Question 1

A nurse observes a certified nursing assistant (CNA)wearing one pair of gloves when taking vital signs on all assigned clients.What action should the nurse take immediately?

Accepted Answer

A)  Ask the CNA to explain the rationale for this in a private conference.
B)  Ignore the behavior because the CNA is following agency procedure.
C)  Report the CNA to the charge nurse.
D)  Teach the CNA the correct procedure,stressing the rationale. D

Question 2

A labor and delivery nurse is assisting a health care provider who will be artificially rupturing a client's membranes (AROM).What barrier devices must the health care provider wear?

Accepted Answer

A)  clean gloves and clean gown
B)  face shield and clean gloves
C)  face shield,sterile gloves,and clean gown
D)  sterile gloves only C

Question 3

Which of these approaches should a nurse take when caring for a client placed on isolation precautions?

Accepted Answer

A)  Encourage client verbalization of feelings about isolation.
B)  Limit visitors to hasten client recovery.
C)  Arrange for a psychiatric consult for the client.
D)  Split care responsibilities with another nurse to increase client distraction. A

Question 4

A nurse is caring for a client who has active tuberculosis.What barrier precautions will the nurse wear when in the client's room?

Accepted Answer

A)  a face shield
B)  a surgical mask
C)  an N-95 respirator
D)  mask and eye protection,a gown,and gloves

Question 5

A client who has sustained extensive burns will require what type of isolation precautions?

Accepted Answer

A)  barrier
B)  reverse
C)  standard
D)  transmission-based

Question 6

A client with pneumonia has a repeat chest X-ray in the radiology department.The nurse places which of the following on the client for transport?

Accepted Answer

A)  a face shield
B)  a surgical mask
C)  an N-95 respirator
D)  gloves and a gown

Question 7

When following Standard Precautions while serving a client's meal tray,which personal protection equipment should be worn?

Accepted Answer

A)  gloves only
B)  gown,gloves,mask,and goggles
C)  mask and gloves
D)  none

Question 8

When following Standard Precautions,which personal protection equipment should be worn while giving eye care to a client?

Accepted Answer

A)  gloves only
B)  gown,gloves,mask,and goggles
C)  mask and gloves
D)  none

Question 9

When a client is admitted to a health care facility,the client will automatically be placed on which type of isolation precautions?

Accepted Answer

A)  airborne
B)  contact
C)  none
D)  standard

Question 10

The nurse's responsibility in reducing the client's risk for infection includes which of the following? (Select all that apply. )

Accepted Answer

A)  hand hygiene for all who enter the room
B)  proper protective equipment
C)  not allowing visitors
D)  keeping environment clean
E)  follow isolation policy

Question 11

A client who has a major abscess on the thigh is on isolation precautions in a private room after surgical debridement.The physician changes the dressing each day.What barrier precautions should the nurse wear when providing care to this client?

Accepted Answer

A)  an N-95 respirator and gloves
B)  eye protection and a face mask
C)  gloves and a gown,using antimicrobial-agent hand hygiene after glove removal
D)  a gown only

Question 12

A nurse is providing morning care to a client whose infected wound must be redressed.Which of these actions is correct?

Accepted Answer

A)  Don clean gloves and change them between the morning care and dressing change.
B)  Don clean gloves,remove them after morning care,wash hands,and apply new gloves for the dressing change.
C)  Wash hands and wear one pair of clean gloves for all client's care.
D)  Wear clean gloves for morning care and sterile gloves for the dressing change.

Question 13

Which of these statements about the Guideline for Isolation Precautions in Hospitals revised in 1996 by the Centers for Disease Control and Prevention (CDC)is TRUE?

Accepted Answer

A)  The recommendations are not subject to legal enforcement.
B)  The recommendations are revised every 10 years.
C)  The recommendations have been superseded by Occupational Safety and Health Administration (OSH
A)  regulations.
D)  The recommendations are subject to individual hospital and health care facility choice as to implementation.

Question 14

When client care equipment is soiled with blood,body fluids,secretions,or excretions,nurses can avoid contaminating their skin,mucous membranes,and clothing by doing which of the following? (Select all that apply. )

Accepted Answer

A)  requesting new supplies each day
B)  careful handling or disposal of the equipment
C)  keeping them in the client's room until discharge to prevent contamination
D)  using personal protective equipment
E)  using adequate environmental control procedures

Question 15

The family of a client who has tuberculosis keeps leaving the isolation room door open.They tell the nurse the client "feels closed in." The client is in a private room with monitored negative air pressure.Which of these actions should the nurse take immediately?

Accepted Answer

A)  Educate the client and the family as to why the door must remain closed.
B)  Notify the charge nurse and the client's physician.
C)  Post a "no visitors" sign and ask the family to leave.
D)  Spend more time with the client during the shift.

Question 16

When following Standard Precautions,which personal protection equipment should be worn while attempting to control bleeding?

Accepted Answer

A)  gloves only
B)  gown,gloves,mask,and goggles
C)  mask and gloves
D)  none

Exam 22: Standard Precautions and Isolation

A nurse observes a certified nursing assistant (CNA) wearing one pair of gloves when taking vital signs on all assigned clients.What action should the nurse take immediately?

A labor and delivery nurse is assisting a health care provider who will be artificially rupturing a client's membranes (AROM) .What barrier devices must the health care provider wear?

Which of these approaches should a nurse take when caring for a client placed on isolation precautions?

A nurse is caring for a client who has active tuberculosis.What barrier precautions will the nurse wear when in the client's room?

A client who has sustained extensive burns will require what type of isolation precautions?

A client with pneumonia has a repeat chest X-ray in the radiology department.The nurse places which of the following on the client for transport?

When following Standard Precautions while serving a client's meal tray,which personal protection equipment should be worn?

When following Standard Precautions,which personal protection equipment should be worn while giving eye care to a client?

When a client is admitted to a health care facility,the client will automatically be placed on which type of isolation precautions?

The nurse's responsibility in reducing the client's risk for infection includes which of the following? (Select all that apply. )

A client who has a major abscess on the thigh is on isolation precautions in a private room after surgical debridement.The physician changes the dressing each day.What barrier precautions should the nurse wear when providing care to this client?

A nurse is providing morning care to a client whose infected wound must be redressed.Which of these actions is correct?

Which of these statements about the Guideline for Isolation Precautions in Hospitals revised in 1996 by the Centers for Disease Control and Prevention (CDC) is TRUE?

When client care equipment is soiled with blood,body fluids,secretions,or excretions,nurses can avoid contaminating their skin,mucous membranes,and clothing by doing which of the following? (Select all that apply. )

The family of a client who has tuberculosis keeps leaving the isolation room door open.They tell the nurse the client "feels closed in." The client is in a private room with monitored negative air pressure.Which of these actions should the nurse take immediately?

When following Standard Precautions,which personal protection equipment should be worn while attempting to control bleeding?