BASIC Asepsis, positioning, safety - quiz 4

  1. 0
    thought i'd throw out 2 quizzes today, lol!!

    12. a client who is described as a compromised host
    a. does not have a special risk for nosocomial infections.
    b. has an increased risk for infection.
    c. is harboring a disease-producing organism.
    d. has been infected with an organism.

    13. a nurse who is not wearing a mask sneezes over a sterile field. what action should she take?
    a. continue working with the sterile field.
    b. replace the equipment she thinks is contaminated.
    c. put on a mask and continue working.
    d. set up a new sterile field.

    14.a home health nurse is caring for a client with an infected wound. the client provides a paper bag for the soiled dressing materials. once the dressings are inside the bag, what should the nurse do with it?
    a. place the paper bag inside a plastic bag for disposal.
    b. take the bag home and dispose of it.
    c. ask the client to dispose of the bag.
    d. throw the paper bag into a garbage can.

    15. which of the following symptoms are characteristic of a systemic infection?
    a. swollen, reddened area on the upper arm
    b. sneezing and mucoid discharge from the nose
    c. fever and malaise
    d. cloudy, discolored urine

    16. a hospitalized elderly client who uses a walker is receiving diuretic medication and must use the bathroom several times each night. to promote safety the nurse should
    a. keep the side rails up.
    b. withhold the client’s diuretic medication.
    c. leave the bathroom light on.
    d. provide a bedside commode.

    17. a 75-year-old client is hospitalized with a cerebral vascular accident (stroke). he is unable to ambulate without help, but becomes disoriented at times and tries to get out of bed. what is the most appropriate safety measure for this client?
    a. use a bed exit safety-monitoring device.
    b. restrain the client in bed.
    c. ask a family member to stay with the client.
    d. check the client every 15 minutes.

    18. a confused client has pulled out his intravenous line on several occasions. the physician gives the order for a restraint. what is the most appropriate restraint for the nurse to use?
    a. hand mitt
    b. sleeveless jacket
    c. belt restraint
    d. elbow restraint

    19. a client wearing a wrist restraint complains of numbness and tingling in his hand. the hand is cool and cyanotic. what action should the nurse take first?
    a. leave the restraint in place, and notify the physician.
    b. loosen the restraint, and exercise the limb.
    c. remove the restraint, and leave the room to find help.
    d. reapply the restraint in a different area of the wrist.



    20. when a normal person is standing upright, the center of gravity is located:
    a. in the solar plexus.
    b. in the center of the pelvis.
    c. at the umbilicus.
    d. between the shoulder blades (scapula).

    21. an immobilized client is unable to straighten her arms due to shortening of the muscle fibers. this is known as:
    a. disuse osteoporosis.
    b. disuse atrophy.
    c. contractures.
    d. venous stasis.

    22. a client is learning to ambulate and transfer using a walker. the nurse correctly teaches him client to lower his center of gravity by:
    a. widening the base of support.
    b. flexing the hips and knees.
    c. moving forward.
    d. leaning toward the walker.

    23. of nursing tasks that impose stress on the back, the most stressful task is:
    a. helping clients ambulate.
    b. lifting medical equipment.
    c. turning immobilized clients in bed.
    d. transferring clients in and out of bed.

    24. which of the following actions would place a client at the greatest risk for a shearing force injury to the skin?
    a. using a heating pad
    b. lying supine in bed
    c. walking without shoes
    d. sitting in fowler’s position

    25. why is a client with fever predisposed to pressure ulcers?
    a. metabolism increases, and the cells need more oxygen.
    b. the client may be too weak to change position.
    c. pain perception is diminished.
    d. medications given to relieve fever cause edema.

    46. a hospitalized client is in a regular private room. his movement outside the room is limited, and he wears a surgical mask during transport. what type isolation precautions are in use?
    a. standard
    b. airborne
    c. droplet
    d. contact

    47. a client is diagnosed with tuberculosis. who should wear a facemask?
    a. all persons who enter the client’s room
    b. only the client’s health care providers
    c. family members who are at risk for infection
    d. only those having close contact with the client




    48. what is the leading cause of accidents in older adults?
    a. automobile accidents
    b. accidental medication overdose
    c. falls
    d. home fires

    49. an active client with alzheimer’s disease often wanders around the house at night. which of the following would not help protect the client from falls?
    a. adapt living arrangements to one floor.
    b. place side rails on the client’s bed.
    c. remove throw rugs.
    d. leave a few lights on.



    51. which statement by a father indicates he understands safety measures for his three-year-old son?
    a. "he took water safety lessons, so it’s ok to let him use the pool without supervision."
    b. "if he’s asleep i can leave him alone while i run to the store for cigarettes."
    c. "he can cross the street without any help to play with his friend."
    d. "i shouldn’t give him ice cream bars on a stick."

    52. while a client is in surgery, the nurse makes his bed. knowing the client will return on a stretcher, the nurse should leave the bed:
    a. in low position.
    b. without a top sheet.
    c. without a pillow.
    d. in high position.

    53. when presenting information to teenagers on injury prevention why should the nurse remember they are especially prone to injury?
    a. the teenager has entered the stage of concrete operational thought.
    b. puberty results in decreased sensory ability.
    c. fine motor skills are not refined.
    d. teenagers often think no harm can come to them.

    72. which of the following statements about surgical asepsis is true?
    a. in surgical asepsis, the goal is to reduce the number of potentially infective agents.
    b. in surgical asepsis, items are either sterile, clean, or dirty.
    c. surgical asepsis keeps an area free of all microorganisms.
    d. surgical asepsis is the state of infection that requires surgery for eradication of microbes.

    73. infection is a serious health hazard. microorganisms responsible for infections include:
    a. bacteria, fungi, parasites, and viruses.
    b. bacteria, flora, and opportunistic pathogens.
    c. communicable diseases.
    d. bacteria and viruses.

    74. your client has a small wound on his left hand. a culture of this wound is positive for skin flora and one pathogen. he has no fever. you would be correct to describe this wound as:
    a. colonized.
    b. locally infected.
    c. systemically infected.
    d. free of infection.

    75. antiseptics break the chain of infection by:
    a. destroying all pathogens.
    b. destroying all pathogens except spores.
    c. inhibiting the growth of some microorganisms.
    d. cleaning visible stores of microorganisms.

    76. disinfectants break the chain of infection by:
    a. destroying all pathogens.
    b. destroying all pathogens except spores.
    c. inhibiting the growth of some microorganisms.
    d. cleaning visible stores of microorganisms.

    77. common sterilization methods are:
    a. moist heat, antibiotics, radiation, and hi-dose disinfectants.
    b. boiling water, antiseptics, antifungals, and antivirals.
    c. steam heat, gas, boiling water, and radiation.

    78. which of the following clients is at highest risk for infection?
    a. a 14-year-old girl.
    b. an 86-year-old nursing home resident.
    c. a 35-year-old runner.
    d. a 40-year-old client undergoing dental treatment.

    79. which statement accurately reflects surgical asepsis?
    a. clean gloves are used to change a wound dressing.
    b. a sterile field is created by use of a sterile drape, clean materials are added to the sterile field.
    c. a sterile item that is out of direct sight of the nurse is considered unsterile.
    d. the nurse sets up the sterile field well in advance of the time it is required.

    80. you will be performing a sterile dressing change of a wound that requires irrigation and packing. neither you nor the client has a latex allergy. in this circumstance, you should wear:
    a. sterile latex gloves.
    b. sterile vinyl gloves.
    c. clean latex gloves.
    d. clean vinyl gloves.

    81. t/f clients who are laced in isolation may experience sensory overload, feelings of inferiority, or decreased self-esteem.

    86. a client reports to the urgent care clinic with a burn related to use of a hot pack on his lower back. he has no underlying health problems. he states that the hot pack was in proper working order and that he used the protective cover that came with the pack. he followed the directions completely and propped the pack next to his back while lying on his side. what other questions must you ask to fully evaluate this burn?
    a. who directed you to use a hot pack? does your doctor know about your back pain?
    b. did you place this underneath your back?
    c. how long was the pack in place? were you using any ointments or salves?
    d. do you have a history of diabetes or circulatory problems in your family?

    87. which two groups are at greatest risk for falls?
    a. infants and toddlers.
    b. toddlers and preschoolers.
    c. adults and older adults.
    d. infants and older adults.

    88. which of the following factors must be evaluated when assessing a client’s safety risk?
    a. age and developmental level.
    b. time of day.
    c. sensory enhancements.
    d. family willingness to help with care while the client is hospitalized.

    89. in the event of a fire, what four priorities should guide the nurse’s behavior?
    a.
    b.
    c.
    d.

    90. when you remove the old dressing on a surgical wound, you note a large pool of pus on the dressing and in the central portion of the wound. this exudate would most appropriately be called:
    a. serous
    b. sanguineous
    c. purosanguineous
    d. purulent

    91. which of the following clients is most likely to heal a wound quickly?
    a. a healthy 15-month-old girl.
    b. a 40-year-old client with diabetes.
    c. a 51 year old who smokes three packs of cigarettes per day.
    d. a 76-year-old woman with low total protein and albumin levels.



    92. which of the following accurately depicts the use of heat and cold in wound care?
    a. use of heat and cold should be monitored to prevent rebound phenomenon.
    b. application of a warm pack for one hour will produce maximum effect.
    c. within ten minutes after heat is applied to an injury, temperature receptors in the skin have adjusted to the rise in temperature. to compensate for this adaptation, the temperature of the heat pack should be increased.
    d. to achieve maximum effect, cold packs should be applied until skin temperature reaches 32f.

    93. your client is febrile and uncomfortable. you are considering giving her a tepid sponge bath. which of the following techniques would be appropriate?
    a. sponge all body parts rapidly with cool (65f) water.
    b. sponge the face, arms, legs, back, and buttocks slowly and separately with 90f water.
    c. apply ice packs to the forehead and groin while sponging the body with water that is progressively cooled to 65f.
    d. slowly sponge the body with washcloths saturated with rubbing alcohol.

    94. which three elements are involved in body mechanics?
    a. posture, load, and center of gravity.
    b. line of gravity, center of gravity, and base of support.
    c. balance gravity, and support.
    d. synergistic muscles, postural tonus, and righting reflexes.

    95. to avoid injury while lifting, you should:
    a. hold the lifted object close to the body.
    b. hold the lifted object out away from the body.
    c. straighten the legs while lifting.
    d. shorten the base of support.

    96. your client is positioned on his side with both legs flexed in front of him. the upper leg is more acutely flexed than the lower. the lower arm is behind the client, and the upper arm is flexed at the shoulder and elbow. what position is your client in?
    a. fowler’s.
    b. lateral
    c. orthopenic
    d. sim’s

    97. which of the following statements is true regarding active rom exercises?
    a. they are exercises in which the nurse puts the client’s joints through the complete rom.
    b. they are conducted by having the client move each joint through its full rom.
    c. they involve out-of-bed activity.
    d. the client requires the assistance of a physical therapist in order to perform them.

    have fun 10 replies or one week
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  4. 0
    No guesses? Bummer!!!
  5. 0
    Sorry I didn't answer before.. I was otherwise occupied.


    12. A client who is described as a compromised host
    b. Has an increased risk for infection.

    13. A nurse who is not wearing a mask sneezes over a sterile field. What action should she take?
    d. Set up a new sterile field.

    14.A home health nurse is caring for a client with an infected wound. The client provides a paper bag for the soiled dressing materials. Once the dressings are inside the bag, what should the nurse do with it?
    a. Place the paper bag inside a plastic bag for disposal.

    15. Which of the following symptoms are characteristic of a systemic infection?
    c. Fever and malaise

    16. A hospitalized elderly client who uses a walker is receiving diuretic medication and must use the bathroom several times each night. To promote safety the nurse should
    d. Provide a bedside commode.

    17. A 75-year-old client is hospitalized with a cerebral vascular accident (stroke). He is unable to ambulate without help, but becomes disoriented at times and tries to get out of bed. What is the most appropriate safety measure for this client?
    a. Use a bed exit safety-monitoring device.

    18. A confused client has pulled out his intravenous line on several occasions. The physician gives the order for a restraint. What is the most appropriate restraint for the nurse to use?
    a. Hand mitt

    19. A client wearing a wrist restraint complains of numbness and tingling in his hand. The hand is cool and cyanotic. What action should the nurse take first?
    b. Loosen the restraint, and exercise the limb.

    20. When a normal person is standing upright, the center of gravity is located:
    b pelvis

    21. An immobilized client is unable to straighten her arms due to shortening of the muscle fibers. This is known as:
    c. Contractures.

    22. A client is learning to ambulate and transfer using a walker. The nurse correctly teaches him client to lower his center of gravity by:
    a. Widening the base of support.

    23. Of nursing tasks that impose stress on the back, the most stressful task is:
    d. Transferring clients in and out of bed.

    24. Which of the following actions would place a client at the greatest risk for a shearing force injury to the skin?
    c. Walking without shoes

    25. Why is a client with fever predisposed to pressure ulcers?
    b. The client may be too weak to change position.

    46. A hospitalized client is in a regular private room. His movement outside the room is limited, and he wears a surgical mask during transport. What type isolation precautions are in use?
    b. Airborne

    47. A client is diagnosed with tuberculosis. Who should wear a facemask?
    a. All persons who enter the client’s room

    48. What is the leading cause of accidents in older adults?
    c. Falls

    49. An active client with Alzheimer’s disease often wanders around the house at night. Which of the following would not help protect the client from falls?
    b. Place side rails on the client’s bed.

    51. Which statement by a father indicates he understands safety measures for his three-year-old son?
    d. "I shouldn’t give him ice cream bars on a stick."

    52. While a client is in surgery, the nurse makes his bed. Knowing the client will return on a stretcher, the nurse should leave the bed:
    d. In high position.

    53. When presenting information to teenagers on injury prevention why should the nurse remember they are especially prone to injury?
    d. Teenagers often think no harm can come to them.

    72. Which of the following statements about surgical asepsis is true?
    c. Surgical asepsis keeps an area free of all microorganisms.

    73. Infection is a serious health hazard. Microorganisms responsible for infections include:
    a. Bacteria, fungi, parasites, and viruses.

    74. Your client has a small wound on his left hand. A culture of this wound is positive for skin flora and one pathogen. He has no fever. You would be correct to describe this wound as:
    b. Locally infected.

    75. Antiseptics break the chain of infection by:
    c. Inhibiting the growth of some microorganisms.

    76. Disinfectants break the chain of infection by:
    c. Inhibiting the growth of some microorganisms.

    77. Common sterilization methods are:
    a. Moist heat, antibiotics, radiation, and hi-dose disinfectants.
    b. Boiling water, antiseptics, antifungals, and antivirals.
    c. Steam heat, gas, boiling water, and radiation.

    78. Which of the following clients is at highest risk for infection?
    B. An 86-year-old nursing home resident.

    79. Which statement accurately reflects surgical asepsis?
    c. A sterile item that is out of direct sight of the nurse is considered unsterile.

    80. You will be performing a sterile dressing change of a wound that requires irrigation and packing. Neither you nor the client has a latex allergy. In this circumstance, you should wear:

    b. Sterile vinyl gloves.

    81. T/F Clients who are laced in isolation may experience sensory overload, feelings of inferiority, or decreased self-esteem.
    T

    86. A client reports to the urgent care clinic with a burn related to use of a hot pack on his lower back. He has no underlying health problems. He states that the hot pack was in proper working order and that he used the protective cover that came with the pack. He followed the directions completely and propped the pack next to his back while lying on his side. What other questions must you ask to fully evaluate this burn?
    c. How long was the pack in place? Were you using any ointments or salves?

    87. Which two groups are at greatest risk for falls?
    d. Infants and older adults.

    88. Which of the following factors must be evaluated when assessing a client’s safety risk?
    a. Age and developmental level.

    90. When you remove the old dressing on a surgical wound, you note a large pool of pus on the dressing and in the central portion of the wound. This exudate would most appropriately be called:
    d. Purulent

    91. Which of the following clients is most likely to heal a wound quickly?
    a. A healthy 15-month-old girl.

    92. Which of the following accurately depicts the use of heat and cold in wound care?
    a. Use of heat and cold should be monitored to prevent rebound phenomenon.
    b. Application of a warm pack for one hour will produce maximum effect.
    c. Within ten minutes after heat is applied to an injury, temperature receptors in the skin have adjusted to the rise in temperature. To compensate for this adaptation, the temperature of the heat pack should be increased.
    d. To achieve maximum effect, cold packs should be applied until skin temperature reaches 32F.

    93. Your client is febrile and uncomfortable. You are considering giving her a tepid sponge bath. Which of the following techniques would be appropriate?
    b. Sponge the face, arms, legs, back, and buttocks slowly and separately with 90F water.

    94. Which three elements are involved in body mechanics?
    a. Posture, load, and center of gravity.

    95. To avoid injury while lifting, you should:
    a. Hold the lifted object close to the body.

    96. Your client is positioned on his side with both legs flexed in front of him. The upper leg is more acutely flexed than the lower. The lower arm is behind the client, and the upper arm is flexed at the shoulder and elbow. What position is your client in?
    d. Sim’s

    97. Which of the following statements is true regarding active ROM exercises?
    b. They are conducted by having the client move each joint through its full ROM.
  6. 0
    originally posted by studentsandra
    thought i'd throw out 2 quizzes today, lol!!

    12. a client who is described as a compromised host

    b. has an increased risk for infection.

    13. a nurse who is not wearing a mask sneezes over a sterile field. what action should she take?

    d. set up a new sterile field.

    14.a home health nurse is caring for a client with an infected wound. the client provides a paper bag for the soiled dressing materials. once the dressings are inside the bag, what should the nurse do with it?
    a. place the paper bag inside a plastic bag for disposal.


    15. which of the following symptoms are characteristic of a systemic infection?

    c. fever and malaise

    16. a hospitalized elderly client who uses a walker is receiving diuretic medication and must use the bathroom several times each night. to promote safety the nurse should

    d. provide a bedside commode.

    17. a 75-year-old client is hospitalized with a cerebral vascular accident (stroke). he is unable to ambulate without help, but becomes disoriented at times and tries to get out of bed. what is the most appropriate safety measure for this client?
    a. use a bed exit safety-monitoring device.

    18. a confused client has pulled out his intravenous line on several occasions. the physician gives the order for a restraint. what is the most appropriate restraint for the nurse to use?
    a. hand mitt

    19. a client wearing a wrist restraint complains of numbness and tingling in his hand. the hand is cool and cyanotic. what action should the nurse take first?

    b. loosen the restraint, and exercise the limb.



    20. when a normal person is standing upright, the center of gravity is located:

    b. in the center of the pelvis.

    21. an immobilized client is unable to straighten her arms due to shortening of the muscle fibers. this is known as:


    c. contractures.

    22. a client is learning to ambulate and transfer using a walker. the nurse correctly teaches him client to lower his center of gravity by:

    b. flexing the hips and knees.

    23. of nursing tasks that impose stress on the back, the most stressful task is:

    d. transferring clients in and out of bed.

    24. which of the following actions would place a client at the greatest risk for a shearing force injury to the skin?

    d. sitting in fowler’s position

    25. why is a client with fever predisposed to pressure ulcers?
    a. metabolism increases, and the cells need more oxygen.

    46. a hospitalized client is in a regular private room. his movement outside the room is limited, and he wears a surgical mask during transport. what type isolation precautions are in use?


    c. droplet


    47. a client is diagnosed with tuberculosis. who should wear a facemask?
    a. all persons who enter the client’s room

    48. what is the leading cause of accidents in older adults?

    c. falls


    49. an active client with alzheimer’s disease often wanders around the house at night. which of the following would not help protect the client from falls?

    b. place side rails on the client’s bed.


    51. which statement by a father indicates he understands safety measures for his three-year-old son?
    d. "i shouldn’t give him ice cream bars on a stick."

    52. while a client is in surgery, the nurse makes his bed. knowing the client will return on a stretcher, the nurse should leave the bed:


    d. in high position.

    53. when presenting information to teenagers on injury prevention why should the nurse remember they are especially prone to injury?

    d. teenagers often think no harm can come to them.

    72. which of the following statements about surgical asepsis is true?

    c. surgical asepsis keeps an area free of all microorganisms.

    73. infection is a serious health hazard. microorganisms responsible for infections include:
    a. bacteria, fungi, parasites, and viruses.

    74. your client has a small wound on his left hand. a culture of this wound is positive for skin flora and one pathogen. he has no fever. you would be correct to describe this wound as:

    b. locally infected.

    75. antiseptics break the chain of infection by:

    c. inhibiting the growth of some microorganisms.

    76. disinfectants break the chain of infection by:

    b. destroying all pathogens except spores.

    77. common sterilization methods are:


    c. steam heat, gas, boiling water, and radiation.

    78. which of the following clients is at highest risk for infection?

    b. an 86-year-old nursing home resident.

    79. which statement accurately reflects surgical asepsis?

    c. a sterile item that is out of direct sight of the nurse is considered unsterile.

    80. you will be performing a sterile dressing change of a wound that requires irrigation and packing. neither you nor the client has a latex allergy. in this circumstance, you should wear:
    a. sterile latex gloves.

    81. f clients who are laced in isolation may experience sensory overload, feelings of inferiority, or decreased self-esteem.

    86. a client reports to the urgent care clinic with a burn related to use of a hot pack on his lower back. he has no underlying health problems. he states that the hot pack was in proper working order and that he used the protective cover that came with the pack. he followed the directions completely and propped the pack next to his back while lying on his side. what other questions must you ask to fully evaluate this burn?

    c. how long was the pack in place? were you using any ointments or salves?

    87. which two groups are at greatest risk for falls?

    d. infants and older adults.

    88. which of the following factors must be evaluated when assessing a client’s safety risk?
    a. age and developmental level.

    89. in the event of a fire, what four priorities should guide the nurse’s behavior?
    a. r - rescue
    b. a - activate alarm
    c. c - confine the fire (close doors, etc)
    d. e - extinguish (if possible, without putting yourself in danger)

    90. when you remove the old dressing on a surgical wound, you note a large pool of pus on the dressing and in the central portion of the wound. this exudate would most appropriately be called:

    d. purulent

    91. which of the following clients is most likely to heal a wound quickly?
    a. a healthy 15-month-old girl.

    92. which of the following accurately depicts the use of heat and cold in wound care?
    a. use of heat and cold should be monitored to prevent rebound phenomenon.

    93. your client is febrile and uncomfortable. you are considering giving her a tepid sponge bath. which of the following techniques would be appropriate?

    b. sponge the face, arms, legs, back, and buttocks slowly and separately with 90f water.

    94. which three elements are involved in body mechanics?

    b. line of gravity, center of gravity, and base of support.

    95. to avoid injury while lifting, you should:
    a. hold the lifted object close to the body.

    96. your client is positioned on his side with both legs flexed in front of him. the upper leg is more acutely flexed than the lower. the lower arm is behind the client, and the upper arm is flexed at the shoulder and elbow. what position is your client in?

    d. sim’s

    97. which of the following statements is true regarding active rom exercises?

    b. they are conducted by having the client move each joint through its full rom.

    have fun 10 replies or one week
  7. 0
    12 d, 13 d, 14 c, 15 c, 16 d, 17 a, 18 a, 19 b, 20 b, 21 c, 22 b, 23 d, 24 b, 25 b, 46 b, 47 a, 48 c, 49 b, 51 d, 52 d, 53 d, 72 c, 73 a, 74 b, 75 c, 76 d, 77 c, 78 b, 79 c, 80 a, 81 t, 85 c, 87 d, 88 a, 89 rescye, activate,, clear, evacuate, 90 a, 91 a, 92 a, 93 b, 94 c, 95 a, 96 a, 97 a


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