1. 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 patien
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1. 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
ANS: A
A patient with Clostridium difficile should be on contact precautions, not droplet; therefore, the nurse will
see this patient first to correct the precautions. All the rest are on correct precautions. Patients with
tuberculosis belong in airborne precautions; patients with MRSA infection belong in contact precautions;
and patients with lung transplants belong in protective environment precautions.
2. The home health nurse isteaching a patient and family about hand hygiene in the home. Which
situation will cause the nurse to emphasize washing hands before and after?
a. Shaking hands
b. Performing treatments
c. Opening the refrigerator
d. Workingon a computer
ANS: B
Patients and family members should perform hand hygiene before and after treatments and when
coming in contact with body fluids. Shaking hands does not require washing of hands before and
after. Washing hands before and after opening the refrigerator and using the computer is not
required.
3. 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.
ANS: A
After the mask is worn for several hours, it can become moist. The mask should be changed as soon as
possible because moisture does not provide a barrier to microorganisms and is ineffective. Waiting to
change the mask, air-drying it, or wearing it because it is comfortable does notsupport the principles of
infection control.
4. 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.
Wear a gown, gloves, face mask, and gogglesfor interactions with the
b. patient.
Transport the patientsafely and quickly when going to the radiology
c. department.
Use a dedicated blood pressure cuff that staysin the room and is used
d. forthat patient only
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