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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 13-year-old male is admitted to the pediatric intensive care unit. The patient has a history of mental retardation and cerebral palsy following an anoxic injury as an infant. The patient was admitted 2 months earlier due to aspiration pneumonia, necessitating a lengthy hospital stay, mechanical ventilation, and intravenous antibiotics. His caregiver reports another aspiration event 2 days prior. For the past 24 hours, the patient has been lethargic with a frequent cough producing thick sputum. Upon presentation to the hospital, the patient is noted to have a fever, low oxygen saturations, and low blood pressure. Upon arrival to the intensive care unit, the patient is cool, pale, and has poor pulses and capillary refill. Following administration of intravenous fluid boluses, it is determined the patient needs central venous access for fluid and medication administration. As the RN, you prepare for the sterile procedure. -Prior to placement of the central venous line,the patient's skin is scrubbed with chlorhexidine.Which of the following microorganisms are targeted by this chemical agent?


A) bacteria
B) viruses
C) fungi
D) bacteria,viruses,and fungi

E) A) and D)
F) B) and D)

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Which of the following items are typically irradiated in order to kill microbes?


A) meats like ground beef and pork
B) human tissues such as heart valves and skin
C) operating room air
D) surgical gloves
E) All of the choices are correct.

F) B) and C)
G) B) and E)

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Which of the following is not a factor that affects germicidal activity?


A) the material being treated
B) the length of exposure
C) the strength of the germicide
D) the microorganism being treated
E) All of these are factors.

F) D) and E)
G) None of the above

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Heavy metals work by


A) rupturing the cell membrane.
B) inactivating proteins.
C) binding to DNA.
D) dissolving the cell wall.
E) mutating DNA.

F) A) and D)
G) A) and B)

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The most efficient sterilizing conditions in a steam autoclave are


A) 12 \circ C at 15 psi for 15 minutes.
B) 63 \circ C for 30 minutes.
C) 160 \circ C for 2 hours.
D) 71.6 \circ C for 15 seconds.
E) 100 \circ C for 30 minutes.

F) B) and C)
G) C) and D)

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Which control method would not be a suitable choice for killing Mycobacterium in a capped culture tube?


A) ultraviolet (germicidal) light
B) gamma rays
C) 12 \circ C at 15 psi for 15 minutes
D) 160 \circ C for 2 hours
E) All of the choices are correct.

F) C) and D)
G) None of the above

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Please read the clinical scenario, and then answer the questions that follow to become familiar with the traditional NCLEX question format. A woman who is 38-weeks' pregnant is admitted for a scheduled cesarean section. As the RN, you perform an assessment of the patient and prepare her for the surgery. Prior to the procedure, you prepare to place an indwelling urinary catheter. -As the RN,you cleanse the urethral opening with an iodine swab.Which of the following terms most appropriately describes this method of microbial control?


A) disinfectant
B) antiseptic
C) decontaminant
D) sterilant

E) None of the above
F) All of the above

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The use of chemical agents directly on exposed body surfaces to destroy or inhibit vegetative pathogens is


A) disinfection.
B) sterilization.
C) antisepsis.
D) sanitization.
E) ionization

F) A) and E)
G) C) and E)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. As an RN in a long-term care facility, you observe precautions to control and prevent the spread of infection. -As an RN,you diligently practice proper hand washing technique when your hands are visibly dirty.Which of the following terms appropriately describes the type of antimicrobial control provided by hand washing with soap and water?


A) sterilization
B) disinfection
C) decontamination
D) antisepsis

E) All of the above
F) B) and D)

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The removal of all life forms from inanimate objects is termed


A) antisepsis.
B) disinfection.
C) sterilization.
D) decontamination.
E) degerming.

F) A) and C)
G) B) and E)

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_____ heat is more rapidly effective and efficient compared to _____ heat.


A) High,dry
B) High,moist
C) Dry,moist
D) Moist,dry
E) Moist,high

F) A) and C)
G) D) and E)

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Sterilization is achieved by


A) flash pasteurization.
B) hot water.
C) boiling water.
D) steam autoclave.
E) All of the choices are correct.

F) A) and B)
G) B) and E)

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Which of the following does not affect microbial nucleic acids?


A) moist heat
B) ultraviolet light
C) X rays
D) ethylene dioxide
E) formaldehyde

F) B) and D)
G) A) and D)

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The method of removing vegetative microbial life forms from inanimate objects is termed


A) antisepsis.
B) disinfection.
C) sterilization.
D) decontamination.
E) degerming.

F) D) and E)
G) A) and B)

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Agents that can denature microbial proteins include all of the following except


A) moist heat.
B) alcohol.
C) acids.
D) metallic ions.
E) X rays.

F) None of the above
G) B) and D)

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Which of the following represents the use of osmotic pressure as a microbial control method?


A) bleaching a kitchen counter
B) salting meat
C) rinsing a cut with Betadine
D) Both bleaching a kitchen counter and rinsing a cut with Betadine are correct.

E) C) and D)
F) A) and D)

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Which is correct regarding the rate of microbial death?


A) Cells die at increasingly greater rates.
B) Only older cells die in a culture.
C) Cells in a culture die at a constant rate.
D) Upon contact with the control agent,all cells die at one time.
E) Cells become metabolically inactive,but are never killed.

F) A) and E)
G) A) and D)

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Which of the following is not used as an antiseptic?


A) iodophor
B) chlorhexidine
C) 3% hydrogen peroxide
D) betadine (povidone-iodine)
E) glutaraldehyde

F) C) and D)
G) A) and E)

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Isopropyl alcohol wiped across a skin site can sterilize it.

A) True
B) False

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All of the following pertain to hypochlorites except


A) release hypochlorous acid in solution.
B) cause denaturation of enzymes.
C) found in iodophors.
D) used to disinfect water,restaurant,and medical equipment.
E) found in common household bleach.

F) A) and B)
G) A) and C)

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