Chapter 06: Infection Prevention and Control

Chapter 06: Infection Prevention and Control

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse points out that covering the mouth and nose with a tissue for a sneeze will reduce the probability of infection being spread by the _____ route.

a.	droplet
b.	airborne
c.	direct contact
d.	indirect contact

 

 

ANS:  A

Infection from the droplet route requires the pathogens be expelled in droplets from the host and inhaled by another host.

 

DIF:    Cognitive Level: Application           REF:   110                OBJ:   1 (theory)

TOP:   Disease-Producing Pathogens          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

2. The nurse is providing infection control teaching to a patient. Additional patient teaching is warranted by which patient statement?

a.	“It is important that I get my whooping cough vaccination as directed by my health care provider.”
b.	“Getting plenty of sleep each night will help my immune system.”
c.	“I should wash my hands before preparing my food.”
d.	“It is important that I take my antibiotic until I feel infection free.”

 

 

ANS:  D

The noncompletion of a protocol of prescribed antimicrobial medication can cause a pathogen to become resistant to that particular drug. Vaccinations, adequate rest, and proper hand hygiene are important infection control measures.

 

DIF:    Cognitive Level: Application           REF:   113 | Table 6-7, 121

OBJ:   1 (theory)       TOP:   Infection Control Measures

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

3. When the patient complains, “If this viral infection I have right now can’t be helped by antibiotics, why am I taking this expensive acyclovir?” The nurse’s best response is, “Acyclovir is:

a.	an antiviral drug that kills viruses.”
b.	given to many patients with viral infections.”
c.	an antiviral drug that prevents your infection from becoming worse.”
d.	given to help strengthen your immune system.”

 

 

ANS:  C

The patient currently has a viral infection; acyclovir is an antiviral drug that will decrease the virulence of the infection if started in the early phase of the infection. The drug may not kill the virus and is not given frequently to patients with viruses. Acyclovir will not strengthen the immune system.

 

DIF:    Cognitive Level: Application           REF:   102                OBJ:   8 (theory)

TOP:   Viruses           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

4. The clinic nurse offers suggestions to a patient who is planning a trip to Mexico that will help prevent a protozoan infection. The most helpful suggestion is:

a.	“We will ask the doctor for a prophylactic prescription for an antiviral drug.”
b.	“Broad-spectrum antibiotics will be most helpful if you contract a protozoan infection.”
c.	“Be sure to practice good hand hygiene while on your vacation.”
d.	“It would be best if you drank bottled water while on your trip.”

 

 

ANS:  D

Protozoa frequently live in the water and soil and cause infection by ingestion of the parasite. Water in many foreign countries contains protozoa, so drinking bottled water is the best suggestion.

 

DIF:    Cognitive Level: Application           REF:   102                OBJ:   1 (theory)

TOP:   Protozoa         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

5. While assessing an obese resident in a long-term care facility, the nurse finds a red, moist rash under the patient’s breasts, in the axilla, and in the inguinal fold. Based on this assessment, the nurse reports to the charge nurse that the resident probably has:

a.	a fungal infection.
b.	a bacterial infection.
c.	an allergic reaction.
d.	contact dermatitis.

 

 

ANS:  A

Fungal infections thrive in warm, moist environments and most frequently affect the skin.

 

DIF:    Cognitive Level: Application           REF:   103                OBJ:   1 (theory)

TOP:   Fungi              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control