NACE FouNdAtioNs oF NursiNg ExAm with CorrECt QuEstioNs ANd ANswErs upgrAdE. Infection Control & Clinical Nursing Practices Quiz Section 1: Personal Protective Equipment (PPE) Protocols 1. Question: When caring for a patient with Clostridiu

NACE FouNdAtioNs oF NursiNg ExAm with CorrECt QuEstioNs ANd ANswErs 2024- 2025 upgrAdE. Infection Control & Clinical Nursing Practices Quiz Section 1: Personal Protective Equipment (PPE) Protocols 1. Question: When caring for a patient with Clostridium difficile, what PPE is essential, and what additional measures should be taken? o Answer: Essential PPE includes a gown and gloves. Additional measures include using disposable or dedicated patient-care equipment, performing hand hygiene before donning and after removing PPE, and ensuring environmental cleaning and disinfection. 2. Question: For a patient with bacterial meningitis, what type of precaution should be implemented, and what is the recommended spatial separation if the patient cannot be isolated? o Answer: Droplet precautions should be implemented. If the patient cannot be isolated in a single room, a spatial separation of at least 3 feet between patients should be maintained. 3. Question: What specific type of room should a patient with active tuberculosis be placed in, and what additional PPE is necessary for healthcare workers? o Answer: The patient should be placed in an airborne infection isolation room (AIIR) with negative pressure. Healthcare workers must wear an N95 respirator. Section 2: Illnesses Requiring Specific Precautions 4. Question: List three illnesses that require airborne precautions and describe the primary mode of transmission for each. o Answer: 1. Measles: Transmitted through airborne particles from the respiratory tract. 2. Tuberculosis (TB): Transmitted through airborne droplets containing the bacteria. 3. Varicella (Chickenpox): Transmitted through airborne droplets and direct contact with lesions. 5. Question: What is the main reason for applying droplet precautions to a patient diagnosed with pertussis (whooping cough)? o Answer: Droplet precautions are applied to prevent the spread of Bordetella pertussis, which is transmitted through respiratory droplets when an infected person coughs or sneezes. Section 3: Essential Nursing Techniques & Safety Procedures 6. Question: When removing a wound dressing, what is the recommended method to minimize the spread of pathogens? o Answer: The dressing should be removed starting from the cleanest area to the most contaminated area to minimize the spread of pathogens. 7. Question: Describe the proper technique for collecting a urine sample from an indwelling catheter. o Answer: Clean the sampling port with an antiseptic swab for at least 15 seconds, use a sterile needle and syringe to aspirate urine, transfer the sample into a sterile specimen container, and ensure prompt labeling and transport to the laboratory. Section 4: Patient Care Considerations & Medication Management 8. Question: What class of medication is Enoxaparin (Lovenox), and what is the primary route of administration? o Answer: Enoxaparin (Lovenox) is a low molecular weight heparin (LMWH) used as an anticoagulant. It is primarily administered subcutaneously, usually in the abdomen. 9. Question: What dietary advice should be given to a patient with gastrointestinal issues to prevent gas formation? o Answer: The patient should avoid gas-forming foods such as legumes, beans, cabbage, and carbonated beverages. Alternatives like low-fiber vegetables, cooked carrots, or peeled apples should be recommended. Section 5: Medication Administration, Monitoring & Patient Advocacy 10. Question: If a nurse administers the wrong medication, what immediate steps should be taken? o Answer: The nurse should stay with the patient and assess for any adverse reactions, notify the primary care provider (PCP) immediately, document the incident in the patient's medical record, and report the error according to facility protocols. 11. Question: Why is it important to check trough levels before administering the next dose of certain medications? o Answer: Checking trough levels ensures that the medication is within the therapeutic range, preventing toxicity or subtherapeutic levels, especially for medications with narrow therapeutic windows