ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 25 : Asepsis and Infection Control Questions
Question 1 of 5
During morning huddle, a nurse manager and some nurses are identifying patients on the unit who are at risk for hospital-acquired infections (HAIs). Which patients will the nurses identify? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Leukopenia (low white blood cell count), indwelling urinary catheters, central venous catheters, and surgeries in which the wound is classified as dirty have been implicated in most HAIs. Cigarette smoking and a vegetarian diet have not been implicated as risk factors for HAIs.
Question 2 of 5
A nurse is caring for a patient who is incontinent of stool and has developed a stage 3 pressure wound on the buttocks. What intervention will the nurse set as the priority of care?
Correct Answer: D
Rationale: The priority in this situation is to prevent infection through contamination of the wound by stool. The other actions may be taken as needed, after infection prevention is addressed.
Question 3 of 5
A home health nurse teaches a patient to change the dressing for a chronic venous stasis ulcer using clean technique. Which principle of asepsis will the nurse consider when preparing the teaching plan?
Correct Answer: B
Rationale: Medical asepsis, or clean technique, involves procedures and practices that reduce the number and transfer of pathogens. This is usually recommended in the home setting, where the patient's environment is more controlled. Injections require surgical asepsis. The patient and surgeon should also use medical asepsis.
Question 4 of 5
When bathing a patient with C.diff infection, the nurse wears personal protective equipment (PPE). Which additional intervention promotes safe, effective care?
Correct Answer: B
Rationale: Bathing the perianal area last ensures that the most soiled area is cleaned after less contaminated areas, reducing the risk of contamination. PPE should be donned before entering the room, goggles should be used instead of personal glasses, and PPE should be removed in the doorway or anteroom before exiting.
Question 5 of 5
A nurse is preparing to admit a patient with urinary tract infections caused by vancomycin-resistant enterococci (VRE). While awaiting the patient's arrival, which of these actions will take?
Correct Answer: B
Rationale: VRE is spread via contact with the feces, urine, or blood of an infected or colonized person. Contact precautions, such as using protective gowns, are indicated. Negative-pressure rooms are not required for VRE, masks are precautions not part of contact precautions, and sterile gloves should be not worn used unless for sterile procedures requiring surgical asepsis.