nclex questions Medical surgical asepsis and infection prevention and control

Question 1

Today you are assigned to care for a patient who has tuberculosis. What equipment should you routinely use when caring for this patient?

A. Regular mask and eyewear
B. Regular mask and gown
C. Gloves following proper handwashing
D. HEPA respirator

Answer 1

HEPA respirator

Question 2

.A nurse opens sterile packages while working in surgery. The most appropriate way to create a sterile field is to open the sterile package’s top triangle:

A. To the left of the nurse
B. Away from the nurse
C. To the right of the nurse
D. Toward the nurse

Answer 2

Away from the nurse

Question 3

1. Place the six elements of the chain of infection in the correct order of the cycle. Do not use commas or spaces:
2. Host — another person or animal
3. Infectious agent — a pathogen
4. Method of transportation — exudates, feces, air droplets, hands, needles
5. Entrance — skin, mucous lining, mouth
6. Exit — from reservoir
7. Reservoir — where the pathogen can grow

Answer 3

Infectious agent(Pathogen)
 Reservoir
Exit
Mode of transportation
entrance
Host

THINK
I-RE-ME-H

Question 4

There are many methods of transmission of infection. Which is the best example of a vehicle of transmission?

A. A health care worker’s hands, hospital equipment, or instruments
B. A patient’s nose, mouth, hair, eyes
C. Humans and animals
D. Any break in the skin of a health care worker or a patient

Answer 4

A health care workers hands, hospital equipment or instruments

Question 5

Health care providers today need to be aware that nosocomial infections are a serious problem. What is the most effective way to prevent nosocomial infections?

A. Clean all equipment using sterile technique after use on a patient.
B. Perform proper hand hygiene before and after caring for a patient.
C. Place all infectious patients in isolation.
D. Cover the mouth and nose with hands when coughing.

Answer 5

perform proper hand hygiene before and after caring for a patient

Question 6

Your patient was admitted to the hospital 3 days ago with cardiac problems and now has bacterial pneumonia. This is an example of what type of infection?

A. Local
B. Secondary
C. Nosocomial
D. Endogenous

Answer 6

Nosocomial

Question 7

During surgery, the physician requests more sterile water. What action must the nurse perform before pouring the solution into the sterile container?

A. Wipe off the rim of the bottle to make sure it is clean.
B. Nothing, just pour the water into the container.
C. “Lipping” of the bottle with its solution.
D. Hand the bottle to the sterile nurse to pour.

Answer 7

“Lipping” of the bottle with its solution

Question 8

You suspect that your patient has an infection. What lab value would you assess to help determine this factor?

A. WBC
B. RBC
C. Hgb
D. Hct

Answer 8

WBC

Question 9

A patient in contact isolation has a minimal amount of visitors, and the health care staff enters only when patient care is being performed. Based on this information, which nursing diagnosis is this patient at risk for?

A. Risk for infection
B. Risk for immobility
C. Risk for social isolation
D. Risk for impaired skin integrity

Answer 9

risk for social isolation