CH 29 Infection Prevention and Control NCLEX questions

CH 29 Infection Prevention and Control NCLEX questions ScienceMedicineNursing jennfas Save NCLEX Safety and Infection Control...42 terms Kate383Preview

NCLEX Questions Chapter 23: Aseps...

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NCLEX Style Questions: Infection

20 terms kjking2101Preview NCLEX 27 terms suz Which of the following organisms may result in the development of a nosocomial infection? (Select all that apply.)

• Staphylococcus aureus
• Mycobacterium leprae
• Pseudomonas aeruginosa
• Neisseria gonorrhoeae
• Escherichia coli
• Staphylococcus aureus
• Pseudomonas aeruginosa
• Escherichia coli

A student nurse is demonstrating the proper procedure for maintaining a sterile field. Which of the following guidelines should be followed?(Select all that apply.)

• Never reach across a sterile field.
• Objects below the waist are considered unsterile.
• A dry area is micro-organism free.
• A sterile object is still sterile if touched by a nonsterile object.
• One inch around the edges is considered contaminated.
• Never reach across a sterile field.
• Objects below the waist are considered unsterile.
• One inch around the edges is considered contaminated.

A client asks the nurse to explain how to perform a proper handwashing procedure. Which of these responses would be the most appropriate for the nurse to make?

• "Running water helps to wash away the dirt on your hands."
• "Be sure to wet your hands thoroughly before using soap."
• "It is okay to use your washed hands to turn off the faucet."
• "You should wash your hands for at least 30 seconds before rinsing them."
• "Be sure to wet your hands thoroughly before using soap."

Which statement by a client who has methicillin-resistant Staphylococcus aureus (MRSA) in the urine would indicate that the client is correctly following the medical treatment plan?

• "When I leave my room, I will wear a mask."
• "I should wash my hands after I go to the bathroom."
• "My children can sit on my bed during their visit."
• "I need to wear gloves when I eat my lunch."
• "I should wash my hands after I go to the bathroom."

Which of these client statements is the most reliable indicator that a client has an understanding of infection prevention?

• "I will use alcohol to wash my hands."
• "Soiled dressings can be placed in a paper bag."
• "My fingernails are short and well-trimmed."
• "The family dog can sleep with me on the bed."
• "My fingernails are short and well-trimmed."

The nurse instructs a client in infection prevention. Which of the following statements, if made by the client, indicates that the teaching was effective?

• "I should wash my hands before changing my wound dressing."
• "The organisms on my skin will not infect my leg wound."
• "The dressings from my wound can be removed without wearing gloves."
• "The drainage from my wound can be rinsed down the kitchen sink."
• "I should wash my hands before changing my wound dressing."

A student nurse recalls that the body has nonspecific defense systems to protect against infection. Which of the following is an example of this system?

• Saliva
• Antigens
• B-lymphocytes
• T-cells
• Saliva

A nursing student is preparing a presentation on aseptic techniques. Which of the following statements should be included in the presentation?

• Dirty items contain organisms that have the potential to cause infection.
• Surgical asepsis includes practices that inhibit the growth of organisms.
• Sepsis is the absence of disease-causing microorganisms.
• When dealing with sterile areas, medical asepsis practices may be used.
• Dirty items contain organisms that have the potential to cause infection.

A nursing diagnosis, Risk for Infection, has been established for a client with pneumonia. Which of the following nursing interventions would not be appropriate when planning care for this client?

• Dispose of feces appropriately.
• Wash hands before and after client contact.
• Cover the mouth and nose when coughing.
• Empty drainage bags when they become full.
• Empty drainage bags when they become full.

What is the most effective way to control transmission of infection?

• Isolation precautions
• Identifying the infectious agent
• Hand hygiene practices
• Vaccination
• Hand hygiene practices

A patient is diagnosed with MRSA. Which type of isolation precaution is most appropriate for this patient?

• Reverse isolation
• Droplet precautions
• Standard precautions
• Contact precautions
• Droplet precautions

When should a nurse wear a mask? (Select all that apply)

• The patient's dental hygiene is poor
• The nurse is assisting with an aersolizing respiratory procedure such as suctioning.
• The patient has acquired AIDS and a congested cough
• The patient is in droplet precautions
• the nurse is assisting a health care provider in the insertion of a central line catheter.
• The nurse is assisting with an aersolizing respiratory procedure such as suctioning.
• The patient is in droplet precautions
• the nurse is assisting a health care provider in the insertion of a central line catheter.

Which of the following actions by the nurse comply with core principles of surgical sepsis? (select all that apply)

• Set up sterile field before patient and other staff come to the operating suite
• Keep the sterile field in view at all times.
• Consider the outer 2.5 cm (1") of the sterile field as contaminated.
• Only health care personnel within the sterile field must wear personal protective equipment.
• The sterile gown must be put on before the surgical scrub is performed.
• Keep the sterile field in view at all times.
• Consider the outer 2.5 cm (1") of the sterile field as contaminated.

Which of theses statements are true regarding disinfection and cleaning? (select all that apply)

• Proper cleaning requires mechanical removal of all soil from an object or area
• General environmental cleaning is an example of medical asepis.
• When cleaning a wound, wipe around the wound edge first and then clean inward toward the center of the wound.
• Cleaning in a direction from the least to the most contaminated area helps reduce infections.
• Disinfecting and sterilizing medical devices and equipment involve the same procedures.
• Proper cleaning requires mechanical removal of all soil from an object or area
• General environmental cleaning is an example of medical asepis.
• Cleaning in a direction from the least to the most contaminated area helps reduce infections.

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room.Select the correct order for removal of the personal protective equipment and associated tasks. (All answers are utilized.)

• Remove eyewear/face shield and goggles.
• Perform hand hygiene.
• Remove gloves.
• Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
• Remove mask by strings; do not touch outside of mask.
• Dispose of all contaminated supplies and equipment in designated receptacles.
• Leave room and close the door.

C, A, D, E, B, G, F

The nurse manager is evaluating current infection control data for the intensive care unit. The nurse compares past patient data with current data to look for trends. The nurse manager examines the infection chain for possible solutions. In which order will the nurse arrange the items for the infection chain beginning with the first step?

• A mode of transmission
• An infectious agent or pathogen
• A susceptible host
• A reservoir or source for pathogen growth
• A portal of entry to a host
• A portal of exit from the reservoir
• 3, 2, 4, 1, 5, 6
• 1, 3, 5, 4, 6, 2
• 4, 2, 1, 6, 3, 5
• 2, 4, 6, 1, 5, 3
• 2, 4, 6, 1, 5, 3 Terms (16)

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