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WorksheetsChapter 19- safety pt.3
Total questions: 36
Worksheet time: 18mins
A patient on chemotherapy develops a low-grade fever and reports fatigue. What is the nurse’s next best action?
Administer acetaminophen
Notify the provider and prepare to draw blood cultures
Increase fluid intake and reassess in 4 hours
Document the temperature and continue monitoring
The nurse is caring for a patient with Neisseria meningitidis. What personal protective equipment (PPE) is required?
N95 mask, gown, gloves
Surgical mask, gloves
Surgical mask, gown, gloves, face shield
Gown and gloves only
A patient on contact precautions for VRE requests physical therapy. What must the nurse ensure before transport?
The patient wears an N95 mask
The patient is transported by stretcher
The therapy staff are informed and appropriate PPE is used
The patient does not require isolation once outside the room
Which patient is most at risk for acquiring a fungal infection?
42-year-old with chronic eczema
60-year-old with newly diagnosed diabetes
34-year-old on long-term corticosteroids for lupus
23-year-old post-op from ACL repair
A nurse is performing wound care for a diabetic foot ulcer with MRSA. Which statement indicates appropriate technique?
I will apply clean gloves when opening the dressing tray.
I will remove old dressings and cleanse using sterile technique.
I’ll use alcohol-based hand sanitizer after removing gloves.
I don’t need eye protection unless there is drainage.
A patient exposed to measles during travel presents to the ED. What room assignment is best?
Semi-private room
Contact isolation
Negative-pressure private room
Any room with door closed
Which finding in an elderly client most strongly indicates systemic infection?
Mild cough
Slight elevation in BP
Confusion and agitation
Bruising over extremities
When collecting a midstream urine sample, what instruction is essential?
Avoid urinating before sample collection.
Cleanse with betadine and collect in sterile cup.
Begin voiding, then collect midstream into sterile container.
Collect the sample after the bladder is completely empty.
Which practice by a nurse increases the risk of a sharps injury?
Using safety-engineered syringes
Recapping needles using one-hand scoop
Disposing uncapped needles in sharps container
Holding sharps in hand while walking
Which of the following patients should be placed on protective isolation?
Bone marrow transplant recipient
Open wound with MRSA
Clostridium difficile diarrhea
Newly diagnosed influenza
A nurse prepares to remove PPE after caring for a patient with TB. Which step should be completed last?
Remove gloves
Remove gown
Perform hand hygiene
Remove N95 respirator outside room
What action by a student nurse requires intervention during sterile dressing change?
Opening dressing tray away from the body
Pouring solution into sterile basin with label up
Touching the inside edge of the sterile field
Placing sterile gloves on hands before starting
The best indicator of effective infection control training among staff is:
All staff completed mandatory modules
Staff can verbally explain isolation types
Consistent 100% hand hygiene compliance observed
Audits occur monthly
A patient is admitted with suspected sepsis. Which is the first priority?
Administer IV fluids
Notify the infection control team
Begin vasopressors
Obtain blood cultures
Which food selection is unsafe for a neutropenic patient?
Pasteurized yogurt
Freshly washed apple
Canned peaches
Well-cooked turkey
A nurse is preparing to administer a vaccine. What is the first infection control step?
Clean injection site
Wear gloves
Confirm medication
Perform hand hygiene
Which patient is most likely to require both contact and droplet precautions?
Herpes zoster with localized rash
Patient with pertussis and incontinence
COVID-positive patient
HIV-positive patient with fever
What is the priority when responding to a hospital outbreak of C. difficile?
Increase bleach cleaning frequency
Require use of N95 masks
Prohibit visitors
Implement airborne precautions
A nurse educator is teaching about colonization. Which example is correct?
Patient with C. diff infection
Positive nasal swab for MRSA, no symptoms
Sputum positive for TB with cough
Influenza positive with fever and chills
A wound culture is obtained from a patient with cellulitis. Which step is incorrect?
Labeling at bedside
Swabbing prior to wound irrigation
Placing swab in transport medium
Documenting the site
A client develops fever and pain around a new IV site. What is the nurse’s next step?
Increase IV fluids
Apply warm compress
Remove IV and notify provider
Administer analgesics
A CNA caring for a patient on droplet precautions wears gloves but not a mask. What is the best nurse response?
Say nothing if the patient isn’t coughing
Report to the charge nurse
Provide a mask and explain the rationale
Ask the CNA to leave the room immediately
A nurse assesses a patient post-op with new-onset chills and tachycardia. What lab result is most concerning?
WBC 10,000
Blood glucose 112 mg/dL
Lactate 3.9 mmol/L
Platelets 200,000
A patient in protective isolation wants fresh flowers. How should the nurse respond?
Yes, just remove the petals.
Unfortunately, fresh flowers aren’t allowed due to bacteria in the soil.
Only silk flowers are permitted.
We can allow flowers if you are afebrile.
Which behavior violates standard precautions?
Wearing gloves for oral care
Recapping a clean needle
Performing hand hygiene before patient contact
Using eye protection during suctioning
The nurse must collect a wound culture. Which statement reflects best practice?
I will culture the drainage on the dressing.
I’ll culture the most necrotic area.
I’ll clean the wound first, then swab.
I’ll collect the sample 12 hours after dressing change.
A nurse is assigned to four patients. Who is the highest priority for infection prevention?
A patient with uncontrolled diabetes
A patient with a new tracheostomy
A patient with bilateral leg ulcers
A patient with COPD and fever
In an outbreak of RSV in the NICU, what measure takes priority?
Closing the unit to new admissions
Grouping affected infants together (cohorting)
Administering prophylactic antibiotics
Suspending parental visitation
Which of the following requires droplet precautions?
TB
Measles
Influenza
Scabies
Which isolation combination is correct?
Measles – Contact
Norovirus – Droplet
TB – Airborne
Pertussis – Contact only
A patient with a PICC line complains of chills and has a temp of 102°F. What should the nurse do first?
Remove the PICC line
Draw blood cultures from the line and peripheral site
Administer Tylenol
Apply cold compress to chest
A patient with pneumonia is producing thick yellow sputum and has a productive cough. Which order is appropriate?
Discontinue isolation
Begin airborne precautions
Place on droplet precautions
Maintain contact precautions only
A nurse accidentally touches a sterile field with her sleeve. What should she do?
Continue procedure quickly
Cover the area and proceed
Replace the contaminated field
Ask another nurse to finish
A nurse notices a colleague failing to perform hand hygiene. What is the best initial action?
Address the behavior directly and respectfully
Document the behavior
Inform infection control
Ignore unless a patient is harmed
What action helps reduce ventilator-associated pneumonia (VAP)?
Routine saline lavage
Placing patient in supine position
Daily sedation vacation
Suctioning every hour
A nurse educator evaluates a student’s understanding of the chain of infection. Which is the mode of transmission for a surgical wound infection caused by unwashed hands?
Portal of entry
Reservoir
Susceptible host
Contact transmission
