GAITH Infection Control Flashcards
(44 cards)
1
Q
- Which of the following is an example of epidemic point source?
A. Tuberculosis
B. Public health agency
C. Contaminated water source
D. Communicable disease pavilion
A
C
Tuberculosis
TB epidemic disease
TB. Wear N95 mask
TB. Test Mantoux test / PPD TEST
TB TEST WITHIN 48-72 Hours
Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes
Tb accurate test sputum culture and to be done early morning
Meningitis. …
Streptococcal pneumonia
meningococcal vaccine. Hib
Neck rigidity
Droplet
Cloudy CSF
Lumber puncture
Surgical mask. No N95 mask
2
Q
- A 32 years old man develops chronic productive cough. He has not been feeling hungry and has lost three
kilograms body weight in the past three weeks. On examination of his lung
fields, there was diminished breath sound and widespread crackles. An early
morning sputum culture was sent to the lab.
A. Droplet
B. Contact
C. Airborne
Rationale TB chest XRAY
A
C
3
Q
- 8 year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should
wear a facemask?
A. Patient’s health care providers
B. All people who enter the patient’s room
C. Person has close contact with the patient
D. Family members who are at risk for infection
A
B
4
Q
- A nurse working in medical unit is preparing to with droplet precaution measures in place. The following
personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on?
A. Face Mask, Gown, Eyewear, and Gloves
B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Gown, Face Mask, and Eyewear
A
B
5
Q
- A nurse working in medical unit is going out (removing) with droplet precaution measures in place. The following
personal protective equipment; eyewear. What is the correct sequence foe putting the equipment off?
A. Face Mask, Gown, Eyewear, and Gloves
B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Eyewear , Gown, , and Face Mask
A
D
6
Q
- Mr X attended in outpatient clinic with symptoms of shortness of breath, diarrhea and severe respiratory
distress Which of the following is the best diagnosis of Mrs. A case?
A. Corona virus
B. Swine Flue
C. Zika virus
D. Hepatitis
A
A
7
Q
- A nurse receives a telephone call from the admission office of the hospital and is told that a patient with
streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control
measures for the patient. Which type of isolation precaution the nurse must observe?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions
A
A
8
Q
- A 35 year old patient was admitted to a medical ward with confirmed agnosies f meningococcal infection.
Which of the following infection control preventions the nurse should implement?
A. Droplet precaution
B. Contact precaution
C. Airborne precaution
D. Standard precaution
A
A
9
Q
- A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had
explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following
transmission based precaution is most appropriate?
A. Combination airborne and droplet
B. Contact
C. Droplet
D. Airborne
A
A
10
Q
- Which of the following is the most effective infection control precaution to prevent nosocomial infection?
A. Hand washing before and after patient contact
B. Wearing gloves and mask for direct patient care
C. Isolation precaution
D. Broad spectrum antibiotic
A
A
11
Q
- Mantoux test done for a patient result was 6.5cm it consider?
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A. Latent
B. Suspected
C. Activ
A
B
12
Q
- When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the
body, a nurse knows it is most important to include instructions regarding the loss of large amounts of serum
occurring with burns and the resulting loss of immune function. Which of the following instructions should be
include?
A. Wash hands frequently each day
B. Wear supplemental oxygen at night
C. Wear masks while in public spaces
D. Take a multiple vitamin tablet night
A
A
13
Q
- An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for
few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound
infection after the surgery can be prevented. Which of the following is the best possible action to minimize the
incidence of wound infection ?
A. Perform assessment of pain on the wound site
B. Wash hand before and after each patient activity
C. Encourage adequate intake and early ambulation
A
B
14
Q
- A patient in surgical was transferred to isolation room after the wound swab confirmed to have methicillin
Resistant staphylococcus Atreus MRSA. Which of the following measures should the nurse take to prevent
infection in the ward?
A. Clean the would three times a day
B. Discard all soiled dressing into waste bag
C. Instruct the patient to wash hands regularly
D. Wear gloves and gown on every entry into the room
A
D
15
Q
- Medical asepsis requires which of the following hand washing techniques?
A. Use hot water to ensure that pathogens are killed
B. Use circular motion washing from clean to dirty areas
C. Rinse soap off keeping hands and forearms lower than downs
D. Hands shall be held higher than elbows and scrub
A
D
16
Q
- A 45-year-old patient admitted with pulmonary tuberculosis. The unit nurse placed the patient in an isolation
room with negative air pressure and prepared all the personal protective equipment at the entrance of the
room. What type of precaution measure has the nurse activated?
A. Contact
B. Droplet
C. Airborne
D. Standard
A
C
17
Q
- To reduce the risk of transmitting methicillin-resistant staphylococcus auras (MRSA) from an infectious wound,
which of the following precautions should be implemented?
A. Airborne
B. Contact
C. Droplet
D. Reverse isolation
A
B
18
Q
- A 45 year old patient is admitted with pulmonary tuberculosis. The unit nurse placed the patient in isolation
room with negative air pressure and prepared all PPE at the entrance of the room. Which of the following PPE is
the most important for the nurse when caring for this patient?
A. Hair cover
B. Sterile gloves
C. N95 respirator
D. Protective goggle
A
C
19
Q
- 8 month-old child diagnosed with bronchiolitis due to respiratory ncytial virus (RSV) is admitted to the pediatric
hospital. The nurse should initiate which of the following isolation precaution?
A. Contact
B. Airborne
C. Standard
D. Droplet
A
A
20
Q
- A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and
today he has a rash filled with fluids. which of the following is the best suggested diagnosis?
A. Chicken pox
B. German measles
C. Measles
D. Scarlet fever
A
A
21
Q
- A eight year-old boy present to the pediatric clinic with his mother who complains that the child has developed a
skin rash. There is a clear drainage from the nose and he appears tired. The rash first appeared on the face and
then spread over the trunk and is now beginning to appear over the hands. Some lesions show open ulcerations
and other have crusted over. There are scratch marks over the skin. Which finding would indicate the child is
ready to return to school
A. Normal body temperature
B. Dry and scabbed lesions
C. Nares of free of drainage
D. Absence of rash over trunk
A
B
22
Q
- A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would
be essential to implement for non-immune persons entering the room?
A. Gloves
B. Gowns
C. Masks
D. Face shields
A
C
23
Q
- A home health nurse has entered a home to complete an admission assessment on a patient who has a
methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous
anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions
should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply began a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
A
D
24
Q
- You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of
a severe headache with photophobia and has a temperature of 102.60 F orally. Which type of isolation should be
suitable for the patient?
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A. Air borne
B. Contact
C. Droplet
A
C
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56. In order to reduce the risk of disease transmission from a patient with diphtheria, which of the following
standard precautions would the nurse implement?
A. Airborne
B. Contact
C. Droplet
D. Ventilatory
C
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57. Patient with a colostomy complains of itching of the peris tornal skin. On assessment, the skin is covered in a red
rash with white patches visible. What is the most likely cause of this condition?
A. Not changing the pouch regularly
B. Candidiasis
C. Consuming acid-producing foods
D. Dehydration
B
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58. A 33-year-old woman has come to the outpatient clinic for treatment of a vaginal infection. Physical assessment
reveals yellowish excessive, thin offensive and frothy discharge. Which of the following is the most likely
diagnosis?
A. Candidiasis
B. Trichomoniasis
C. Bacterial vaginosis
D. Chlamydia
B
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59. The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive
cough with thick sputum The nurse should immediately initiate isolation precautions for which of the following?
A. Influenza
B. Pertussis
C. Bacterial pneumonia
D. Pulmonary tuberculosis
D
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60. Which of the following diagnostic tests is definitive for TB?
A. Chest x-ray
B. Mantoux test
C. Sputum culture
D. Tuberculin test
C
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61. A patient presented with high fever, headache, vomiting and neck stiffness for the past 3 days, which of the
following is the first diagnostic intervention for this patient:
A. Urine and stool analysis
B. lumber puncture with CSF aspiration
C. Complete blood count
D. Chest and abdomen x-ray
B
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62. When a patient is admitted with acute influenza, what type of isolation is MOST appropriate?
A. Reverse isolation
B. Contact isolation
C. strict isolation
D. Respiratory isolation
D
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63. What precautions are necessary when caring for a patient with Hepatitis A?
A. Gowning before entering the room
B. Wearing gloves for direct care
C. Wearing a mask at all times
D. Placing the patient in a private room
B
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64. The nurse is assigned to care for the a patient with Ebola virus disease. Which of the following is the most
common mode of transmission for Ebola virus?
A. Vector
B. Airborne
C. Direct contact
D. Common vehicle
C
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65. A nurse is caring a patient diagnosed with pulmonary tuberculosis and she has to wear N95 mask when she
enters to the parent room. Based on the cycle of infection, which of the following is the reason to use the mask?
A. Break the transmission chain at the portal of entry.
B. Break the transmission chain at the portal exit
C. Kill the agent exits in the patients room.
D. Eliminate the reservoir of the bacteria
A
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66. After receiving the initial treatment of TB , a 27 years old woman in the chest disease ward was given discharge
instruction on dietary management , medication, regimen, hygiene care and follow up visits. What is the
instructions need to be emphasized the most?
A. Increase protein diet to promote healing
B. More rest and relaxation to restore therapy
C. Maintain daily exercise schedule to improve health
D. Dispose sputum as guided to avoid spread of disease
D
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67. A patient is admitted to the emergency room with an unknown infection disorder. Which of the following is the
most important measure a nurse implement to reduce the risks of transmitting these microorganisms other?
A. Hand hygiene
B. Wearing gloves
C. Wearing a mask
D. Wearing a gown
A
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68. A nurse is assigned to care for a patient with small that needs to be placed on airborne precaution. Which of the
following item should be used before entering the patient room?
A. Gloves and gown
B. Gloves and goggles
C. Gloves and mask
D. Gloves , gown N 95
D
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69. Which of the following is the primary level of prevention?
A. Detect and treat existing disease
B. Prevent illness or injury occurring
C. Reduce the extent and severity of health problem
D. Minimize disability and restore to prevent function
B
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70. A Nurse is surgical unit prepares for a wound dressing. While she is preparing. She sneeze over the dressing
trolley without wearing a facemask. Which of the following is the most appropriate action should the nurse
take?
A. set up a new sterile field
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B. put on a mask and continue working
C. continue working the most sterile field
D. Replace the equipment she thinks is contaminated
A
40
71. Which of the following is the most effective infection control precaution to prevent nosocomial infection?
A. Hand washing before and after patient contact
B. Wearing gloves and mask for direct patient care
C. Isolation precaution
D. Broad spectrum antibiotic
A
41
72. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had
explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following
transmission based precaution is most appropriate?
A. Combination airborne and droplet
B. Contact
C. Droplet
D. Airborne
B
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73. When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the body,
a nurse knows it is most important to include instructions regarding the loss of large amounts of serum occurring
with burns and the resulting loss of immune function. Which of the following instructions should be include?
A. Wash hands frequently each day
B. Wear supplemental oxygen at night
C. Wear masks while in public spaces
D. Take a multiple vitamin tablet night
A
43
74. A 20 year old woman is hospitalized with a strong and uncontrollable cough and has difficulty breathing while
coughing. A doctor writes an order for the patient to be transported from the medical surgical department to
the radiology department for an xray examination. The nurse prepares to transfer the patient and considers
standard precautions and additional transmission precautions. Who of the following would be required to wear
a mask?
A. Radiology staff
B. Nurse and patient
C. Patient
D. Nurse
B
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