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WorksheetsChapter 10 asepsis
Total questions: 40
Worksheet time: 20mins
Mr. Roland, 70 years old, is 2 days post-op from a bowel resection. His surgical site is warm, erythematous, and has serous drainage. What is the priority action?
Apply a warm compress
Document wound drainage
Notify the provider of possible infection
Reinforce the dressing
Mr. Roland, 70 years old, is 2 days post-op from a bowel resection. His surgical site is warm, erythematous, and has serous drainage. Which of the following links in the chain of infection is MOST likely responsible in Mr. Roland's case?
Portal of exit
Mode of transmission
Susceptible host
Reservoir
The nurse reviews aseptic dressing change procedures. Which breach would require restarting the sterile setup?
Touching the outer 1-inch margin
Reaching over the sterile field
Holding gauze at chest level
Wearing clean gloves
Mr. Roland asks, “Why do you keep washing your hands over and over?” The nurse's BEST response is:
I do it because policy requires it.
It reduces the chance of infection.
We’re trained to do that with all patients.
It prevents germs from entering your bloodstream.
Ms. Harper, 85, is diagnosed with Clostridium difficile. Which PPE is REQUIRED when entering her room?
Gown and gloves
Gloves only
N95 mask and gown
Face shield and mask
After caring for Ms. Harper, which hand hygiene method is appropriate?
Alcohol-based hand rub
Bleach wipe
Soap and water
Antiseptic foam
A visitor touches Ms. Harper’s linens, then rubs his nose. What chain of infection link was activated?
Reservoir
Mode of transmission
Portal of exit
Portal of entry
Which education should be given to CNAs working with C. diff patients?
You can use hand sanitizer after each contact.
Clean the floor after disinfection.
Use soap and water for handwashing.
Only wear gloves if there is visible stool.
Mr. Ali has a central line and develops a fever. What is the nurse’s FIRST step?
Administer acetaminophen
Notify the provider
Perform central line dressing change
Assess for signs of phlebitis
Which action during central line care violates sterile technique?
Placing sterile field below waist
Donning sterile gloves
Keeping mask on during procedure
Avoiding excessive talking
A new nurse accidentally brushes a sterile glove against the patient’s bed rail. What is the BEST next step?
Continue carefully
Ask for help
Replace the glove
Apply antiseptic
Mr. Ali’s central line dressing is soaked. What’s the priority action?
Reinforce the dressing
Remove the dressing
Notify the provider
Change the dressing using sterile technique
The student nurse drops a sterile instrument 2 inches from the sterile field’s edge. What should the nurse preceptor do?
Continue using the instrument
Replace the instrument
Move it back to the center
Ask the instructor
Which behavior contaminates a sterile field?
Wearing a face mask
Holding sterile items above waist
Reaching over the field
Turning toward the field while speaking
What is the primary reason for wearing sterile gloves during a sterile procedure?
To protect the nurse
To keep equipment sterile
To prevent patient infection
To maintain comfort
Which sign indicates a break in surgical asepsis?
Nurse keeps hands above waist
Nurse steps away from sterile field briefly
Field is left uncovered during emergency
Field is set up with sterile drapes
Mr. Delgado, 66, has MRSA in a wound culture. Which of the following precautions should be implemented?
Droplet precautions
Contact precautions
Airborne precautions
Protective isolation
The nurse removes gloves and immediately touches the computer. What should the nurse do next?
Disinfect the keyboard
Perform hand hygiene
Put gloves back on
Continue charting
Which of the following is the BEST intervention to reduce antimicrobial resistance?
Prescribing broad-spectrum antibiotics
Starting antibiotics before cultures
Encouraging vaccination
Administering antibiotics until symptoms resolve
Which factor contributes MOST to a patient’s risk for drug-resistant organisms?
Exposure to animals
Long-term antibiotic therapy
Allergies
Having visitors from the community
Ms. Lee is on chemotherapy and has a low neutrophil count. Which isolation type is appropriate?
Contact
Droplet
Protective (reverse) isolation
Standard
Which action by the nurse demonstrates understanding of protective isolation?
Wearing a mask to prevent own infection
Avoiding fresh flowers in the room
Allowing food from outside
Letting the patient walk barefoot
The nursing student wants to enter Ms. Lee’s room after changing a colostomy in another patient. What is the nurse’s best advice?
Wash hands and proceed
Wear gloves into the room
Change uniform before entering
Defer care to avoid contamination
Which patient would be assigned to the same room as Ms. Lee?
Another chemotherapy patient
No one
Patient with pneumonia
Post-op orthopedic patient
A nurse places a used urinal in the clean utility room. What infection control principle is violated?
Chain of infection
Clean-to-dirty technique
Sterility of items
Utility room separation
In terminal disinfection, which action is REQUIRED?
Wipe down visible surfaces
Remove all linen
Scrub mattress and drawer surfaces
Spray air freshener
What is the priority when handling contaminated linens?
Shake linens to loosen particles
Transport in open cart
Keep away from uniform
Sort in patient room
What is the correct sequence to REMOVE PPE?
Gloves → Gown → Goggles → Mask
Gown → Gloves → Mask → Goggles
Gloves → Goggles → Gown → Mask
Mask → Gloves → Gown → Goggles
When is a face shield preferred over a mask?
Wound dressing changes
Invasive catheter insertion
Procedures with splash risk
Changing linens
Gloves must be changed between which of the following tasks?
Administering oral meds → suctioning
Emptying trash → assisting with ambulation
Feeding → brushing teeth
Charting → performing bed bath
What is the correct direction for cleaning patient areas?
From dirtiest to cleanest
From floor to ceiling
From cleanest to dirtiest
In circular motions
When using disinfectant solution during concurrent disinfection, the solution should be:
Poured onto surfaces
Used until container is empty
Frequently discarded and replaced
Mixed with bleach
Which cleaning strategy reduces airborne transmission?
Wet mopping floors
Sweeping with dry broom
Wiping with dry cloth
Shaking out linens
A sterile item is opened and left uncovered during an emergency. What should the nurse do?
Cover with another sterile drape
Use it within 30 minutes
Consider it contaminated
Replace outer wrapper only
A patient has TB. Which isolation is needed?
Contact
Droplet
Protective
Airborne
When assisting a TB patient to CT, the nurse should:
Wear a gown
Place surgical mask on patient
Escort with no precautions
Avoid radiology during active disease
What would breach sterile technique?
Hands above waist
Using expired sterile gauze
Changing gloves between tasks
Using dry sterile items
What documentation best reflects infection control?
Dressing changed.
Surgical site cleansed with sterile technique, no drainage noted.
Vitals stable, no complaints.
Patient resting comfortably.
A nurse leaves a sterile field uncovered while retrieving supplies. Which principle applies?
The field remains sterile for 1 hour
It must be discarded and reset
Re-covering is acceptable
Notify infection control
Which action best breaks the chain at “mode of transmission”?
Wearing gloves
Isolating the patient
Administering antibiotics
Using sterile equipment
