Skills Exam 1 (Applied Nursing) Questions and Answers
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Course
Applied nursing
Institution
Applied Nursing
When a patient in the ambulatory clinic is diagnosed as having pneumococcal pneumonia, the nurse is aware that this infection is: - Answer-bacterial and should respond to treatment with antibiotics.
The nurse explains to the patient who has pneumococcal pneumonia that the lungs serve as the: - A...
Skills Exam 1 (Applied Nursing)
Questions and Answers
When a patient in the ambulatory clinic is diagnosed as having pneumococcal
pneumonia, the nurse is aware that this infection is: - Answer-bacterial and should
respond to treatment with antibiotics.
The nurse explains to the patient who has pneumococcal pneumonia that the lungs
serve as the: - Answer-reservoir.
The patient inquires about how his body will kill pathogens unassisted by antibiotics.
The nurse responds that a process called phagocytosis will: - Answer-engulf and
destroy the pathogen.
The nurse explains that the immunizations against hepatitis B will: - Answer-stimulate
the body to make antibodies the hepatitis B antigen.
A mother and her 2-week-old infant, who is breast-fed, have been exposed to
chickenpox. Although the mother had chickenpox as a child, she is concerned about her
baby. The nurse explains: - Answer-neither are at risk, because the mother has
naturally acquired immunity, and she passes antibodies to the baby through the breast
milk.
Health personnel should wash their hands with soap and water at the beginning of the
shift for: - Answer-15 seconds.
An organism that is included in the extended-spectrum beta-lactamase producing
pneumonia (ESBL) group is: - Answer-Escherichia coli.
The nurse explains that medical asepsis differs from surgical asepsis in that medical
asepsis: - Answer-is confined to the patient's room.
When the nurse performs a procedure using sterile technique in the patient's unit, it
means that: - Answer-all organisms have been killed or removed from materials that
come in contact with the patient.
A nurse teaching family members about hand hygiene in the home would emphasize: -
Answer-keeping fingernails short and avoiding wearing rings.
A nurse is using personal protective equipment (PPE) before entering the room of a
patient with diarrhea and vomiting who is being treated for an intestinal infection. The
nurse most likely needs to use which combination of PPE? - Answer-Gown, gloves, and
goggles (or glasses)
,When removing a used face mask, the nurse correctly: - Answer-unties the bottom ties
first, then the top, and disposes of the mask without touching it
The nurse uses the Standard Precautions, as outlined by the Centers for Disease
Control and Prevention (CDC), when: - Answer-caring for all patients.
When the nurse is using a syringe and needle to give a patient an injection, he or she
should: - Answer-never recap the needle afterwards to avoid risk of needle stick.
The nurse using protective non-sterile gloves in the provision of patient care will wash
his or her hands after removal of the gloves in order to: - Answer-avoid transfer of
organisms.
The nurse encourages the 84-year-old patient who is recovering from a hip replacement
to: - Answer-cough frequently to make up for the loss of cilia.
A patient is sent home with an open wound that is still infected and being treated with
wet-to-dry dressing changes four times a day. Before discharge, in order to prevent
infecting other family members, the nurse would teach the patient to: - Answer-maintain
medical asepsis and proper handling of the contaminated dressings.
The nurse instructing a patient in the home use of disinfectant would include the
information that the disinfectant can be used to: - Answer-thoroughly clean and rinse all
soap off the equipment before disinfecting it.
The nurse is aware that the use of ethylene oxide gas is reserved for the sterilization of:
- Answer-heat-sensitive items.
The nurse recommends a good agent for disinfecting contaminated areas in the home
is: - Answer-a 1:10 solution of chlorine bleach.
The situation in which protective eyewear is required is: - Answer-suctioning a
tracheotomy.
To prevent a urinary infection in an elderly patient who is in traction for a broken femur,
the nurse would: - Answer-encourage fluid intake to keep urine dilute.
Fecal matter has contaminated the patient's bed sheet. The nurse should: - Answer-don
non-sterile gloves and gown, remove the soiled sheet, replace it with a clean one, and
then dispose of the sheet in a plastic bag to prevent skin or clothing contact.
The nurse explains that the body's normal flora serve as: - Answer-prevention to the
colonizing of pathogens.
A patient has been diagnosed with Creutzfeldt-Jakob disease (mad cow disease). The
nurse recognizes this disease is caused by a: - Answer-prion.
, A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes
this disease is caused by a tick bite that infected the patient with: - Answer-Rickettsia
rickettsii.
The nurse is aware that family education is necessary for the control of the most
common helminth infection, which is: - Answer-pinworms.
A patient has been diagnosed with vaginal candidiasis. The nurse recognizes that this
condition is usually the result of: - Answer-long-term antimicrobial therapy.
A young patient became ill with mononucleosis that she contracted from drinking out of
the same glass as her boyfriend who also had the disease. The glass, an inanimate
object, has caused the indirect transmission. The inanimate transmitter is called: -
Answer-fomite.
The nurse instructs a patient that in order to reduce diseases that are transmitted via
droplet, the nose and mouth should be covered by: - Answer-bent elbow.
The nurse is aware that the first barrier to pathogen invasion is the: - Answer-skin.
An enzyme found in the mucous membranes that is bactericidal is: - Answer-lysozyme.
A nurse is caring for a patient who was exposed to Bacillus anthracis. The nurse should
wash her hands with: - Answer-soap and water.
After reading a differential blood count on a patient, the nurse assesses that the
patient's infection is viral because the: - Answer-neutrophil count is decreased and the
monocyte and the lymphocyte counts are both elevated.
Fleas, ticks, mosquitoes, and other insects that harbor infection are called - Answer-
vectors
The elderly should receive influenza immunization how often? - Answer-Yearly
The nurse is aware that gram-negative bacteria are capable of causing hemorrhagic
shock by the production of a(n) - Answer-endotoxin
Portal of exit transmission can be controlled by: - Answer-treating infected patients,
isolation techniques, barrier precautions
The elderly are more susceptible to infection for a variety of reasons. The nurse should
be aware in planning care of elderly patients that the elderly are at risk due to: - Answer-
delayed immune response, impaired thorax expansion, urine stasis.
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