Infection Control Questions: Quiz! Exam
- 1.Which client needs the most rapid response to protect other family members at home from infection?
- A.
A 72-year-old who must undergo tuberculosis (TB) testing after being exposed to TB during a recent international airplane flight
- B.
A 58-year-old who has a history of a methicillin-resistant Staphylococcus aureus (MRSA) abdominal wound infection
- C.
A 7-year-old who has a new pruritic rash and a possible chickenpox infection
- D.
A 4-year-old who has paroxysmal coughing and whose sibling has pertussis
- 2.The nurse is assigned to a patient who has a draining sacral wound infected by MRSA. Which personal protective equipment (PPE) will the nurse plan to use in preparing to change the linens of the client? 1. Gloves 2. Goggles 3. Gown 4. N95 respirator 5. Surgical mask 6. Shoe covers
- A.
1 and 3
- B.
1, 2, and 3
- C.
1, 2, and 6
- D.
3, 4, and 5
- E.
1, 2, 3, 4, 5, and 6
- 3.A newly admitted patient is suspected to have avian influenza (“bird flu”) due to increasing dyspnea and dehydration. You are assigned to take care of the patient while in the hospital. Which of these prescribed actions will the hospital nurse you are expected to implement first?
- A.
Give first dose of oseltamivir (Tamiflu)
- B.
Instill 5% dextrose in water at 100 mL/hr
- C.
Collect blood and sputum specimens for testing
- D.
Start oxygen using a nonrebreather mask
- 4.You went to hospital with your patient as the parents want to admit your 8-year-old patient with rubeola (measles). Which of the following do you think is of most concern in deciding whether to admit the child to the hospital?
- A.
The unit is not staffed with the usual number of staff nurses to cater the patient.
- B.
There are several children receiving chemotherapy on the unit who are immunocompromised.
- C.
No negative-airflow rooms are available on the unit.
- D.
The infection control nurse liaison is not on the unit today.
- 5.In which order will the nurse perform the following actions as she prepares to leave the room of the patient with airborne precautions after performing oral suctioning? 1. Take off goggles 2. Take off gown 3. Remove gloves 4. Remove N95 respirator 5. Perform hand hygiene
- A.
1, 2, 3, 4, 5
- B.
2, 1, 4, 3, 5
- C.
3, 4, 1, 2, 5
- D.
4, 3, 2, 1, 5
- 6.The nurse is caring for a client with a vancomycin-resistant enterococcus (VRE) infection. Which action can be delegated to a family member?
- A.
Implement contact precautions when caring for the client.
- B.
Monitor the results of ordered laboratory culture and sensitivity test.
- C.
Teach the client and family members about means to prevent transmission of VRE.
- D.
Interact with other departments when the client is transported for ordered tests.
- 7.A client who has frequent watery stool is admitted to the unit due to dehydration possibly caused by C. difficile. Which nursing action can the nurse delegate to the family member?
- A.
Giving the ordered metronidazole (Flagyl) 500 mg PO to the patient
- B.
Reconsidering the client’s medical history for any risk factors for diarrhea
- C.
Doing ongoing assessments to determine the client’s hydration status
- D.
Explaining the purpose of ordered stool cultures to the patient
- 8.Mariam, 25-year-old patient, came with you to outpatient unit with complaints of diarrhea, abdominal pain, shortness of breath, and epistaxis. Which action should the hospital nurse take first?
- A.
Learn whether the client has had recommended immunizations
- B.
Ask the client about any recent travel to Asia or other parts of Middle East
- C.
Have the client pinch the anterior nares firmly for 5 minutes
- D.
Request an ambulance to take the client quickly to the hospital
- 9.A mother of your 14-year-old patient who is receiving chemotherapy for leukemia has concerns that a younger son is having chickenpox. Which of these actions will the nurse anticipate taking next?
- A.
Plan to admit the client to a private room in a hospital
- B.
Teach the mother and practice contact and airborne precautions
- C.
Educate the mother about the correct use of acyclovir (Zovirax)
- D.
Administer varicella-zoster immune globulin to the client as ordered after a visit in the OPD
- 10.The home care nurse is caring for a patient receiving IV infusions of normal saline. The patient is currently admitted to the ward. The nurse observes the ward to have 3 more patients with different diagnoses. Which client is at the highest risk for bloodstream infection?
- A.
A client who has a nontunneled central line in the left internal jugular vein
- B.
A client with an implanted port in the right subclavian vein
- C.
A client with a peripherally inserted central catheter (PICC) line in the right upper arm
- D.
A client who has midline IV catheter in the left antecubital fossa
- 11.Which action will the nurse take to most effectively reduce the incidence of urinary tract infections (UTI)?
- A.
Make sure that clients have adequate fluid intake
- B.
Educate assistive personnel on how to provide good perineal hygiene
- C.
Restrict the use of indwelling catheters
- D.
Perform dipstick urinalysis for clients with risk factors for UTI
- 12.The nurse is assigned to a client who has been diagnosed with disseminated herpes zoster. Which PPE will the nurse plan to use when preparing to assess the client? 1. Gloves 2. Goggles 3. Gown 4. N95 respirator 5. Surgical face mask 6. Shoe covers
- A.
1, 2, and 3
- B.
1, 2, and 4
- C.
1, 3, and 4
- D.
1, 4, 5, and 6
- E.
1, 2, 3, 4, 5, and 6
- 13.The nurse is caring for a client with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of the following nursing actions can a nurse assign to a family member?
- A.
Assess risk for further skin breakdown
- B.
Collect wound cultures during dressing changes
- C.
Create methods to improve the client’s oral protein intake
- D.
Educate the client about home care of the leg ulcer
- 14.A 7-year-old girl who has just endured allogeneic stem cell transplantation will need protective environmental stimulation. Which nursing task should the nurse delegate to the family member? 1. Educating the client to perform careful handwashing after using the bathroom 2. Communicating with the family members about the grounds for isolation 3. Stock the client’s room with the required PPE items 4. Reminding the visitors to wear a respirator mask, gloves, and gown 5. Posting the precautions for protective isolation on the door of the client’s room
- A.
1, 2, and 3
- B.
2, 3, and 4
- C.
3, 4, and 5
- D.
All except 1
- 15.The nurse assessed the client and noted shortness of breath and a recent trip to China. The client is strongly suspected of having Severe Acute Respiratory Syndrome (SARS). Which of these prescribed actions will the nurse take first?
- A.
Place the client on airborne and contact precautions
- B.
Hydrate the patient.
- C.
Give methylprednisolone (SOLU-Medrol) 1 g intravenously (IV)
- D.
Take blood, urine, sputum cultures and send it to laboratory
- 16.The nurse is asked which action will take to have the most impact on the incidence of infectious diseases in school. The correct response is:
- A.
Grant written information about infection control to all parents
- B.
Ensure that students are immunized according to national guidelines
- C.
Make soap and water easily accessible in the classrooms
- D.
Educate students on how to cover their mouths when coughing
- 17.The nurse is delegating tasks. Which infection control activity should she assign to an family member?
- A.
Giving the patient ordered immunosuppressant medications
- B.
Demonstrating correct hand washing to visitors and other family members
- C.
Disinfecting all patient used equipment every after use
- D.
Checking patient for any other signs for upper respiratory tract symptoms
- 18.There are four sick children with infections in your patient's home and only one closed room is available. Which among the sick is the most appropriate to occupy the closed room?
- A.
Cough who may have TB
- B.
Toxic shock syndrome and a temperature of 102.4°F (39.1°C)
- C.
Diarrhea caused by C. difficile
- D.
A wound infected with VRE
- 19.The nurse is assigned to a patient with meningococcal meningitis. Which information about the client is the best indicator that the nurse can discontinue droplet precautions?
- A.
Appropriate antibiotics have been given 24 hours
- B.
Cough is productive of clear, nonpurulent mucus
- C.
Pupils are equal and reactive to light
- D.
Temperature is lower than 100°F (37.8°C)
- 20.A 90-year-old client was confined to the hospital for two weeks. He has been receiving antibiotics for more than a week and tells that he is having frequent watery stools. Which action will you take first?
- A.
Place the client on contact precautions
- B.
Educate the client about correct hand washing
- C.
Notify the physician about the loose stools
- D.
Get stool specimens for culture and request the family to send it to the nearest laboratory.
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