infection control hygiene Exam Latest Update

infection control hygiene Exam Latest Update 2024-2025 233 Questions and 100% Verified Correct Answers Guaranteed A+ A diabetic patient presents to the clinic for a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which of these interventions would be most appropriate for the nurse to provide?

• Position the patient comfortably on the stretcher.

• Explain the procedure for dressing change to the patient.

• Don gloves and other appropriate personal protective equipment.

• Review the medication list that the patient brought from home. - CORRECT

ANSWER: c. Don gloves and other appropriate personal protective equipment.

A family member is providing care to a loved one who has an infected leg wound. What would you instruct the family member to do after providing care and handling contaminated equipment or organic material?

• Wear gloves before eating or handling food.

• Place any soiled materials into a bag and double bag it.

• Have the family member check with the doctor about

need for immunization.

• Perform hand hygiene after care and/or handling contaminated equipment or

material. - CORRECT ANSWER: D. Perform hand hygiene after care and/or handling

contaminated equipment or material

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. During the health history, which of these questions should the nurse prioritize?

• "When was the last time you visited the physician?"

• "Has this condition affected your eating habits?"

• "What medications are you currently taking?"

• "Are you able to sleep at night?" - CORRECT ANSWER: c. "What medications are

you currently taking?"

• / 4

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 - CORRECT ANSWER: a,

b

A patient is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) pneumonia. Which type of isolation precaution is most appropriate for this patient?

• Reverse isolation

• Droplet precautions

• Standard precautions

d. Contact precautions - CORRECT ANSWER: b. Droplet precautions

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. -

CORRECT ANSWER: C. Explain the reasons for isolation procedures and provide

meaningful stimulation.

A patient who has been isolated for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. What is the most appropriate information to include in patient teaching? (Select all that apply)

• The organism is usually transmitted through the fecal-oral route.
• / 4

• Hands should always be cleaned with soap and water versus alcohol-based hand

sanitizer.

• Everyone coming into the room must be wearing a gown and gloves.

• While the patient is in contact precautions, he cannot leave the room.

e. C. difficile dies quickly once outside the body. - CORRECT ANSWER: a, b, c

The circulating nurse in the perioperative area is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy.Which of the following behaviors indicate to the nurse that the procedure has been done correctly? (Select all that apply.)

• Surgical cap and face mask are in place.

• Surgical technologist ties the back of the gown.

• Surgical technologist touches only inside of gown.

• Surgical technologist slips arms into arm holes simultaneously.

• Surgical technologist uses hands covered by sleeves to open gloves.

f. Fingers are extended fully into both gloves. - CORRECT ANSWER: C, D, E, F

The home health nurse is teaching a patient and family about hand hygiene in the home. The nurse is sure to emphasize washing hands before

• And after shaking hands.

• And after treatments.

• Opening the refrigerator.

d. And after using a computer. - CORRECT ANSWER: b. And after treatments.

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 hand washing 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 3 / 4

• Isolating a patient who has just been diagnosed as having tuberculosis

• Decreasing a patient's environmental stimuli to decrease nausea - CORRECT

ANSWER: a, b, c

The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices a spike in postoperative infections on this unit and categorizes this type of health care-associated infection as _____ infections.

• Iatrogenic

• Exogenous

• Endogenous

d. Nosocomial - CORRECT ANSWER: b. Exogenous

The nurse and the student nurse are caring for two different patients on the medical- surgical unit. One patient is in Airborne Precautions, and one is in Contact Precautions.The nurse explains to the student different interventions for care. What should the nurse include in her teaching? (Select all that apply).

• Be consistent in nursing interventions; there is only one difference in the precautions.

• Wash hands before entering and leaving both of the patients' rooms.

• Dispose of supplies to prevent the spread of microorganisms.

• Apply the knowledge the nurse has of the disease process to prevent the spread of

microorganisms.

• Patients in Airborne Precautions wear a mask during transportation to departments.

• Checking the working order of the negative-pressure room is done on admission and

at the time of discharge. - CORRECT ANSWER: B, C, D, E

The nurse has been caring for a patient in the perioperative area for several hours. The surgical mask the nurse is wearing has become moist. The nurse's best next step is to

• Change the mask when relieved.

• Air-dry the mask while at lunch, and reapply.

• Ask for relief, step out of the surgical area, and apply a new mask.
• / 4