Module 6 Safety and Infection Control Exam

Module 6 Safety and Infection Control Exam 1.ID: 57 A teenage client returns to the gynecological (GYN) clinic for a follow-up visit after diagnosis and initial treatment of a sexually transmitted infection (STI). Which statement by the client indicates the need for further teaching? A. “I always make sure my boyfriend uses a condom.” B. “I know you won’t tell my parents that I’m sick.” C. “My boyfriend doesn’t have to come in for treatment.” Correct D. “I finished all the antibiotic, just like you said.” 2.ID: 82 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. A. Blotting up the spill with a face cloth or cloth towel B. Disinfecting the area of the blood spill with a dilute bleach solution Correct C. Wearing gloves for the cleanup procedure Correct D. Placing the pieces of broken glass in a plastic bag E. Using tongs to collect any broken glass Correct 3.Which of the following statements reflect the principles of sterile technique? Select all that apply. A. When a sterile field becomes wet, it remains sterile as long as the items on the field are not touched. B. Any part of a sterile field that hangs below the top of the table is sterile as long as it is not touched. C. The clients overbed table is wiped with chlorhexidine. D. Items in a sterile package must be used immediately once the package has been opened; otherwise they are considered contaminated. Correct E. If a package is not labeled as sterile, it should be considered unsterile. Correct F. Sterile objects that come in contact with unsterile objects are to be considered contaminated. Correct 4.ID: 46 A nurse is attending an in-service program on disaster preparedness. Which of the following events are described as examples of natural disasters? Select all that apply. A. Drought Correct B. Hurricane Correct C. Toxic waste spill D. Bus accident E. Flood Correct F. Terrorist attack 5.ID: 06 A licensed practical nurse (LPN) tells the registered nurse (RN) that she administered acetaminophen to a client by way of the rectal route rather than the prescribed oral route because the client was extremely nauseated. What is the most appropriate action by the RN? A. Tells the LPN that she made a sound judgment in administering the medication by way of the rectal route B. Instructs the LPN to write “pr” (per rectum) on the medication record next to the time at which the medication was administered C. Asks the LPN to complete and file an incident report Correct D. Asks the LPN to check the client in 30 minutes to see whether the nausea has subsided 6.ID: 36 A home health nurse teaches a client about home modifications to reduce the risk of falls. Which statements by the client indicate a need for further teaching? Select all that apply. A. “I should walk barefoot as much as possible so that I’ll know about any wet spots on the floor.” Correct B. “I need to use night lights.” C. “I need to get handrails put up in the bathroom.” D. “I need to remove my wall-to-wall carpeting.” Correct E. “I need to use the staircase handrails when I go up the stairs.” 7.ID: 18 A registered nurse is instructing a group of nursing assistants in the principles of body mechanics. Which of these observations tell the nurse that a student is using the principles appropriately? Select all that apply. A. The assistant turns his back to change position while moving a client. B. The assistant leans forward when turning a client in bed. C. The assistant helps a client requiring total care into a chair without additional assistance. D. The assistant positions a box that is to be lifted between his knees. Correct E. The assistant keeps the object to be moved as close to his body as possible. Correct 8.ID: 93 A community health nurse working in a school setting is concerned because parents are not participating in health activities designed to promote child safety. What is the most appropriate initial action for the nurse to take? A. Planning a focused child safety program B. Implementing a child safety program C. Determining the appropriateness of the planned health activity Correct D. Performing an analysis of health problems related to child safety 9.ID: 62 A hospitalized client, experiencing confusion, is at risk of falling because she continually tries to climb out of bed. Which of these safety devices that the nurse might suggest is the least restrictive? A. Wrist B. Ambularm Correct C. Elbow D. Belt 10.ID: 39 A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the nurse that the client understands the necessary respiratory precautions to be taken at home? A. Wearing an oxygen mask at all times B. Staying secluded in the bedroom C. Keeping the house closed up to minimize the spread of disease D. Disposing of contaminated tissues in a container with a leak-proof bag Correct 11.ID: 87 A community health nurse is asked to assist in developing a community disaster plan identified by Federal Emergency Management Agency (FEMA). The nurse knows that the preparedness phase of the plan includes what components? Select all that apply. A. Caring for disaster victims Correct B. Planning for rescue Correct C. Training of disaster personnel Correct D. Actions to prevent the occurrence of a disaster or reduce the damaging effects E. Evacuation Correct F. Putting disaster planning services into action 12.ID: 71 A nurse performs an evaluation to determine whether a client's home is electrically safe. Which finding indicates the need for further investigation and intervention? A. Electrical kitchen appliances are located away from the sink. B. A safety-type extension cord is secured to the floor with electrical tape. C. Wiring for the television runs under the carpet. Correct D. Electrical cords are free of frayed and damaged wires. 13.ID: 15 A home care nurse visits a client who lives in a small apartment to perform an admission assessment. During the home safety assessment, the client asks the nurse whether it is safe to use a space heater. What is the appropriate response by the nurse? A. “A space heater can be used as long as it is kept at a low setting at all times.” B. “A space heater can be used as long as it is kept in the bedroom at night in case a fire occurs.” C. “A space heater should never be used in an apartment.” D. “A space heater can be used as long as it’s placed at least 3 feet (1 meter) from anything that may ignite.” Correct 14.ID: 40 A nurse is reading an article about the role of the American Red Cross (ARC) in a disaster. Which of the following responsibilities does the article ascribe to the ARC? Select all that apply. A. Declaring a disaster B. Identifying and training personnel for disaster response Correct C. Activating disaster medical assistant teams D. Educating the public about ways to prepare for disasters Correct E. Developing a federal disaster response plan F. Providing disaster relief Correct 15.ID: 22 Which of these interventions does a nurse manager, reviewing infection control interventions with the nursing staff, tell the staff will reduce reservoirs of infection? Select all that apply. A. Changing dressings that become wet or soiled Correct B. Using soap and water to remove drainage, dried secretions, or excess perspiration from a client’s skin Correct C. Emptying urinary drainage systems (Foley catheter drainage) on each shift unless prescribed otherwise by a physician Correct D. Placing tissues and soiled dressings in paper bags E. Keeping bedside table surfaces clean and dry Correct F. Placing capped needles and syringes in puncture-resistant containers .............