Practice Test 1 NURS327 Exam With
Verified Questions and Answers
A nurse would implement droplet precautions for a client with which condition? Select all that
apply. - answer✔✔Pertussis
Mumps
Parvovirus B 19
Explanation: Disorders requiring droplet precautions include pertussis, mumps, and parvovirus B
19. Scabies and viral hemorrhagic infections such as Ebola would require contact precautions.
A nurse implements aseptic technique as a means to break the chain of infection at which
element? - answer✔✔Portal of Entry
Explanation: The use of aseptic technique interrupts the chain of infection at the portal of entry.
Employee health, environmental sanitation, and disinfection and sterilization interfere with the
reservoir element. Hand hygiene, control of secretions, and excretions and proper trash and waste
disposal interfere with the portal of exit. Isolation, proper food handling, airflow control,
standard precautions, sterilization, and hand hygiene interfere with the means of transmission.
When assessing a client with infectious diarrhea, which of the following would lead a nurse to
suspect that the client is experiencing severe dehydration? - answer✔✔Rapid, thready pulse
Explanation: Severe dehydration is manifested by signs of shock such as rapid, thready pulse,
cyanosis, cold extremities, rapid breathing, lethargy, and coma. Dry oral mucous membranes and
increased thirst suggest mild dehydration. These findings along with sunken eyes suggest
moderate dehydration.
A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment
would the physician prescribe? - answer✔✔IV penicillin G; single dose
Explanation: A single dose of parenterally administered penicillin G is used to treat primary and
secondary syphilis.
The nurse is providing an education program to reduce the incidence of infection currently on the
rise in the community. What areas should the nurse focus on when presenting this program?
Select all that apply. - answer✔✔Sanitation techniques
regulated health practices
Immunization programs
Explanation: Methods of infection prevention include sanitation techniques (e.g., water
purification, disposal of sewage and other potentially infectious materials), regulated health
practices (e.g., the handling, storage, packaging, and preparation of food by institutions), and
immunization programs.
A nurse is preparing to insert a peripheral intravenous access device into the arm of a client.
When preparing the skin for insertion, which of the following should the nurse use to prevent
possible health-care associated bloodstream infections? - answer✔✔Chlorhexidine
Explanation: Although povidone-iodine or alcohol may be used, the preferred agent to clean the
skin prior to insertion of an intravenous device is chlorhexidine. Normal saline would not be
appropriate.
An obese client is scheduled for open abdominal surgery. What priority education should the
nurse provide to this client? - answer✔✔Prevention of respiratory complications
Explanation: All answers are correct, but the obese client has an increased susceptibility to
respiratory complications, and maintaining a patent airway would be the priority.
The patient is NPO prior to having a colonoscopy. The patient is to take a daily blood pressure
pill prior to the procedure. Until when may water be given prior to the procedure? -
answer✔✔Up to 2 hours before surgery
Explanation: The major purpose of withholding food and fluid before surgery is to prevent
aspiration. Until recently, fluid and food were restricted preoperatively overnight and often
longer. The American Society of Anesthesiologists reviewed this practice and made new
recommendations for people undergoing elective surgery who are otherwise healthy. Specific
recommendations depend on the age of the patient and the type of food eaten. For example,
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