KAPLAN SAFETY & INFECTION CONTROL ASSESSMENT QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027..
*Core Domains*
*Standard Precautions*
*Transmission-Based Precautions*
*Patient Safety and Fall Prevention*
*Aseptic Technique*
*Medication Administration Safety*
*Regulatory and Reporting Standards*
*Ethics and Professional Accountability*
*Emergency Response and Disaster Preparedness*
*Introduction*
*The purpose of this assessment is to evaluate the nurse’s proficiency in maintaining a safe healthcare environment and adhering to
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with suspected tuberculosis. Which action by the nurse is the priority when initiating transmission-based
precautions?
A. Place the client in a private room with negative air pressure.
B. Ensure the client wears a surgical mask when leaving the room.
C. Wear a fit-tested N95 respirator before entering the room.
D. Use a HEPA filter to clean the air in the client’s room.
🟢C
🔴 RATIONALE: Tuberculosis requires airborne precautions. The nurse must wear a fit-tested N95 respirator to prevent the inhalation
of airborne droplet nuclei.
A client is identified as a high risk for falls. Which intervention should the nurse include in the plan of care?
A. Keep the bed in the lowest position at all times.
B. Ensure the call light is within reach at all times.
C. Apply a restraint to the client to prevent movement.
,D. Encourage the client to wear non-slip socks.
🟢B
🔴 RATIONALE: Ensuring the call light is accessible is the most direct and effective way to ensure the client can request assistance,
thereby reducing the risk of a fall.
When preparing a sterile field, which action by the nurse compromises the sterility of the field?
A. Placing the sterile package on a clean, dry surface.
B. Opening the outer wrapper flap away from the body first.
C. Reaching over the sterile field to place a sterile gauze.
D. Keeping the sterile field in constant view.
🟢C
🔴 RATIONALE: Reaching over a sterile field is a breach of sterile technique, as non-sterile clothing or skin may touch the field,
contaminating it.
A nurse is reviewing the hospital policy on medication administration. Which of the following is considered one of the "Rights" of
medication administration?
A. Right family member.
B. Right room number.
C. Right medication.
D. Right doctor.
🟢C
🔴 RATIONALE: The "Right medication" is a foundational pillar of medication safety to ensure the client receives the prescribed
treatment.
A client develops a healthcare-associated infection (HAI) after a catheterization procedure. Which action is most important in
preventing the spread of this infection to other clients?
A. Isolating the client in a private room.
B. Practicing meticulous hand hygiene.
C. Using only sterile gloves for every interaction.
D. Limiting the number of visitors the client has.
🟢B
🔴 RATIONALE: Hand hygiene is the single most effective way to prevent the transmission of pathogens in a healthcare setting.
Which assessment finding requires immediate reporting under the incident reporting policy?
A. A client complains of a mild headache after medication.
B. A medication is administered to the wrong client.
, C. A visitor is seen talking to a client in the hallway.
D. A client refuses a scheduled dose of medication.
🟢B
🔴 RATIONALE: A medication administration error is a significant safety incident that requires immediate documentation and internal
review to improve patient safety.
A nurse is cleaning a wound. In what direction should the nurse clean the incision?
A. From the center outward.
B. From the bottom to the top.
C. In a circular motion starting at the perimeter.
D. Back and forth across the entire incision.
🟢A
🔴 RATIONALE: Cleaning from the center outward moves contaminants away from the wound, minimizing the risk of introducing
bacteria into the incision.
When caring for a client with Clostridium difficile, which method is most effective for hand hygiene?
A. Using an alcohol-based hand rub.
B. Using soap and water.
C. Using a chlorhexidine scrub.
D. Using sterile water.
🟢B
🔴 RATIONALE: Alcohol-based rubs are ineffective against C. difficile spores; mechanical friction with soap and water is required to
remove them.
A nurse notes a client’s lab results are critical. Which action demonstrates professional accountability?
A. Wait for the next shift to report the results.
B. Document the results and inform the primary provider immediately.
C. Discuss the results with the client’s family first.
D. Repeat the lab test before informing anyone.
🟢B
🔴 RATIONALE: Professional accountability requires the nurse to act promptly on critical data by notifying the provider to ensure timely
clinical intervention.
A client is confused and attempting to climb out of bed. What is the nurse's first intervention?
A. Apply soft wrist restraints.
B. Administer a sedative as needed.
RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027..
*Core Domains*
*Standard Precautions*
*Transmission-Based Precautions*
*Patient Safety and Fall Prevention*
*Aseptic Technique*
*Medication Administration Safety*
*Regulatory and Reporting Standards*
*Ethics and Professional Accountability*
*Emergency Response and Disaster Preparedness*
*Introduction*
*The purpose of this assessment is to evaluate the nurse’s proficiency in maintaining a safe healthcare environment and adhering to
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with suspected tuberculosis. Which action by the nurse is the priority when initiating transmission-based
precautions?
A. Place the client in a private room with negative air pressure.
B. Ensure the client wears a surgical mask when leaving the room.
C. Wear a fit-tested N95 respirator before entering the room.
D. Use a HEPA filter to clean the air in the client’s room.
🟢C
🔴 RATIONALE: Tuberculosis requires airborne precautions. The nurse must wear a fit-tested N95 respirator to prevent the inhalation
of airborne droplet nuclei.
A client is identified as a high risk for falls. Which intervention should the nurse include in the plan of care?
A. Keep the bed in the lowest position at all times.
B. Ensure the call light is within reach at all times.
C. Apply a restraint to the client to prevent movement.
,D. Encourage the client to wear non-slip socks.
🟢B
🔴 RATIONALE: Ensuring the call light is accessible is the most direct and effective way to ensure the client can request assistance,
thereby reducing the risk of a fall.
When preparing a sterile field, which action by the nurse compromises the sterility of the field?
A. Placing the sterile package on a clean, dry surface.
B. Opening the outer wrapper flap away from the body first.
C. Reaching over the sterile field to place a sterile gauze.
D. Keeping the sterile field in constant view.
🟢C
🔴 RATIONALE: Reaching over a sterile field is a breach of sterile technique, as non-sterile clothing or skin may touch the field,
contaminating it.
A nurse is reviewing the hospital policy on medication administration. Which of the following is considered one of the "Rights" of
medication administration?
A. Right family member.
B. Right room number.
C. Right medication.
D. Right doctor.
🟢C
🔴 RATIONALE: The "Right medication" is a foundational pillar of medication safety to ensure the client receives the prescribed
treatment.
A client develops a healthcare-associated infection (HAI) after a catheterization procedure. Which action is most important in
preventing the spread of this infection to other clients?
A. Isolating the client in a private room.
B. Practicing meticulous hand hygiene.
C. Using only sterile gloves for every interaction.
D. Limiting the number of visitors the client has.
🟢B
🔴 RATIONALE: Hand hygiene is the single most effective way to prevent the transmission of pathogens in a healthcare setting.
Which assessment finding requires immediate reporting under the incident reporting policy?
A. A client complains of a mild headache after medication.
B. A medication is administered to the wrong client.
, C. A visitor is seen talking to a client in the hallway.
D. A client refuses a scheduled dose of medication.
🟢B
🔴 RATIONALE: A medication administration error is a significant safety incident that requires immediate documentation and internal
review to improve patient safety.
A nurse is cleaning a wound. In what direction should the nurse clean the incision?
A. From the center outward.
B. From the bottom to the top.
C. In a circular motion starting at the perimeter.
D. Back and forth across the entire incision.
🟢A
🔴 RATIONALE: Cleaning from the center outward moves contaminants away from the wound, minimizing the risk of introducing
bacteria into the incision.
When caring for a client with Clostridium difficile, which method is most effective for hand hygiene?
A. Using an alcohol-based hand rub.
B. Using soap and water.
C. Using a chlorhexidine scrub.
D. Using sterile water.
🟢B
🔴 RATIONALE: Alcohol-based rubs are ineffective against C. difficile spores; mechanical friction with soap and water is required to
remove them.
A nurse notes a client’s lab results are critical. Which action demonstrates professional accountability?
A. Wait for the next shift to report the results.
B. Document the results and inform the primary provider immediately.
C. Discuss the results with the client’s family first.
D. Repeat the lab test before informing anyone.
🟢B
🔴 RATIONALE: Professional accountability requires the nurse to act promptly on critical data by notifying the provider to ensure timely
clinical intervention.
A client is confused and attempting to climb out of bed. What is the nurse's first intervention?
A. Apply soft wrist restraints.
B. Administer a sedative as needed.
