nclex prep done

Question 1

For which of the following disease processes has microbial infection been implicated? (select all that apply)

Answer 1

Gastric ulcers
Diabetes type 1
Schizophrenia
obesity

Question 2

A nurse is caring for a patient with refractory epilepsy. To enhance medical management, a ketogenic diet has been prescribed. In educating the patient about dietary energy sources, all of the following statements are true, except:

Answer 2

Proteins consist of polymers of nucleic acids

Question 3

The physician has ordered that a urine culture be taken on a client. What is the most important information the nurse should know in order to complete the collection of this specimen?

Answer 3

Method of collection

Question 4

A patient with presumed uti has a urine sample collected and sent to the lab for culture. To encourage the growth of scant pathogens in the sample, an enriched medium may be used. Which of the following are substances that may be present in enriched media? Choose all that apply.

Answer 4

Serum
Hemoglobin
Vitamins
Growth factor

Question 5

The capacity of an optical system to distinguish or separate two adjacent objects or points from one another is known as

Answer 5

Resolving power

Question 6

Why is an alcohol swab applied to skin as an antiseptic prior to administration of an injection?

Answer 6

Alcohol swabs prevent infection by dissolving the bacterial lipid membrane

Question 7

A patient diagnosed with an Aspergillus infection is prescribed the antifungal voriconazole for treatment. The nurse is familiar with the action of this med and educates the patient that it impares ergosterol synthesis. Which of the following cellular structures are likely to be most affected by voriconazole?

Answer 7

Cell membrane

Question 8

A client is diagnosed with Trichomonas vaginalis. Which of the following indicated that the client states that she..

Answer 8

Had intimate contact

Question 9

A patient has been diagnosed with a parasitic helminth infection. Which of the following is not a helminth that causes disease?

Answer 9

Ringworm

Question 10

Which statements are accurate regarding properties of viruses? Select all that apply.

Answer 10

Viruses do not contain enzymes for most metabolic processes
Viruses contain either DNA or RNA

Question 11

Genital herpes is an example of an infection that. .

Answer 11

Can be present in a latent state

Question 12

What diagnostic methods would be used to differentiate between bacterial and viral infections in the clinical setting? Select all that apply.

Answer 12

Blood cultures
Rapid strep testing
Cbc with differential

Question 13

Which of the following diseases is not caused by a noncellular infectious agent?

Answer 13

Tuberculosis

Question 14

Which of the following is known association between viruses and cancers?

Answer 14

Hepatitis B is associated with liver cancer

Question 15

An RN on a medical surgical unit would expect to perform all of the following antimicrobial control methods during her care of patients, except:

Answer 15

Sterilization

Question 16

Following a surgical procedure, which of the following methods of microbial control would be used for sterilization of metal surgical instruments intended for reuse?

Answer 16

Autoclaving

Question 17

A nurse is preparing to place a peripheral IV. prior to inserting the IV catheter, he scrubs the patient’s skin with a 70% isopropyl alcohol swab per hospital policy. Which of the following statements best represents the rationale for this action?

Answer 17

The patient’s skin must be scrubbed for an adequate amount of time to allow the alcohol to kill the microbes that are present

Question 18

An RN is caring for a 26-year- old male who is being treated for meningococcal disease. His family members have started on an antibiotic to prevent them contracting the disease. This is an example of:

Answer 18

Prophylaxis

Question 19

A patient is admitted to the hospital with pneumonia. A chest x-ray is obtained and a specimen is sent to the lab for culture and sensitivity testing. The provider orders antibiotic therapy to begin. Which of the following statements by the RN is appropriate when providing patient education about antibiotic therapy?

Answer 19

“Your chest x-ray results appear to show bacterial pneumonia. As a result from the lab specimen’s return, your antibiotic therapy may be changed.”

Question 20

Which medication could be used against gram- negative bacteria, Chlamydias, and rickettsias

Answer 20

Tetracyclines

Question 21

A patient is prescribed an antibiotic known to be nephrotoxic. Which of the following are important metrics to follow in assessing if kidney function is impaired?

Answer 21

A and B ( renal function labs/ urine output)

Question 22

Mary has a uti and is prescribed cephalexin for 10 days. Toward the end of her course of treatment, Mary develops a vaginal yeast infection. The Yeast infection is an example of a/an

Answer 22

Superinfection