WorksheetsSAFETY AND INFECTION CONTROL
Total questions: 20
Worksheet time: 38mins
1. The nurse working in an intensive care unit cares for a client with a left triple lumen subclavian central venous catheter (CVC). The nurse should call the primary health care provider (HCP) for clarification prior to implementation when recognizing that which prescription is an error?
1. Administer intravenous (IV) total parenteral nutrition (TPN) at 50 mL/hr.
2. Change occlusive central line dressing every 7 days.
3. Flush unused lumens of the CVC with 1000 units heparin every 12 hours.
4. Use distal port of CVC to monitor central venous pressure (CVP).
2. A client with a tracheostomy is alert and oriented and able to tolerate oral intake. Which action would be appropriate to reduce the client's risk of aspiration pneumonia?
1. Fully inflate the cuff before feeding.
2. Have the client sit in upright position with the neck hyperextended.
3. Partially or fully deflate the cuff.
4. Provide modified diet of pureed foods.
3. The nurse prepares to administer medications to a client. Which of the following client data are acceptable for use as client identifiers? Select all that apply.
1. Date of birth.
2. First and last name.
3. Health care provider.
4. Medical record number.
5. Room number.
4. The nurse is caring for an agitated client with dementia who is pulling at the oxygen and IV tubing. Wrist restraints are applied after less-restrictive safety measures have been ineffective. Which actions are appropriate to protect the client from injury? Select all that apply.
1. Attach wrist restraint straps to the upper side rails
2. Position the client supine to keep restraint straps taut.
3. Release restraints at regular intervals and assess behavior.
4. Use a square knot to tie restraint straps to the bed.
5. Use gauze to pad bony prominences under restraints.
5. The emergency department nurse receives report on 4 clients. Which client will the nurse prioritize for placement in an isolation room?
1. 4-year-old diagnosed with scabies who has red burrows and bumps along the neckline and inner elbows.
2. 7-year-old diagnosed with measles who has a fever, conjunctivitis, cough, and maculopapular rash.
3. 12-year-old with a positive rapid influenza test who has a fever, cough, and runny nose.
4. 14-year-old with 4-inch wound on inner aspect of thigh with a positive culture for methicillin-resistant Staphylococcus aureus.
6. The nurse cares for a client admitted to the hospital following a motor vehicle accident caused by the client's newly diagnosed seizure disorder. The health care provider prescribes seizure precautions for the client. The nurse prepares to initiate which interventions? Select all that apply.
1. Apply pads to the side rails.
2. Have oxygen supplementation available.
3. Prepare to insert a urinary catheter.
4. Remove all linen from the bed.
5. Set up bedside suction equipment.
7. A client with acute ST-elevation myocardial infarction intends to leave the hospital now against medical advice (AMA) regardless of what is recommended. The client is determined to be competent to make personal decisions. Which of the following is the most important for the nurse to do before the client leaves the building?
1. Insist the client sign the AMA form.
2. Provide the client with a copy of hospital results.
3. Reassure that the client can return later.
4. Remove the intravenous catheter.
8. The parent of a 3-year-old calls and tells the nurse of finding the child in the bathroom with an empty bottle of mouthwash. The parent thinks that the bottle was about one quarter full. What is the nurse's priority response?
1. "Call the poison control center. I will give you the number."
2. "Give your child about a cup of water to dilute the mouthwash."
3. "How did your child get hold of the mouthwash?"
4. "What is your child doing right now?"
9. The charge nurse is notified that a client is being admitted with a diagnosis of active shingles with a disseminated rash. Which room assignment is most appropriate for this client?
1. A private room with contact and droplet precautions.
2. A private room with negative airflow and contact and airborne precautions.
3. A private room with positive airflow and airborne precautions.
4. A semi-private 2-bed room with standard precautions.
10. The nurse is drawing a blood specimen from a client's central line. Identify the steps necessary to prevent transmission of infection while performing this procedure. Select all that apply.
1. Discard the first 6-10 mL of blood drawn from the line.
2. Flush the line with sterile normal saline before and after collection.
3. Perform hand hygiene.
4. Place the specimen in a biohazard bag.
5. Scrub the catheter hub with antiseptic prior to use.
11. A client is able to partially bear weight and follow the nurse's instructions. Which would be the most appropriate method for the nurse to use to safely transfer this client?
1. 1-person stand and pivot with gait belt and walker.
2. 1-person standby assist with walker.
3. 2-person motorized stand-assist lift.
4. 2-person stand and pivot with gait belt and walker
12. The nurse is caring for a client with active pulmonary tuberculosis. Which elements of infectious disease precautions are mandatory for the nurse when providing routine care? Select all that apply.
1. Gown.
2. Goggles or face shield.
3. Hand washing.
N95 particulate respirator.
5. Surgical mask.
13. The public health nurse conducts a program at the community senior citizen center about preventing falls at home. Which statement made by a participant indicates that further education is needed?
1. "I bought a new nightlight for the hallway to the bathroom."
2. "I feel so much more secure wearing my electronic fall alert device."
3. "I walk in my stockings at home because it helps to relieve my bunion pain."
4. "My daughter helped me secure the small, thin rug in my kitchen with strong tape."
14. The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply.
1. Applies sterile gloves before performing client care.
2. Ensures surgical masks are worn by staff in the client's room.
3. Requests that the client be assigned to a single-client room.
4. Uses alcohol-based sanitizers for hand hygiene.
5. Wears a single-use, disposable gown during client care.
15. A client with Ebola was just admitted to the unit. Which actions by the nurse would represent appropriate care of this client? Select all that apply.
1. Ensuring the client wears an N95 respirator at all times.
2. Keeping the door of the client's room closed at all times.
3. Maintaining a log of everyone in and out of the client's room.
4. Removing both pairs of gloves before removing gown and mask
5. Restricting visitors from entering the client's room.
16. The triage nurse has one isolation room left in the emergency department. Which priority client should be assigned to this room?
1. Child with chickenpox for the past 14 days; all lesions are crusted and dried.
2. Child with impetigo who has been on antibiotics for 3 days.
3. Child with leg rash secondary to poison ivy exposure.
4. Child with suspected pertussis who has paroxysms of coughing.
17. The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.
1. Age of 50.
2. Lying pulse 80/min, standing pulse 110/min.
3. Osteoarthritis of knees
4. Takes carbidopa/levodopa.
5. Uses a cane to ambulate.
18. The nurse is caring for an older adult client who is confused and has a high risk for falls. The client is incontinent of urine and frequently attempts to get out of bed unassisted to use the restroom. Which nursing interventions are appropriate when caring for this client? Select all that apply.
1. Ensuring bed alarm remains activated.
2. Initiating an hourly rounding schedule.
3. Inserting an indwelling urinary catheter.
4. Moving client to a room close to the nurses' station.
5. Raising all side rails of the client's bed.
19. The nurse cares for a child with bed bug bites. Which parent statement indicates that further teaching is required?
1. "I need to have the entire house treated by pest control to ensure the bed bugs are gone."
2. "I should concentrate on alleviating scratching as it can cause further complications."
3. "My other family members and pets are at risk of bed bug bites."
4. "This must have happened because I did not wash the bed sheets this week."
20. A client who has been prescribed several medications asks, "Can I take over-the-counter (OTC) medications with my prescriptions?" Which of the following statements by the nurse is appropriate? Select all that apply.
1. "Always ask the health care provider or pharmacist before taking OTC medications."
2. "Ingredients in some OTC medications may interact with prescription medications."
3. "It is best to avoid OTC medications, but herbal and supplement products are usually safe."
4. "Remember to discuss all medications, herbs, and supplements you take with your health care providers."
5. "Taking OTC medications can sometimes hide symptoms of a serious disease or illness."
