Practice Question ch 7

Question 1

A young adult patient is admitted to a medical unit with the diagnosis of hepatitis A and placed in contact precautions. What is the primary goal of this action?

1. To prevent transmission of infectious microorganisms
2. To control the environment of the patient during hospitalization
3. To protect the patient from infectious microorganisms
4. To protect only the family from the transmission of the disease

Answer 1

1

Question 2

The nurse is working in a clinical medical area with a census of 15. Each patient has a different illness . When planning care , the nurse recognizes which as the most important action to provide protection to each patient from health care-associated infections ?
1. Wearing a gown
2. Placing each patient in isolation
3. Hand hygiene
4. Wearing gloves

Answer 2

3

Question 3

The nurse is caring for the patient in isolation and plans to wear latex gloves . Which is an important consideration ?

1. Assess the patient and the patient’s record for potential latex allergy .
2. Vinyl gloves actually provide higher barrier protection than latex.
3. The cost of latex gloves is significantly higher than that of synthetic gloves .
4. Latex gloves are so reliable as barriers that hand hygiene is not required.

Answer 3

1

Question 4

The nurse is speaking with a patient about the need to prevent infection . The nurse recognizes the patient understands proper hand hygiene when the patient makes what statement? ‘

1. “The water I wash my hands with should be as hot as I can tolerate to kill all of the germs on my skin.”
2. “If there isn’t time to completely wash my hands, it will be all right to rinse them quickly in warm water .”
3. “After washing my hands with soap for at least 20 seconds, I will rinse them thoroughly under running water .”
4. will put soap into a basin of warm water, lather my hands for 15 seconds , and then rinse them in the basin .”

Answer 4

3

Question 5

The nursing instructor is discussing the chain of infection to a group of student nurses. What is the most important information about identifying the chain of infection for the health care provider?

1. Understating of the chain of infection allows for tests to be performed to assess resistance to communicable diseases.
2. Recognition of the chain of infection provides information about which patients will most benefit from isolation precautions
3. The need for antibiotic therapy can be determined by assessing the chain of infection
4. Points at which the infection can be stopped or prevented can be located by identifying the chains of infection

Answer 5

4

Question 6

A patient in isolation is experiencing signs of social deprivation. Which intervention by the nurse is appropriate?

1. Allow visitors to remove masks while in the patient’s room
2. Leave the door of the negative - pressure room open slightly
3. Remind the patient that isolation is for his or her own benefit
4. Set specific times when the nurse will return to the patient’s room

Answer 6

4

Question 7

A middle-aged client is admitted to the hospital with cellulitis of the right foot. Three days later, the patient develops bacterial pneumonia. How would the patient’s bacterial pneumonia be classified?

1. Acute primary
2. Healthcare - associated
3. Interstitial
4. Mycoplasma

Answer 7

2

Question 8

The student is reviewing sterile techniques. When using the technique, the student nurse remembers to hold sterile objects in which location?
1. Close to shoulder level
2. Just below waist level
3. Over the patient’s bed
4. Above waist level

Answer 8

4

Question 9

The nurse is planning care for several patients undergoing procedures. For which procedure will the nurse gather supplies to implement surgical asepsis? (Select all that apply)

1. Inserting an IV line
2. Performing perineal care
3. Performing oral care
4. Obtaining a sputum specimen
5. Inserting an indwelling catheter

Answer 9

1,5

Question 10

The nurse is performing a surgical hand scrub. During a surgical hand scrub, how are the hands to be held?

1. Above the elbows
2. With the fingers pointing downward
3. Whichever way is convenient
4. Just below the waist

Answer 10

1

Question 11

To practice strict surgical asepsis, the nurse?

1. Adheres to principles of sterile technique
2. Performs routine environmental cleaning
3. Disinfects surfaces that come into contact with body fluids
4. Maintains proper hand hygiene before and after patient care

Answer 11

1

Question 12

The student nurse is preparing to don sterile gloves. What action by the student indicates understanding of the needed procedure?

1. Touch only the inside surface of the first glove while pulling it onto the hand
2. Place the fingers of the dominant hand into the outside cuff of the first glove
3. Let the cuff of the glove roll up over the hand as it is being pulled onto the hand
4. Begin the procedure by pulling the first glove upward and over the non dominant hand.,

Answer 12

1

Question 13

The nurse has completed a sterile procedure and is preparing to remove the soiled gloves. Place the steps in the correct order?

1. Grasp the outer surface of the glove
2. Place the glove in the hand that is still gloved
3. Peel the second glove off, turn inside out, and discard
4. Take the fingers of your bare hand and tuck inside the remaining glove cuff.

Answer 13

1,2,4,3

Question 14

To remove the gloves, what action is required of the nurse?

1. Pull each finger from each of the gloves first, then roll the glove back over the hand.
2. Remove the glove from the non dominant hand by reaching inside the glove and pulling it off
3. Remove one glove, then use the bare fingers to push the remaining glove off from inside the cuff.
4. Hold both gloved hands under running water and roll the gloves down to keep microorganisms contained.

Answer 14

3

Question 15

Which is a principle of surgical asepsis?

1. Any sterilized item is considered unsterile once it is allowed to fall below knee height
2. Sterile fields and sterilized items are no longer sterile if they contact a clean surface
3. A person not wearing sterile garments can come no closer to a sterile field than 3 feet
4. The form and back of a sterile gown being worn are considered sterile from shoulders to knees.

Answer 15

2

Question 16

A patient isolated for pulmonary tuberculosis is expressing anger at the nurse. What action by the nurse is most appropriate? (Select all that apply)

1. Provide a dark, quiet room to calm the patient.
2. Explain isolation procedures and provide meaningful stimulation
3. Reduce the level of precautions to keep the patient from becoming angry
4. Limit family and other caregiver visits to reduce the risk of spreading the infection
5. Talk with the patient about how they are feeling

Answer 16

2

Question 17

The nurse is assisting the physician with an irrigation of a draining abdominal wound by preparing the sterile tray. To maintain sterility of the tray, which action by the nurse is correct?

1. Use sterile forceps while reaching across it to move the contents around
2. Wear clean gloves to open and touch the contents of the tray
3. Allow the open tray to stand unattended for 20 minutes then cover it with a towel
4. Put on sterile gloves before handling the contents of the tray.

Answer 17

4

Question 18

The nurse is presenting an educational program on the CDC’s hand hygiene recommendations for implementation in a hospital. Which statement by the nurse demonstrates an understanding of the CDC’s recommendation? (Select all that apply)

1. Health care providers will wear gloves at all times when providing patient care
2. Disinfecting hands after glove removal is not necessary according to the guidelines
3. Alcohol-based hand cleaner is effective on hands that are not visibly soiled with blood and body fluids
4. It is necessary to remove waterless alcohol-based hand cleaners with paper towels to remove pathogens from hands. The nurse should use water and soap to wash hands after caring for a patient diagnosed with clostridium difficiles

Answer 18

3

Question 19

The nurse is preparing to open the outer sterile wrap of an indwelling catheter tray. Which flap of the wrap (in which direction) should be opened first?

1. The flap that opens away front he nurses
2. The flap that opens to the left
3. The flap that opens to the right
4. The flap that opens toward the nurse.

Answer 19

1

Question 20

The patient asks the nurse how his skin will be sterilized before his surgery. What is the best response by the nurse?

1. We will use alcohol to sterilize your skin
2. It is not possible to sterilize skin, but we will use antimicrobial solutions to eliminate most microorganisms
3. There are a series of steps used in sterilizing your skin to prevent you from getting an infection
4. We will use Geraldine solution to sterilize your skin

Answer 20

2

Question 21

Online practice 1-10

Answer 21

ch 7

Question 22

. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching ? (Select all that apply .)

A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers (ch 1)

Answer 22

A,B,D

Question 23

A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.)

A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization ( EPO)
E. Medicaid

Answer 23

B,E

Question 24

. A nurse manager is developing strategies to care for the increasing number of clients who have obesity . Which of the following actions should the nurse include as a primary health care strategy ?

A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity
D. Educating acute care nurses about postoperative complications related to obesity

Answer 24

A

Question 25

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?

A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining whether medications are safe for administration to clients

Answer 25

B

Question 26

A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.)

A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care

Answer 26

A,B,C

Question 27

A nurse is caring for a group of clients on a medical- surgical unitFor which of the following care needs should the nurse initiate a referral for a social worker? Select all that apply

A.A client who has terminal cancer requests hospice care in the home

C.A client asks about community resources available for older adults

A states, would like to have my child baptized before surgery
D. A client requests an electric wheelchair for use after discharge

E. A client states do not understand how to use a nebulizer .” Ch 2 book

look loook

Answer 27

a,b,d

Question 28

A goal for a client who has difficulty with self- feeding due to rheumatoid arthritis is to use adaptive devices . The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team?

A. Social worker
B.Certified nursing assistant
C. Registered dietitian
D. Occupational therapist

Answer 28

D

Question 29

. A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication’s effects? (Select all that apply.)

A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist

Answer 29

a,c,d

Question 30

A client who had a cerebrovascular accident has persistent problems with dysphagia . The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech- language pathologist

Answer 30

D

Question 31

A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When providing examples of the types of tasks certified nursing assistants (CNAs) can perform, which of the following client activities should the nurse include? (Select all that apply.)

A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs

Answer 31

a,b,c,e

Question 32

1. A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries . The nurse understands that this client’s choice is an example of which of the following ethical principles ?

A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence ch3

Answer 32

B

Question 33

A nurse offers pain medication to a client who is postoperative prior to ambulation . The nurse understands that this aspect of care delivery is an example of which of the following ethical principles ?

A. Fidelity
B. Autonomy
C. Justice
D. Beneficence

Answer 33

D

Question 34

A nurse is instructing a group of newly licensed nurses about the responsibilities of organ donation and procurement . When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications , the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles ?

A.Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence

Answer 34

c

Question 35

. A nurse questions a medication prescription as too extreme in light of the client’s advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles ?

A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence

Answer 35

D

Question 36

A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise . Which of the following situations should the newly licensed nurses identify as an ethical dilemma ?

A. A nurse on a medical -surgical unit demonstrates signs of chemical impairment .

B. A nurse overhears another nurse telling an older adult client that if he doesn’t stay in bed , she will have to apply restraints .

C. A family has conflicting feelings about the initiation of enteral tube feedings for their father , who is terminally ill

D. A client who is terminally ill hesitates to name their partner on their durable power of attorney form .

Answer 36

C

Question 37

1. A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing?

A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy ch 4

Answer 37

A

Question 38

A nurse is caring for a competent adult client who tells the nurse, “ I am leaving the hospital this morning whether the doctor discharges me or not.” The nurse believes that this is not in the client’s best interest , and prepares to administer a PRN sedative medication the client has not requested along with the scheduled morning medication . Which of the following types of tort is the nurse about to commit ?

A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality

Answer 38

B

Question 39

A nurse in a surgeon’s office is providing preoperative teaching for a client who is scheduled for surgery the following week . The client tells the nurse that plan to prepare my advance directives before come to the hospital .” Which of the following statements made by the client should indicate to the nurse an understanding of advance directives ?

A. `` I’d rather have my brother make decisions for me , but I know it has to be my wife .”

B. know they won’t go ahead with the surgery unless prepare these forms .”

C. “ plan to write that I don’t want them to keep me on a breathing machine .”

D. will get my regular doctor to approve my plan beforehand at the hospital .”

Answer 39

C

Question 40

A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.)

A. Make sure the surgeon obtained the client’s consent .

B. Witness the client’s signature on the consent form.

C. Explain the risks and benefits of the procedure.

D. Describe the consequences of choosing not to have the surgery.

E. Tell the client about alternatives to having the surgery .

Answer 40

a,b

Question 41

A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not during a break time. Which of the following actions should the nurse take ?

A. Alert the American Nurses Association.
B. Fill out an incident report .
C. Report the observations to the nurse manager on the unit.
D. Leave the nurse alone to sleep .

Answer 41

c

Question 42

A nurse is preparing information for a change - of- shift report Which of the following information should the nurse include in the report?

A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record ch 5

Answer 42

c

Question 43

. A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses during orientation . Which of the following information should the nurse manager include? (Select all that apply .)

A. A single electronic records password is provided for nurses on the same unit.
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurses’ station.
D. A client can request a copy of their medical record.
E. A nurse can photocopy a client’s medical record for transfer to another facility.

Answer 43

b,c,d,e

Question 44

. A charge nurse is reviewing documentation with a group of newly licensed nurses . Which of the following legal guidelines should be followed when documenting in a client’s record? (Select all that apply.)

A. Cover errors with correction fluid, and write in the correct information
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document .

Answer 44

b,c

Question 45

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply).

A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test

Answer 45

a,b,d

Question 46

A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? select all that apply.

A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the provider’s signature on the prescription within 24hr.
D. Decline the verbal prescription because it is not an emergency situation.E. Tell the charge nurse that the provider has prescribed morphine by telephone.

Answer 46

a,b,c

Question 47

1. When entering a client’s room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field?

A. Keep the sterile field at least 6 ft away from the client’s bedside.
B. Instruct the client to refrain from coughing and sneezing during the dressing change .
C. Place a mask on the client to limit the spread of microorganisms into the surgical wound .

D. Keep a box of facial tissues nearby for the client to use during the dressing change . Ch 10

Answer 47

c

Question 48

A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?

A. The flap closest to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body

Answer 48

d

Question 49

A nurse is wearing sterile gloves in preparation for performing a sterile procedure . Which of the following objects can the nurse touch without breaching sterile technique ? (Select all that apply .)

A. A bottle containing a sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand

Answer 49

c,d,e

Question 50

. A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? ( Select all that apply.)

A. Apply 3 to 5 of liquid soap to dry hands.
B. Wash the hands with soap and water for at least 15 seconds.
C. Rinse the hands with hot water.
D. Use a clean paper towel to turn off hand faucets
E. Allow the hands to air dry after washing.

Answer 50

b,d

Question 51

. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion . Which of the following events should the nurse recognize as contaminating the sterile field? ( Select all that apply .)

A. The provider drops a sterile instrument onto the near side of the sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. C. The procedure is delayed 1 hr because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse .
E. The client’s hand brushes against the outer edge of the sterile field.

Answer 51

b,c,d

Question 52

1. A nurse is caring for a client who has severe acute respiratory syndrome ( SARS). The nurse knows that healthcare professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply.)

A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common- source outbreaks ch 11

Answer 52

a,b,c,e

Question 53

A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions?

A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Tuberculosis

Answer 53

d

Question 54

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection ?

A. Prodromal
B. Incubation
C. Convalescence
D. Illness

Answer 54

d

Question 55

A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection . Which of the following are manifestations of a systemic infection ? ( Select all that apply. )

A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate

Answer 55

a,b,e

Question 56

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis . Which of the following interventions should the nurse include? (Select all that apply .)

A. Place the client in a room that has negative air pressure of at least six exchanges per hour.

B. Wear a mask when providing care within 3 ft of the client .

C. Place a surgical mask on the client if transportation to another department is unavoidable.

D. Use sterile gloves when handling soiled linens .

E. Wear a gown when performing care that might result in contamination from secretions .

Answer 56

b,c,e