MODULE 6 SAFETY AND INFECTION CONTROL
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A triage nurse in an emergency department (ED) is attending to the
victims of a train crash. All victims are alert. Which of these clients does
the nurse assign to the emergent category? Select all that apply. Answer:
-A victim with respiratory distress
-A victim with partial amputation of the foot
Rationale: One rating system commonly used in the ED consists of
three tiers — emergent, urgent, and nonurgent — with the categories
sometimes identified with color coding or numbers. The emergent
classification (a.k.a. red or priority 1) is given to clients with life-
threatening injuries (here, the clients with respiratory distress [airway]
and partial amputation of the foot [bleeding/circulation]) who require
immediate attention and continuous evaluation but have a high chance of
survival once their conditions have been stabilized. The urgent (a.k.a.
yellow or priority 2) classification is given to clients whose injuries and
complications are not life threatening (here, the client with the fractured
humerus), provided that they are treated within 1 to 2 hours; such clients
require evaluation every 30 to 60 minutes thereafter. The nonurgent
(a.k.a. green or priority 3) classification is given to clients with local
injuries (here, the clients with the forehead laceration and bruises of the
arms and legs) who do not have immediate complications and can wait
,several hours for medical treatment; these clients require evaluation
every 1 to 2 hours thereafter.
◉ A nurse is preparing to clean up a blood spill on the client's bedside
table that occurred when a blood tube containing a specimen from the
client broke. What steps should the nurse take to clean up the blood
spill? Select all that apply. Answer: - Using tongs to collect any broken
glass
- Wearing gloves for the cleanup procedure
- Disinfecting the area of the blood spill with a dilute bleach solution
Rationale: The nurse should blot the spill with an absorbent disposable
material such as disposable paper towels or terry wipes, not a face cloth
or towel. Tongs are used to pick up any broken glass, and gloves are
worn for the procedure. The broken glass is disposed of in a puncture-
resistant container. The area is disinfected with a dilute bleach solution
or other agency-accepted product.
◉ A nurse, preparing a sterile field on which to perform a dressing
change, places the sterile drape on the overbed table. Which of these
actions on the part of the nurse indicate correct understanding of the
principles of aseptic technique? Select all that apply. Answer: -
Positioning the sterile field so that it remains in full view
- Picking up a pair of sterile scissors from the sterile field with a sterile
gloved hand
,- Pouring sterile wound cleansing solution into a sterile cup before
donning sterile gloves
Rationale: The principles of surgical asepsis must be followed in the
preparation of a sterile field. Among these principles: A sterile object
remains sterile only when touched by other sterile objects; only sterile
objects may be placed on a sterile field; a sterile object or field out of the
range of vision or an object held below the nurse's waist is to be
considered contaminated; a sterile object or field becomes contaminated
with prolonged exposure to air; when a sterile surface comes in contact
with a wet, contaminated surface, the sterile object or field becomes
contaminated by way of capillary action; fluid flows in the direction of
gravity; a 1-inch edge of a sterile field or container is to be considered
contaminated.
◉ In which of the following situations would the nurse use this type of
restraint (mitten restraint)? Select all that apply. Answer: - To prevent
dislodgment of an intravenous line
- To prevent the use of the hands while allowing free arm movement
Rationale: A mitten restraint is a thumbless device used to restrain the
hands. It prevents the use of the hands while allowing free arm
movement. Mitten restraints are useful for the client who must be
prevented from dislodging an intravenous line, indwelling urinary
catheter, nasogastric tube, other types of tubes, or wound dressings. A
belt restraint prevents the client from falling out of a bed, a chair, or a
, stretcher. A mitten restraint does not secure the shoulders and the waist
and is not used to prevent the client from turning side to side.
◉ The mother of a 3-year-old calls a neighbor who is a nurse and reports
that her child just drank some window cleaner that had been stored in a
cabinet. The nurse should instruct the mother to immediately: Answer:
Call a poison control center
Rationale: When a poisoning occurs, a poison center should be called
immediately. Vomiting should not be induced if the victim is
unconscious or if the substance ingested was a strong corrosive or
petroleum product. Also, vomiting should not be induced unless a
healthcare provider has given specific instructions to induce vomiting.
Neither calling an ambulance nor calling the physician's answering
service is the immediate action, because either would delay treatment.
Additionally, the physician would immediately make a referral to the
poison control center. The poison control center may advise the mother
to bring the child to the emergency department; if this is the case, the
mother should then call an ambulance.
◉ A home care nurse is visiting an older client who has been recovering
from a mild brain attack (stroke) affecting her left side. The client lives
alone but receives regular assistance from her daughter and son, who
both live within 10 miles. Which of the following actions should the
nurse take to assess the client's safety risk? Select all that apply. Answer:
- Assessing the client's visual acuity
- Observing the client's gait and posture
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A triage nurse in an emergency department (ED) is attending to the
victims of a train crash. All victims are alert. Which of these clients does
the nurse assign to the emergent category? Select all that apply. Answer:
-A victim with respiratory distress
-A victim with partial amputation of the foot
Rationale: One rating system commonly used in the ED consists of
three tiers — emergent, urgent, and nonurgent — with the categories
sometimes identified with color coding or numbers. The emergent
classification (a.k.a. red or priority 1) is given to clients with life-
threatening injuries (here, the clients with respiratory distress [airway]
and partial amputation of the foot [bleeding/circulation]) who require
immediate attention and continuous evaluation but have a high chance of
survival once their conditions have been stabilized. The urgent (a.k.a.
yellow or priority 2) classification is given to clients whose injuries and
complications are not life threatening (here, the client with the fractured
humerus), provided that they are treated within 1 to 2 hours; such clients
require evaluation every 30 to 60 minutes thereafter. The nonurgent
(a.k.a. green or priority 3) classification is given to clients with local
injuries (here, the clients with the forehead laceration and bruises of the
arms and legs) who do not have immediate complications and can wait
,several hours for medical treatment; these clients require evaluation
every 1 to 2 hours thereafter.
◉ A nurse is preparing to clean up a blood spill on the client's bedside
table that occurred when a blood tube containing a specimen from the
client broke. What steps should the nurse take to clean up the blood
spill? Select all that apply. Answer: - Using tongs to collect any broken
glass
- Wearing gloves for the cleanup procedure
- Disinfecting the area of the blood spill with a dilute bleach solution
Rationale: The nurse should blot the spill with an absorbent disposable
material such as disposable paper towels or terry wipes, not a face cloth
or towel. Tongs are used to pick up any broken glass, and gloves are
worn for the procedure. The broken glass is disposed of in a puncture-
resistant container. The area is disinfected with a dilute bleach solution
or other agency-accepted product.
◉ A nurse, preparing a sterile field on which to perform a dressing
change, places the sterile drape on the overbed table. Which of these
actions on the part of the nurse indicate correct understanding of the
principles of aseptic technique? Select all that apply. Answer: -
Positioning the sterile field so that it remains in full view
- Picking up a pair of sterile scissors from the sterile field with a sterile
gloved hand
,- Pouring sterile wound cleansing solution into a sterile cup before
donning sterile gloves
Rationale: The principles of surgical asepsis must be followed in the
preparation of a sterile field. Among these principles: A sterile object
remains sterile only when touched by other sterile objects; only sterile
objects may be placed on a sterile field; a sterile object or field out of the
range of vision or an object held below the nurse's waist is to be
considered contaminated; a sterile object or field becomes contaminated
with prolonged exposure to air; when a sterile surface comes in contact
with a wet, contaminated surface, the sterile object or field becomes
contaminated by way of capillary action; fluid flows in the direction of
gravity; a 1-inch edge of a sterile field or container is to be considered
contaminated.
◉ In which of the following situations would the nurse use this type of
restraint (mitten restraint)? Select all that apply. Answer: - To prevent
dislodgment of an intravenous line
- To prevent the use of the hands while allowing free arm movement
Rationale: A mitten restraint is a thumbless device used to restrain the
hands. It prevents the use of the hands while allowing free arm
movement. Mitten restraints are useful for the client who must be
prevented from dislodging an intravenous line, indwelling urinary
catheter, nasogastric tube, other types of tubes, or wound dressings. A
belt restraint prevents the client from falling out of a bed, a chair, or a
, stretcher. A mitten restraint does not secure the shoulders and the waist
and is not used to prevent the client from turning side to side.
◉ The mother of a 3-year-old calls a neighbor who is a nurse and reports
that her child just drank some window cleaner that had been stored in a
cabinet. The nurse should instruct the mother to immediately: Answer:
Call a poison control center
Rationale: When a poisoning occurs, a poison center should be called
immediately. Vomiting should not be induced if the victim is
unconscious or if the substance ingested was a strong corrosive or
petroleum product. Also, vomiting should not be induced unless a
healthcare provider has given specific instructions to induce vomiting.
Neither calling an ambulance nor calling the physician's answering
service is the immediate action, because either would delay treatment.
Additionally, the physician would immediately make a referral to the
poison control center. The poison control center may advise the mother
to bring the child to the emergency department; if this is the case, the
mother should then call an ambulance.
◉ A home care nurse is visiting an older client who has been recovering
from a mild brain attack (stroke) affecting her left side. The client lives
alone but receives regular assistance from her daughter and son, who
both live within 10 miles. Which of the following actions should the
nurse take to assess the client's safety risk? Select all that apply. Answer:
- Assessing the client's visual acuity
- Observing the client's gait and posture
