Week 4 10.

Small-particle droplet _____ can remain

suspended in the air and travel longer
A.Bacteria B.Virulence C.Airborne
distanches than aerosols.
D.Opportunist Transient bacteria
A. Nuclei
bacteria 1.Most healthcare-associated
B. cellular immunity
infections are caused by which microorganisms?
C. pathogen
Virulence 2._____ of the organisms is its ability D. None of the above
to cause disease

Airborne 3.transmission is when an infected

host coughs, sneezes, or talks and less than 5um
11. Lymphocytes are a type of cell-mediated
Opportunist 4. coli is a
defence, or also known as:
Transient bacteria 5.What classification of
A. Nuclei
bacteria has the potential to adjust to the
B. cellular immunity
environment
C. pathogen
6.Most bacteria are aerobic or anaerobic? D. None of the above

A. aerobic 12. What is a disease-producing

B. anaerobic microorganism?
C. A&B
A. Nuclei
D. None of the above
B. cellular immunity
7. In humans, which of the following is not a C. pathogen
common portals of exit or escape routes: D. None of the above

A. Respiratory tract 13. Lice or mosquitos can be a:

B. Muscular system
A. Fomite
C. Gastrointestinal tract
B. Vector
D. Genitourinary tract
C. Direct contact transmission
8. A mask is worn only once but can be lowered D. All of the above
around the neck and then brought back over
14. Alcohol-based hand rubs are not as effective
the mouth and nose for reuse.
in reducing bacterial counts on the hands than
A. True does antimicrobial soap.
B. False
A. True
9. Which is not a disinfecting method available B. False
for use in the home?
15. When an organism becomes attached to
A. Acetic acid (white vinegar) dust particles it is considered a:
B. Bleach
A. Direct route
C. Isopropyl alcohol (50%)
B. Droplet route
D. Boiling water
C. Airborne route
D. Entry route
16. Which types of mask filter inspired air in 22. Most states have a mandatory public
addition to filtering expired air? reporting of HAIs.

A. N95 A. True
B. High-efficiency particulate air mask B. False
C. HEPA mask
23. Droplet transmission is similar to airborne
D. All of the above
transmission, but it is larger than ____um

A. 5
17. A person may continually pass through the B. 6
four phases with the same infectious process, C. 8
based on only one infectious exposure. D. None of the above

A. True 24. Which of the following is is not a typical

B. False access site for nosocomial infections?

18. Which of the following is not true about

aerosols?
A. Surgical wounds
A. Can be inhaled B. Urinary catheters
B. Travel short distances (about 3 feet) C. IV catheters
C. Masks help prevent inhalation D. None of the Above
D. Remain suspended in the air
25. A high RN-to-patient ratio has a higher
19. Most sterile solutions are considered sterile correlation of HAIs.
for ____ hours after being opened.
A. True
A. 24 B. False
B. 10
26. The entry route is usually _____ exit route.
C. 8
D. 12 A. Same as
B. Different than
20. HAIs are the same as nosocomial infections
C. It depends
A. True
27. What is the most effective way to help
B. False
prevent the spread of organisms?
C. Sometimes

21. Which of the following is not true about

transmission-based precautions? A. Sterile technique
B. Medical asepsis
C. Use of ultraviolet properties
A. Three types D. Hand hygiene
B. Focus on airborne, droplet, or contact
28. Which of the follownig is not used to
precautions
categorize bacteria?
C. Transmission-based precautions can be
used in place of standard precautions A. Mold
D. All of the above B. Spirochete
 C. Gram positive A. Initiation of pulse oximetry.
D. Bacilli B. Complete set of vital signs.
C. Client's allergy history.
29. Symptoms of systemic infections include:
D. Brief neurologic assessment.
A. Fever
B. Increase pulse
C. Increase respiratory rate 33. A 65-year-old patient arrived at the triage
D. All of the above area with complaints of diaphoresis, dizziness,
and left-sided chest pain. This patient should be
prioritized into which category?
30. Which of these is untrue about medical
A. Non-urgent.
asepsis:
B. Urgent.
A. Also called clean technique C. Emergent.
B. Invovles procedures and practices that D. High urgent
reduce the number and transfer of
34. Pepito respond to a call for help from the ED
pathogens
waiting room. There is an elderly patient lying
C. Keeps objects and areas free of
on the floor. List the order for the actions that
microorganisms
you must perform.
D. Use of ultraviolet properties
1. Call for help and activate the code team.
31. Dominic works as a triage nurse, and four
clients arrive at the emergency department at 2. Instruct a nursing assistant to get the
the same time. List the order in which he will emergency cart.
assess these clients from first to last.
3. Initiate cardiopulmonary resuscitation (CPR).
1. A 50-year-old female with moderate
4. Perform the chin lift or jaw thrust
abdominal pain and occasional vomiting.
manoeuvre.
2. A 35-year-old jogger with a twisted ankle,
5. Establish unresponsiveness.
having a pedal pulse and no deformity.
A. 5, 2, 4, 3, 1
3. An ambulatory dazed 25-year-old male with a
B. 1, 5, 2, 4, 3
bandaged head wound.
C. 1, 2, 5, 4, 3
4. An irritable infant with a fever, petechiae, D. 5, 1, 4, 3, 2
and nuchal rigidity.

A. 1, 2, 3, 4
35. n caring for a victim of sexual assault, which
B. 2, 1, 3, 4
task is most appropriate for an LPN/LVN?
C. 4, 3, 1, 2
D. 3, 4, 2, 1 A. Provide emotional support and
supportive communication.
32.In conducting a primary survey on a
B. Assess immediate emotional state and
trauma patient, which of the following is
physical injuries.
considered one of the priority elements of
C. Ensure that the “chain of custody” is
the primary survey?
maintained.
 D. Collect hair samples, saliva swabs, and
scrapings beneath fingernails.
36. You are caring for a client with a frostbite on
the feet. Place the following interventions in the
correct order.
1. Immerse the feet in warm water 100° F to
105° F (40.6º C to 46.1° C).
2. Remove the victim from the cold
environment.
3. Monitor for signs of compartment syndrome.
4. Apply a loose, sterile, bulky dressing.
5. Administer a pain medication.
A. 5, 2, 1, 3, 4
B. 2, 5, 1, 4, 3
C. 2, 1, 5, 3, 4
D. 3, 2, 1, 4, 5
37. Following an emergency endotracheal
intubation, nurses must verify tube placement
and secure the tube. List in order the steps that
are required to perform this function?
1. Obtain an order for a chest x-ray to
document tube placement.
2. Confirm that the breath sounds are equal and
bilateral.
3. Auscultate the chest during assisted
ventilation.
4. Secure the tube in place.
A. 1, 2, 3, 4
B. 4, 3, 2, 1
C. 3, 2, 4, 1
D. 4, 1, 2, 3
38. A male client arrives at the emergency
department. He is conscious, coherent and
ambulatory, but his shirt and pants are covered
with blood. He and his hysterical friends are
yelling and trying to explain that they were
goofing around and he got poked in the
abdomen with a stick. Which of the following
comments should be given first consideration?
A. “He’s a diabetic, so he needs attention
right away.”
B. “There was a lot of blood and we used
three bandages.”
C. “The stick was really dirty and covered
with mud.”
D. “He pulled the stick out, just now,
because it was hurting him.”
39. A prisoner, with a known history of alcohol
abuse, has been in police custody for 48 hours.
Initially, anxiety, sweating, and tremors were
noted. Now, disorientation, hallucination, and
hyper-reactivity are observed. The medical
diagnosis is delirium tremens. What is the
priority nursing diagnosis?
A. Risk for Situational Low Self-esteem
related to police custody.
B. Risk for Nutritional Deficit related to
chronic alcohol abuse.
C. Risk for Injury related to seizures.
D. Risk for Other-Directed Violence related
to hallucinations
40. In relation to submersion injuries, which
task is most appropriate to delegate to an
LPN/LVN?
A. Talk to a community group about water
safety issues.
B. Stabilize the cervical spine for an
unconscious drowning victim.
C. Remove wet clothing and cover the
victim with a warm blanket.
D. Monitor an asymptomatic near-
drowning victim
41. You are assessing a patient who has
sustained a cat bite to the left hand. The cat is
up-to-date immunizations. The date of the
patient’s last tetanus shot is unknown. Which of
the following is the priority nursing diagnosis?
A. Risk for Impaired Mobility related to
potential tendon damage.
B. Risk for Infection related to organisms
specific to cat bites.
C. Ineffective Health Maintenance related
to immunization status.
D. Impaired Skin Integrity related to
puncture wounds.
42. A client in a one-car rollover presents with
multiple injuries. Prioritize the interventions
that must be initiated for this patient.
1. Assess for spontaneous respirations.
2. Give supplemental oxygen per mask.
3. Insert a Foley catheter if not contraindicated.
4. Obtain a full set of vital signs.
5. Remove patient’s clothing.
6. Secure/start two large-bore IVs with normal
saline.
7. Use the chin lift or jaw thrust method to open
the airway.
A. 1, 7, 2, 6, 4, 5, 3
B. 7, 1, 4, 2, 3, 5, 6
C. 4, 1, 5, 7, 6, 3, 2
D. 5, 4, 1, 7, 2, 6, 3
43. A patient with a history of seizures and
medication compliance of phenytoin (Dilantin)
and carbamazepine (Tigerton) is brought to the
ED by the MS personnel for repetitive seizure
activity that started 45 minutes prior to arrival.
You anticipate that the physician will order
which drug for status epileptics?
A. Clonazepam (Ativan) IV.
B. Magnesium sulphate IV.
C. Carbamazepine (Tigerton) IV.
D. Phenytoin and Carbamazepine PO.
44. A client arrived at the emergency
department after suffering multiple physical
injuries including a fractured pelvis from a
vehicular accident. Upon assessment, the client
is incoherent, pale, and diaphoretic. With vital
signs as follows: temperature of 97°F (36.11° C),
blood pressure of 60/40 mm Hg, heart rate of
143 beats/minute, and a respiratory rate of 30
breaths/minute. The client is mostly suffering
from which of the following shock?
A. Cardiogenic
B. Distributive
C. Hypovolemic
D. Obstructive
45. Which of these is not classified as a
Category A biologic agent?
A. Staphylococcus enterotoxin B (SEB).
B. Clostridium botulinum toxin (botulism).
C. Bacillus anthracis (anthrax).
D. Francisella tularensis (tularemia).
46. A 15-year-old male client was sent to the
emergency unit following a small laceration on
the forehead. The client says that he can’t move
his legs. Upon assessment, respiratory rate of
20, strong pulses, and capillary refill time of less
than 2 seconds. Which triage category would
this client be assigned to?
A. Black.
B. Green.
C. Red.
D. Yellow
47. An ER nurse is handling a 50-year-old
woman complaining of dizziness and
palpitations that occur from time to time. ECG
confirms the diagnosis of paroxysmal
supraventricular tachycardia. The client seems
worried about it. Which of the following is an
appropriate response of the nurse?
 A. “You can be discharged now; this is a
probable sign of anxiety.”
B. "You have to stay here for a few hours
to undergo blood tests to rule out
myocardial infarction.”
C. “We’ll need to keep you for further
assessment; you may develop blood
clots.”
D. “The physician will prescribe you blood-
thinning medications to lessen the
episodes of palpitations.”
48. A client was brought to the ED due to an
abdominal trauma caused by a motorcycle
accident. During the assessment, the client
complains of epigastric pain and back pain.
Which of the following is true regarding the
diagnosis of pancreatic injury?
A. Redness and bruising may indicate the
site of the injury in blunt trauma.
B. The client is symptom-free during the
early post-injury period.
C. Signs of peritoneal irritation may
indicate pancreatic injury.
D. All of the above
49. A male client was brought to the emergency
department with a gunshot wound to the chest.
In obtaining a history of the incident to
determine possible injuries, the nurse should
ask which of the following?
A. "What was the initial first aid done?"
B. "Where did the incident happen?"
C. "What direction did the bullet enter
into the body?"
D. "How long ago did the incident occur?"
50. When attending a client with a head and
neck trauma following a vehicular accident, the
nurse's initial action is to?
A. Do oral and nasal suctioning.
B. Provide oxygen therapy.
C. Initiate intravenous access.
D. Immobilize the cervical area.
51.In selecting alternative therapies, the nurse
recognizes that therapeutic touch may be most
effective with a:
A. Premature infant
B. Headache sufferer
C. Pregnant woman
D. Psychiatric client
52. The nurse is preparing a presentation on
alternative therapies for a community group.
The nurse should identify that herbal therapies
are:
A. Approved by the Food and Drug
Administration, under the Food, Drug, and
Cosmetic Act
B. Sold as medicines in most stores because
they lack major side effects
C. Allowed to be packaged as dietary
supplements if they are without health claims
D. Consistent in their standards for
concentrations of major ingredients and
additives
53. The client asks the nurse about different
herbal therapies that may promote physical
endurance and reduce stress. Information may
be provided on:
A. Ginseng
B. Ginger
C. Echinacea
D. Chamomile
54. When assessing a client’s use of alternative B. Dysfunctional grieving
therapies, the nurse should ask:
C. Terminal cancer
A. "What herbal supplements have you taken?"
D. Work-related stress
B. "Have you ever used relaxation therapy?"
8. A client who has Raynaud’s disease with
C. "What types of activities or remedies do you intermittent peripheral ischemia may benefit
use when you do not feel well?" the most from:

D. "Do you use holistic treatments?" A. Relaxation therapy

B. Imagery

55. Which of the following statements is correct C. Biofeedback

regarding complementary and alternative
D. Acupuncture
medicine?

A. One third to one half of the U. S. population

uses one or more forms of alternative therapy
B. Increasing amounts of insurance coverage
are available to meet the needs of alternative
therapies
C. Use of alternative therapies is still not
incorporated into the traditional medical
journals
59. A nurse needs to be alert to possible
negative responses to biobehavioral therapies.
Clients have most often experienced:
A. Aggressive behaviors
B. Delusions
C. Insomnia

D. Integration of alternative therapies is D. Loss of control

regulated by state and national agencies

60. A practitioner or client who uses traditional

56. A benefit that the client can gain from Chinese medicine bases the therapy on the
relaxation therapy is a decrease in: primary concept of:

A. Receptivity A. Yin/yang

B. Peripheral skin temperature B. Meridians

C. Oxygen consumption C. Six evil senses

D. Alpha brain activity D. Acupoints

61. A client is nauseated, has been vomiting for

57. A client who may benefit the most from the
passive type of relaxation is one who is
experiencing:
A. Hypertension
several hours, and needs to receive an
antiemetic (anti-nausea) medication. Which of
the following is accurate?
A. An enteric-coated medication should be
given.
B. Any medication will not be absorbed as
easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered.
5. The physician has ordered 6 mg morphine
sulfate every 3 to 4 hours prn for a client’s
postoperative pain. The unit dose in the
medication dispenser has 15 mg in 1 ml. How
much solution should the nurse give?

A. 1/5 ml

62. The client receiving an intravenous infusion B. 1/3 ml

of morphine sulfate begins to experience
C. 2/5 ml
respiratory depression and decreased urine
output. This effect is described as: D. 1/4 ml

A. Therapeutic 66. To determine the proper drug dosages for

children, calculations are made on the basis of
B. Toxic
the child’s:
C. Idiosyncratic
A. Weight
D. Allergic
B. Height

C. Age
63. The client is to receive a sedative via the
D. Body surface area
buccal route. Which of the following is true?

A. The medication is placed under the tongue.

67. The nurse uses a mortar and pedestal to
B. This route is probably more expensive than
crush a medication before giving it to one of her
the intramuscular route.
clients. Which of the five rights is the nurse
C. The nurse should offer the client a glass of ensuring?
orange juice after taking the sedative.
A. The right route
D. This method of administration would be
B. The right client
avoided in the event of facial injuries.
C. The right time

D. The right drug

64. The physician orders a grain and a half of
Seconal to help a client sleep. The label on the
medication bottle reads Seconal 100 mg. How
68. A 76-year-old client lives alone and takes
many capsules should the nurse give the client?
medications without supervision. Which of the
A. 1/2 following is the most appropriate question for
his home health nurse to ask in regard to his
B. 1
medication regimen?
C. 1 1/2
A. "How much do you weigh?"
D. 2
B. "What medications are you currently
taking?"
C. "We'll have to take away your sedatives if
you keep taking them during the day. "
D. "Have you been taking other substances
than those ordered by the physician?"
69. In preparing two different medications from
two vials, the nurse must:
A. Inject fluid from one vial into the other
B. Uncap the syringe and wipe the needle with
an alcohol preparation before inserting into
either vial
C. Discard the medication from vial number
two if medication from vial number one is
pushed into it
D. Insert air into the first vial, but not the
second vial
70. The nurse is preparing 10 units of regular
insulin and 5 units of NPH insulin. Which of the
following statements is the most accurate?
A. The NPH insulin is the shortest acting form of
insulin.
B. Air is injected first into the regular insulin,
then into the NPH.
C. The insulin vial should be discarded if there
are any bubbles in it.
D. This medication order is given via the
subcutaneous route.
71.The client has a 6-inch laceration on his right
forearm that develops an infection. Which of
the following is a sign of an acute inflammatory
process?
A. A decrease in the number of white blood
cells
B. A release of histamine that adds to the pain
response
C. A blanching of the skin
D. A decrease in temperature at the site
72. A child receives a vaccine for measles,
mumps, and rubella. The client has experienced
which type of immunity?
A. Natural immunity
B. Artificial immunity
C. Passive immunity
D. Complete immunity
73. Which of the following could contribute to
causing a nosocomial infection?
A. Washing hands before applying a dressing
B. Taping a plastic bag to the bed rail for tissue
disposal
C. Placing a Foley catheter bag on the bed
when transferring a client
D. Using Betadine to cleanse the skin before
starting an intravenous line
74. Which of the following clients is most
susceptible to infection?
A. A 29-year-old postpartum client
B. A 42-year-old client with a recent
uncomplicated appendectomy
C. A 76-year-old client with a hip fracture
D. An 18-year-old athlete with repair of torn
knee ligaments
75. A 78-year-old client admitted to the medical
unit is at risk for infection because of the
following physiological changes:
A. Increased cough reflex
B. Thicker, more elastic skin
C. Increase in stomach acid
D. Reduced salivary production
76. The nurse shows that he understands the
psychological implications of isolation when he
plans care to control the client’s risk of:
A. Denial
B. Depression
C. Regression
D. Aggression
77. The nurse employs surgical aseptic
technique when:
A. Placing soiled linen in moisture-resistant
bags
B. Inserting an intravenous catheter
C. Disposing of syringes in puncture-proof
containers
D. Washing his or her hands before changing a
dressing
78. The client has a large abdominal incision
that requires a dressing. The incision is packed
with half-inch iodoform packing (soaked in
Betadine) and covered with a dry sterile 4 × 4
inch gauze. When changing the dressing, the
nurse accidentally drops the packing onto the
client’s abdomen. The nurse should:
A. Add more Betadine to the packing and insert
it into the incision
B. Throw the packing away, and prepare a new
one
C. Pick up the packing with sterile forceps, and
gently place it into the incision
D. Rinse the packing with sterile water, and put
the packing into the incision with sterile gloves
79. A client has a viral infection. Which of the
following is typical of the illness stage of the
course of the infection?
A. There are no longer any acute symptoms.
B. The client was first exposed to the infection
2 days ago but has no symptoms.
C. An oral temperature reveals a very febrile
condition.
D. The client "feels sick" but is able to continue
her normal activities.
80. Medical asepsis is applied when the nurse:
A. Completes handwashing before care.
B. Prepares an intramuscular injection
C. Changes a postoperative dressing.
D. Suctions a tracheostomy.
81.In regards to safety, which of the following
statements in most accurate?
A.Bacterial contamination of foods is
uncontrollable.
B.Fire is the greatest cause of unintentional
death.
C.Temperature extremes seldom affect the
safety of clients in acute care facilities.
D.Carbon dioxide levels should be monitored in
home settings.

82.A 76-year-old client lives alone at home.
Which of the following is the highest priority
question for his home health nurse to ask
regarding his safety?
A."Do you use softglow light bulbs in your front
room lamps?"
B."At what temperature is your thermostat
set?"
C."Why don't you consider selling your two-
story home and buying a house without stairs?"
D."Do any of your medications cause you to be
physically unsteady?"
83.Which of the following questions has the
highest priority for the nurse when talking with
parents about the safety of a 4-year-old?
A."Can you talk to the parents of your child's
friend to find out why they are getting in
fights?"
B."Would the families in your neighborhood
share your concern about reporting strangers
when they see them?"
C."Do you have the kitchen cleaning supplies
locked in the cupboard?"
D."Does your child have the appropriate
protective equipment for the games he plays?"
84.The best overall rule for avoiding accidents
with equipment in the hospital is for the nurse
to:
A.Always lock wheels on movable equipment
B.Never operate equipment without prior
instruction
C.Always unplug equipment when moving the
client
D.Never use equipment without a person to
assist you
85.A 4-year-old child is scheduled to receive an
IV line. The most appropriate type of restraint
to use for this client to prevent removal of the
IV line would be a(n):
A.Wrist restraint
B.Jacket restraint
C.Elbow restraint
D.Mummy restraint
86.A 79-year-old resident in a long-term care
facility is known to “wander at night” and has
fallen in the past. Which of the following is the
most appropriate nursing intervention?
A.A loose abdominal restraint should be placed
on the client during sleeping hours.
B.The caregivers should check the client
frequently during the night.
C.A radio should be left playing at the bedside
to assist in reality orientation.
D.Reassign the client to a room that is close to
the nursing station.
87.The workmen cause an electrical fire when
installing a new piece of equipment in the
intensive care unit. A client is on a ventilator in
the next room. The first action the nurse should
take is to:
A.Attempt to extinguish the fire
B.Pull the fire alarm 91 – 100 Essay

C.Call the physician to obtain orders to take the
client off the ventilator
D.Use an Ambu bag and remove the client from
the area
Why so important to Learn/Know about Safety,
Security and Emergency Preparedness in
Nursing Industry?

88.In a nursing home an elderly client drops his

burning cigarette in a trash can and starts a fire.
The most appropriate type of fire extinguisher
for the nurse to use is the:

A.Type A

B.Type B

C.Type C

D.Type D

89.A frantic grandmother calls the emergency

room to report that her grandson took some of
her medicine and that she is unable to arouse
him. The nurse should instruct her to:

A.Induce vomiting with syrup of ipecac

B.Provide fluids to dilute the toxin

C.Hyperextend his head

D.Bring the medicine bottle to the hospital

90.In teaching parents how to promote infant

safety, the nurse tells them to:

A.Place the infant on its abdomen for sleeping.

B.Use small toys sized for the infant.

C.Place the infant in a highchair or swing when

the child must be unattended.

D.Keep crib sheets very snugly fit.

Prepared By: Cepeda, Jasmin Angela Arcaya