Quiz About Asepsis, Infection, Prevention, And Hygiene

97 Questions | Total Attempts: 1649

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NCLEX Quizzes & Trivia

Modified questions and answers from Mosby's Comprehensive Review of Practical Nursing for the NCLEX-PN Examination and from Fundamentals of Nursing by Dawn Martich.


Questions and Answers
  • 1. 
    Which of the following patients is at most risk for pressure ulcers? 
    • A. 

      An 80-year old lady who just had a hip replacement and is on bed rest

    • B. 

      A 5-year old child in traction for a fractured femur

    • C. 

      A 95-year old Alzheimer's patient who roams around the facility

    • D. 

      A 22-year old patient suffering from a spinal cord injury confined to a wheel chair

  • 2. 
    A nurse notes the following orders on the care plan of a patient on enteric isolation with a decubitus ulcer. Which of the following orders should the nurse question or ask clarification?   
    • A. 

      Assess wound measurement once a week

    • B. 

      Use a mask when changing heavily soiled linen

    • C. 

      Restrict visitors

    • D. 

      Educate patient on how to take care of wounds.

  • 3. 
    As a nurse, what is the most proper way to remove a gown?
    • A. 

      Touch the outside of the gown only

    • B. 

      Touch the inside of the gown only

    • C. 

      Remove gown outside a patient's room

    • D. 

      Ask another person to remove it for you.

  • 4. 
    After a hip surgery, a 68-year old patient needed a Foley catheter. Laboratory examination revealed that she developed Pseudomonas aeruginosa urinary tract infection. Based on this patient's medical history, the nurse would suspect that this is probably a(n):
    • A. 

      Superinfection

    • B. 

      Autoimmune response

    • C. 

      Antibiotic resistance response.

    • D. 

      Nosocomial infection

  • 5. 
    A nurse is caring for a patient with a low White Blood Cell count, has prostate cancer, and has been receiving chemotherapy for the past 5 months. Which of the following should be implemented for this patient? 
    • A. 

      There should be no raw fruits, flowers or vegetables in his room

    • B. 

      Patient should not receive any injections at this time

    • C. 

      Patient should use mask when transported through the hospital

    • D. 

      Protective isolation

  • 6. 
    During a bed bath, a chance for infection is best reduced by:
    • A. 

      Change water after washing each leg.

    • B. 

      Using separate wash clothes for each eye

    • C. 

      Thoroughly rinse and dry all skin folds.

    • D. 

      Use clean gloves before starting the bath

  • 7. 
    If a patient says that he has an urge to defecate after the nurse begins to administer a tap-water enema, what should the nurse do?  
    • A. 

      Adjust tube location while maintaining fluid fow

    • B. 

      Lower enema bag while instructing patient to breathe deeply

    • C. 

      Reassure patient that discomfort would be gone shortly

    • D. 

      Immediately discontinue procedure to allow patient bowel evacuation.

  • 8. 
    A Nurse is changing a patient's pressure ulcer dressing using a sterile technique. Which of the following is incorrect?  
    • A. 

      Remove old dressing with sterile gloves

    • B. 

      Irrigate wound from top to bottom

    • C. 

      Pack the wound with a sterile cotton swab

    • D. 

      Tape dressing to allow patient movement

  • 9. 
    A nurse is suctioning secretions from a patient's nasal artificial airway. The nurse applies suction for no longer than:
    • A. 

      3 seconds

    • B. 

      10 seconds

    • C. 

      30 seconds

    • D. 

      1 minute

  • 10. 
    When caring for a cancer patient who also has aids, which protective measure should be used?
    • A. 

      None

    • B. 

      Glove, gown and mask

    • C. 

      Gloves

    • D. 

      Standard precaution

  • 11. 
    A nonspecific body defense "against infection"
    • A. 

      Phagocytes

    • B. 

      Inflammatory process

    • C. 

      Antibodies

    • D. 

      Cellular immunity

  • 12. 
    A foreign protein that invades the body is called:
    • A. 

      Antigen

    • B. 

      Interferon

    • C. 

      Complement

    • D. 

      Antibody

  • 13. 
    Immunity obtained as a result of experiencing an illness is known as:
    • A. 

      Active natural immunity

    • B. 

      Passive natural immunity

    • C. 

      Active acquired immunity

    • D. 

      Passive acquired immunity

  • 14. 
    As a result of sharing a needle with an HIV-positive person (Person A). Person B becomes infected. In the chain of infection before a person, B became infected, what was the reservoir?
    • A. 

      Person A

    • B. 

      Person B

    • C. 

      The dirty needle

    • D. 

      The hole made by inserting the needle into Person B's skin

  • 15. 
    After receiving a flu shot from the city hall for free, a patient developed shingles. It was learned later that one of the nurses who handled the syringes used for that day had shingles. It seems that the patient got the shingles through which fomite?  
    • A. 

      The nurse who handled the syringes.

    • B. 

      The syringe

    • C. 

      The city hall

    • D. 

      The person who administered the flu shot

  • 16. 
    Which of the following illustrates microorganism transmission via droplet contact?
    • A. 

      Infected wound drainage contacts the nurse's hands

    • B. 

      A virus is transmitted through sexual intercourse

    • C. 

      Microorganisms contact a person's nasal mucus when someone coughs nearby

    • D. 

      Contaminated stethoscope touches a client's skin

  • 17. 
    An individual who is more likely than others to acquire an infection is a(n):
    • A. 

      Vector

    • B. 

      Reservoir

    • C. 

      Fomite

    • D. 

      Susceptible host

  • 18. 
    A government agency concerned with disease prevention. They track and manage infectious diseases at the national level.  
    • A. 

      Centers for Disease Control and Prevention

    • B. 

      World Health Organization

    • C. 

      Department of Health and Human Services

    • D. 

      National Institute for Occupational Safety and Health

  • 19. 
    Which of the following has the highest possibility of contaminating a sterile field?  
    • A. 

      The nurse diverts her head from the sterile field when talking

    • B. 

      The nurse turns her back on the sterile field

    • C. 

      The nurse holds her sterile gloved hands above waist level

    • D. 

      The nurses reaches around a sterile field

  • 20. 
    Which of the following situations require that gown, mask, and gloves be worn by all persons entering the room. 
    • A. 

      Contact isolation

    • B. 

      Enteric precaution

    • C. 

      Strict isolation

    • D. 

      Universal precaution

  • 21. 
    Which of the following clients require a private room.
    • A. 

      A client who has an infected abdominal incision

    • B. 

      A client who has a kidney infection

    • C. 

      A client who has a hepatitis B and is incontinent

    • D. 

      A client who is bed bound and has an infected decubitus ulcer

  • 22. 
    A nurse comes in a patient's room wearing gloves, gown, and mask. When she gets out of the room, what should she remove first.  
    • A. 

      Gown

    • B. 

      Gloves

    • C. 

      Mask

    • D. 

      The order is not important

  • 23. 
    After exposure to bloodborne pathogens, what should a nurse do next?
    • A. 

      Begin a post-exposure prophylaxis within 24 hours

    • B. 

      Require the source individual to be tested for HIV/hepatitis

    • C. 

      Test the exposed person for hepatitis immunity

    • D. 

      Complete an injury report if the exposure requires treatment

  • 24. 
    Which of the following are considered universal precautions? 
    • A. 

      Wear clean gloves when touching body fluids

    • B. 

      Wear sterile gloves when touching body secretions

    • C. 

      Wash hands before putting on gloves

    • D. 

      Wear an eye mask only if not wearing glasses

    • E. 

      Wear a clean gown when changing a draining wound dressing

  • 25. 
    The nurse is preparing to give oral care to an unconscious patient. How should the nurse proceed?
    • A. 

      Put the bed in high Fowler's position before beginning

    • B. 

      Lower the head of the bed, and place the client in side-lying position.

    • C. 

      Put the client in Fowler's position, then turn head to the side

    • D. 

      Place the client supine with head lowered

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