NCLEX_CRUSADE_ACADEMY TEST - 13 HEALTH_CARE_ASSOCIATED_NOSOCOMIAL_INFECTIONS

1. A nosocomial infection is defined as: An infection present before hospital admission. An infection acquired during hospitalization. A community infection. A congenital infection.

2. According to infection control guidelines, symptoms appearing after what time frame suggest a hospital-acquired infection?. 12 hours. 24 hours. 48 hours. 72 hours.

3. The most common transmission route for hospital-acquired infections is: Contaminated air. Healthcare worker hands. Food contamination. Mosquito bites.

4. Which patient population is at greatest risk for HAIs?. Young healthy adults. Immunosuppressed patients. Athletes. Office workers.

5. Multidrug-resistant organisms include: Influenza. MRSA, VRE, CRE. HIV. Tuberculosis.

6. Proper peripheral venous access requires: Clean technique only. Strict sterile technique. No gloves. Alcohol only.

7. Common veins used for peripheral IV access include: Femoral artery. Cephalic, basilic, median cubital. Carotid artery. Pulmonary vein.

8. IV solution bags should generally be changed every: 12 hours. 24 hours. 48 hours. 72 hours.

9. Standard IV tubing should be changed every: 24 hours. 48 hours. 72-96 hours. 1 week.

10. TPN or lipid infusion tubing should be changed every: 6 hours. 12 hours. 24 hours. 48 hours.

11. The venipuncture site should be rotated every: 24 hours. 48 hours. 72-96 hours. 7 days.

12. If IV tubing touches the floor, the nurse should: Wipe it off. Continue using it. Replace the tubing immediately. Flush the line.

13. Clostridioides difficile infection is caused by: Viral infection. Bacterial toxin production. Fungal infection. Parasitic infection.

14. A key symptom of C. difficile infection is: Dry cough. Watery diarrhea. Severe headache. Skin rash.

15. Alcohol-based hand sanitizers are ineffective against: MRSA. C. difficile spores. Influenza. HIV.

16. The first step when managing suspected C. difficile infection is: Administer pain medication. Discontinue the inciting antibiotic. Provide oxygen. Restrict fluids.

17. First-line antibiotic therapy for C. difficile includes: Amoxicillin. Oral vancomycin. Penicillin. Ciprofloxacin.

18. IV vancomycin is ineffective for treating C. difficile because: It is too strong. It does not reach the bowel lumen. It is toxic. It causes resistance.

19. Rapid infusion of vancomycin may cause: Blue man syndrome. Red man syndrome. Stevens-Johnson syndrome. Toxic shock.

20. If red man syndrome occurs during infusion, the nurse should: Stop the medication permanently. Increase infusion speed. Slow the infusion rate. Switch medications.

21. Vancomycin nephrotoxicity requires monitoring of: Blood glucose. BUN and creatinine. Sodium levels. Platelets.

22. Ototoxicity from vancomycin may present as: Headache. Tinnitus or hearing loss. Rash. Blurred vision.

23. Cephalosporins share structural similarity with: Sulfonamides. Penicillins. Tetracyclines. Macrolides.

24. Cephalosporins should not be given to patients with: Diabetes. Severe penicillin anaphylaxis. Hypertension. Asthma.

25. Mixing ceftriaxone with calcium-containing solutions may cause: Hypertension. Precipitation in lungs or kidneys. Liver toxicity. Hypoglycemia.

26. Cephalosporins may cause a disulfiram-like reaction with: Milk. Alcohol. Coffee. Vitamin C.

27. Tetracyclines are classified as: Bactericidal. Bacteriostatic. Antiviral. Antifungal.

28. The drug class tetracyclines can be identified by the suffix: -mycin. -cycline. -vir. -azole.

29. Tetracyclines are contraindicated in: Adults. Pregnancy and children under 8. Elderly. Hypertensive patients.

30. Milk or antacids reduce tetracycline absorption due to: Metabolism. Chelation. Oxidation. Fermentation.

31. Patients taking tetracycline should be warned about: Hypoglycemia. Photosensitivity. Weight gain. Hair loss.

32. The first-line treatment for Rocky Mountain Spotted Fever is: Penicillin. Amoxicillin. Doxycycline. Ciprofloxacin.

33. Rocky Mountain Spotted Fever is transmitted by: Mosquito. Tick. Flea. Louse.

34. The rash pattern of Rocky Mountain Spotted Fever typically spreads: From trunk outward. From extremities toward trunk. Only on the face. Only on the legs.

35. The most important infection control principle in hospitals is: Antibiotic use. Vigilant hygiene and sterile technique. Isolation rooms. Vaccination.