Test Bank

MULTIPLE CHOICE

1. After an infection control in-service, which statement by the nurse demonstrates an accurate understanding of the mode of transmission of influenza?

a. “I will not develop the infection unless I have physical contact with the client.”

b. “I should wear an N95 respirator to provide care for the client with influenza.”

c. “I should try to stay at least 3 feet away from the client, if at all possible.”

d. “The infection is spread through droplets suspended in the air and inhaled.”

ANS: C

Influenza is transmitted via droplets. Droplets are produced when a person talks or sneezes and travel short distances (up to 3 feet) but are not suspended in the air for long. Staff should stay at least 3 feet (1 m) away from a client with droplet infection. Actual physical contact with the client is not necessary for infection to occur. It is not necessary for staff to wear an N95 respirator mask for Droplet Precautions; these masks are used in the care of clients with tuberculosis.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Safe and Effective Care Environment (Safety and Infection Control—Standard Precautions/Transmission-Based Precautions/Surgical Asepsis)

MSC: Integrated Process: Nursing Process (Planning)

2. The nurse is told that a client with measles is being admitted. Which action by the nurse is best?

a. Implement Contact Precautions.

b. Check negative airflow monitors.

c. Ensure that hand sanitizer is readily available.

d. Place the client in a room with another measles client.

ANS: B

Clients with measles require Airborne Precautions, which include being placed in a room with specially monitored negative airflow. Before admitting the client with measles, the nurse should ensure that the airflow monitors are working properly. Contact Precautions are not used for measles. Having hand sanitizer is always a good idea, but it is not the most important action. Placing the client with another measles client is a possible action if more than one case is present (e.g., during an outbreak), but the most important thing is to ensure that Airborne Precautions can be maintained for safety.

DIF: Cognitive Level: Application/Applying or higher REF: N/A