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NUR1020 Practice Questions Exam 1 Questions With Complete Solutions
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NUR1020 Practice Questions Exam 1 Questions With Complete Solutions
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NUR1020 Practice Questions Exam 1 Questions WithComplete Solutions
1. A patient develops food poisoning from contaminated food.
What is the means of transmission for the infectious organism?
a. Direct contact
b. Vector
c. Vehicle
d. Airborne Correct Answer C
Contaminated food is a vehicle for transmitting an infection.
Direct contact requires close proximity between the susceptible
host and an infected person. A vector is a nonhuman carrier. In
airborne transmission, the organism is carried through the air on
a small droplet or dust particles.
LO: 26.3
Blooms: Understanding
NCLEX Client Needs: Physiological Integrity: Physiologic
Adaptation
A 65-year-old male patient has been a one-pack-per-day smoker
for 40 years. He was recently diagnosed with chronic obstructive
pulmonary disease (COPD) and would like to attend a smoking
cessation class. The nurse recognizes smoking cessation as
which level of prevention for this patient?
a. Primary prevention
b. Secondary prevention
c. Statutory prevention
d. Tertiary prevention Correct Answer D
,According to the stages for disease prevention, primary
prevention is implemented for the absence of disease, secondary
prevention applies to the early stages of disease or recently
diagnosed risk factors, and tertiary preventive care is offered for
permanent and irreversible disease. In this case, even though the
patient's COPD was recently diagnosed, the care would be
considered tertiary prevention because his condition is
permanent.
LO: 16.4
Blooms: Understanding
NCLEX Client Needs: Health Promotion and Maintenance:
Health Promotion/Disease Prevention
A blueish discoloration of the skin and mucous membranes.
Correct Answer Cyanosis
A defense system that involves antibodies and WBC's that are
produced to fight antigens. Correct Answer Humoral Immunity
A new patient is admitted to a medical unit with Clostridium
difficile. Which type of precautions or isolation does the nurse
know is appropriate for this patient?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Protective isolation Correct Answer C
Contact precautions are used with C. difficilebecause
transmission of a contagious disease is possible through contact
with the patient or with the equipment or items in the patient's
room. Airborne precautions are used when a contagious disease
,is spread by small droplets that remain suspended in the air for a
long period. Droplet precautions are used when a disease is
spread by large droplets in the air. Protective isolation is used
for patients who are immunosuppressed.
LO: 26.6
Blooms: Applying
NCLEX Client Needs: Safe and Effective Care Environment:
Standard Precautions/Transmission-based Precautions/Surgical
Asepsis
A nurse is observing a new staff member work with a patient. Of
the following activities, which one has the greatest possibility of
contributing to a HAI and requires correction?
a. Washing hands before applying dressing
b. Taping a plastic bag to the bed rain for tissue disposal
c. Placing a Foley catheter bag on the bed with the patient
d. Using an antiseptic to cleanse the skin before stating an
intravenous Correct Answer C
A nurse is preparing to change a sterile dressing and has donned
a pair of sterile gloves. To maintain surgical asepsis, what else
must the nurse do?
a. Keep the amount of splashes on the sterile field to a
minimum.
b. If a sneeze is imminent, cover the nose and mouth with a
gloved hand.
c. With a moist saline sponge, use the dominant hand to clean
the wound and then apply a dry dressing.
d. Regard the outer 1 inch of the sterile field as contaminated.
Correct Answer D
, Considering the outer 1 inch of the sterile field as contaminated
is a principle of sterile technique. Moisture contaminates the
sterile field. Sneezing or coughing would contaminate the sterile
glove and necessitate replacing the contaminated glove with a
new sterile one. The hand used to clean the wound would not be
used to apply a dry dressing. The hand would have to be
regloved.
LO: 26.6
Blooms: Analyzing
NCLEX Client Needs: Safe and Effective Care Environment:
Standard Precautions/Transmission-based Precautions/Surgical
Asepsis
A nurse providing preventive care to an overweight patient with
a family history of diabetes should engage in which priority
care-planning activity for this patient?
a. Calculating the patient's body mass index (BMI) and
recommending a daily exercise routine
b. Instructing the patient to perform blood glucose monitoring
once daily
c. Giving the patient a month's supply of insulin needles and
syringes
d. Suggesting the patient participate in diabetes education
classes offered at a local health facility Correct Answer A
The patient does not have diabetes but is overweight and at risk
due to a family history of diabetes. The best way to prevent
diabetes is to keep the BMI in the optimal range (<25).
Beginning an exercise program with walking and progressing as
tolerated increases muscle mass, improves depression, and
strengthens the heart.
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