Question Set A: Precautions, PPE, and Asepsis

Pacing: one minute per item.

1. MC An adult is admitted with laboratory-confirmed mumps. Which room assignment and door state does the nurse arrange?

1. Airborne infection isolation room with the door closed
2. Single room with the door permitted to remain open
3. Any available bed with the privacy curtain drawn
4. Positive-pressure room with the door closed

2. SATA Which actions are elements of standard precautions? Select all that apply.

1. Hand hygiene before and after every patient contact
2. Selecting PPE based on the exposure anticipated for the task
3. Placing a surgical mask on a coughing patient at the point of entry
4. Wearing a fit-tested respirator to enter every patient room
5. Wearing a mask when injecting material into the epidural space
6. Applying a gown and gloves before entering every occupied room

3. ORD A nurse leaves the room of a patient on contact and airborne precautions wearing a gown, gloves, a face shield, and a fit-tested respirator. Place the six steps in the order in which they are performed.

1. Remove the gown
2. Remove the gloves
3. Remove the face shield
4. Leave the room and close the door
5. Remove the respirator
6. Perform hand hygiene

4. MC A nurse finishes caring for a patient who developed profuse watery diarrhea on the fourth day of broad-spectrum antibiotic therapy. Which hand hygiene action is correct?

1. Apply an alcohol-based rub for 20 seconds
2. Wash with soap and water, then apply an alcohol-based rub
3. Wash with soap and water
4. Apply an alcohol-based rub twice

5. HOT Study the plate in FIG 4.12. A nurse has opened a sterile field on the over-bed table and is reaching for forceps. Identify the point at which the field became contaminated.

1. Zone A, the center of the drape where the forceps rest
2. Zone B, the outer border band of the drape, which the nurse's cuff crossed
3. Zone C, the corner of the table outside the drape
4. Zone D, the area of drape nearest the nurse's body

6. MC A nurse assigned to a patient with rubeola reports having no documented evidence of immunity. Which action by the charge nurse is correct?

1. Provide a fit-tested respirator and allow the assignment
2. Reassign the patient to a nurse with documented evidence of immunity
3. Allow the assignment if the nurse limits time in the room
4. Provide a surgical mask and a gown for the assignment

7. SATA Which statements about a sterile field are correct? Select all that apply.

1. An item held below the level of the field is contaminated
2. A field that has absorbed solution is contaminated
3. The outer 3-inch border of the drape is considered non-sterile
4. An item outside the nurse's line of vision is contaminated
5. Sterile gloves may briefly touch the outer wrapper of a sterile package
6. When sterility is uncertain, the item is treated as contaminated

8. MC A patient on droplet precautions is transported to the imaging department. Which combination is correct?

1. The patient wears a surgical mask; the transporter wears a surgical mask and gown
2. The patient wears a fit-tested respirator; the transporter wears a surgical mask
3. The patient wears a surgical mask; the transporter requires no additional PPE
4. Neither wears a mask, because the corridor is not an enclosed space

ANSWER AREA — eight ruled response cells

Margin noteCategory right, detail wrong, still zero.

TakeawayMost lost points in this domain are lost after the category is already correct.