f. Provide scheduled toileting during the night shift.
A5. CARE OF CLIENTS TO PROMOTE
AND MAINTAIN SAFETY AND THOSE
WITH RISK FOR INFECTION
1. The nurse's first action after discovering an electrical fire in
a patient's room is to:
a. Activate the fire alarm.
b. Confine the fire by closing all doors and windows.
c. Remove all patients in immediate danger.
d. Extinguish the fire by using the nearest fire
extinguisher.
2. A parent calls the pediatrician's office frantic about the
bottle of cleaner that her 2-year-old son drank. Which of
the following is the most important instruction the nurse
gives to this parent?
a. Give the child milk.
b. Give the child syrup of ipecac.
c. Call the poison control center.
d. Take the child to the emergency department.
3. The nursing assessment on a 78-year-old woman reveals
shuffling gait, decreased balance, and instability. On the
basis of the patient's data, which one of the following
nursing diagnoses indicates an understanding of the
assessment findings?
a. Activity intolerance
b. Impaired bed mobility
c. Acute pain
d. Risk for falls
4. A couple is with their adolescent daughter for a school
physical and state they are worried about all the safety
risks affecting this age. What is the greatest risk for injury
for an adolescent?
a. Home accidents
b. Physiological changes of aging
c. Poisoning and child abduction
d. Automobile accidents, suicide, and substance abuse
5. The nurse found a 68-year-old female patient wandering in
the hall. The patient says she is looking for the bathroom.
Which interventions are appropriate to ensure the safety of
the patient? (Select all that apply.)
a. Insert a urinary catheter.
b. Leave a night light on in the bathroom.
c. Ask the physician to order a restraint.
d. Keep the bed in low position with upper and lower
side rails up.
e. Assign a staff member to stay with the patient.
g. Keep the pathway from the bed to the bathroom
clear.
6. The family of a patient who is confused and ambulatory
insists that all four side rails be up when the patient is
alone. What is the best action to take in this situation?
(Select all that apply.)
a. Contact the nursing supervisor.
b. Restrict the family's visiting privileges.
c. Ask the family to stay with the patient if possible.
d. Inform the family of the risks associated with side-rail
use.
e. Thank the family for being conscientious and put the
four rails up.
f. Discuss alternatives with the family that are
appropriate for this patient.
7. A physician writes an order to apply a wrist restraint to a
patient who has been pulling out a surgical wound drain.
Place the following steps for applying the restraint in the
correct order.
a. Explain what you plan to do.
b. Wrap a limb restraint around wrist or ankle with soft
part toward skin and secure.
c. Determine that restraint alternatives fail to ensure
patient's safety.
d. Identify the patient using proper identifier.
e. Pad the patient's wrist.
8. A child in the hospital starts to have a grand mal seizure
while playing in the playroom. What is your most important
nursing intervention during this situation?
a. Begin cardiopulmonary respiration.
b. Restrain the child to prevent injury.
c. Place a tongue blade over the tongue to prevent
aspiration.
d. Clear the area around the child to protect the child
from injury.
9. A 62-year-old woman is being discharged home with her
husband after surgery for a hip fracture from a fall at
home. When providing discharge teaching about home
safety to this patient and her husband, the nurse knows
that:
a. A safe environment promotes patient activity.
b. Assessment focuses on environmental factors only.
c. Teaching home safety is difficult to do in the hospital
setting.
d. Most accidents in the older adult are caused by
lifestyle factors.
10. The nursing assessment of an 80-year-old patient who
demonstrates some confusion but no anxiety reveals that
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 the patient is a fall risk because she continues to get out of
bed without help despite frequent reminders. The initial
nursing intervention to prevent falls for this patient is to:
a. Place a bed alarm device on the bed.
b. Place the patient in a belt restraint.
c. Provide one-on-one observation of the patient.
d. Apply wrist restraints.
11. To ensure the safe use of oxygen in the home by a
patient, which of the following teaching points does the
nurse include? (Select all that apply.)
a. Smoking is prohibited around oxygen.
b. Demonstrate how to adjust the oxygen flow rate
based on patient symptoms.
c. Do not use electrical equipment around oxygen.
d. Special precautions may be required when traveling
with oxygen
12. How does the nurse support a culture of safety? (Select all
that apply.)
a. Completing incident reports when appropriate
b. Completing incident reports for a near miss
c. Communicating product concerns to an immediate
supervisor
d. Identifying the person responsible for an incident
13. At 3 am the emergency department nurse hears that a
tornado hit the east side of town. What action does the
nurse take first?
a. Prepare for an influx of patients
b. Contract the American Red Cross
c. Determine how to restore essential services
d. Evacuate patients per the disaster plan
14. A nurse is caring for a client who was just admitted to the
unit after falling at a nursing home. This client is oriented
to person, place, and time and can follow directions.
Which of the following actions by the nurse are
appropriate to decrease the risk of a fall? (Select all that
apply.)
a. Place a belt restraint on the client when he is sitting
on the bedside commode.
b. Keep the bed in low position with full side rails up.
c. Ensure that the client's call light is within reach.
d. Provide the client with nonskid footwear.
e. Complete a fall-risk assessment.
15. A nurse manager is reviewing care of a client who has had
a seizure with nurses on the unit. Which ofthe following
statements by a nurse requires further instruction?
a. "I will place the client on his side."
b. "I will go to the nurses' station for assistance."
c. "I will administer medications as prescribed."
d. "I will be prepared to insert an airway."
16. A nurse observes smoke coming from under the door of
the staff lounge. Which of the following is the priority
action by the nurse?
a. Extinguish the fire.
b. Pull the fire alarm.
c. Evacuate the clients.
d. Close all open doors on the unit.
17. A charge nurse is designating room assignments for
clients who will be admitted to the unit. Based on the
nurse's knowledge of fall prevention, which of the following
clients should be assigned to the room closest to the
nurses' station?
a. A 43-year-old client who is postoperative following a
laparoscopic cholecystectomy
b. A 61-year-old client being admitted for telemetry to
rule out a myocardial infarction
c. A 50-year-old client who is postoperative following
an open reduction internal fixation of
d. the ankle
e. A 79-year-old client who is postoperative following a
below-the-knee amputation
18. A nurse is caring for a newly admitted client who has a
documented history of falls. Which of thefollowing is the
priority action by the nurse?
a. Complete a fall-risk assessment.
b. Educate the client and family on fall risks.
c. Complete a physical assessment.
d. Survey the client's belongings.
19. A nurse is providing discharge instructions to a client who
has a prescription for the use of oxygen in his home.
Which of the following should the nurse teach the client
about using oxygen safely in his home? (Select all that
apply.)
a. Family members who smoke must be at least 10 ft
from the client when oxygen is in use.
b. Nail polish should not be used near a client who is
receiving oxygen.
c. A "No Smoking" sign should be placed on the front
door.
d. Cotton bedding and clothing should be replaced with
items made from wool.
e. A fire extinguisher should be readily available in the
home.
20. A nurse educator is conducting a parenting class for new
parents. Which of the following statements made by a
participant indicates a need for further clarification and
instruction?
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 a. "I will begin swimming lessons as soon as my baby
can close her mouth under water." 2. Which is the most likely means of transmitting infection
b. "Once my baby can sit up, he should be safe in the between patients?
bathtub."
a. Exposure to another patient's cough
c. "I will test the temperature of the water before
b. Sharing equipment among patients
placing my baby in the bath."
c. Disposing of soiled linen in a shared linen bag
d. "Once my infant starts to push up, I will remove the
mobile from over the bed." d. Contact with a health care worker’s hand

21. A home health nurse is discussing the dangers of carbon 3.
monoxide poisoning with a client. Which of the following
information should the nurse include in her counseling?
a. Carbon monoxide has a distinct odor.
b. Water heaters should be inspected every 5 years.
c. The lungs are damaged from carbon monoxide
inhalation.
d. Carbon monoxide binds with hemoglobin in the
body.
4.
22. A nurse educator is presenting a module on basic first aid
for newly licensed home health nurses. The nurse
educator evaluates the teaching as effective when the
newly licensed nurse states the client who has heat stroke
will have which of the following?
a. Hypotension
b. Bradycardia 5.
c. Clammy skin
d. Bradypnea
23. A home health nurse is discussing the dangers of food
poisoning with a client. Which of the following information
should the nurse including in her counseling? (Select all
that apply.)
a. Most food poisoning is caused by a virus.
b. Immunocompromised individuals are at risk for
complications from food poisoning
c. Clients who are especially at risk are instructed to
eat or drink only pasteurized milk,yogurt, cheese, or 6.
other dairy products.
d. Healthy individuals usually recover from the illness in
a few weeks.
Identify the interval when a patient progresses from
nonspecific signs to manifesting signs and symptoms
specific to a type of infection.
a. Illness stage
b. Convalescence
c. Prodromal stage
d. Incubation period
Which of the following is the most effective way to break
the chain of infection?
a. Hand hygiene
b. Wearing gloves
c. Placing patients in isolation
d. Providing private rooms for patients
A family member is providing care to a loved one who has
an infected leg wound. What would you instruct the family
member to do after providing care and handling
contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag
it.
c. Have the family member check with the doctor about
need for immunization.
d. Perform hand hygiene after care and/or handling
contaminated equipment or material.
A patient is isolated for pulmonary tuberculosis. The nurse
notes that the patient seems to be angry, but he knows
that this is a normal response to isolation. Which is the
best intervention?

e. Handling raw and fresh food separately to avoid a. Provide a dark, quiet room to calm the patient.
cross contamination may prevent food poisoning. b. Reduce the level of precautions to keep the patient
from becoming angry.
Source: https://quizlet.com/50999054/chapter-27-patient-safety-flash-cards/ c. Explain the reasons for isolation procedures and
provide meaningful stimulation.
d. Limit family and other caregiver visits to reduce the
risk of spreading the infection.
1. If an infectious disease can be transmitted directly from
one person to another, it is a:
7. The nurse wears a gown when:
a. Susceptible host.
b. Communicable disease. a. The patient's hygiene is poor.
c. Port of entry to a host. b. The nurse is assisting with medication
administration.
d. Port of exit from the reservoir.

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 c. The patient has acquired immunodeficiency
syndrome (AIDS) or hepatitis.
d. Blood or body fluids may get on the nurse's clothing
from a task that he or she plans to perform.
8. The nurse has redressed a patient's wound and now plans
to administer a medication to the patient. Which is the
correct infection control procedure?
a. Leave the gloves on to administer the medication.
b. Remove gloves and administer the medication.
c. Remove gloves and perform hand hygiene before
administering the medication.
d. Leave the medication on the bedside table to avoid
having to remove gloves before leaving the patient's
room.
9. When a nurse is performing surgical hand asepsis, the
nurse must keep hands:
a. Below elbows.
b. Above elbows.
c. At a 45-degree angle.
d. In a comfortable position.
10. What is the best method to sterilize a straight urinary
catheter and suction tube in the home setting?
a. Use an autoclave.
b. Use boiling water.
c. Use ethylene oxide gas.
d. Use chemicals for disinfection.
11. A patient has an indwelling urinary catheter. Why does an
indwelling urinary catheter present a risk for urinary tract
infection?
a. It keeps an incontinent patient's skin dry.
b. It can get caught in the linens or equipment.
c. It obstructs the normal flushing action of urine flow.
d. It allows the patient to remain hydrated without
having to urinate.
12. Put the following steps for removal of protective barriers
after leaving an isolation room in order:
a. Untie top, then bottom mask strings and remove
from face.
b. Untie waist and neck strings of gown. Allow gown to
fall from shoulders and discard. Remove gown,
rolling it onto itself without touching the contaminated
side.
c. Remove gloves.
d. Remove eyewear or goggles.
e. Perform hand hygiene.
13. Your ungloved hands come in contact with the drainage
from your patient's wound. What is the correct method to
clean your hands?
a. Wash them with soap and water.
b. Use an alcohol-based hand cleaner.
c. Rinse them and use the alcohol-based hand cleaner.
d. Wipe them with a paper towel.
14. A patient's surgical wound has become swollen, red, and
tender. You note that the patient has a new fever and
leukocytosis. What is the best immediate intervention?
a. Notify the health care provider and use surgical
technique to change the dressing.
b. Reassure the patient and recheck the wound later.
c. Notify the health care provider and support the
patient's fluid and nutritional needs.
d. Alert the patient and caregivers to the presence of
an infection to ensure care after discharge.
15. While preparing to do a sterile dressing change, a nurse
accidentally sneezes over the sterile field that is on the
over-the-bed table. Which of the following principles of
surgical asepsis, if any, has the nurse violated?
a. When a sterile field comes in contact with a wet
surface, the sterile field is contaminated by capillary
action.
b. Fluid flows in the direction of gravity.
c. A sterile field becomes contaminated by prolonged
exposure to air.
d. None of the principles were violated.
Source: https://quizlet.com/90971106/fundamentals-chapter-28-infection-
prevention-and-control-flash-cards/
1. The client has a 6-inch laceration on his right forearm. The
arm develops an infection. Which of the following is a sign
of an acute inflammatory process?
a. A blanching of the skin
b. A decrease in temperature at the site
c. A decrease in the number of white blood cells
d. A release of histamine that adds to the pain
response
2. A female client has been undergoing diagnostic testing
since admission to the medical unit in the hospital. The
results of blood testing are sent back to the unit. Upon
reviewing the results, the nurse will report which of the
following findings to the physician, which is abnormal?
a. Erythrocyte sedimentation rate (ESR) 35 mm/hr
b. White blood cell (WBC) count 8000/mm3
c. Neutrophils 65%
d. Iron 75 g/100 mL
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3. The nurse is observing the new staff member work with d. Rinse the packing with sterile water, and put the
the client. Of the following activities, which one has the packing into the incision with sterile gloves
greatest possibility of contributing to a nosocomial
infection and requires correction?
9. A client has a viral infection. Which of the following is
a. Washing hands before applying a dressing typical of the illness stage of the course of her infection?
b. Taping a plastic bag to the bed rail for tissue a. There are no longer any acute symptoms.
disposal
b. An oral temperature reveals a febrile state.
c. Placing a Foley catheter bag on the bed when
c. The client was first exposed to the infection 2 days
transferring a client
ago but has no symptoms.
d. Using alcohol to cleanse the skin before starting an
d. The client "feels sick" but is able to continue her
intravenous line
normal activities.

4. Droplet precautions will be instituted for the client admitted

10. The nurse recognizes that special care must be taken in
to the infectious disease unit with:
the handling of which of the following to prevent the
a. Streptococcal pharyngitis transmission of hepatitis A?
b. Herpes simplex a. Blood
c. Pertussis b. Feces
d. Measles c. Saliva
d. Vaginal secretions
5. In a small rural hospital they work with a wide variety of
clients. Of this afternoon client's admitted, the nurse
11. The parent of a preschool child asks the nurse how
acknowledges the client with the highest susceptibility to
chickenpox (varicella zoster) is transmitted. The nurse
infection is the individual with:
identifies that the virus is:
a. Burns
a. Carried by a vector organism
b. Diabetes
b. Carried through the air in droplets after sneezing or
c. Pulmonary emphysema coughing
d. Peripheral vascular disease c. Transmitted through person-to-person contact
d. Acquired through contact with contaminated objects
6. A nurse must display understanding of the mental
implications of a client on isolation precautions when
12. While working with clients in the postoperative period, the
planning care to control the risk of:
nurse is very alert to the results of laboratory tests. Which
a. Denial one of the following results is indicative of an infectious
b. Aggression process?
c. Regression a. Iron 80 g/100 mL
d. Isolation b. Neutrophils 65%
c. White blood cells (WBC) 18,000/mm3
7. Surgical aseptic techniques are employed by a nurse d. Erythrocyte sedimentation rate (ESR) 15 mm/hr
when:
a. Inserting an intravenous catheter 13. Which of the following is an example of a nursing
b. Placing soiled linen in moisture-resistant bags intervention that is implemented to reduce a reservoir of
infection for a client?
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
8. A nurse is changing the dressing and accidentally drops c. Isolating client's articles
the packing onto the client's abdomen. The client has a d. Changing soiled dressings
large, deep abdominal incision that is packed with sterile
half-inch packing and covered with a dry 4 4 gauze. The
14. In preventing and controlling the transmission of
nurse should:
infections, the single most important technique is:
a. Add alcohol to the packing and insert it into the
a. Hand hygiene
incision
b. The use of disposable gloves
b. Throw the packing away, and prepare a new one
c. The use of isolation precautions
c. Pick up the packing with sterile forceps, and gently
place it into the incision d. Sterilization of equipment
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15. A client with active tuberculosis is admitted to the medical
center. The nurse recognizes that admission of this client
to the unit will require the implementation by the staff of:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation
16. The nurse recognizes the appropriate procedures for
sterile asepsis. Of the following, which action is consistent
with sterile asepsis?
a. Clean forceps may be used to move items on the
sterile field.
b. Sterile fields may be prepared well in advance of the
procedures.
c. The first small amount of sterile solution should be
poured and discarded.
d. Wrapped sterile packages should be opened starting
with the flap closest to the nurse.
17. Older adult clients may react differently to infectious
processes and a nurse suspects that her older adult client
may be experiencing hypostatic pneumonia. The nurse
must be alert to atypical signs and symptoms, such as:
a. Hypotension
b. Confusion
c. Erythema
d. Chills
18. What is the correct order for a nursing assistant for putting
on the protective equipment when caring for a client in
isolation?
a. Wash her hands, apply the mask and eyewear, put
on the gown, and then apply gloves
b. Apply the mask and eyewear, put on the gown, wash
her hands, and then apply gloves
c. Wash her hands, put on the gown, apply the mask
and eyewear, and then apply the gloves
d. Put on the gown, apply the mask and eyewear, wash
her hands, and then apply gloves
19. A client has required a mid-abdominal surgical incision
which necessitates a sterile dressing. An appropriate
intervention for the nurse to implement in maintaining
sterile asepsis is to:
a. Put sterile gloves on before opening sterile packages
b. Discard packages that may have been in contact
with the area below waist level
c. Place the cap of the sterile solution well within the
sterile field
d. Place sterile items on the very edge of the sterile
drape
20. The nurse is preparing to assist with a sterile procedure in
the surgical suite. An appropriate technique that the nurse
includes in the surgical scrub is to:
a. Keep the hands below the elbows throughout the
scrub
b. Use a brush on the palms and dorsal surface of the
hands
c. Maintain the scrub for at least 2 to 5 minutes
d. Wash well around all jewelry
21. An appropriate isolation procedure for the nurse to
implement when working with a client who is found to have
methicillin-resistant Staphylococcus aureus (MRSA) is to:
a. Leave all linen in the client's room
b. Place specimen containers in plastic bags for
transport
c. Wipe the stethoscope off before removing it from the
room
d. Remove the mask and goggles first when leaving the
client's room
22. A client is found to have a bacterial infection of
Escherichia coli. The nurse, recognizing the effects of this
bacterium, anticipates that the client will demonstrate:
a. Diarrhea
b. Coughing
c. Cold sores around the mouth
d. Discharge from the eyes
23. Which of the following clients is at greatest risk for
acquiring an infection?
a. A 56-year-old with a urinary catheter 2 days after
prostatectomy
b. A 27-year-old diagnosed with human
immunodeficiency virus (HIV)
c. A 43-year-old who is 3 days post appendectomy and
is currently afebrile
d. A 16-year-old with a compound fractured femur as a
result of a bike accident
24. A nurse is caring for a client who has colonized methicillin-
resistant Staphylococcus aureus (MRSA). Which of the
following statements reflects the best understanding of the
client's condition?
a. "This client has the bacteria present but it hasn't
become infected."
b. "This makes the client's MRSA very infectious and
so a danger to others."
c. "Just be sure to follow standard precautions and
there won't be a problem."
d. "The client needs to be watched closely for a
conversion to active MRSA."
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25. The greatest drawback to the routine use of antibacterial
hand soaps and gels is that they:
a. Are expensive
b. Irritate the skin
c. Kill resident flora
d. Encourage resistant bacteria
26. The nurse knows that Staphylococcus aureus found
normally on the skin of a client who has had surgery poses
a particular risk for that client developing:
a. A cold sore
b. Gastroenteritis
c. A wound infection
d. A urinary tract infection
27. What is the most appropriate answer to the client's
question, "What's the difference between antibacterial and
antimicrobial hand soaps?"
a. "There is no real difference; use the less expensive."
b. "Antibacterial soaps are more effective at preventing
infections."
c. "Antimicrobial soap is better since it won't kill the
good bacteria on the skin."
d. "Any soap will do; it's the technique for proper hand
washing that is the key."
28. A presurgical client asks the nurse why it seems "so easy
to get an infection in the wound" after surgery. The nurse's
most appropriate response to this question is:
a. "The contaminated dressing acts as a breeding
ground for microorganisms that then infect the
wound."
b. "The body's immune system is weakened by the
surgery and can't fight off the infection as
effectively."
c. "While infections occur, there are many very
effective antibiotics available to help minimize the
risk of that happening."
d. "The surgical wound provides the microorganisms on
the surrounding skin a path to enter deep into the
body's tissues."
29. The nurse obtains a new, dry nebulizer when preparing to
give an elderly asthmatic client a nebulizer treatment
because the risk of infection is increased because:
a. The client's age increases the risk factor for potential
infection
b. The client's immune system is compromised as a
result of asthma
c. There is a potential presence of Pseudomonas
organisms in the reservoir
d. There is a chance for microorganisms to enter the
body via the respiratory system
30. A client is told that he is a carrier of the hepatitis B virus.
When asked to explain this situation in more detail, the
nurse's best response is:
a. "You need to be careful not to pass the virus to other
people."
b. "You aren't sick, but you do have the virus within
your body."
c. "Be tested often so as to monitor whether the virus
becomes active."
d. "While you show no signs of the illness, you can
pass the virus to others."
31. The nurse can best minimize the risk for infection when
initiating an intravenous site by:
a. Proper vein site selection
b. Effective topical skin preparation
c. Appropriate site dressing
d. Gloving for the procedure
32. A client enters a neighborhood walk-in clinic reporting the
symptoms of "a head cold." When the health care provider
does not prescribe an antibiotic, the client asks the nurse
to explain "why not." The nurse's most appropriate
response is:
a. "Antibiotics aren't usually necessary for colds, and
they are really very expensive if you don't have
insurance."
b. "You know what they say; a cold will go away with
medication in 2 weeks; without medication in 14
days."
c. "Your health care provider believes in treating the
symptoms since there are so many different strains
of the common cold."
d. "Common colds don't usually require an antibiotic,
and taking one results in making it harder to treat
infections when they do occur."
33. The nurse is caring for a postoperative client with a
localized sinus infection. The most appropriate means by
which the nurse can minimize the risk of this client
developing a systemic infection is to:
a. Adhere strictly to standard precaution techniques
b. Dispense prescribed anti-infective medication as
ordered
c. Monitor the client regularly for exacerbation of the
sinus infection
d. Review lab work daily to determine the presence of
increased white cell count
34. The nurse and a client are discussing the client's tendency
to develop numerous "colds" during the winter months.
The client's health history reveals that he is a 1 pack a day
smoker. Which of the following nursing statements is most
appropriate regarding the possible relationship between
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 the client's cigarette smoking and the frequency of winter
colds?
a. "Smoking decreases your body's immune system,
and so you can't fight off the colds as effectively."
b. "If you stopped smoking you would have fewer colds
and just generally feel better all year around."
c. "The nicotine in the cigarettes has an effect on your
blood vessels, decreasing the circulation of
antibodies that would attack the cold viruses."
d. "Smoking damages the little hairs in your nose and
airways so they can't trap the airborne cold viruses
and keep them from entering your body."
35. Which of the following clients is at greatest risk for
acquiring a health care-associated (nosocomial) infection?
a. A 32-year-old hospitalized for 2 days for migraine
headaches
b. A client with type 1 diabetes who has been
experiencing hypoglycemia
c. A trauma victim taken directly from the ED to surgery
and then to the postsurgical unit
d. A pregnant 24-year-old diagnosed with both sinusitis
and otitis media and prescribed an oral antibiotic
36. A client is admitted for treatment of various poorly healing,
infected leg ulcers. The nurse recognizes that the client's
nutritional history is of primary importance since:
a. Nutrition is vital to the client's overall health status
b. The client's food intake will likely be decreased as a
result of the illness
c. Wound healing and infection prevention are
negatively impacted by poor nutrition
d. The client's habits regarding food intake are directly
related to this hospitalization
37. A client admitted for an abdominal hysterectomy reports
that she has been under a lot of stress since the death of
her mother and wonders how that will affect her surgery
and recovery. Which of the following nursing statements
reflects the most therapeutic response to the client's
question?
a. "Being under stress isn't going to help your recovery;
you need to relax and focus on yourself and getting
well."
b. "Your mother's death must be very stressful for you
but she would want you to concentrate on getting
healthy."
c. "Stress does have a negative effect on the body's
ability to heal; is there anything I can do to help you
minimize the stress you feel?"
d. "Your health care provider can prescribe you some
medication to help you cope with the stress; would
you like me to mention it?"
38. A client admitted for an abdominal hysterectomy reports
that she has been under a lot of stress since the death of
her mother and wonders how that will affect her surgery
and recovery. Which of the following nursing interventions
reflects the most therapeutic understanding of the
relationship stress has on the body and its ability to
recover from surgery?
a. Suggest a demonstration of relaxation techniques
b. Arrange for the hospital chaplain to visit the client
c. Offer to call and get an order for an antianxiety
medication
d. Share a personal antidote concerning a similarly
stressful situation
39. The nurse is providing care for a client who
postoperatively has developed an infected incisional
wound and is depressed and anorexic. Which of the
following nursing interventions has priority?
a. Sterile wound care
b. Frequent small meals
c. Administration of antidepressant medication
d. Educating the client regarding wound care at home
40. The nurse is educating a client diagnosed with type 2
diabetes, who is susceptible to foot wounds, on how to
minimize the risk for infection related to poor wound
healing by not being a susceptible host. The most
appropriate suggestion would be to:
a. Inspect feet and legs daily for skin breakdown
b. See a podiatrist regularly for appropriate foot care
c. Keep blood sugar levels within normal range to
maximize the ability to heal
d. Eat well-balanced meals in order to provide the
nutrients necessary for healing
41. For infectious organisms to grow and multiply enough to
cause illness, they need an environment that has
appropriate amounts of: (Select all that apply.)
a. Food
b. Space
c. Water
d. Oxygen
e. Warmth
f. Darkness
42. Which of the following are considered portals of exit in the
chain of infection? (Select all that apply.)
a. A bleeding cut
b. A hardy sneeze
c. A kiss on the lips
d. A urinary catheter
e. A scraped knuckle
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 f. A friendly handshake
43. Which of the following assessment data indicate the
presence of a local inflammatory process? (Select all that
apply.)
a. Client reports being cold
b. Left elbow warm to the touch
c. Elevated white blood cell (WBC) count
d. Pitting edema of +2 around the right ankle
e. Client reports knee pain of 5 on a scale of 1 to10
f. Client observed grimacing while raising shoulder to
brush hair
Source: https://quizlet.com/43971067/chapter-28-infection-prevention-and-
control-flash-cards/
1. What is the most effective way to control transmission of
infection?
a. Isolation precautions
b. Identifying the infectious agent.
c. Hand Hygiene Practices
d. Vaccinations
2. A patient who has been isolated for Clostridium difficile
(C.diff) asks you to explain what he should know about
this organism. What is the most appropriate information to
include in patient teaching? SELECT ALL THAT APPLY.
a. The organism is usually transmitted through the fecal
oral route.
b. Hands should always be cleaned with soap and
water versus alcohol-based hand sanitizer.
c. Everyone coming into the room must be wearing a
gown and gloves.
d. While the patient is in contact precautions, he cannot
leave the room.
e. C diff dies quickly outside the body.
3. Your assigned patient has a leg ulcer that has a dressing
on it. During your assessment you find that the dressing is
saturated with purulent drainage. Which action would be
best on your part?
a. Reinforce dressing with a clean, dry dressing and
call the health care provider.
b. Remove wet dressing and apply new dressing using
sterile procedure.
c. Put on gloves before removing the old dressing; then
obtain a wound culture.
d. Remove saturated dressing with gloves, remove
gloves, then perform hand hygiene and apply new
gloves before putting on a clean dressing.
4. A patient is diagnosed with methicillin-resistant
Staphylococcus aureus (MRSA) pneumonia. Which type
of isolation precaution is most appropriate for this patient?
a. Reverse isolation
b. Droplet precautions
c. Standard precautions
d. Contact precautions
5. A family member is providing care to a loved one who has
an infected leg wound. What would you instruct the family
member to do after providing care and handling
contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag
it.
c. Have the family member check with the health care
provider about need for immunization.
d. Perform hand hygiene after care and/or handling
contaminated equipment or material.
6. When should a nurse wear a mask? (Select all that apply).
a. The patient's dental hygiene is poor.
b. The nurse is assisting with an aerosolizing
respiratory procedure such as suctioning.
c. The patient has acquired immunodeficiency
syndrome (AIDS) and a congested cough.
d. The patient is in droplet precautions.
e. The nurse is assisting a health care provider in the
insertion of a central line catheter.
7. Which type of personal protective equipment are staff
required to wear when caring for a pediatric patient who is
placed into airborne precautions for confirmed chicken
pox/herpes zoster? (Select all that apply.)
a. Disposable gown
b. N 95 respirator mask
c. Face shield or goggles
d. Surgical mask
e. Gloves
8. The infection control nurse has asked the staff to work on
reducing the number of iatrogenic infections on the unit.
Which of the following actions on your part would
contribute to reducing health care-acquired infections?
(Select all that apply.)
a. Teaching correct hand washing to assigned patients
b. Using correct procedures in starting and caring for
an intravenous infusion
c. Providing perineal care to a patient with an
indwelling urinary catheter
d. Isolating a patient who has just been diagnosed as
having tuberculosis
e. Decreasing a patient's environmental stimuli to
decrease nausea
9. Which of the following actions by the nurse comply with
core principles of surgical asepsis? (Select all that apply.)
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 a. Set up sterile field before patient and other staff
come to the operating suite.
b. Keep the sterile field in view at all times.
c. Consider the outer 2.5 cm (1 inch) of the sterile field
as contaminated.
d. Only health care personnel within the sterile field
must wear personal protective equipment.
e. The sterile gown must be put on before the surgical
scrub is performed.
10. What does it mean when a patient is diagnosed with a
multidrug-resistant organism in his or her surgical wound?
(Select all that apply.)
a. There is more than one organism in the wound that
is causing the infection.
b. The antibiotics the patient has received are not
strong enough to kill the organism.
c. The patient will need more than one type of antibiotic
to kill the organism.
d. The organism has developed a resistance to one or
more broad-spectrum antibiotics, indicating that the
organism will be hard to treat effectively.
e. There are no longer any antibiotic options available
to treat the patient's infection.
11. Which of these statements are true regarding disinfection
and cleaning? (Select all that apply.)
a. Proper cleaning requires mechanical removal of all
soil from an object or area.
b. General environmental cleaning is an example of
medical asepsis.
c. When cleaning a wound, wipe around the wound
edge first and then clean inward toward the center of
the wound.
d. Cleaning in a direction from the least to the most
contaminated area helps reduce infections.
e. Disinfecting and sterilizing medical devices and
equipment involve the same procedures.
12. Which of the following nursing actions would most
increase a patient's risk for developing a health care-
associated infection?
a. Use of surgical aseptic technique to suction an
airway
b. Urinary catheter drainage bag placed below the level
of the bladder
c. Clean technique for inserting a urinary catheter
d. Use of a sterile bottled solution more than once
within a 24-hour period
13. The home health nurse is teaching a patient and family
about hand hygiene in the home. The nurse is sure to
emphasize washing hands before
a. And after shaking hands.
b. And after treatments.
c. Opening the refrigerator.
d. And after using a computer.
Source: https://quizlet.com/150117709/clinical-practice-exam-1-chapter-29-
flash-cards/
1. You are conducting an education class at a local senior
center on safe-driving tips for seniors. Which of the
following should you include? (Select all that apply)
a. Drive shorter distances
b. Drive only during daylight hours
c. Use the side and rearview mirrors carefully
d. Keep a window rolled down while driving if has
trouble hearing
e. Look behind toward the blind spot
f. Stop driving at age 75
2. A nurse is evaluating a pt who is in soft wrist restraints.
Which of the following activities does the nurse perform?
(Select all that apply).
a. Check the patient’s peripheral pulse in the restrained
extremity
b. Evaluate the patient’s need for toileting
c. Offer the patient fluids if appropriate
d. Release both limbs at the same time to perform
range of motion (rom)
e. Inspect the skin under each restraint
3. You are admitting Mr. Jones, a 64 yr old pt who had a right
hemisphere stroke and recent fall. His wife stated that he
has a history of high BP, which is controlled by an
antihypertensive and a diuretic. Currently he exhibits left-
sided neglect and problems with spatial and perceptual
abilities and is impulsive. He has moderate left-sided
weakness that requires the assistance of two and the use
of a gait belt to transfer to a chair. He currently has an IV
line and a urinary catheter in place. Which factors increase
his fall risk at this time? (select all that apply)
a. Smokes a pack a day
b. Used a cane to walk at home
c. Takes antihypertensive and diuretics
d. History of recent fall
e. Neglect, spatial and perceptual abilities, impulsive
f. Requires assistance with activity, unsteady gait
g. IV line, urinary catheter
4. What is your role as a nurse during a fire? (Select all that
apply).
a. Help to evacuate patients
b. Shut off medical gases
c. Use a fire extinguisher
d. Single carry patients out
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 e. Direct ambulatory patients
5. A nurse is educating parents to look for clues in teenagers
for possible substance abuse. Which environmental and
psychosocial clues should the nurse include? (Select all
that apply).
a. Blood spots on clothing
b. Long-sleeved shirts in warm weather
c. Changes in relationships
d. Wearing dark glasses indoors
e. Increased computer use
Source: https://quizlet.com/236574614/potter-perry-chapter-27-patient-safety-
and-quality-flash-cards/
1. The nurse and a new nurse in orientation are caring for a
patient with pneumonia. Which statement by the new
nurse will indicate a correct understanding of this
condition?
a. "An infectious disease like pneumonia may not pose
a risk to others."
b. "We need to isolate the patient in a private negative-
pressure room."
c. "Clinical signs and symptoms are not present in
pneumonia."
d. "The patient will not be able to return home."
2. The patient and the nurse are discussing Rickettsia
rickettsii—Rocky Mountain spotted fever. Which patient
statement to the nurse indicates understanding regarding
the mode of transmission for this disease?
a. "When camping, I will use sunscreen."
b. "When camping, I will drink bottled water."
c. "When camping, I will wear insect repellent."
d. "When camping, I will wash my hands with hand
gel."
3. The nurse is providing an educational session for a group
of preschool workers. The nurse reminds the group about
the most important thing to do to prevent the spread of
infection. Which information did the nurse share with the
preschool workers?
a. Encourage preschool children to eat a nutritious diet.
b. Suggest that parents provide a multivitamin to the
children.
c. Clean the toys every afternoon before putting them
away.
d. Wash their hands between each interaction with
children.
4. The nurse is admitting a patient with an infectious disease
process. Which question will be most appropriate for a
nurse to ask about the patient's susceptibility to this
infectious process?
a. "Do you have a spouse?"
b. "Do you have a chronic disease?"
c. "Do you have any children living in the home?"
d. "Do you have any religious beliefs that will influence
your care?"
5. The patient experienced a surgical procedure, and
Betadine was utilized as the surgical prep. Two days
postoperatively, the nurse's assessment indicates that the
incision is red and has a small amount of purulent
drainage. The patient reports tenderness at the incision
site. The patient's temperature is 100.5° F, and the WBC
is 10,500/mm3. Which action should the nurse take first?
a. Plan to change the surgical dressing during the shift.
b. Utilize SBAR to notify the primary health care
provider.
c. Reevaluate the temperature and white blood cell
count in 4 hours.
d. Check to see what solution was used for skin
preparation in surgery.
6. The nurse is providing an education session to an adult
community group about the effects of smoking on
infection. Which information is most important for the
nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing
and hair.
b. Smoking affects the cilia lining the upper airways in
the lungs.
c. Smoking can affect the color of the patient's
fingernails.
d. Smoking tobacco products can be very expensive.
7. A female adult patient presents to the clinic with reports of
a white discharge and itching in the vaginal area. A nurse
is taking a health history. Which question is the priority?
a. "When was the last time you visited your primary
health care provider?"
b. "Has this condition affected your eating habits in any
way?"
c. "What medications are you currently taking?"
d. "Are you able to sleep at night?"
8. The nurse is caring for a school-aged child who has
injured the right leg after a bicycle accident. Which signs
and symptoms will the nurse assess for to determine if the
child is experiencing a localized inflammatory response?
a. Malaise, anorexia, enlarged lymph nodes, and
increased white blood cells
b. Chest pain, shortness of breath, and nausea and
vomiting
c. Dizziness and disorientation to time, date, and place
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 d. Edema, redness, tenderness, and loss of function
to prevent the spread of infection?
9. Which interventions utilized by the nurse will indicate the
ability to recognize a localized inflammatory response?
a. Vigorous range-of-motion exercises
b. Turn, cough, and deep breathe
c. Orient to date, time, and place
d. Rest, ice, and elevation
purulent yellow drainage. Which action will the nurse take
a. Position the patient comfortably on the stretcher.
b. Explain the procedure for dressing change to the
patient.
c. Review the medication list that the patient brought
from home.
d. Don gloves and other appropriate personal
protective equipment.

10. The nurse is caring for a group of medical-surgical

15. A patient presents with pneumonia. Which priority
patients. Which patient is most at risk for developing an
intervention should be included in the plan of care for this
infection?
patient?
a. A patient who is in observation for chest pain
a. Observe the patient for decreased activity tolerance.
b. A patient who has been admitted with dehydration
b. Assume the patient is in pain and treat accordingly.
c. A patient who is recovering from a right total hip
c. Provide the patient ice chips as requested.
surgery
d. Maintain the room temperature at 65° F.
d. A patient who has been admitted for stabilization of
heart problems
16. The nurse is caring for a patient in an intensive care unit
who needs a bath. Which priorityaction will the nurse take
11. The nurse is caring for a patient with leukemia and is
to decrease the potential for a health care-associated
preparing to provide fluids through a vascular access (IV)
infection?
device. Which nursing intervention is a priority in this
procedure? a. Use local anesthetic on reddened areas.
a. Review the procedure with the patient. b. Use nonallergenic tape on dressings.
b. Position the patient comfortably. c. Use a chlorhexidine wash.
c. Maintain surgical aseptic technique. d. Use filtered water.
d. Gather available supplies.
17. The infection control nurse is reviewing data for the
medical-surgical unit. The nurse notices an increase in
12. The nurse is caring for an adult patient in the clinic who
postoperative infections from Aspergillus. Which type of
has been evacuated and is a victim of flooding. The nurse
health care-associated infection will the nurse report?
teaches the patient about rest, exercise, and eating
properly and how to utilize deep breathing and a. Vector
visualization. What is the primary rationale for the nurse's b. Exogenous
actions related to the teaching?
c. Endogenous
a. Topics taught are standard information taught during d. Suprainfection
health care visits.
b. The patient requested this information to teach the
18. The patient has contracted a urinary tract infection (UTI)
extended family members.
while in the hospital. Which action will most likely increase
c. Stress for long periods of time can lead to the risk of a patient contracting a UTI?
exhaustion and decreased resistance to infection.
a. Reusing the patient's graduated receptacle to empty
d. These techniques will help the patient manage the
the drainage bag.
pain and loss of personal belongings.
b. Allowing the drainage bag port to touch the
graduated receptacle.
13. The nurse is caring for a patient who is susceptible to
c. Emptying the urinary drainage bag at least once a
infection. Which instruction will the nurse include in an
shift.
educational session to decrease the risk of infection?
d. Irrigating the catheter infrequently.
a. Teaching the patient about fall prevention
b. Teaching the patient to take a temperature
19. Which nursing action will most likely increase a patient's
c. Teaching the patient to select nutritious foods risk for developing a health care-associated infection?
d. Teaching the patient about the effects of alcohol
a. Uses surgical aseptic technique to suction an airway
b. Uses a clean technique for inserting a urinary
14. A diabetic patient presents to the clinic for a dressing catheter
change. The wound is located on the right foot and has
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 c. Uses a cleaning stroke from the urinary meatus
toward the rectum
d. Uses a sterile bottled solution more than once within
a 24-hour period
20. The nurse is caring for a patient in labor and delivery.
When near completing an assessment of the patient's
cervix, the electronic infusion device being used on the
intravenous (IV) infusion alarms. Which sequence of
actions is most appropriate for the nurse to take?
a. Complete the assessment, remove gloves, and
silence the alarm.
b. Discontinue the assessment, silence the alarm, and
assess the intravenous site.
c. Complete the assessment, remove gloves, wash
hands, and assess the intravenous infusion.
d. Discontinue the assessment, remove gloves, use
hand gel, and assess the intravenous infusion.
21. The nurse is dressed and is preparing to care for a patient
in the perioperative area. The nurse has scrubbed hands
and has donned a sterile gown and gloves. Which action
will indicate a break in sterile technique?
a. Touching clean protective eyewear
b. Standing with hands above waist area
c. Accepting sterile supplies from the surgeon
d. Staying with the sterile table once it is open
22. The nurse is caring for a patient with an incision. Which
actions will best indicate an understanding of medical and
surgical asepsis for a sterile dressing change?
a. Donning clean goggles, gown, and gloves to dress
the wound
b. Donning sterile gown and gloves to remove the
wound dressing
c. Utilizing clean gloves to remove the dressing and
sterile supplies for the new dressing
d. Utilizing clean gloves to remove the dressing and
clean supplies for the new dressing
23. The nurse is caring for a patient in the endoscopy area.
The nurse observes the technician performing these tasks.
Which observation will require the nurse to intervene?
a. Washing hands after removing gloves
b. Disinfecting endoscopes in the workroom
c. Removing gloves to transfer the endoscope
d. Placing the endoscope in a container for transfer
24. The nurse is caring for a patient who is at risk for infection.
Which action by the nurse indicates correct understanding
about standard precautions?
a. Teaches the patient about good nutrition
b. Dons gloves when wearing artificial nails
c. Disposes an uncapped needle in the designated
container
d. Wears eyewear when emptying the urinary drainage
bag
25. The nurse is caring for a patient who has just delivered a
neonate. The nurse is checking the patient for excessive
vaginal drainage. Which precaution will the nurse use?
a. Contact
b. Droplet
c. Standard
d. Protective environment
26. The nurse is caring for a patient in the hospital. The nurse
observes the nursing assistive personnel (NAP) turning off
the handle faucet with bare hands. Which professional
practice principle supports the need for follow-up with the
NAP?
a. The nurse is responsible for providing a safe
environment for the patient.
b. Different scopes of practice allow modification of
procedures.
c. Allowing the water to run is a waste of resources and
money.
d. This is a key step in the procedure for washing
hands.
27. The nurse is caring for a patient who becomes nauseated
and vomits without warning. The nurse has contaminated
hands. Which action is best for the nurse to take next?
a. Wash hands with an antimicrobial soap and water.
b. Clean hands with wipes from the bedside table.
c. Use an alcohol-based waterless hand gel.
d. Wipe hands with a dry paper towel.
28. The nurse is performing hand hygiene before assisting a
health care provider with insertion of a chest tube. While
washing hands, the nurse touches the sink. Which action
will the nurse take next?
a. Inform the health care provider and recruit another
nurse to assist.
b. Rinse and dry hands, and begin assisting the health
care provider.
c. Extend the handwashing procedure to 5 minutes.
d. Repeat handwashing using antiseptic soap.
29. The nurse on the surgical team and the surgeon have
completed a surgery. After donning gloves, gathering
instruments, and placing in the transport carrier, what is
the next step in handling the instruments used during the
procedure?
a. Sending to central sterile for cleaning and
sterilization
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 b. Sending to central sterile for cleaning and
disinfection
c. Sending to central sterile for cleaning and boiling
d. Sending to central sterile for cleaning
30. The nurse is observing a family member changing a
dressing for a patient in the home health environment.
Which observation indicates the family member has a
correct understanding of how to manage contaminated
dressings?
a. The family member places the used dressings in a
plastic bag.
b. The family member saves part of the dressing
because it is clean.
c. The family member removes gloves and gathers
items for disposal.
d. The family member wraps the used dressing in toilet
tissue before placing in trash.
31. The nurse is caring for a group of patients. Which patient
will the nurse see first?
a. A patient with Clostridium difficile in droplet
precautions
b. A patient with tuberculosis in airborne precautions
c. A patient with MRSA infection in contact precautions
d. A patient with a lung transplant in protective
environment precautions
32. The surgical mask the perioperative nurse is wearing
becomes moist. Which action will the perioperative nurse
take next?
a. Apply a new mask.
b. Reapply the mask after it air-dries.
c. Change the mask when relieved by next shift.
d. Do not change the mask if the nurse is comfortable.
33. The nurse is caring for a patient on contact precautions.
Which action will be most appropriate to prevent the
spread of disease?
a. Place the patient in a room with negative airflow.
b. Wear a gown, gloves, face mask, and goggles for
interactions with the patient.
c. Transport the patient safely and quickly when going
to the radiology department.
d. Use a dedicated blood pressure cuff that stays in the
room and is used for that patient only.
34. The nurse is caring for a patient who has cultured positive
for Clostridium difficile. Which action will the nurse take
next?
a. Instruct assistive personnel to use soap and water
rather than sanitizer.
b. Wear an N95 respirator when entering the patient
room.
c. Place the patient on droplet precautions.
d. Teach the patient cough etiquette.
35. The nurse is changing linens for a postoperative patient
and feels a prick in the left hand. A nonactivated safe
needle is noted in the linens. For which condition is the
nurse most at risk?
a. Diphtheria
b. Hepatitis B
c. Clostridium difficile
d. Methicillin-resistant Staphylococcus aureus
36. The nurse is caring for a patient who has a bloodborne
pathogen. The nurse splashes blood above the glove to
intact skin while discontinuing an intravenous (IV) infusion.
Which step(s) will the nurse take next?
a. Obtain an alcohol swab, remove the blood with an
alcohol swab, and continue care.
b. Immediately wash the site with soap and running
water, and seek guidance from the manager.
c. Do nothing; accidentally getting splashed with blood
happens frequently and is part of the job.
d. Delay washing of the site until the nurse is finished
providing care to the patient.
37. Which process will be required after exposure of a nurse
to blood by a cut from a used scalpel in the operative
area?
a. Placing the scalpel in a needle safe container
b. Testing the patient and offering treatment to the
nurse
c. Removing sterile gloves and disposing of in kick
bucket
d. Providing a medical evaluation of the nurse to the
manager
38. The nurse is caring for a patient who needs a protective
environment. The nurse has provided the care needed
and is now leaving the room. In which order will the nurse
remove the personal protective equipment, beginning with
the first step?
1 - Remove eyewear/face shield and goggles.
2 - Perform hand hygiene, leave room, and close door.
3 - Remove gloves.
4 - Untie gown, allow gown to fall from shoulders, and do not
touch outside of gown; dispose of properly.
5 - Remove mask by strings; do not touch outside of mask.
6 - Dispose of all contaminated supplies and equipment in
designated receptacles.
a. 3, 1, 4, 5, 6, 2
b. 1, 4, 5, 3, 6, 2
c. 1, 4, 5, 3, 2, 6
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 d. 3, 1, 4, 5, 2, 6
39. The nurse is caring for a patient in protective environment.
Which actions will the nurse take? (Select all that apply.)
a. Wear an N95 respirator when entering the patient's
room.
b. Maintain airflow rate greater than 12 air
exchanges/hr.
c. Place in special room with negative-pressure airflow.
d. Open drapes during the daytime.
e. Listen to the patient's interests.
f. Place dried flowers in a plastic vase.
40. The nurse is assessing a new patient admitted to home
health. Which questions will be mostappropriate for the
nurse to ask to determine the risk of infection? (Select all
that apply.)
a. "Can you explain the risk for infection in your home?"
b. "Have you traveled outside of the United States?"
c. "Will you demonstrate how to wash your hands?"
d. "What are the signs and symptoms of infection?"
e. "Are you able to walk to the mailbox?"
f. "Who runs errands for you?"
43. The nurse has received a report from the emergency
department that a patient with tuberculosis will be coming
to the unit. Which items will the nurse need to care for this
patient? (Select all that apply.)
a. Private room
b. Negative-pressure airflow in room
c. Surgical mask, gown, gloves, eyewear
d. N95 respirator, gown, gloves, eyewear
e. Communication signs for droplet precautions
f. Communication signs for airborne precautions
44. The nurse and the student nurse are caring for two
different patients on the medical-surgical unit. One patient
is in airborne precautions, and one is in contact
precautions. The nurse explains to the student different
interventions for care. Which information will the nurse
include in the teaching session? (Select all that apply.)
a. Dispose of supplies to prevent the spread of
microorganisms.
b. Wash hands before entering and leaving both of the
patients' rooms.
c. Be consistent in nursing interventions since there is
only one difference in the precautions.
d. Apply the knowledge the nurse has of the disease
process to prevent the spread of microorganisms.

41. The circulating nurse in the operating room is observing e. Have patients in airborne precautions wear a mask
the surgical technologist while applying a sterile gown and during transportation to other departments.
gloves to care for a patient having an appendectomy. f. Check the working order of the negative-pressure
Which behaviors indicate to the nurse that the procedure room for the airborne precaution patient on
by the surgical technologist is correct? (Select all that admission and at discharge.
apply.)
a. Ties the back of own gown Source: https://quizlet.com/315487013/fundamentals-chapter-29-infection-
prevention-and-control-flash-cards/
b. Touches only the inside of gown
c. Slips arms into arm holes simultaneously
d. Extended fingers fully into both of the gloves
e. Uses hands covered by sleeves to open gloves
f. Applies surgical cap and face mask in the operating
suite

42. The nurse is preparing to insert a urinary catheter. The

nurse is using open gloving to apply the sterile gloves.
Which steps will the nurse take? (Select all that apply.)
a. While putting on the first glove, touch only the
outside surface of the glove.
b. With gloved dominant hand, slip fingers underneath
second glove cuff.
c. Remove outer glove package by tearing the package
open.
d. Lay glove package on clean flat surface above
waistline.
e. Glove the dominant hand of the nurse first.
f. After second glove is on, interlock hands.

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