Nurs 200 - Exam 2 - Chapter 27: Asepsis And Infection Control
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_____ is a disease state that restuls from the presence of pathogens. It occurs as a result of a cycllic process consisting of six components.
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A self-designed chapter test from Fundamentals of Nursing textbook. For questions with multiple right anwers, select the best answer.
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2.
What is a disease-producing microorganism
Explanation A disease-producing microorganism is commonly known as a pathogen or pathogens. Pathogens are organisms such as bacteria, viruses, fungi, or parasites that can cause diseases in humans, animals, or plants. They invade the host's body and multiply, leading to the development of various illnesses. Pathogens can be transmitted through various means, including direct contact, airborne droplets, contaminated food or water, or through vectors like mosquitoes or ticks. Understanding pathogens and their modes of transmission is crucial in preventing and controlling the spread of diseases.
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3.
What is the most significant and most ocmmonly ovbserved infection-causing agent in healthcare institutions?
Explanation Bacteria are the most significant and commonly observed infection-causing agents in healthcare institutions. They are single-celled microorganisms that can cause various infections such as urinary tract infections, pneumonia, and surgical site infections. Bacteria can easily spread in healthcare settings due to close contact between patients and healthcare workers, contaminated surfaces, and improper hand hygiene. Therefore, controlling and preventing bacterial infections is crucial in healthcare institutions to ensure patient safety and reduce the risk of healthcare-associated infections.
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4.
Gram-_____ bacteria are stained purple because they have thick cell walls that resist decolourization.
Explanation Gram-positive bacteria are stained purple because they have thick cell walls that resist decolourization. The Gram staining technique involves the use of crystal violet dye, iodine, alcohol, and safranin. When the crystal violet dye is applied to the bacteria, it gets trapped in the thick peptidoglycan layer of the cell wall in Gram-positive bacteria. The iodine acts as a mordant and forms a complex with the crystal violet, making it difficult to wash away. The alcohol is used to decolorize the bacteria, but the thick cell wall of Gram-positive bacteria prevents the dye from being washed out, resulting in the bacteria retaining the purple color.
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5.
Most bacteria are aerobic or anaerobic?
Explanation The correct answer is "aerobic" because most bacteria require oxygen to survive and carry out their metabolic processes. These bacteria are known as aerobic bacteria. They use oxygen as a final electron acceptor in their respiration process, allowing them to generate energy efficiently. However, it is important to note that there are also some bacteria that can survive in the absence of oxygen, known as anaerobic bacteria. These bacteria have adapted to environments with low or no oxygen availability and use alternative electron acceptors for respiration.
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6.
_____ of the organisms is its ability to cause disease
Explanation Virulence refers to the ability of an organism to cause disease. It is a measure of the severity of the disease that the organism can cause. Organisms with high virulence are more likely to cause severe illness or death, while those with low virulence may cause mild or no symptoms. Therefore, the correct answer is "virulence" because it directly relates to the ability of an organism to cause disease.
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7.
____ for growth and multiplication of microorganisms is the natural habitat of the organism. It could be humans, animals, soil, food, water, milk, and inanimate objects.
Explanation A reservoir is a source or location where microorganisms can grow and multiply. It can be a natural habitat such as humans, animals, soil, food, water, milk, or even inanimate objects. These reservoirs provide the necessary conditions and resources for the microorganisms to thrive and reproduce.
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8.
In humans, which of the following is not a common portals of exit or escape routes:
Respiratory tract
Gastrointestinal tract
Genitourinary tract
Breaks in the skin
Muscular system
Correct Answer
A. Muscular system
Explanation
The muscular system is not a common portal of exit or escape route in humans. The respiratory tract, gastrointestinal tract, genitourinary tract, and breaks in the skin are all common pathways through which pathogens can exit the body. However, the muscular system is not directly connected to the external environment and does not serve as a route for pathogens to escape the body.
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9.
Transmission can be through:
Direct contact
Blood
Indirect contact
Water
All of the above
Correct Answer
A. All of the above
Explanation
This answer is correct because transmission of diseases can occur through direct contact, such as touching an infected person or their bodily fluids. It can also happen through blood, for example, if someone comes into contact with infected blood through a needlestick injury or transfusion. Indirect contact refers to transmission through contaminated objects or surfaces, such as touching a doorknob or sharing utensils. Waterborne diseases can be transmitted through contaminated water sources. Therefore, all the mentioned modes of transmission are valid.
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10.
Nonhuman carriers that transmit organisms from one host ot another are known as
Correct Answer vectors
Explanation Nonhuman carriers that transmit organisms from one host to another are known as vectors. Vectors can be living organisms such as mosquitoes, ticks, or fleas, or they can be inanimate objects like contaminated needles or surgical instruments. These vectors play a crucial role in the spread of diseases, as they can carry pathogens and transfer them to susceptible individuals. By understanding the role of vectors in disease transmission, scientists and healthcare professionals can develop strategies to control and prevent the spread of infectious diseases.
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11.
Lice or mosquitos can be a:
Fomite
Vector
Direct contact transmission
All of the above
None of the above
Correct Answer
A. Vector
Explanation
Lice or mosquitos can act as vectors, which means they can transmit diseases from one host to another. Vectors are organisms that carry and transmit pathogens, such as bacteria or viruses, without being affected by the disease themselves. In the case of lice and mosquitos, they can transmit diseases like malaria, dengue fever, or typhus. Therefore, the correct answer is "Vector."
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12.
Droplet transmission is similar to airborne transmission, but it is larger than ____um
Correct Answer 5
Explanation Droplet transmission refers to the spread of infectious respiratory droplets that are larger in size and tend to fall to the ground or surfaces within a short distance from the source. Airborne transmission, on the other hand, refers to the spread of smaller particles that can remain suspended in the air for longer periods and travel greater distances. The given answer of "5" indicates that droplet transmission involves droplets that are larger than 5 micrometers (um) in size.
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13.
The entry route is usually _____ exit route.
Same as
Different than
It depends
Correct Answer
A. Same as
Explanation
The correct answer is "Same as". This means that the entry route is usually the same as the exit route. It implies that the way in which someone enters a place or situation is typically the same way they will exit from it.
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14.
True or False:A person may continually pass through the four phases with the same infectious process, based on only one infectious exposure.
True
False
Correct Answer
A. True
Explanation
It is possible for a person to continually pass through the four phases of an infectious process with only one infectious exposure. This means that the person can go through the stages of exposure, incubation, illness, and recovery multiple times due to the same initial exposure. This can happen in cases where the person's immune system is not able to fully eliminate the infectious agent, leading to recurring bouts of illness.
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15.
Symptoms of systemic infections include:
Fever
Increase pulse
Increase respiratory rate
Lethargy
All of the above
Correct Answer
A. All of the above
Explanation
p. 707
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16.
What is the most effective way to help prevent the spread of organisms?
Sterile technique
Medical asepsis
Use of ultraviolet properties
Eliminating normal flora
Hand hygiene
Correct Answer
A. Hand hygiene
Explanation
p. 708
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17.
True or False:Gloves are a good substitute for good hand hygiene
True
False
Correct Answer
A. False
Explanation
p. 713
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18.
Double gloving is recommended if the healtcare worker is going to be exposed to ____ or ____ fluids. (separate answers with a space)
Correct Answer blood body
Explanation Double gloving is recommended if the healthcare worker is going to be exposed to blood or body fluids. This is because blood and body fluids can potentially contain infectious agents such as viruses, bacteria, or other pathogens. Double gloving provides an extra layer of protection, reducing the risk of contamination and transmission of these pathogens. It is an important precautionary measure to ensure the safety of healthcare workers and prevent the spread of infections in healthcare settings.
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19.
True or False:There is a cure for latex gloves
True
False
Correct Answer
A. False
Explanation
p. 713
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20.
OSHA resquires that healthcare agencies have ____ _____ ____ (PPE), such as gloves, gowns, masks, and protective eyewear, available.
Correct Answer personal protective equipment personal protection equipment
Explanation p. 713
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21.
True or False:A mask is worn only once but can be lowered around the neck and then brought back over the mouth and nose for reuse.
True
False
Correct Answer
A. False
Explanation
p. 715
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22.
Which asepsis is considered contaminated if it is touched by any object that is not without pathogens, microorganisms, and spores.
Correct Answer surgical surgical asepsis
Explanation p. 718
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23.
Most sterile solutions are considered sterile for ____ hours after being opened.
Correct Answer 24
Explanation p. 720
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24.
The term _____ is used specifically to indicate an infection originating or takng place in a hospital.
Correct Answer nosocomial nosocomial infection
Explanation p. 720
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25.
True or False:A high RN-to-patient ratio has a higher correlation of HAIs.
True
False
Correct Answer
A. True
Explanation
When nurses have a heavy patient load they often do not feel that they have the time to thoroughly wash their hands (p. 721)
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26.
Most healthcare-associated infections are caused by which microorganisms?
Correct Answer bacteria
Explanation Healthcare-associated infections are infections that patients acquire while receiving treatment for another condition in a healthcare setting. These infections can be caused by various microorganisms such as bacteria, viruses, fungi, and parasites. However, bacteria are the most common cause of healthcare-associated infections. They can be transmitted through contaminated hands, medical equipment, or surfaces, and can cause a wide range of infections including urinary tract infections, surgical site infections, and bloodstream infections. Effective infection prevention and control measures, such as hand hygiene and proper sterilization of equipment, are crucial in reducing the spread of bacteria in healthcare settings.
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27.
True or False:The source of infection is always exogenous.
True
False
Correct Answer
A. False
Explanation
p. 720
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28.
Fungi are present in
Soil
Air
Water
All of the above
None of the above
Correct Answer
A. All of the above
Explanation
Fungi are present in all of the above (soil, air, and water) because they are highly adaptable organisms that can thrive in various environments. Fungi play important roles in decomposing organic matter in soil, aiding in nutrient cycling. They can also be found in the air as spores, which are tiny reproductive structures that can travel through the air. Additionally, certain types of fungi can live in water, such as aquatic fungi that decompose organic material in aquatic ecosystems. Therefore, fungi can be found in all three mentioned environments.
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29.
The smallest of all microorganisms, visible only with an electron microscope is a
Correct Answer virus
Explanation Viruses are the smallest microorganisms that can only be seen with an electron microscope. They are much smaller than bacteria and other microorganisms. Viruses are not considered living organisms as they cannot reproduce or carry out metabolic activities on their own. They are composed of genetic material, either DNA or RNA, surrounded by a protein coat. Viruses require a host cell to replicate and cause infections in animals, plants, and even bacteria. Due to their small size and unique characteristics, viruses are a distinct category of microorganisms.
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30.
The correct progression of an infection phases is:
Convalescent period, full stage of illness, prodromal stage, incubation period
Incubation period, full stage of illness, prodromal stage, convalescent period
Prodromal stage, incubation stage, full stage of illness, convalescent period
Incubation period, prodromal stage, full stage of illness, convalescent period
Incubation period, full stage of illness, prodromal stage, convalescan period.
Correct Answer
A. Incubation period, prodromal stage, full stage of illness, convalescent period
Explanation
The correct progression of an infection phases starts with the incubation period, during which the pathogen is multiplying in the body but symptoms are not yet present. This is followed by the prodromal stage, where initial symptoms start to appear. The full stage of illness comes next, characterized by the peak of symptoms and the highest level of pathogen activity. Finally, the convalescent period occurs, during which the body begins to recover and symptoms gradually subside.
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31.
Which of the following is not involved in breaking the cycle of infection?
Cleansing
Disinfection
Sterilization
All of the above
None of the above
Correct Answer
A. None of the above
Explanation
p. 711
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32.
True or False:Since iatrogenic infections result from a treatment or diagnostic procedure, all nosocomial infections are iatrogenic.
True
False
Correct Answer
A. False
Explanation
Not all nosocomial infections are iatrogenic (p. 720)
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33.
Which of the following is is not a typical access site for nosocomial infections?
Surgical wounds
Urinary catheters
IV catheters
Mechanical ventilation
None of the above
Correct Answer
A. None of the above
Explanation
p. 721
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34.
The second component of the infection cycle is:
Correct Answer reservoir
Explanation The second component of the infection cycle is the reservoir. A reservoir refers to the place where the infectious agent lives, grows, and multiplies. It can be a human, animal, or environmental source that harbors the pathogen and allows it to survive. The reservoir is important because it provides a continuous supply of the infectious agent, allowing it to spread and cause disease. Identifying and controlling the reservoir is crucial in preventing the transmission of infections.
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35.
Which of the follownig is not used to categorize bacteria?
Cocci
Spirochete
Gram positive
Bacilli
Mold
Correct Answer
A. Mold
Explanation
Mold is not used to categorize bacteria because mold is not a type of bacteria. Mold is a type of fungus, and bacteria and fungi are two distinct groups of microorganisms. Bacteria are classified based on various characteristics such as shape, arrangement, and staining properties, which are represented by the options Cocci, Spirochete, Gram positive, and Bacilli. Mold, on the other hand, belongs to the fungal kingdom and is categorized separately from bacteria.
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36.
Some humans are reservoirs for the infectious agent but do not exhibit any manifestations of the disease, they are called:
Correct Answer carriers
Explanation Carriers are individuals who harbor an infectious agent in their body but do not show any symptoms or manifestations of the disease. They can unknowingly spread the infection to others through various means such as respiratory droplets, bodily fluids, or contaminated surfaces. Carriers can play a significant role in the transmission of infectious diseases, as they may remain undetected and continue to spread the infection to others. Identifying carriers and implementing appropriate preventive measures can help in controlling the spread of the disease.
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37.
During which stage of infection is the person most infectous?
Correct Answer prodromal prodromal stage
Explanation The prodromal stage of infection is the initial stage where the person starts to experience non-specific symptoms such as fatigue, fever, and headache. This stage occurs before the specific symptoms of the infection develop. During this stage, the person is most infectious as the virus or bacteria is multiplying rapidly in their body and can easily be transmitted to others through respiratory droplets or direct contact. Therefore, the person is most contagious during the prodromal stage of infection.
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38.
Antigens and antibodies are part of the body's _____ response
Correct Answer immune
Explanation Antigens and antibodies are part of the body's immune response. This response is the body's defense mechanism against foreign substances, such as pathogens or toxins. Antigens are molecules that can trigger an immune response, while antibodies are proteins produced by the immune system to neutralize or destroy these antigens. Together, they play a crucial role in protecting the body from infections and diseases by recognizing and eliminating harmful invaders.
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39.
________ destroys all pathogenic organisms except spores. It is used when preparing the skin for a procedure or cleaning a piece of equipment that does not enter a sterile body part.
Correct Answer disinfection
Explanation p. 712
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40.
Wich types of mask rilter inspitred air in addition to filtering expired air?
N95
High-effficiency particulate air mask
HEPA mask
All of the above
None of the above
Correct Answer
A. All of the above
Explanation
All of the above options, N95, High-efficiency particulate air mask, and HEPA mask, filter inspired air in addition to filtering expired air. These masks are designed to provide a high level of filtration and protection against airborne particles and contaminants. They effectively filter both incoming and outgoing air, ensuring that the wearer is protected from inhaling harmful substances and also prevents the spread of any exhaled particles. Therefore, all three options mentioned are correct in terms of filtering both inspired and expired air.
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41.
Which asepsis is considered contaminated if it bears or is suspected of bearing pathogens?
Correct Answer medical medical asepsis
Explanation p. 718
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42.
Before pouring a sterile solution from a bottle that has been previously used, ____ it by pouring a small amount out into a waste receptable to "clean" the rim of the bottle.
Correct Answer lip
Explanation p. 720
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43.
When an organism becomes attached to dust particles it is considered a:
Direct route
Droplet route
Airborne route
Entry route
Fomite
Correct Answer
A. Airborne route
Explanation
When an organism becomes attached to dust particles, it is considered an airborne route. This means that the organism is able to travel through the air by attaching itself to dust particles, allowing it to be transported over long distances. This can increase the likelihood of the organism spreading to other areas and infecting new hosts.
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44.
Which of these is untrue about medical asepsis:
Also called clean technique
Invovles procedures and practices that reduce the number and transfer of pathogens
Keeps objects and areas free of microorganisms
E.g. hand hygiene
E.g. wearing gloves
Correct Answer
A. Keeps objects and areas free of microorganisms
Explanation
p. 707
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45.
Which of the following is untrue about surgical asepsis?
Includes practices used to render and keep objects and areas free from microorganisms
Such procedures include inserting urinary catheter or IV catheter
Also known as sterile technique
Involves actions such as handwashing
Such tecniques are used continuously both within and outside health agencies
Correct Answer
A. Involves actions such as handwashing
Explanation
Surgical asepsis does involve actions such as handwashing. Handwashing is an essential component of surgical asepsis as it helps to remove microorganisms from the hands and prevent their transmission to the patient or surgical field.
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46.
_____ destroys all microorganisms including spores
Correct Answer sterilization
Explanation p. 712
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47.
Which of the following is not true about aerosols?
Can be inhaled
Travel short distances (about 3 feet)
Masks help prevent inhalation
Remain suspended in the air
None of the above
Correct Answer
A. Remain suspended in the air
Explanation
p. 714
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48.
_____ used to describe a protective procedure that limits the spread of infectous diseases among hospitalized patients, hospital personnel, and visitors was historically used. Hospitals specializing in this procedure have closed.
Correct Answer isolation
Explanation p. 715
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49.
The greatest risk of seoconversion (development of antibodies in response to an infection) after a needlestick injury is
Hepatitis B
Hepatitis C
HIV
Hepatitis A
None of the above
Correct Answer
A. Hepatitis B
Explanation
p. 717
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