe nurse's preference
- BSafe for the home setting
- CUnethical behavior
- DGrossly negligent
15A nurse is using personal protective equipment when bathing a patient diagnosed with C. difficile infection. Which nursing action related to this activity promotes safe, effective patient care?
- AThe nurse puts on PPE after entering the patient room
- BThe nurse works from clean ares to dirty areas during bath
- CThe nurse personalizes the care by substituting glasses for goggles
- DThe nurse removes PPE prior to leaving eh patient room.
16Routine and nasal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized by MRSA. The client is surprised at this finding, since he enjoys generally robust health. What should the client nurse teach him about this diagnostic finding?
- AThis finding becomes part of your medical record, but it is not a threat to yourself or others
- BYou may not develop any systems, but you may be given a round of antibiotics to eliminate this bacteria
- CThis means that this organism is present on your skin, but it doesn't necessarily mean that you will become sick
- DIt's very fortunate that this was detected early, since this had the potential to make you very sick
17Which of the following are basic principles of surgical asepsis?
- AAvoid talking, coughing, sneezing, or reaching over a sterile field
- BHold sterile objects at hip level or above
- CNever turn your back on a sterile field
- DOnly a sterile object can touch another sterile object
- EForceps soaked in disinfectant can be used to place items on sterile fields
- FConsider the outer one inch of a sterile field to be contaminated
18Which of the following is an accurate guideline for the use of PPE?
- APut on PPE after entering the client's room
- BWhen wearing gloves work from dirty areas to clean ones
- CSubstitute personal glasses for protective eyewear if desired
- DReplace gloves if they are visibly soiled
19A client on the surgical unit has developed an infection at the site of a laparoscopy. This type of infection is best termed as which of the following?
- AEndogenous
- BAntibiotic resistant
- CLatrogenic
- DExogenous
20The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. The primary care provider orders a computed tomography (CT) examination of the chest. Which of the following actions by the nurse is appropriate?
- APlace a surgical mask on the client and transport to the CT department at the specified time
- BQuestion the need of the examination because the client must remain in Airborne Precautions
- CRequest that the examination be done at the bedside
- DNotify the CT department in advance so other clients and staff can be removed from the area
21A nurse is caring for a client with urinary incontinence and acute diarrhea. What is the highest priority diagnosis for this client?
- AImpaired walking
- BRisk of loneliness
- CRisk of infection
- DSocial isolation
22When is hand hygiene with an alcohol based rub appropriate, as opposed to using handwashing?
- AWhen hands have been in contact with blood or bodily fluids
- BWhen hands have been in contact with blood or bodily fluids, but there is no visible soiling
- CWhen hands are not visibly soiled
- DBefore eating and after using the restroom
23Which of the following pieces of PPE should be removed first?
- Agoggles
- Bgloves
- Cgown
- Drespirator
24A nurse is performing a venipuncture on a client and notices that there is a hole on one of the sterile gloves. What would be the appropriate action to take to maintain a sterile field?
- AStop the procedure, remove damaged gloves, perform handwashing, and open new sterile gloves
- BFinish the procedure and perform hand washing immediately afterward
- CFinish the procedure, remove damaged gloves, and open new sterile gloves
- DStop the procedure, remove damaged gloves, and open new sterile gloves
25A nurse is caring for a child who is hospitalize for diptheria. Which one of the following guidelines would be appropriate when caring for this patient?
- Ause a private room with the door closed
- Buse respiratory protection when entering the room of client with known or suspected diptheria
- Cplace client in private room that has monitored negative air pressure
- Dwear PPE when entering the room for all interactions that may involve contact with the client
26An infection control nurse is discussing needle stick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from which of the following?
- ARecapping a needle
- BFull needle boxes
- CFaulty needle and syringes
- DNeedles left in the client's lines
27An acute medical unit of a hospital currently has a number of clients who have tested positive for MRSA. Which of the following measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?
- ADiligent hand washing practices
- BReduce length of stay for MRSA-positive clients
- CConstant use of gloves when on the unit
- DProphylactic antibiotic therapy for MRSA-negative clients
28Which of the following is an accurate guideline for removing soiled gloves after client care?
- AUse the non-dominant hand to grasp the opposite glove, near the cuffed end, on the outside exposed area
- BRemove the glove on the non-dominant hand by pulling it straight off, keeping the contaminated area on the outside
- CAfter removing the first glove, slide the fingers of the ungloved hand, between the remaining glove and the wrist and pull the glove straight off with the contaminated area on the outside
- DAfter removing the glove, on the non-dominant hand, hold the removed glove in the remaining gloved hand
29Unbeknown to him, a nursing student has inhaled droplets containing common cold viruses and is soon to develop a cold himself. Place the following stage of infection in the sequence in which they will occur.
1. [blank_start]Incubation period[blank_end]
2. [blank_start]Prodromal stage[blank_end]
3. [blank_start]Full stage of illness[blank_end]
4. [blank_start]Convalescent stage[blank_end]- AIncubation period
- BProdromal stage
- CFull stage of illness
- DConvalescent stage
30Upon review of a client's microbiology culture results, the nurse recognizes which organisms as indicative of normal flora?
- AEschiricia coli in the intestinal tract
- BShigella in the urinary tract
- CShigella in the intestinal tract
- DEschiricia coli in the urinary tract
31For which of the following clients, would the use of Standard Precautions alone be appropriate?
- AA client with TB who needs medications administered
- BA child with chickenpox who is treated in the ER
- CA client with diptherea who needs pm care
- DAn incontinent client who lives in a nursing home who has diarrhea
32A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. Which of the following is an accurate guideline for using this technique?
- AConsider the outer 3 inch edge of a sterile field to be contaminated
- BOpen sterile packages so the first edge of the wrapper is directed toward you
- CConsider the outside of the sterile package to be sterile
- DHold sterile objects above waist level to prevent accidental contamination
33When caring for clients at the health care facility, the nurse knows that clients are susceptible to infections. Which of the following clients are at a greater risk for infection?
- AClient with an IV catheter
- BClient with an indwelling catheter
- CClient with hypertension
- DClient with gastric tube feeding
- EClient with fever and chills
34A nurse is taking care of a client with TB who has developed resistance to the ordered antibiotic. Which type of client is most likely at increase risk for infection?
- AOlder adult
- BPregnant
- CAdult
- DChild
35Transit and residential bacterial flora can reside on the hands, so strict handwashing techniques are important. Where are resident bacteria most likely to reside?
- AAttached to dirt or grease
- BIn creases of the skin
- COn exposed areas of the hand
- DUnder the fingernails
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- Unit VI: Actions Basic to Nursing Care Chapter 23: Asepsis and Infection Control
- Author
- Alexandra Bozan
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- English
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