Prophecy Assessments Core Mandatory Parts 1 2 and 3 Comprehensive Practice Exam 2026/2027 Edition

1



Prophecy Assessments Core Mandatory
Parts 1 2 and 3 Comprehensive Practice
Exam 2026/2027 Edition.
50 Questions | All Domains | Complete Solutions

DOMAIN 1: INFECTION CONTROL, BLOODBORNE PATHOGENS & PPE (14 Questions




Sub-Topic 1.1: Engineering Controls for Contaminated Sharps (3 Questions)

Question 1 (Multiple-Choice)

A nurse has just administered an intramuscular injection to a patient with Hepatitis C.
After withdrawing the needle from the patient's deltoid muscle, the nurse immediately
walks to the biohazard sharps container and disposes of the uncapped needle. Which
OSHA Bloodborne Pathogens Standard requirement is being followed?

A. The use of a safety-engineered needle device that retracts automatically
B. The immediate disposal of the contaminated needle into a designated biohazard
sharps container without recapping
C. The placement of the sharps container at the point of use within the patient's room
D. The application of a needle guard prior to transport to the disposal unit

[CORRECT: B]
Rationale: OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) specifically
mandates that contaminated sharps must be disposed of immediately into a designated,
puncture-resistant biohazard sharps container without recapping. Recapping is
prohibited because it is the leading cause of needle-stick injuries in healthcare settings.
The standard requires engineering controls—such as rigid, puncture-resistant sharps
containers—to eliminate or minimize employee exposure to bloodborne pathogens.

, 2



Immediate disposal without manipulation of the sharp is the precise clinical safety factor
that prevents percutaneous injuries.




Question 2 (True/False)

According to OSHA's Bloodborne Pathogens Standard, a contaminated scalpel must be
recapped using a one-handed scoop technique before being placed in a biohazard
sharps container.

A. True
B. False

[CORRECT: B]
Rationale: OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) explicitly
prohibits recapping of contaminated needles and sharps. The specific engineering
control for a contaminated scalpel is immediate disposal into a rigid, puncture-resistant
biohazard sharps container without recapping. Recapping, even with a one-handed
scoop technique, is not the required practice for immediate disposal scenarios. The
standard prioritizes the elimination of manual manipulation of contaminated sharps to
prevent percutaneous exposure incidents.




Question 3 (Multiple-Choice)

A phlebotomist has completed a venipuncture and is holding a contaminated butterfly
needle with an attached tubing set. The sharps container is located in the hallway,
approximately 15 feet from the patient's room. What is the correct action?

A. Cap the needle with the protective sheath and carry it to the hallway sharps container
B. Place the uncapped needle on the bedside tray and dispose of it when the room is
cleaned
C. Carry the uncapped needle directly to the biohazard sharps container without

, 3



recapping
D. Disconnect the tubing and dispose of the needle and tubing separately

[CORRECT: C]
Rationale: OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) requires that
contaminated sharps be disposed of immediately or as soon as feasible into a
designated biohazard sharps container without recapping. Carrying the uncapped
needle directly to the container—while exercising caution to prevent injury to self or
others—complies with the standard's requirement for immediate disposal. The standard
emphasizes that sharps containers should be located as close as feasible to the point of
use, but when this is not possible, transport without recapping is the required practice.




Sub-Topic 1.2: Sequence of Donning Full PPE for Contact Precautions (4 Questions)




Question 4 (Multiple-Choice)

A registered nurse is preparing to enter the room of a patient with a confirmed MRSA
wound infection requiring Contact Precautions. Which is the correct sequence for
donning full Personal Protective Equipment?

A. Gloves → Gown → Mask → Goggles
B. Gown → Mask or Respirator → Goggles → Gloves
C. Mask → Goggles → Gown → Gloves
D. Goggles → Mask → Gloves → Gown

[CORRECT: B]
Rationale: CDC guidelines for Contact Precautions specify the correct sequence of
donning PPE as: first the gown, then the mask or respirator, then the goggles or face
shield, and finally the gloves. This sequence ensures that the gown protects the torso
and arms, the mask/respirator protects the respiratory mucosa, the goggles protect the

, 4



eyes, and the gloves—donned last—ensure that the hands are protected and that the
cuffs of the gown are secured under the gloves. Gloves must be donned last because
they must cover the wrist cuffs of the gown to prevent skin exposure.




Question 5 (True/False)

When donning PPE for a patient on Contact Precautions, gloves should be put on before
the gown to ensure that the gown cuffs are properly tucked into the gloves.

A. True
B. False

[CORRECT: B]
Rationale: The correct sequence for donning PPE for Contact Precautions is: gown first,
then mask or respirator, then goggles or face shield, and gloves last. Gloves are donned
last specifically so that their cuffs extend over the wrist cuffs of the gown, creating a
sealed barrier. If gloves are donned before the gown, the gown cuffs would rest over the
gloves, leaving the wrist area exposed to contamination during patient care. This
sequence is established by CDC isolation precaution guidelines to maximize barrier
protection.




Question 6 (Multiple-Choice)

A certified nursing assistant is assisting with the care of a patient on Contact Precautions
for a Clostridioides difficile infection. The CNA has just donned a gown and a surgical
mask. What is the next correct step in the PPE sequence?

A. Put on sterile gloves before donning goggles
B. Don goggles or a face shield next, followed by gloves
C. Enter the room and then put on gloves at the bedside
D. Apply hand sanitizer before donning the remaining PPE