HESI RN · Infection Control Exam Questions Answers
Question 1 of 75
A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 mm Hg and a heart rate of 124 beats/min. After placing the client in Trendelenburg position, which action does the nurse perform next?
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Question 2 of 75
When should you dispose of a plastic disposable apron?
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Question 3 of 75
Direct observation of performance by an individual of a specific skill may yield a temporary and artificial high result. This phenomenon is known as the:
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Question 4 of 75
The purpose of a biological indicator in an autoclave is: 1. To determine whether the items being autoclaved are properly sterilized, which is indicated by a positive BI result 2. To determine whether the items being autoclaved are properly sterilized, which is indicated by a positive BI result 3. To determine whether the items being autoclaved are properly cleaned, which is indicated by a positive BI result 4. To determine whether the items being autoclaved are properly cleaned, which is indicated by a negative BI result
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Question 5 of 75
What is the highest priority nursing intervention for a 4-month-old with meningococcal meningitis?
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Question 6 of 75
Infection rate after a cesaerian section shall be no more than 5% is a statement that determines
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Question 7 of 75
The optimal time to collect a sputum specimen for acid-fast bacilli (AFB) testing to rule out TB would be:
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Question 8 of 75
The following is/are true about flu vaccine in pregnancy:
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Question 9 of 75
Which of the following statements is/are true about Hib vaccine:
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Question 10 of 75
Which of the following is not used for surgical scrub
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Question 11 of 75
According to the CDC central venous catheters should be replaced:
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Question 12 of 75
A 50-year-old man with chronic obstructive pulmonary disease is discussing the usefulness of the pneumococcal vaccine with his family physician. Which of the following statements about this vaccine is CORRECT?
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Question 13 of 75
The nurse realizes that the incorrect spelling of terms in the medical record most importantly:
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Question 14 of 75
The term_____ is defined as 'Performance probability of the product over its intended life and conditions'
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Question 15 of 75
What does MDRO stand for?
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Question 16 of 75
A pandemic differs from an epidemic in that:
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Question 17 of 75
Which statement is not true regarding viruses?
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Question 18 of 75
Which of the following refers to a patient who enters a hospital with a known infection?
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Question 19 of 75
Which of the following is an example of surveillance on a process indicator?
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Question 20 of 75
All of the following are presently components of National Quality Measures for Acute Myocardial Infarction (AMI) EXCEPT:
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Question 21 of 75
Which hand cleanser is appropriate for general hand washing in other areas of the pharmacy but is not acceptable for aseptic hand washing?
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Question 22 of 75
The most suitable site(s) for intramuscular and subcutaneous vaccination is/are:
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Question 23 of 75
Influenza vaccine is specifically indicated in individuals with:
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Question 24 of 75
What is the single most important reason for healthcare workers to practise good hand hygiene?
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Question 25 of 75
Which of the 'five moments for hand hygiene' do healthcare workers forget most often?
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Question 26 of 75
A program is developed to evaluate the effectiveness of physicians care in a primary healthcare clinic. Which one of the following indicators may be selected?
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Question 27 of 75
Under the claims procedure:
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Question 28 of 75
How do you decrease the severity and duration of pertussis infection?
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Question 29 of 75
A quality officer is measuring the time it takes a nurse to perform a procedure. This addresses which of the following aspects of care?
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Question 30 of 75
CLASSI rate = 4 CLABSI/284 line days, Predicted Infections = 0.50, What is the SIR?
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Question 31 of 75
Which government agency requires that employers follow regulations for use of universal precautions in settings in which occupational exposures to blood may occur?
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Question 32 of 75
Global food production and distribution processes can result in widely disseminated foodborne infections. A large outbreak of foodborne infection caused by a Shiga toxin producing E coli took place in Germany and France in 2011. What was the contaminated item that caused the disseminated foodborne infection?
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Question 33 of 75
Based on the epidemic curve, what is the most likely source of this outbreak?
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Question 34 of 75
Which of the following is/are true about anthrax vaccine:
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Question 35 of 75
The most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is by
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Question 36 of 75
A client with heart failure is prescribed ACE inhibitors. What is the most important instruction for the nurse to give?
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Question 37 of 75
Which condition is an exception to the recommendation for dual sequential vaccination with PCV13 and PPSV23 pneumococcal vaccines in high-risk patients aged 19 to 64 years?
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Question 38 of 75
The IP is teaching nurses how to assess injection risks in patients. Depletion of what cell type provides the best indication of susceptibility to most bacterial infections?
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Question 39 of 75
What are the 5 moments of hand hygiene?
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Question 40 of 75
Which of the following is/are true? For futprotection against pertussis, infants and children under 10 years of age need:
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Question 41 of 75
Specimens are not acceptable for laboratory tests when one of the following is noted.
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Question 42 of 75
Which of the following cannot be used for sealing of blood vessels
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Question 43 of 75
After holding a housewide education session on HH, the IP wants to evaluate how effective the sessions were in changing behavior. The most common way to assess HH behavior is:
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Question 44 of 75
The main reasons for hand hygiene non-compliance reported by the healthcare workers are:
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Question 45 of 75
What characterizes a zero-based budget?
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Question 46 of 75
Use of alcohol-based waterless antiseptic is encouraged for which types of clients?
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Question 47 of 75
The wounded victim is unable to walk, respiratory rate is absent and when airway is repositioned breathing is still absent. The wounded victim is assigned what tag color?
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Question 48 of 75
The smallest of all microorganisms, visible only with an electron microscope is a ?
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Question 49 of 75
Which one of the following risk factors contributes to the development of UTI in HCFs?
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Question 50 of 75
Replacing retrospective review with concurrent review is an example of
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Question 51 of 75
In which area within a healthcare facility, a JCI surveyor reviews and assesses the preventive services, diagnosis, and appropriateness and continuity of care provided to patients?
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Question 52 of 75
For a 450 bed community general hospital, with only the billing system currently automated, the best computerized Information Management system might be
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Question 53 of 75
One of the following is not a common nosocomial infection
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Question 54 of 75
Utilization review
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Question 55 of 75
Post-exposure prophylaxis with HBIG is recommended for:
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Question 56 of 75
In which phase do most medication errors occur?
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Question 57 of 75
The nurse manager at a long-term-care facility is planning care for a client who is receiving radiation therapy for laryngeal cancer. Which of these tasks is appropriate to delegate to a nursing assistant?
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Question 58 of 75
Why is it important to use two identifiers when administering medications?
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Question 59 of 75
What is an emerging infection with the greatest global impact?
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Question 60 of 75
Which of the following is not a retractor used during surgery
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Question 61 of 75
What is the first aspect to consider when choosing a performance improvement program for implementation?
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Question 62 of 75
Which drug regimen in AIDS is usually used?
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Question 63 of 75
It has been recommended by the upper management of a 450-bed hospital to develop a performance improvement action plan to address the growing and continuous customers complaints about long waiting times for their outpatient prescriptions to be filled by pharmacy. Which of the following quality improvement tools should be used FIRST to develop the action plan?
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Question 64 of 75
Trend reports of quality data
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Question 65 of 75
A client with congestive heart failure is prescribed diuretics. What is the most important instruction for the nurse to give?
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Question 66 of 75
An intra-venous drug user with endocarditis has a TOE and multiple blood cultures taken. He is most likely to have:
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Question 67 of 75
A client with Parkinson's disease is taking levodopa. What is the most important instruction for the nurse to give?
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Question 68 of 75
Which of the following is a way for a microorganism to enter a new source?
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Question 69 of 75
What is the most important nursing action in preparing for the admission of a 2-year-old diagnosed with febrile seizures?
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Question 70 of 75
A patient comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection?
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Question 71 of 75
What is the primary purpose of using personal protective equipment (PPE)?
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Question 72 of 75
A diagnosis of meningococcal infection requires the following to be present:
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Question 73 of 75
A medication has been prescribed for one patient for the prophylactic treatment of migraine. Its capacity to improve patient's health status, as dimension of quality or performance, is its
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Question 74 of 75
Ways to prevent the spread of the skin infection MRSA in the general community include:
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Question 75 of 75
Ordered: 2000 mL of NS over 24 hours with a maximum total IV fluids at 2000 mL daily. IVPB of gentamicin 100 mg in 50 mL of D5W q6h over 30 minutes is also ordered. Calculate the rate of the NS using an electronic controller.
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