1
Module 6 Safety and Infection
Control Questions and Answers
(100% Correct Answers) Already
Graded A+
After discussing the use of restraints with a client and family,
© 2026 Assignment
a physician has written a prescription for wrist restraints to be
applied to a client. The nurse instructs the nursing assistant to
Guru01 - Stuvia
apply the restraints. Which of the following observations by
the nurse indicates that the nursing assistant is using the
Expert
restraints safely and correctly? Select all that apply. Ans: B
The restraints are being released every 2 hours.
C A safety knot has been used to secure the restraints.
E The call light has been placed within reach of the client.
Rationale: Restraints should never be applied tightly, because
this could impair circulation. They should be tied to the bed
frame (not the siderail) with the use of a safety knot. The client
could sustain injury if the siderail were lowered with a
restraint attached to it. A safety knot is used because it can
easily be released in an emergency. Restraints must be
released every 2 hours to facilitate inspection of the skin, help
ensure good circulation, and permit movement of the joint
through its range of motion. The call light must always be
within reach of the client in case he or she needs assistance.
A triage nurse in an emergency department (ED) is attending to
the victims of a train crash. All victims are alert. Which of
, 2
these clients does the nurse assign to the emergent category?
Select all that apply. Ans: A A victim with respiratory distress
C A victim with partial amputation of the foot
Rationale: One rating system commonly used in the ED
consists of three tiers — emergent, urgent, and nonurgent —
with the categories sometimes identified with color coding or
numbers. The emergent classification (a.k.a. red or priority 1)
is given to clients with life-threatening injuries (here, the
clients with respiratory distress [airway] and partial
© 2026 Assignment
amputation of the foot [bleeding/circulation]) who require
immediate attention and continuous evaluation but have a
Guru01 - Stuvia
high chance of survival once their conditions have been
Expert
stabilized. The urgent (a.k.a. yellow or priority 2) classification
is given to clients whose injuries and complications are not life
threatening (here, the client with the fractured humerus),
provided that they are treated within 1 to 2 hours; such clients
require evaluation every 30 to 60 minutes thereafter. The
nonurgent (a.k.a. green or priority 3) classification is given to
clients with local injuries (here, the clients with the forehead
laceration and bruises of the arms and legs) who do not have
immediate complications and can wait several hours for
medical treatment; these clients require evaluation every 1 to
2 hours thereafter.
A nurse is preparing to clean up a blood spill on the client's
bedside table that occurred when a blood tube containing a
specimen from the client broke. What steps should the nurse
take to clean up the blood spill? Select all that apply. Ans: A
Using tongs to collect any broken glass
B Wearing gloves for the cleanup procedure
E Disinfecting the area of the blood spill with a dilute bleach
solution
, 3
Rationale: The nurse should blot the spill with an absorbent
disposable material such as disposable paper towels or terry
wipes, not a face cloth or towel. Tongs are used to pick up any
broken glass, and gloves are worn for the procedure. The
broken glass is disposed of in a puncture-resistant container.
The area is disinfected with a dilute bleach solution or other
agency-accepted product.
A nurse, preparing a sterile field on which to perform a
dressing change, places the sterile drape on the overbed table.
Which of these actions on the part of the nurse indicate correct
© 2026 Assignment
understanding of the principles of aseptic technique? Select all
that apply. Ans: B Positioning the sterile field so that it
remains in full view
Guru01 - Stuvia
Expert
E Picking up a pair of sterile scissors from the sterile field with
a sterile gloved hand
F Pouring sterile wound cleansing solution into a sterile cup
before donning sterile gloves
Rationale: The principles of surgical asepsis must be followed
in the preparation of a sterile field. Among these principles: A
sterile object remains sterile only when touched by other
sterile objects; only sterile objects may be placed on a sterile
field; a sterile object or field out of the range of vision or an
object held below the nurse's waist is to be considered
contaminated; a sterile object or field becomes contaminated
with prolonged exposure to air; when a sterile surface comes
in contact with a wet, contaminated surface, the sterile object
or field becomes contaminated by way of capillary action; fluid
flows in the direction of gravity; a 1-inch edge of a sterile field
or container is to be considered contaminated.
, 4
In which of the following situations would the nurse use this
type of restraint (mitten restraint)? Select all that apply. Ans:
D To prevent dislodgment of an intravenous line
F To prevent the use of the hands while allowing free arm
movement
Rationale: A mitten restraint is a thumbless device used to
restrain the hands. It prevents the use of the hands while
allowing free arm movement. Mitten restraints are useful for
the client who must be prevented from dislodging an
© 2026 Assignment
intravenous line, indwelling urinary catheter, nasogastric tube,
other types of tubes, or wound dressings. A belt restraint
Guru01 - Stuvia
prevents the client from falling out of a bed, a chair, or a
Expert
stretcher. A mitten restraint does not secure the shoulders and
the waist and is not used to prevent the client from turning
side to side.
The mother of a 3-year-old calls a neighbor who is a nurse and
reports that her child just drank some window cleaner that had
been stored in a cabinet. The nurse should instruct the mother
to immediately: Ans: A Call a poison control center
Rationale: When a poisoning occurs, a poison center should be
called immediately. Vomiting should not be induced if the
victim is unconscious or if the substance ingested was a strong
corrosive or petroleum product. Also, vomiting should not be
induced unless a healthcare provider has given specific
instructions to induce vomiting. Neither calling an ambulance
nor calling the physician's answering service is the immediate
action, because either would delay treatment. Additionally, the
physician would immediately make a referral to the poison
control center. The poison control center may advise the
mother to bring the child to the emergency department; if this
is the case, the mother should then call an ambulance.
Module 6 Safety and Infection
Control Questions and Answers
(100% Correct Answers) Already
Graded A+
After discussing the use of restraints with a client and family,
© 2026 Assignment
a physician has written a prescription for wrist restraints to be
applied to a client. The nurse instructs the nursing assistant to
Guru01 - Stuvia
apply the restraints. Which of the following observations by
the nurse indicates that the nursing assistant is using the
Expert
restraints safely and correctly? Select all that apply. Ans: B
The restraints are being released every 2 hours.
C A safety knot has been used to secure the restraints.
E The call light has been placed within reach of the client.
Rationale: Restraints should never be applied tightly, because
this could impair circulation. They should be tied to the bed
frame (not the siderail) with the use of a safety knot. The client
could sustain injury if the siderail were lowered with a
restraint attached to it. A safety knot is used because it can
easily be released in an emergency. Restraints must be
released every 2 hours to facilitate inspection of the skin, help
ensure good circulation, and permit movement of the joint
through its range of motion. The call light must always be
within reach of the client in case he or she needs assistance.
A triage nurse in an emergency department (ED) is attending to
the victims of a train crash. All victims are alert. Which of
, 2
these clients does the nurse assign to the emergent category?
Select all that apply. Ans: A A victim with respiratory distress
C A victim with partial amputation of the foot
Rationale: One rating system commonly used in the ED
consists of three tiers — emergent, urgent, and nonurgent —
with the categories sometimes identified with color coding or
numbers. The emergent classification (a.k.a. red or priority 1)
is given to clients with life-threatening injuries (here, the
clients with respiratory distress [airway] and partial
© 2026 Assignment
amputation of the foot [bleeding/circulation]) who require
immediate attention and continuous evaluation but have a
Guru01 - Stuvia
high chance of survival once their conditions have been
Expert
stabilized. The urgent (a.k.a. yellow or priority 2) classification
is given to clients whose injuries and complications are not life
threatening (here, the client with the fractured humerus),
provided that they are treated within 1 to 2 hours; such clients
require evaluation every 30 to 60 minutes thereafter. The
nonurgent (a.k.a. green or priority 3) classification is given to
clients with local injuries (here, the clients with the forehead
laceration and bruises of the arms and legs) who do not have
immediate complications and can wait several hours for
medical treatment; these clients require evaluation every 1 to
2 hours thereafter.
A nurse is preparing to clean up a blood spill on the client's
bedside table that occurred when a blood tube containing a
specimen from the client broke. What steps should the nurse
take to clean up the blood spill? Select all that apply. Ans: A
Using tongs to collect any broken glass
B Wearing gloves for the cleanup procedure
E Disinfecting the area of the blood spill with a dilute bleach
solution
, 3
Rationale: The nurse should blot the spill with an absorbent
disposable material such as disposable paper towels or terry
wipes, not a face cloth or towel. Tongs are used to pick up any
broken glass, and gloves are worn for the procedure. The
broken glass is disposed of in a puncture-resistant container.
The area is disinfected with a dilute bleach solution or other
agency-accepted product.
A nurse, preparing a sterile field on which to perform a
dressing change, places the sterile drape on the overbed table.
Which of these actions on the part of the nurse indicate correct
© 2026 Assignment
understanding of the principles of aseptic technique? Select all
that apply. Ans: B Positioning the sterile field so that it
remains in full view
Guru01 - Stuvia
Expert
E Picking up a pair of sterile scissors from the sterile field with
a sterile gloved hand
F Pouring sterile wound cleansing solution into a sterile cup
before donning sterile gloves
Rationale: The principles of surgical asepsis must be followed
in the preparation of a sterile field. Among these principles: A
sterile object remains sterile only when touched by other
sterile objects; only sterile objects may be placed on a sterile
field; a sterile object or field out of the range of vision or an
object held below the nurse's waist is to be considered
contaminated; a sterile object or field becomes contaminated
with prolonged exposure to air; when a sterile surface comes
in contact with a wet, contaminated surface, the sterile object
or field becomes contaminated by way of capillary action; fluid
flows in the direction of gravity; a 1-inch edge of a sterile field
or container is to be considered contaminated.
, 4
In which of the following situations would the nurse use this
type of restraint (mitten restraint)? Select all that apply. Ans:
D To prevent dislodgment of an intravenous line
F To prevent the use of the hands while allowing free arm
movement
Rationale: A mitten restraint is a thumbless device used to
restrain the hands. It prevents the use of the hands while
allowing free arm movement. Mitten restraints are useful for
the client who must be prevented from dislodging an
© 2026 Assignment
intravenous line, indwelling urinary catheter, nasogastric tube,
other types of tubes, or wound dressings. A belt restraint
Guru01 - Stuvia
prevents the client from falling out of a bed, a chair, or a
Expert
stretcher. A mitten restraint does not secure the shoulders and
the waist and is not used to prevent the client from turning
side to side.
The mother of a 3-year-old calls a neighbor who is a nurse and
reports that her child just drank some window cleaner that had
been stored in a cabinet. The nurse should instruct the mother
to immediately: Ans: A Call a poison control center
Rationale: When a poisoning occurs, a poison center should be
called immediately. Vomiting should not be induced if the
victim is unconscious or if the substance ingested was a strong
corrosive or petroleum product. Also, vomiting should not be
induced unless a healthcare provider has given specific
instructions to induce vomiting. Neither calling an ambulance
nor calling the physician's answering service is the immediate
action, because either would delay treatment. Additionally, the
physician would immediately make a referral to the poison
control center. The poison control center may advise the
mother to bring the child to the emergency department; if this
is the case, the mother should then call an ambulance.
