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Worksheets

ch 22

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Which factor increases Mr. Taylor's risk for a healthcare-associated infection (HAI)?

a)

Stable vital signs

b)

Type 2 diabetes mellitus

c)

Minimal drainage

d)

Prophylactic antibiotic use

2.

The nurse performs a dressing change using clean gloves and sterile gauze. Which asepsis principle is this an example of?

a)

Surgical asepsis

b)

Clean technique

c)

Terminal disinfection

d)

Concurrent disinfection

3.

The nurse observes a coworker place clean gauze on the patient’s bedside table before applying it. What principle was violated?

a)

Chain of infection

b)

Zone of contamination

c)

Sterile technique

d)

Proper gowning

4.

What intervention best demonstrates breaking the 'means of transmission' link in the chain of infection?

a)

Administering IV antibiotics

b)

Assessing the wound daily

c)

Wearing gloves during wound care

d)

Documenting wound changes

5.

Two days later, Mr. Taylor spikes a fever of 101.6°F. What is the priority nursing action?

a)

Continue vital signs monitoring

b)

Increase oral fluid intake

c)

Notify the provider

d)

Reposition every 2 hours

6.

 Ms. Park, a 75-year-old woman with a Foley catheter, has been hospitalized for a stroke. She is immobile and confused. On day 5, she develops suprapubic tenderness and cloudy urine.


Based on the scenario, what is Ms. Park most likely developing?

a)

Urosepsis

b)

Catheter-associated UTI (CAUTI)

c)

Pyelonephritis

d)

Bladder rupture

7.

Which practice best prevents CAUTIs in hospitalized patients?

a)

Prophylactic antibiotics

b)

Changing catheter every 2 days

c)

Daily perineal hygiene

d)

Irrigating catheter routinely

8.

Which infection control action should the nurse take before handling the catheter drainage system?

a)

Wear sterile gloves

b)

Apply hand sanitizer

c)

Use an alcohol swab on the tubing

d)

Perform hand hygiene

9.

The nurse notices the catheter tubing is coiled on the floor. Which principle is being violated?

a)

Utility room contamination

b)

Principles of clean environment

c)

Principles of medical asepsis

d)

Chain of infection

10.

The nurse educates the UAP on handling Foley catheters. Which statement indicates the need for further teaching?

a)

I will clean the perineal area daily.

b)

I can secure the catheter to the patient’s leg.

c)

I will hang the drainage bag on the bedrail.

d)

I should avoid disconnecting the tubing unnecessarily.

11.

What action should the nurse take immediately after accidentally brushing a sterile glove against the bedside curtain?

a)

Continue the procedure

b)

Apply new sterile gloves

c)

Clean the glove with alcohol

d)

Ask another nurse for assistance

12.

Which principle of surgical asepsis does this situation illustrate?

a)

Only body fluids are reservoirs

b)

The outer 1-inch of the sterile field is contaminated

c)

Anything questionable is considered contaminated

d)

Surgical gloves can be sanitized if not visibly soiled

13.

Which of the following actions help maintain a sterile field? (Select all that apply)

a)

Holding items below the waist

b)

Talking over the sterile field

c)

Keeping hands above waist level

d)

Turning back on the field

e)

Opening sterile packages away from the body

14.

After completing the sterile dressing change, the nurse places soiled gauze on the overbed table. What is the correct response?

a)

Leave it for EVS to clean

b)

Wrap it in a sterile glove

c)

Remove and discard in a biohazard bag

d)

Spray disinfectant over the gauze

15.

What additional protective equipment should the nurse wear when managing an open wound with copious drainage?

a)

N95 respirator

b)

Sterile gown and sterile gloves

c)

Face shield and clean gloves

d)

Gown, gloves, and face shield

16.

The nurse sees another nurse cough into her hand, then adjust a sterile field. What is the best response?

a)

Inform the charge nurse

b)

Remind her to change gloves

c)

Offer to assist with the field

d)

Prompt her to reestablish sterility

17.

Which item is no longer considered sterile?

a)

A sterile pack opened 30 minutes ago

b)

A package with no expiration date

c)

A gauze package placed on a sterile field

d)

A bottle of sterile saline recapped for later use

18.

What type of transmission-based precaution is most appropriate for Ms. Dalton?

a)

Contact

b)

Droplet

c)

Airborne

d)

Standard

19.

Which PPE must the nurse use when entering Ms. Dalton’s room?

a)

Gown and gloves

b)

Mask only

c)

Mask and gloves

d)

Mask, gown, and gloves

20.

The nurse teaches a student about cleaning contaminated areas. Which principle should be emphasized?

a)

Clean from dirtier to cleaner

b)

Use dry cloths only

c)

Clean from cleaner to dirtier

d)

Use bleach for all surfaces

21.

A UAP disposes of PPE by placing it in a clean utility room bin. What should the nurse do?

a)

Remove the items herself

b)

Notify infection control

c)

Educate on correct utility room usage

d)

Write an incident report

22.

Terminal disinfection includes which of the following actions?

a)

Using antiseptic wipes on hands

b)

Spraying the room with air freshener

c)

Cleaning drawers and mattress surfaces

d)

Changing linens only

23.

The nurse notes Ms. Dalton’s room has both a clean and a soiled utility room. What is the purpose of this setup?

a)

Better space usage

b)

Airflow reduction

c)

Infection prevention

d)

Visitor privacy

24.

Ms. Dalton recovers and returns to communal dining. What education should the nurse reinforce?

a)

Use hand sanitizer before eating

b)

Wear gloves during meals

c)

Avoid all other residents

d)

Stay in room during flu season

25.

A new CNA states, 'If I don’t see blood, I don’t need gloves.' How should the nurse respond?

a)

That’s correct for some tasks.

b)

Use gloves only for isolation rooms.

c)

You must wear gloves if exposure to any body fluid is possible.

d)

Let me show you the glove cabinet.