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1. The nurse is caring for a client with suspected tuberculosis. Which type of isolation is
required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective (reverse) isolation
Correct Answer: C
Rationale: Tuberculosis is caused by airborne droplet nuclei that remain suspended in
the air. Airborne precautions require a negative pressure room and an N95 respirator to
prevent transmission. Contact and droplet precautions are insufficient because TB
spreads through inhalation of airborne particles.
2. Which action demonstrates proper hand hygiene technique?
A. Washing hands for 5 seconds
B. Using alcohol-based sanitizer until dry
C. Rinsing hands without soap
D. Wearing gloves instead of washing hands
,Correct Answer: B
Rationale: Alcohol-based hand sanitizer is effective when hands are not visibly soiled
and should be rubbed until dry to ensure antimicrobial action. Handwashing requires at
least 20 seconds when soap and water are used, especially for visibly soiled hands.
3. Which infection is transmitted via droplet precautions?
A. Measles
B. Influenza
C. Tuberculosis
D. Varicella
Correct Answer: B
Rationale: Influenza spreads through large respiratory droplets produced by coughing or
sneezing. These droplets travel short distances and require droplet precautions such as
a surgical mask.
4. What is the nurse’s priority action after a needlestick injury?
A. Apply alcohol to the site
B. Report the incident immediately
C. Wait to see if infection develops
D. Squeeze the wound to remove blood
Correct Answer: B
,Rationale: Immediate reporting ensures prompt evaluation for post-exposure
prophylaxis and documentation. Squeezing or using alcohol is not recommended and
may increase tissue damage.
5. Which PPE is required for contact precautions?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator
D. Face shield only
Correct Answer: B
Rationale: Contact precautions require gown and gloves to prevent transmission
through direct or indirect contact with contaminated surfaces or organisms.
6. Which client requires airborne precautions?
A. Client with MRSA
B. Client with influenza
C. Client with measles
D. Client with E. coli infection
Correct Answer: C
Rationale: Measles is highly contagious and spreads via airborne transmission,
requiring negative pressure isolation and N95 respirators.
7. The nurse removes gloves after patient care. What should be done next?
A. Wash hands immediately
B. Put on new gloves
, C. Apply alcohol to gloves
D. Dispose gloves in regular trash
Correct Answer: A
Rationale: Hand hygiene is required immediately after glove removal because gloves
may have microtears or contamination during removal.
8. Which is an example of medical asepsis?
A. Sterilizing surgical instruments
B. Wearing sterile gloves during surgery
C. Handwashing before patient care
D. Autoclaving dressings
Correct Answer: C
Rationale: Medical asepsis reduces the number of microorganisms, such as
handwashing before patient care. Surgical asepsis involves sterile technique.
9. Which client is at highest risk for healthcare-associated infection?
A. Healthy adult post-appendectomy
B. Client with indwelling urinary catheter
C. Client receiving oral antibiotics
D. Ambulatory client with flu
Correct Answer: B
Rationale: Indwelling catheters provide a direct pathway for microorganisms to enter
sterile body areas, increasing infection risk.