Deck 7: Infection Control

Question 1

The nurse is discharging the client who required contact-based transmission precautions during the hospital stay.Which action by the nurse is the most appropriate for the nondisposable items left in the client's room?

A)Telling the cleaning staff to double-bag the equipment
B)Sterilizing the equipment before removing it from the room
C)Placing contaminated items in an impermeable bag and sending to be decontaminated
D)Placing contaminated items in a paper bag and taking to the dirty utility room

Answer 1

Placing contaminated items in an impermeable bag and sending to be decontaminated

Question 2

Which does the nurse recognize as the difference between standard precautions and transmission-based isolation precaution systems?

A)Standard precautions protect the nurse,whereas transmission-based precautions protect the client.
B)Standard precautions require the use of clean gloves,whereas transmission-based precautions require the use of sterile gloves.
C)Standard precautions are used in addition to transmission-based precautions when standard precautions would not completely block the chain of infection.
D)Transmission-based precautions block the chain of infection,whereas standard precautions protect the nurse but do not block the chain of infection.

Answer 2

Standard precautions are used in addition to transmission-based precautions when standard precautions would not completely block the chain of infection.

Question 3

The nurse is documenting care for a client who required wound care requiring sterile technique.Which items will the nurse include in the documentation in the medical record for this client?

A)The use of sterile skill during the wound care
B)The number and type of sterile supplies available for the next provider
C)The location and appearance of the wound
D)The client's tolerance of the procedure
E)The role of the unlicensed assistive personnel (UAP)in maintaining sterile technique

Answer 3

The use of sterile skill during the wound care
The location and appearance of the wound
The client's tolerance of the procedure

Question 4

The nurse is setting up a sterile tray for the health care provider who will insert a central venous access device.While the nurse completes setting up the tray,the unit secretary enters the room to inform the nurse the health care provider has been delayed,and will not arrive for 15-20 minutes.Which action by the nurse is the most appropriate?

A)Sit in the room talking with the client while observing the sterile field is not contaminated.
B)Discard the sterile tray and obtain a new one to set up when the health care provider arrives.
C)Cover the sterile field with a sterile drape and set the tray out of the way for use when the health care provider arrives.
D)Leave the tray where it is and return when the health care provider arrives.

Question 5

The use of a mask when the nurse is closer than 3 feet to a client is required with which type of precaution?

A)Airborne
B)Standard
C)Droplet
D)Contact

Question 6

The nurse is coming out of an isolation room.Which item is removed first to prevent any exposure of infectious materials?

A)Gloves
B)Mask
C)Gown
D)Goggles

Question 7

The nurse is documenting in the medical record of a client requiring protective precautions.Which should the nurse include in the documentation for this client?

A)Type of protective precautions taken
B)Use of clean gloves when changing wound dressing
C)Use of a mask when client requires droplet precautions
D)Performance of hand hygiene

Question 8

Which intervention will the nurse use to break the chain of infection by eliminating the reservoir?

A)Ensure that all antibiotics are taken properly and only when needed,to avoid creation of antibiotic-resistant microorganisms.
B)Avoid coughing or sneezing without covering the mouth.
C)Use sterile technique for invasive procedures.
D)Change dressings and bandages when they are soiled or wet.

Question 9

Which transmission of organisms is not prevented by the nurse performing hand hygiene?

A)Vehicle-borne transmission
B)Vector-borne transmission
C)Indirect contact transmission
D)Direct contact transmission

Question 10

Which intervention could be safely delegated to the unlicensed assistive personnel (UAP)?

A)Setting up a sterile tray
B)Adding wrapped supplies to a sterile field
C)Tying the nurse's sterile gown in back
D)Observing the sterile field to prevent contamination when the nurse must leave the room

Question 11

When the nurse dons sterile gloves,which action would demonstrate correct technique?

A)Straighten the cuff of the first glove with the ungloved hand.
B)When donning the gloves,put the first glove on the nondominant hand.
C)Pick up the second glove by sliding the gloved fingers under the fold of the glove and sliding the hand into the opening.
D)If the sterile glove is punctured,pull a new sterile glove on top of the old glove.

Question 12

The nurse is instructing the unlicensed assistive personnel (UAP)on transmission-based precautions.Which statement made by the UAP would indicate the need for more information regarding transmission-based precautions?

A)"It is important to cover my mouth and nose when I sneeze or cough as a part of transmission-based precautions."
B)"The client admitted with the diagnosis of varicella required airborne precautions."
C)"If a client is placed on transmission-based precautions,I still need to use standard precautions as well."
D)"I will notify the nurse manager when a client requires transmission-based precautions."

Question 13

The nurse is instructing the unlicensed assistive personnel (UAP)on standard precautions.Which statement made by the UAP would indicate appropriate understanding of standard precautions?

A)"Standard precautions apply to all clients,and gloves should be worn as necessary."
B)"I need to wear a mask and gown."
C)"I need to wear a mask,gown,goggles,and gloves."
D)"I don't have to use any protective equipment."

Question 14

Which aspect of hand washing is most effective when there is visible dirt on the hands?

A)Using hot water instead of warm water
B)Using plenty of lather with friction
C)Drying the hands vigorously from wrists to fingers
D)Applying lotion to the hands

Question 15

When the nurse performs hand hygiene properly,which aspect in the chain of infection is the nurse breaking?

A)Portal of entry
B)Portal of exit
C)Method of transmission
D)Etiologic agent

Question 16

The nurse uses a substance to destroy microorganisms other than spores.Which term will the nurse use to describe this substance?

A)Antiseptic
B)Disinfectant
C)Sterilizer
D)Aseptic