Fundamentals- Final- End of Chapter Quiz
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A patient is isolated for pulmonary tuberculosis. The nurse notes that the patient seems
to be angry, but he knows that this is a normal response to isolation. Which is the best
intervention?
Provide a dark, quiet room to calm the patient.
Reduce the level of precautions to keep the patient from becoming angry.
Explain the reasons for isolation procedures and provide meaningful stimulation.
Limit family and other caregiver visits to reduce the risk of spreading the infection.
✔✔3. Explain the reasons for isolation procedures and provide meaningful stimulation.
When should a nurse wear a mask? (Select all that apply.)
The patient's dental hygiene is poor.
The nurse is assisting with an aerosolizing respiratory procedure such as suctioning.
The patient has acquired immunodeficiency syndrome (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.
✔✔2. The nurse is assisting with an aerosolizing 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 type of personal protective equipment are staff required to wear when caring for a
pediatric patient who is placed into airborne precautions for confirmed chickenpox/herpes
zoster? (Select all that apply.)
Disposable gown
N 95 respirator mask
Face shield or goggles
Surgical mask
Gloves ✔✔1. Disposable gown
N 95 respirator mask
Gloves
The infection control nurse has asked the staff to work on reducing the number of iatrogenic
infections on the unit. Which of the following actions on your part would contribute to reducing
health care-acquired infections? (Select all that apply.)
Teaching correct handwashing to assigned patients
Using correct procedures in starting and caring for an intravenous infusion
Providing perineal care to a patient with an indwelling urinary catheter
Isolating a patient who has just been diagnosed as having tuberculosis
Decreasing a patient's environmental stimuli to decrease nausea ✔✔1. Teaching
correct handwashing to assigned patients
Using correct procedures in starting and caring for an intravenous infusion
Providing perineal care to a patient with an indwelling urinary catheter
, Which of the following actions by the nurse comply with core principles of surgical asepsis?
(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 inch) 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. ✔✔2. Keep
the sterile field in view at all times.
3. Consider the outer 2.5 cm (1 inch) of the sterile field as contaminated.
A patient has an indwelling urinary catheter. Why does an indwelling urinary catheter
present a risk for urinary tract infection? (Select all that apply.)
It allows migration of organisms into the bladder.
The insertion procedure is not done under sterile conditions.
It obstructs the normal flushing action of urine flow.
It keeps an incontinent patient's skin dry.
The outer surface of the catheter is not considered sterile. ✔✔1. It allows migration
of organisms into the bladder.
3. It obstructs the normal flushing action of urine flow.
Put the following steps for removal of protective barriers after leaving an isolation room
in order.
1. Remove gloves.
, Perform hand hygiene.
Remove eyewear or goggles.
Untie top and then bottom mask strings and remove from face.
Untie waist and neck strings of gown. Remove gown, rolling it onto itself without
touching the contaminated side. ✔✔1,3,5,4,2
What does it mean when a patient is diagnosed with a multidrug-resistant organism in his
or her surgical wound? (Select all that apply.)
There is more than one organism in the wound that is causing the infection.
The antibiotics the patient has received are not strong enough to kill the organism.
The patient will need more than one type of antibiotic to kill the organism.
The organism has developed a resistance to one or more broad-spectrum
antibiotics, indicating that the organism will be hard to treat effectively.
There are no longer any antibiotic options available to treat the patient's infection. ✔✔2.
The antibiotics the patient has received are not strong enough to kill the organism.
The organism has developed a resistance to one or more broad-spectrum
antibiotics, indicating that the organism will be hard to treat effectively.
A patient's surgical wound has become swollen, red, and tender. The nurse notes that
the patient has a new fever, purulent wound drainage, and leukocytosis. Which interventions
would be appropriate and in what order?
Notify the health care provider of the patient's status.
Reassure the patient and recheck the wound later.
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