Infection Prevention Quiz infection prevention questions to test your knowledge 1 / 7 Which type of precautions should be implemented for a patient with tuberculosis (TB)? Contact precautions Droplet precautions Airborne precautions Standard precautions 2 / 7 Which patient is at the highest risk for developing a healthcare-associated infection? A healthy adult receiving a flu shot A child with a minor skin infection A post-surgical patient with a urinary catheter A teenager with a sprained ankle 3 / 7 How should a nurse properly dispose of a used needle? Recap it carefully and throw it in the trash Place it in a sharps container without recapping Wrap it in gauze before discarding it Break it in half before disposing of it 4 / 7 A nurse is caring for a patient on contact precautions. What PPE is required before entering the room? Gloves and gown Only a mask Gloves, gown, and face shield No PPE is needed 5 / 7 According to the CDC, what is the correct sequence for donning (putting on) personal protective equipment (PPE)? Gloves, mask, gown, eye protection Gown, mask, eye protection, gloves Mask, gloves, gown, eye protection Eye protection, mask, gloves, gown 6 / 7 When should a nurse perform hand hygiene? Before and after patient contact After removing gloves Before performing an aseptic procedure All of the above 7 / 7 What is the most effective way to prevent the spread of infection in healthcare settings? Wearing gloves at all times Using alcohol-based hand sanitizer only Proper hand hygiene with soap and water or hand sanitizer Avoiding contact with infected patients Your score isThe average score is 0% 0% Restart quiz Renal Quiz Renal questions to test your knowledge 1 / 18 You are caring for a 56-year-old patient with a history of hypertension who was admittedfor an acute kidney injury (AKI) secondary to dehydration. When evaluating the morninglab results, which of the following would be most indicative of an AKI: a. Increased serum creatinine and decreased blood urea nitrogen (BUN) b. Increased serum creatinine and increased glomerular filtration rate (GFR) c. Increased serum creatinine and increased blood urea nitrogen (BUN) d. Decreased serum creatinine and decreased blood urea nitrogen (BUN) 2 / 18 You are the nurse caring for a patient with a history of newly diagnosed end stage renaldisease (ESRD). The patient is complaining about pruritis and is asking why this ishappening. The nurse understands that: Pruritis is caused by excess amounts of uric acid Pruritis is the result of hypercalcemia Pruritis is the result of excess fluid volume Pruritis is caused by low bicarbonate 3 / 18 The nurse is caring for a patient who takes Lisinopril for hypertension. The nurse knowsto monitor for what electrolyte disturbance while the patient is taking this medication: Hyponatremia Hypernatremia Hyperkalemia Hypocalcemia 4 / 18 The nurse is caring for a patient who was found to have an acute kidney injury (AKI) onadmission. The patient normally takes lisinopril at home for high blood pressure,however the medication has been held by the provider. The patient asks the nurse whythe medication has been held. As the nurse, you understand the reason for this is: Lisinopril is a nephrotoxic medication Lisinopril can further worsen AKI The AKI will cause the patient to have a lower blood pressure Lisinopril will build up in the blood if the kidneys aren’t working properly 5 / 18 You are the nurse caring for a patient recently admitted to the intensive care unit forseptic shock requiring vasopressors. The patients current weight is 100kg and their urineoutput has been 40mL/hr for the last three hours. What statement is true about this urineoutput: This is an adequate amount of urine for the patient The patient has decreased urine output The patient needs emergent dialysis This patient has end stage renal disease 6 / 18 You are the nurse caring for a patient newly admitted to the intensive care unit who isbeing treated for septic shock and requiring vasopressors. During rounds, the providertells you to let them know if the patient begins experiencing decreased urine output. Asthe nurse, you know that the minimum normal urine output is: 30mL/hr 60mL/hr 0.5mL/kg/hr 2 mL/kg/hr 7 / 18 You are the nurse caring for a patient with end stage renal disease (ESRD) receivingdialysis. The patient has a fistula on their right arm for dialysis access. As the nurse, youknow which of the following interventions is contraindicated on the right arm, select allthat apply: Blood pressures Arm bands (Fall risk, ID, Code status) Peripheral IV placement Phlebotomy draws 8 / 18 You are caring for a patient who was found to have an acute kidney injury (AKI) onadmission. The patient asks, “How will you know if my kidneys are getting better?” Asthe nurse, you know which of the following is the most accurate lab for monitoring renalfunction: Blood urea nitrogen (BUN) Potassium Glomerular filtration rate (GFR) Creatinine 9 / 18 The nurse is caring for a patient with chronic kidney disease stage 3 who is to receiveiodinated contrast for a computed-tomography (CT) scan tomorrow. In preparation forthis, the provider puts in a communication to avoid nephrotoxic medications 24 hoursprior to the scan. The nurse understands that which of the following medications is safeto give to this patient: Vancomycin Ibuprofen Amphotericin B Zosyn 10 / 18 You are caring for a patient recently admitted for nephrolithiasis. The patient asks whyhe is receiving all of this intravenous (IV) fluid. Which of the following is the bestresponse from the nurse. To reduce the concentration of calcium in the body To prevent bacterial infections in the urinary tract To dilute the urine and assist with stone passage To keep potassium levels within the normal range 11 / 18 You are assessing a patient with a newly created arteriovenous (AV) fistula. As thenurse, you know which of the following assessment findings is normal for a functioningfistula. Palpable pulse below the fistula site Presence of bruit and thrill at the fistula site Discoloration of fistula site Warmth over the fistula site 12 / 18 Your patient with end-stage renal disease (ESRD) is prescribed PhosLo, a phosphatebinder medication. Which of the following statements from the patient shows anunderstanding of how to properly take the medication. “I should take this medication on an empty stomach for best results” “Even if I skip a meal, I should still take this medication at the prescribed time” “This medication is to help keep my potassium low” “I should take this medication with my meals for the maximum effect” 13 / 18 You are caring for a patient who receives peritoneal dialysis for their end-stage renaldisease (ESRD). The nurse understands that what finding would prompt evaluation bythe provider. Cloudy dialysate fluid Weight gain of 1kg in the last 7 days Urine output of 200mL in the last 24 hours Mild bloating 14 / 18 You are caring for a patient with newly diagnosed end-stage renal disease (ESRD) whois getting ready for discharge. What statement by the patient indicates the need forfurther teaching by the nurse? “I will take my weight at the same time each day with similar amounts of clothes on” “I will have to change my diet to have less sodium, fluids, and foods high in potassium” “Its okay if I miss a dialysis appointment because I’m going three times a week” “I will keep a log of my daily weights and blood pressures for my providers to track” 15 / 18 You are caring for a 37-year-old patient with history of chronic kidney disease (CKD) andType 2 Diabetes Mellitus. The patient is prescribed lisinopril for management ofhypertension. The nurse knows that this class of medications provides what other benefitfor this patient given their comorbidities? Decreased fluid retention Helps secrete excess potassium Helps lower blood glucose levels Reduces proteinuria 16 / 18 The nurse is caring for a patient with end-stage renal disease (ESRD) requiring dialysis.The patient states they have not been to dialysis in over a week due to not feeling well.The nurse knows that which of the following can result from missed dialysisappointments in these patients. Select all that apply: Hyperkalemia Hypercalcemia Fluid volume overload Hypokalemia Hyperphosphatemia 17 / 18 The nurse is caring for a patient with a history of end-stage renal disease (ESRD). Thepatient is prescribed Erythropoietin, an erythropoiesis-stimulating agent. The nurseknows that the expected therapeutic response from this medication is: Increase in white blood cell count Increase in hemoglobin Increase in platelet count Increase in clotting factor production 18 / 18 You are taking care of a patient diagnosed with nephrotic syndrome. What is thehallmark characteristic of this condition? Hyperkalemia Low urine specific gravity Proteinuria Hematuria Your score isThe average score is 72% 0% Restart quiz