10657109
Descripción
Test por Kathleen Jackson, actualizado hace más de 1 año
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Creado por Kathleen Jackson
hace alrededor de 7 años
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Pregunta 1
Pregunta
Which element in the circular chain of infection can be eliminated by preserving skin integrity?
Respuesta
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Host
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Reservoir
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Mode of transmission
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Portal of entry
Pregunta 2
Pregunta
Which of the following will probably result in a break in sterile technique for respiratory isolation?
Respuesta
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Opening the patient’s window to the outside environment
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Turning on the patient’s room ventilator
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Opening the door of the patient’s room leading into the hospital corridor
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Failing to wear gloves when administering a bed bath
Pregunta 3
Pregunta
Which of the following patients is at greater risk for contracting an infection?
Respuesta
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A patient with leukopenia
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A patient receiving broad-spectrum antibiotics
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A postoperative patient who has undergone orthopedic surgery
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A newly diagnosed diabetic patient
Pregunta 4
Pregunta
Effective hand washing requires the use of:
Respuesta
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Soap or detergent to promote emulsification
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Hot water to destroy bacteria
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A disinfectant to increase surface tension
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All answers are correct
Pregunta 5
Pregunta
After routine patient contact, hand washing should last at least:
Respuesta
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30 seconds
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1 minute
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2 minutes
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3 minutes
Pregunta 6
Pregunta
Which of the following procedures always requires surgical asepsis?
Respuesta
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Vaginal instillation of conjugated estrogen
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Urinary catheterization
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Nasogastric tube insertion
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Colostomy irrigation
Pregunta 7
Pregunta
Sterile technique is used whenever:
Respuesta
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Strict isolation is required
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Terminal disinfection is performed
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Invasive procedures are performed
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Protective isolation is necessary
Pregunta 8
Pregunta
Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?
Respuesta
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Using sterile forceps, rather than sterile gloves, to handle a sterile item
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Touching the outside wrapper of sterilized material without sterile gloves
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Placing a sterile object on the edge of the sterile field
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Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container
Pregunta 9
Pregunta
A natural body defense that plays an active role in preventing infection is:
Respuesta
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Yawning
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Body hair
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Hiccupping
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Rapid eye movements
Pregunta 10
Pregunta
All of the following statement are true about donning sterile gloves except:
Respuesta
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The first glove should be picked up by grasping the inside of the cuff.
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The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
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The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
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The inside of the glove is considered sterile
Pregunta 11
Pregunta
When removing a contaminated gown, the nurse should be careful that the first thing he/she touches is the:
Respuesta
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Waist tie and neck tie at the back of the gown
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Waist tie in front of the gown
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Cuffs of the gown
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Inside of the gown
Pregunta 12
Pregunta
Which of the following nursing interventions is considered the most effective form or standard precautions?
Respuesta
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Cap all used needles before removing them from their syringes
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Discard all used uncapped needles and syringes in an impenetrable protective container
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Wear gloves when administering IM injections
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Follow enteric precautions
Pregunta 13
Pregunta
All of the following measures are recommended to prevent pressure ulcers except:
Respuesta
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Massaging the reddened area with lotion
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Using a water or air mattress
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Adhering to a schedule for positioning and turning
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Providing meticulous skin care
Pregunta 14
Pregunta
Which of the following statements about chest X-ray is false?
Respuesta
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No contradictions exist for this test
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Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
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A signed consent is not required
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Eating, drinking, and medications are allowed before this test
Pregunta 15
Pregunta
The most appropriate time for the nurse to obtain a sputum specimen for culture is:
Respuesta
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Early in the morning
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After the patient eats a light breakfast
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After aerosol therapy
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After chest physiotherapy
Pregunta 16
Pregunta
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:
Respuesta
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Withhold the moderation and notify the physician
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Administer the medication and notify the physician
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Administer the medication with an antihistamine
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Apply corn starch soaks to the rash
Pregunta 17
Pregunta
All of the following nursing interventions are correct when using the Z-track method of drug injection except:
Respuesta
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Prepare the injection site with alcohol
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Use a needle that’s a least 1cm long
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Aspirate for blood before injection
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Rub the site vigorously after the injection to promote absorption
Pregunta 18
Pregunta
The correct method for determining the vastus lateralis site for I.M. injection is to:
Respuesta
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Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest
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Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm
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Palpate a 1cm circular area anterior to the umbilicus
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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
Pregunta 19
Pregunta
The mid-deltoid injection site is seldom used for I.M. injections because it:
Respuesta
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Can accommodate only 1 ml or less of medication
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Bruises too easily
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Can be used only when the patient is lying down
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Does not readily parenteral medication
Pregunta 20
Pregunta
The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:
Respuesta
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Ask the patient if he/she has used ear drops before
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Have the patient repeat the nurse’s instructions using her own words
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Demonstrate the procedure to the patient and encourage to ask questions
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Ask the patient to demonstrate the procedure
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