LPN/LVN Infection Control & Standard Precautions 2026/2027 Update
|SBON
1. When caring for a patient with Clostridioides difficile (C. diff), which hand
hygiene method is mandatory?
A. Using alcohol-based hand sanitizer
B. Using a 70% isopropyl alcohol rub
C. Washing with antimicrobial soap and water
D. Wiping hands with a sterile saline solution
Answer: C
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Friction and running
water from soap and water are required to mechanically remove the spores from the
hands.
2. In what order should the nurse apply Personal Protective Equipment (PPE)
before entering a room?
A. Gown, Mask, Goggles, Gloves
B. Mask, Gown, Goggles, Gloves
C. Gloves, Mask, Goggles, Gown
D. Goggles, Gown, Gloves, Mask
Answer: A
Rationale: The standard donning sequence recommended by the CDC is Gown first,
followed by the Mask or Respirator, then Goggles or Face Shield, and lastly Gloves.
,3. Which type of isolation precaution is required for a patient diagnosed with
Pulmonary Tuberculosis (TB)?
A. Droplet Precautions
B. Contact Precautions
C. Airborne Precautions
D. Standard Precautions only
Answer: C
Rationale: TB is transmitted via small droplets that remain suspended in the air. This
requires a private negative-pressure room and the use of an N95 respirator.
4. The nurse is removing PPE. Which item should be removed first?
A. Mask
B. Goggles
C. Gloves
D. Gown
Answer: C
Rationale: Gloves are considered the most contaminated item and should be removed first
to prevent contaminating other items or the nurse’s body during the doffing process.
5. A patient has a large abdominal wound that requires irrigation. Which PPE
should the nurse wear?
A. Gloves only
B. Gloves, gown, and a face shield
C. Gloves and a gown
D. Gloves and a mask
Answer: B
Rationale: Irrigation carries a high risk of splashing bodily fluids. Standard precautions
dictate that the nurse should use a gown and face shield (or mask and goggles) to protect
the mucous membranes and skin.
, 6. What is the minimum distance that should be maintained from a patient on
Droplet Precautions if not wearing a mask?
A. 1 foot
B. 12 feet
C. 10 feet
D. 3 to 6 feet
Answer: D
Rationale: Droplets are heavy and typically travel 3 to 6 feet before falling to the ground. A
mask should be worn when working within this range.
7. Which infection requires the nurse to use Contact Precautions?
A. Influenza
B. Meningococcal meningitis
C. Measles
D. Vancomycin-Resistant Enterococcus (VRE)
Answer: D
Rationale: VRE is a multidrug-resistant organism primarily spread by direct or indirect
contact with the patient or their environment.
8. How often should a nurse perform hand hygiene when caring for multiple
patients?
A. Only after completing all tasks for the shift
B. After removing gloves only
C. Only if the hands are visibly soiled
D. Before and after every patient contact
Answer: D
Rationale: Hand hygiene must be performed before and after every patient contact, after
contact with the patient’s environment, and before/after donning/doffing gloves.
|SBON
1. When caring for a patient with Clostridioides difficile (C. diff), which hand
hygiene method is mandatory?
A. Using alcohol-based hand sanitizer
B. Using a 70% isopropyl alcohol rub
C. Washing with antimicrobial soap and water
D. Wiping hands with a sterile saline solution
Answer: C
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Friction and running
water from soap and water are required to mechanically remove the spores from the
hands.
2. In what order should the nurse apply Personal Protective Equipment (PPE)
before entering a room?
A. Gown, Mask, Goggles, Gloves
B. Mask, Gown, Goggles, Gloves
C. Gloves, Mask, Goggles, Gown
D. Goggles, Gown, Gloves, Mask
Answer: A
Rationale: The standard donning sequence recommended by the CDC is Gown first,
followed by the Mask or Respirator, then Goggles or Face Shield, and lastly Gloves.
,3. Which type of isolation precaution is required for a patient diagnosed with
Pulmonary Tuberculosis (TB)?
A. Droplet Precautions
B. Contact Precautions
C. Airborne Precautions
D. Standard Precautions only
Answer: C
Rationale: TB is transmitted via small droplets that remain suspended in the air. This
requires a private negative-pressure room and the use of an N95 respirator.
4. The nurse is removing PPE. Which item should be removed first?
A. Mask
B. Goggles
C. Gloves
D. Gown
Answer: C
Rationale: Gloves are considered the most contaminated item and should be removed first
to prevent contaminating other items or the nurse’s body during the doffing process.
5. A patient has a large abdominal wound that requires irrigation. Which PPE
should the nurse wear?
A. Gloves only
B. Gloves, gown, and a face shield
C. Gloves and a gown
D. Gloves and a mask
Answer: B
Rationale: Irrigation carries a high risk of splashing bodily fluids. Standard precautions
dictate that the nurse should use a gown and face shield (or mask and goggles) to protect
the mucous membranes and skin.
, 6. What is the minimum distance that should be maintained from a patient on
Droplet Precautions if not wearing a mask?
A. 1 foot
B. 12 feet
C. 10 feet
D. 3 to 6 feet
Answer: D
Rationale: Droplets are heavy and typically travel 3 to 6 feet before falling to the ground. A
mask should be worn when working within this range.
7. Which infection requires the nurse to use Contact Precautions?
A. Influenza
B. Meningococcal meningitis
C. Measles
D. Vancomycin-Resistant Enterococcus (VRE)
Answer: D
Rationale: VRE is a multidrug-resistant organism primarily spread by direct or indirect
contact with the patient or their environment.
8. How often should a nurse perform hand hygiene when caring for multiple
patients?
A. Only after completing all tasks for the shift
B. After removing gloves only
C. Only if the hands are visibly soiled
D. Before and after every patient contact
Answer: D
Rationale: Hand hygiene must be performed before and after every patient contact, after
contact with the patient’s environment, and before/after donning/doffing gloves.
