Safety and Infection Control Study
Guide Exam And Actual Answers.
The home health nurse is caring for a client with urinary problems. What information should be included
when teaching the client how to perform intermittent self catheterization?
1. To be done in an emergency department (ED).
2. Important in treating urinary catheter infections.
3. To be done as a clean procedure.
4. To be done while using sterile gloves. - Answer To be done as a clean procedure.
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair?
1. Shaving the hair with a razor.
2. Removing the hair with clippers.
3. Lathering the skin with soap and water prior to shaving with a razor.
4. Using a depilatory cream.
5. Always use a new, sharp razor. - Answer 2. Removing the hair with clippers.
4. Using a depilatory cream.
The charge nurse is observing a new nurse perform a dressing change on a client with a Stage III pressure
ulcer. What observation by the charge nurse would indicate a need for further teaching?
1. Irrigates the pressure ulcer with 50ml normal saline.
2. Irrigates the pressure ulcer with half-strength hydrogen peroxide.
3. Packs the wound with sterile Kerlix soaked in normal saline.
4. Applies a Duoderm dressing over the wound after cleansing. - Answer Irrigates the pressure ulcer
with half-strength hydrogen peroxide.
The nurse administers chemotherapeutic drugs to a client with breast cancer. Where should the nurse
dispose of the medication vials?
,1. In a puncture-resistant biohazard container
2. In a chemotherapy sharps container
3. In a biohazard waste container
4. In a chemical container - Answer In a chemotherapy sharps container
An 18 month old is admitted to the unit with a diagnosis of pertussis. The mother asks the nurse, "How
did my child get this disease? I didn't think anyone got that anymore." What is the best response by the
nurse?
1. "Pertussis is a common childhood disease since there is no vaccine."
2. "Since not all children are immunized against pertussis, the disease has reemerged."
3. "Your baby got this disease because you didn't have your child immunized."
4. "Since your child is already sick, let's just focus on getting well." - Answer "Since not all children are
immunized against pertussis, the disease has reemerged."
A client comes into the emergency department (ED) and demands to be seen immediately, but refuses to
tell the triage nurse the problem. During the initial assessment, the client starts yelling and shaking their
fist. What should be the nurse's initial action?
1. Tell the client to stay calm, and they will be treated soon.
2. Explain that unless the client behaves, they will be sent away from the ED.
3. Notify the client that security will be called if they do not go to the waiting room immediately.
4. Find a safe place away from the client and then notify security. - Answer Find a safe place away from
the client and then notify security.
The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Which action should
the nurse stop the UAP from performing?
1. Emptying the Jackson-Pratt (JP) drainage of the client post cholecystectomy.
2. Performing passive range of motion (ROM) on the client with right sided paralysis.
3. Placing the traction weights on the bed to transfer the client to x-ray.
4. Discarding the first urine voided by the client starting a 24 hour urine test. - Answer Placing the
traction weights on the bed to transfer the client to x-ray.
, Which information should the nurse plan to teach to family members of a client diagnosed with hepatitis
B to decrease their risk of exposure?
1. Do not share personal items with the client, such as razors or toothbrushes.
2. Wash dishes separately from the rest of the family's.
3. Wear a surgical mask when in close proximity to the client.
4. Use a separate bathroom from the client. - Answer Do not share personal items with the client, such
as razors or toothbrushes.
A client is brought into the emergency department (ED) with nausea, vomiting and diarrhea after eating
chicken at a picnic. The nurse suspects that this client has contracted which infection?
1. Shigella Infection
2. Escherichia coli Infection
3. Clostridium Difficile Infection
4. Salmonella Infection - Answer Salmonella Infection
The charge nurse observes a staff nurse caring for a new mother with oral herpes simplex type I. Which
behavior by the nurse indicates that further instruction on transmission of this disease is needed?
1. Instructs the new mother that she should not kiss the newborn.
2. Wears gloves during the perineal and lochia assessment.
3. Washes her hands before and after each client contact.
4. States that the newborn may contract herpes from the birth canal. - Answer States that the
newborn may contract herpes from the birth canal.
While preparing a fact sheet for a client diagnosed with a vancomycin-resistant enterococcus (VRE)
urinary tract infection (UTI), the home health nurse should include which instructions? Select all that
apply:
1. Wash hands with hot water and soap when hands are soiled.
2. Clean the bathroom and kitchen with soap and water.
3. Gloves are not needed in the home since contamination with VRE has already occurred.
4. Wash hands after using the bathroom and before preparing food.
5.Clean the bathroom and kitchen with warm water and bleach. - Answer 4. Wash hands after using
the bathroom and before preparing food.
Guide Exam And Actual Answers.
The home health nurse is caring for a client with urinary problems. What information should be included
when teaching the client how to perform intermittent self catheterization?
1. To be done in an emergency department (ED).
2. Important in treating urinary catheter infections.
3. To be done as a clean procedure.
4. To be done while using sterile gloves. - Answer To be done as a clean procedure.
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair?
1. Shaving the hair with a razor.
2. Removing the hair with clippers.
3. Lathering the skin with soap and water prior to shaving with a razor.
4. Using a depilatory cream.
5. Always use a new, sharp razor. - Answer 2. Removing the hair with clippers.
4. Using a depilatory cream.
The charge nurse is observing a new nurse perform a dressing change on a client with a Stage III pressure
ulcer. What observation by the charge nurse would indicate a need for further teaching?
1. Irrigates the pressure ulcer with 50ml normal saline.
2. Irrigates the pressure ulcer with half-strength hydrogen peroxide.
3. Packs the wound with sterile Kerlix soaked in normal saline.
4. Applies a Duoderm dressing over the wound after cleansing. - Answer Irrigates the pressure ulcer
with half-strength hydrogen peroxide.
The nurse administers chemotherapeutic drugs to a client with breast cancer. Where should the nurse
dispose of the medication vials?
,1. In a puncture-resistant biohazard container
2. In a chemotherapy sharps container
3. In a biohazard waste container
4. In a chemical container - Answer In a chemotherapy sharps container
An 18 month old is admitted to the unit with a diagnosis of pertussis. The mother asks the nurse, "How
did my child get this disease? I didn't think anyone got that anymore." What is the best response by the
nurse?
1. "Pertussis is a common childhood disease since there is no vaccine."
2. "Since not all children are immunized against pertussis, the disease has reemerged."
3. "Your baby got this disease because you didn't have your child immunized."
4. "Since your child is already sick, let's just focus on getting well." - Answer "Since not all children are
immunized against pertussis, the disease has reemerged."
A client comes into the emergency department (ED) and demands to be seen immediately, but refuses to
tell the triage nurse the problem. During the initial assessment, the client starts yelling and shaking their
fist. What should be the nurse's initial action?
1. Tell the client to stay calm, and they will be treated soon.
2. Explain that unless the client behaves, they will be sent away from the ED.
3. Notify the client that security will be called if they do not go to the waiting room immediately.
4. Find a safe place away from the client and then notify security. - Answer Find a safe place away from
the client and then notify security.
The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Which action should
the nurse stop the UAP from performing?
1. Emptying the Jackson-Pratt (JP) drainage of the client post cholecystectomy.
2. Performing passive range of motion (ROM) on the client with right sided paralysis.
3. Placing the traction weights on the bed to transfer the client to x-ray.
4. Discarding the first urine voided by the client starting a 24 hour urine test. - Answer Placing the
traction weights on the bed to transfer the client to x-ray.
, Which information should the nurse plan to teach to family members of a client diagnosed with hepatitis
B to decrease their risk of exposure?
1. Do not share personal items with the client, such as razors or toothbrushes.
2. Wash dishes separately from the rest of the family's.
3. Wear a surgical mask when in close proximity to the client.
4. Use a separate bathroom from the client. - Answer Do not share personal items with the client, such
as razors or toothbrushes.
A client is brought into the emergency department (ED) with nausea, vomiting and diarrhea after eating
chicken at a picnic. The nurse suspects that this client has contracted which infection?
1. Shigella Infection
2. Escherichia coli Infection
3. Clostridium Difficile Infection
4. Salmonella Infection - Answer Salmonella Infection
The charge nurse observes a staff nurse caring for a new mother with oral herpes simplex type I. Which
behavior by the nurse indicates that further instruction on transmission of this disease is needed?
1. Instructs the new mother that she should not kiss the newborn.
2. Wears gloves during the perineal and lochia assessment.
3. Washes her hands before and after each client contact.
4. States that the newborn may contract herpes from the birth canal. - Answer States that the
newborn may contract herpes from the birth canal.
While preparing a fact sheet for a client diagnosed with a vancomycin-resistant enterococcus (VRE)
urinary tract infection (UTI), the home health nurse should include which instructions? Select all that
apply:
1. Wash hands with hot water and soap when hands are soiled.
2. Clean the bathroom and kitchen with soap and water.
3. Gloves are not needed in the home since contamination with VRE has already occurred.
4. Wash hands after using the bathroom and before preparing food.
5.Clean the bathroom and kitchen with warm water and bleach. - Answer 4. Wash hands after using
the bathroom and before preparing food.
