NUR 3028 - Exam 1 -
Infection Control, Patient
Safety, Mobility/Immobility
questions and answers
(100% accuracy)
Infection - answer the invasion of a susceptible host by pathogens
or microorganisms, resulting in disease
Colonization - answer occurs when a microorganism invades the
host but does not cause infection
Chain of Infection (1)
Infection Agent - answer Pathogen (ie: E. Coli)
Chain of Infection (2)
Reservoir - answer place where pathogen grows (ie: large intestine)
Chain of Infection (3)
Portal of Exit - answer how the pathogen exits the place it
grows/exists (ie: anal canal/rectum)
Chain of Infection (4)
Mode of Transmission - answer what the pathogen "jumps" onto (ie:
urinary catheter)
,Chain of Infection (5)
Portal of Entry - answer how the pathogen enters a place it doesn't
belong (ie: urethra/bladder)
Which of the following factors does NOT influence a patient's
susceptibility to infection?
A. Eating dinner before 5 p.m.
B. Elevated cortisone levels result in decreased resistance to
infection.
C. The young and old are at higher risk for infection.
D. A reduction in protein and other nutrients reduces body defenses
against infection and wound healing. - answer A. Eating dinner
before 5 p.m.
Which of the following is NOT a normal defense mechanism
according to Table 28-2?
A. Giving patient antibiotics before surgery.
B. Acidity of the gastric secretions.
C. Cilia traps microbes and sweeps them outward in mucus.
D. Skin is the bodies first line of defense against infection. - answer
A. Giving patient antibiotics before surgery.
, Select which is considered for contact precautions:
A. Patient infected with TB
B. Patient infected with Clostridium difficile
C. Patient needs to be in negative pressure room
D. N-95 mask must be used - answer B. Patient infected with
Clostridium difficile
The nurse is caring for a patient who has cultured positive for
Clostridium difficile. Which of the following nursing actions would be
appropriate given this organism?
A. Place the patient on Droplet Precautions.
B. Teach the patient cough etiquette.
C. Wear an N95 respirator when entering the patient room.
D. Instruct assistive personnel to use soap and water rather than
sanitizer to clean hands. - answer D. Instruct assistive personnel to
use soap and water rather than sanitizer to clean hands.
**Clostridium difficile is a spore-forming organism that can be
transmitted through direct and indirect patient contact. Because
Clostridium difficile is a spore-forming organism, hand sanitizer is
not effective in preventing its transmission. Hands must be washed
with soap and water to prevent transmission. This organism is not
transmitted via the droplet route; therefore Droplet Precautions are
not needed. An N95 respirator is used primarily for patients with
airborne illness. All patients should be taught cough etiquette; this
action is not one to be take especially because the patient has
Clostridium difficile.**
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