Which element in the circular chain of infection can be eliminated by preserving skin integrity?
Host
Reservoir
Mode of transmission
Portal of entry
Which of the following will probably result in a break in sterile technique for respiratory isolation?
Opening the patient’s window to the outside environment
Turning on the patient’s room ventilator
Opening the door of the patient’s room leading into the hospital corridor
Failing to wear gloves when administering a bed bath
Which of the following patients is at greater risk for contracting an infection?
A patient with leukopenia
A patient receiving broad-spectrum antibiotics
A postoperative patient who has undergone orthopedic surgery
A newly diagnosed diabetic patient
Effective hand washing requires the use of:
Soap or detergent to promote emulsification
Hot water to destroy bacteria
A disinfectant to increase surface tension
All answers are correct
After routine patient contact, hand washing should last at least:
30 seconds
1 minute
2 minutes
3 minutes
Which of the following procedures always requires surgical asepsis?
Vaginal instillation of conjugated estrogen
Urinary catheterization
Nasogastric tube insertion
Colostomy irrigation
Sterile technique is used whenever:
Strict isolation is required
Terminal disinfection is performed
Invasive procedures are performed
Protective isolation is necessary
Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?
Using sterile forceps, rather than sterile gloves, to handle a sterile item
Touching the outside wrapper of sterilized material without sterile gloves
Placing a sterile object on the edge of the sterile field
Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container
A natural body defense that plays an active role in preventing infection is:
Yawning
Body hair
Hiccupping
Rapid eye movements
All of the following statement are true about donning sterile gloves except:
The first glove should be picked up by grasping the inside of the cuff.
The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
The inside of the glove is considered sterile
When removing a contaminated gown, the nurse should be careful that the first thing he/she touches is the:
Waist tie and neck tie at the back of the gown
Waist tie in front of the gown
Cuffs of the gown
Inside of the gown
Which of the following nursing interventions is considered the most effective form or standard precautions?
Cap all used needles before removing them from their syringes
Discard all used uncapped needles and syringes in an impenetrable protective container
Wear gloves when administering IM injections
Follow enteric precautions
All of the following measures are recommended to prevent pressure ulcers except:
Massaging the reddened area with lotion
Using a water or air mattress
Adhering to a schedule for positioning and turning
Providing meticulous skin care
Which of the following statements about chest X-ray is false?
No contradictions exist for this test
Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
A signed consent is not required
Eating, drinking, and medications are allowed before this test
The most appropriate time for the nurse to obtain a sputum specimen for culture is:
Early in the morning
After the patient eats a light breakfast
After aerosol therapy
After chest physiotherapy
A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on the patient’s skin. The most appropriate nursing action would be to:
Withhold the moderation and notify the physician
Administer the medication and notify the physician
Administer the medication with an antihistamine
Apply corn starch soaks to the rash
All of the following nursing interventions are correct when using the Z-track method of drug injection except:
Prepare the injection site with alcohol
Use a needle that’s a least 1cm long
Aspirate for blood before injection
Rub the site vigorously after the injection to promote absorption
The correct method for determining the vastus lateralis site for I.M. injection is to:
Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest
Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm
Palpate a 1cm circular area anterior to the umbilicus
Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh
The mid-deltoid injection site is seldom used for I.M. injections because it:
Can accommodate only 1 ml or less of medication
Bruises too easily
Can be used only when the patient is lying down
Does not readily parenteral medication
The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:
Ask the patient if he/she has used ear drops before
Have the patient repeat the nurse’s instructions using her own words
Demonstrate the procedure to the patient and encourage to ask questions
Ask the patient to demonstrate the procedure
