ANSWERS GRADED A+
✔✔An older-adult patient is using a wheelchair to attend a physical therapy session.
Which action by the nurse indicates safe transport of the patient?
a. Positions patient's buttocks close to the front of wheelchair seat.
b. Backs wheelchair into elevator, leading with large rear wheels first.
c. Places locked wheelchair on same side of bed as patient's weaker side.
d. Unlocks wheelchair for easy maneuverability when patient is transferring. - ✔✔b.
Backs wheelchair into elevator, leading with large rear wheels first.
✔✔The nurse is caring for a patient who has cultured positive for C. difficile. Which
action will the nurse take next?
a. Instruct assistive personnel to use soap and water rather than sanitizer.
b. Wear an N95 respirator when entering the patient room.
c. Place the patient on droplet precautions.
d. Teach the patient cough etiquette. - ✔✔a. Instruct assistive personnel to use soap
and water rather than sanitizer.
✔✔The nurse is providing an educational session for a group of preschool workers. The
nurse reminds the group about the most important thing to do to prevent the spread of
infection. Which information did the nurse share with the preschool workers?
a. Encourage preschool children to eat a nutritious diet.
b. Suggest that parents provide a multivitamin to the children.
c. Clean the toys every afternoon before putting them away.
d. Wash their hands between each interaction with children. - ✔✔d. Wash their hands
between each interaction with children.
✔✔A diabetic patient presents to the clinic for a dressing change. The wound is located
on the right foot and has purulent yellow drainage. Which action will the nurse take to
prevent the spread of infection?
a. Position the patient comfortably on the stretcher.
b. Explain the procedure for dressing change to the patient.
c. Review the medication list that the patient brought from home.
d. Don gloves and other appropriate personal protective equipment - ✔✔d. Don gloves
and other appropriate personal protective equipment
✔✔The nurse manager is evaluating current infection control data for the intensive care
unit. The nurse compares past patient data with current data to look for trends. The
nurse manager examines the infection chain for possible solutions. In which order will
the nurse arrange the items for the infection chain beginning with the first step?
,1. A mode of transmission
2. An infectious agent or pathogen
3. A susceptible host
4. A reservoir or source for pathogen growth
5. A portal of entry to a host
6. A portal of exit from the reservoir
a. 3, 2, 4, 1, 5, 6
b. 1, 3, 5, 4, 6, 2
c. 4, 2, 1, 6, 3, 5
d. 2, 4, 6, 1, 5, 3 - ✔✔d. 2, 4, 6, 1, 5, 3
✔✔The infection control nurse is reviewing data for the medical-surgical unit. The nurse
notices an increase in postoperative infections from Aspergillus. Which type of health
care-associated infection will the nurse report?
a. Vector
b. Exogenous
c. Endogenous
d. Suprainfection - ✔✔b. Exogenous
✔✔The nurse is caring for a patient in an intensive care unit who needs a bath. Which
priority action will the nurse take to decrease the potential for a health care-associated
infection?
a. Use local anesthetic on reddened areas.
b. Use nonallergenic tape on dressings.
c. Use a chlorhexidine wash.
d. Use filtered water. - ✔✔c. Use a chlorhexidine wash.
✔✔Which nursing action will most likely increase a patient's risk for developing a health
care-associated infection?
a. Uses surgical aseptic technique to suction an airway.
b. Uses a clean technique for inserting a urinary catheter.
c. Uses a cleaning stroke from the urinary meatus toward the rectum.
d. Uses a sterile bottled solution more than once within a 24-hour period. - ✔✔b. Uses a
clean technique for inserting a urinary catheter.
✔✔The nurse is dressed and is preparing to care for a patient in the perioperative area.
The nurse has scrubbed hands and has donned a sterile gown and gloves. Which
action will indicate a break in sterile technique?
a. Touching clean protective eyewear
, b. Standing with hands above waist area
c. Accepting sterile supplies from the surgeon
d. Staying with the sterile table once it is open - ✔✔a. Touching clean protective
eyewear
✔✔The nurse is caring for a patient who becomes nauseated and vomits without
warning. The nurse has contaminated hands. Which action is best for the nurse to take
next?
a. Wash hands with an antimicrobial soap and water.
b. Clean hands with wipes from the bedside table.
c. Use an alcohol-based waterless hand gel.
d. Wipe hands with a dry paper towel. - ✔✔a. Wash hands with an antimicrobial soap
and water.
✔✔Which process will be required after exposure of a nurse to blood by a cut from a
used scalpel in the operative area?
a. Placing the scalpel in a needle safe container
b. Testing the patient and offering treatment to the nurse
c. Removing sterile gloves and disposing of in kick bucket
d. Providing a medical evaluation of the nurse to the manager - ✔✔b. Testing the
patient and offering treatment to the nurse
✔✔The nurse is changing linens for a postoperative patient and feels a prick in the left
hand. A nonactivated safe needle is noted in the linens. For which condition is the nurse
most at risk?
a. Diphtheria
b. Hepatitis B
c. C. difficile
d. Methicillin-resistant Staphylococcus aureus - ✔✔b. Hepatitis B
✔✔The nurse is examining a female presenting with vaginal discharge. Which position
will the nurse place the patient for proper examination?
a. Sitting
b. Lithotomy
c. Knee-chest
d. Dorsal recumbent - ✔✔b. Lithotomy
✔✔The nurse is caring for a patient who needs to be placed in the prone position.
Which action will the nurse take?
a. Place pillow under the patient's lower legs.