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Section 1: Safety and Infection Control
1. A nurse is preparing to insert an indwelling
urinary catheter for a female patient. Which of the
following actions should the nurse take to maintain
surgical aseptic technique?
A. Open the catheter packaging and drop it onto the
sterile field from a height of 6 inches.
B. Place the sterile field on a wet surface to prevent
slipping.
C. Set up the sterile field immediately before the
procedure.
D. Wear a mask only if the patient has a respiratory
infection.
,C. Set up the sterile field immediately before the
procedure.
Rationale: A sterile field should be set up as close
to the time of use as possible to minimize the risk of
contamination. Moisture contaminates the sterile
field via capillary action. Masks are required for all
sterile procedures.
2. A nurse is caring for a client who has a new
diagnosis of Clostridioides difficile. Which of the
following infection control precautions should the
nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
C. Contact precautions
Rationale: C. difficile requires contact precautions
because it is spread via the fecal-oral route. Hand
hygiene should be performed with soap and water,
,as alcohol-based hand sanitizers are ineffective
against C. diff spores.
3. A nurse is assigning clients to rooms. Which client
should be placed in a negative-pressure airflow
room?
A. A client with methicillin-resistant Staphylococcus
aureus (MRSA) wound infection.
B. A client with active pulmonary tuberculosis.
C. A client with vancomycin-resistant Enterococcus
(VRE).
D. A client with a stage III pressure injury.
B. A client with active pulmonary tuberculosis.
Rationale: Active pulmonary tuberculosis requires
airborne precautions, which includes a negative-
pressure room and an N95 respirator for staff.
MRSA and VRE require contact precautions.
4. A nurse is preparing to don sterile gloves. Which
of the following actions should the nurse take first?
A. Open the inner glove wrapper.
B. Inspect the glove package for tears.
, C. Wash hands with soap and water.
D. Remove jewelry from hands and wrists.
B. Inspect the glove package for tears.
Rationale: The first action is to inspect the glove
package for tears or moisture to ensure sterility.
Hand hygiene and removal of jewelry are
performed before this step.
5. A nurse is caring for a client who has
tuberculosis. Which personal protective equipment
(PPE) is required when entering the client's room?
A. Gloves and gown
B. Gloves and N95 respirator
C. Gown, gloves, and face shield
D. N95 respirator
D. N95 respirator
Rationale: Tuberculosis requires airborne
precautions, so an N95 respirator is required.
Gloves and gowns are not required unless contact
with body fluids is anticipated.