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The nurse administers an immunization consisting of antibodies against hepatitis B. The nurse knows this is a form of what type of immunity?


A) Naturally acquired passive
B) Naturally acquired active
C) Artificially acquired passive
D) Innate

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The nurse understands that which set of vitals most likely indicates infection?


A) 98.6, 75, 18, 120/80
B) 99, 80, 19, 110/70
C) 100.5, 96, 22, 150/100
D) 98.9, 65, 18, 98/62

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C

The nurse correctly identifies that the most effective method to prevent hospital-acquired infections is:


A) use of sterile technique.
B) isolation protocols.
C) antibiotic use.
D) handwashing.

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A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection. Which is the most appropriate goal?


A) Patient will ambulate length of hallway this shift.
B) Patient will consume 20% of meals by the end of the week.
C) Patient's incision will be without signs or symptoms of infection at discharge.
D) Patient will verbalize need to stop antibiotics medication when symptom free.

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Which statement regarding handwashing indicates a need for further education? (Select all that apply.)


A) Wash hands first, then wrists.
B) Rinse from fingertips to wrists.
C) Dry using a scrubbing motion.
D) Turn off faucet with clean, dry paper towel.

Correct Answer

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The nurse is preparing to perform suctioning on a new tracheostomy with the potential for forceful expulsion of secretions. What PPE should be worn?


A) Gloves and eyewear
B) Gloves, gown, and mask
C) Eyewear and gown
D) Eyewear, mask, gown, gloves

Correct Answer

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The nurse notes that a patient's albumin is low and is concerned about the patient's ability to fight infection related to antibodies being made from what?


A) Protein
B) Carbohydrates
C) Fats
D) Vitamins

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The nurse correctly identifies which patient as having the greatest risk for infection?


A) An 80-year-old male with an enlarged prostate
B) A 24-year-old female long-distance runner
C) A 50-year-old obese male
D) A 40-year-old sexually active female

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The nurse is providing education to a patient who is being discharged home on antibiotic therapy. Which of the following statement(s) by the patient indicates further education is needed? (Select all that apply.)


A) "I should take antibiotics every time I am sick."
B) "I should take all antibiotics as prescribed."
C) "I should save all unused antibiotics."
D) "I should stop taking antibiotics when I feel better."

Correct Answer

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The nurse recognizes the correct order to remove PPE as:


A) gloves, eyewear, gown, mask.
B) mask, eyewear, gown, gloves.
C) gown, mask, eyewear, gloves.
D) gloves, gown, mask, eyewear.

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The nurse has placed her sterile gloved hands below her waist. Her hands are now considered:


A) sterile.
B) aseptic.
C) non-sterile.
D) free of disease-causing organisms.

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The antigen-antibody reaction is an example of what type of immunity?


A) Humoral
B) Cellular
C) Innate
D) Passive

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A

For which situation is it inappropriate to use alcohol-based hand sanitizer?


A) Patient with pneumonia
B) Patient with C. difficile
C) Status post-appendectomy
D) Patient with HIV

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The nurse is caring for a patient who is comatose. Her intervention is appropriate when she performs oral care:


A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.

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A disease-causing organism is known as:


A) a pathogen.
B) normal flora.
C) a germ.
D) a microorganism.

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The nurse knows that standard precautions are indicated for: (Select all that apply.)


A) all patients.
B) patients with HIV.
C) patients with MRSA.
D) patients with tuberculosis.
E) None of the above.

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The patient is on protective precautions. Which is true regarding these precautions? (Select all that apply.)


A) A positive-pressure room with a HEPA filtration system is required.
B) Special respirator masks should be available and one size fits all.
C) No live plants are allowed in the room.
D) The patient may eat any foods desired.

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A, C

The nurse knows that which of the following skills does not require the use of sterile technique?


A) NG tube insertion
B) Foley catheterization
C) Tracheostomy care
D) PICC line insertion

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The nurse is teaching a group of patient about diseases such as Rocky Mountain Spotted Fever that are transmitted by ticks. The nurse's explanation would be correct if she states that the tick functions as:


A) vectors.
B) bacteria.
C) viruses.
D) fungi.

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The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors? (Select all that apply.)


A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production

Correct Answer

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