添翼Lilly习题课 3.9 Infection Control Practice Test

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Q1:1. A nurse in the intensive care unit is caring for a postoperative cardiac transplant client. What intervention is most important to include in the plan of care?

A. Apply sequential compression devices to prevent deep venous thrombosis
B. Assist client to change positions slowly to prevent hypotension
C. Encourage coughing and deep breathing to prevent pneumonia
D. Use careful hand washing and aseptic technique to prevent infection

Q2:2. The nurse is caring for a client with active pulmonary tuberculosis. Which elements of infectious disease precautions are mandatory for the nurse when providing routine care? Select all that apply.

A. Gown
B. Goggles or face shield
C. Hand washing
D. N95 particulate respirator
E. Surgical mask

Q3:3. A home health nurse is supervising a home health aide who is changing the dressing for a client with a chronic heel wound. Which actions by the aide indicate adherence to appropriate infection control procedures? Select all that apply.

A. Open a sterile container of 4 x 4's using the outermost corner to peel back the cover
B. Pull glove off over the soiled dressing to encase it before disposal
C. Save unused sterile 4 x 4's by taping original package shut for the next dressing change
D. Wash hands prior to putting on gloves and after removing them
E. Wrap soiled dressing in paper towels before disposing of it in the trash can

Q4:4. The nurse accidentally sticks him/herself in the finger with a clients contaminated needle. The client has HIV infection. Place in order the steps the nurse should take. All options must be used.A. Remove glovesB. Go to employee health clinicC. Notify the nurse’s supervisorD. Take postexposure prophylaxisE. Wash area with soap and water.

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Q5:5. The nurse is caring for a client who develops Clostridium difficile colitis after multiple days of antibiotic therapy. Which infection control measures are appropriate to implement? Select all that apply.

A. Disinfect surfaces with diluted bleach solution
B. Hand hygiene with alcohol-based hand rub
C. Wear a face mask
D. Wear a protective gown
E. Wear nonsterile gloves

Q6:6. A home health nurse is giving an infection control presentation on pulmonary tuberculosis (TB) disease to a group of home health aides. Which statement made by a home health aide indicates an understanding about the mode of transmission of pulmonary TB?

A. "It is spread by contact with the client's blood or urine."
B. "It is spread by contact with the client's soiled clothing and bed linens."
C. "It is spread by contact with the client's soiled eating utensils."
D. "It is spread by small droplets that the client coughs or sneezes into the air."

Q7:7. The nurse is drawing a blood specimen from a clients central line. Identify the steps necessary to prevent transmission of infection while performing this procedure. Select all that apply.

A. Discard the first 6-10 mL of blood drawn from the line
B. Flush the line with sterile normal saline before and after collection
C. Perform hand hygiene
D. Place the specimen in a biohazard bag
E. Scrub the catheter hub with antiseptic prior to use

Q8:8. The nurse is reinforcing education about home and lifestyle alterations to a client recently diagnosed with HIV. Which of the following statements by the client indicates a need for further education? Select all that apply.

A. "I don't have to use protection if my sexual partner is also HIV positive."
B. "I have to make sure my family knows not to borrow my razors."
C. "I need to avoid eating raw or undercooked meats and eggs."
D. "I started to use lambskin condoms during sex, as I have a latex allergy."
E. "I won't reuse or share any needles or syringes that I use to inject heroin."

Q9:9. The nurse prepares to insert an indwelling urinary catheter in a client who is disoriented to time, place, and person and cannot follow directions or commands. Which intervention is most important when inserting the urinary catheter

A. Ensure the client understands the procedure prior to implementation
B. Maintain a sterile field and keep the urinary catheter sterile
C. Place the catheter supply kit between the client's legs in the center of the bed
D. Throw swabs used to clean the perineum directly into the biohazard bin

Q10:10. A nurse is caring for a group of clients on a medical surgical unit. Which client is most at risk for contracting a nosocomial infection?

A. 51-year-old client who received a permanent pacemaker 48 hours ago
B. 60-year-old client who had a myocardial infarction 24 hours ago
C. 74-year-old client with stroke and an indwelling urinary catheter for 3 days
D. 75-year-old client with dementia and dehydration who is on IV fluids

Q11:11. The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply.

A. Applies sterile gloves before performing client care
B. Ensures surgical masks are worn by staff in the client's room
C. Requests that the client be assigned to a single-client room
D. Uses alcohol-based sanitizers for hand hygiene
E. Wears a single-use, disposable gown during client care

Q12:12. A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply.

A. Keep dedicated equipment for client
B. Perform hand hygiene before exiting the room
C. Place a "No Visitors" sign on the client's door
D. Wear a face mask when in the room
E. Wear an isolation gown when providing direct care

Q13:13. Which client is most at risk for hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA)?

A. 15-year-old student athlete in the emergency department with a fractured femur
B. 46-year-old with a large abdominal incision and 2 peripheral IV lines
C. 72-year-old who received a permanent pacemaker 24 hours ago
D. 80-year-old with chronic obstructive pulmonary disease (COPD) who is on a ventilator

Q14:14. The nurse assesses 4 children in the clinic. Which assessment finding requires the nurses priority action?

A. A 3-month-old with fever, vomiting, high-pitched cry, and irritability
B. A 9-month-old with diarrhea who is refusing fluids and cries without tears
C. An 11-month-old with cold symptoms and an abdominal breathing pattern
D. An 18-month-old who cries when the caregiver leaves

Q15:15. The registered nurse (RN) is caring for a client with tuberculosis who is on airborne isolation precautions. The RN can delegate which tasks to the experienced unlicensed assistive personnel (UAP)? Select all that apply.

A. Alert the x-ray department about maintaining airborne isolation precautions
B. Explain to the client why the client must wear a mask during transport to another department
C. Post signs for airborne isolation precautions on the client's door and stock necessary equipment
D. Remind visitors to wear a respirator mask and keep the door closed while in the client's room
E. Talk with the family about the reasons for airborne isolation precautions in the client
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添翼Lilly习题课 3.9 Infection Control Practice Test
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