Term 1

A nurse is reinforcing teaching with a client about hand hygiene. Which of the following client statements indicates a need for further teaching?

"I should wash my hands until they appear clean"

A nurse is reinforcing teaching with an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

"I will wear gloves and a gown when bathing a client who has open skin lesions."

A nurse is caring for a group of clients. For which of the following tasks should the nurse wear gloves? (select all that apply)

-emptying urine from an indwelling urinary catheter collection bag -providing oral care -changing an ostomy pouch

A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment? (select all that apply)

-withdrawing a cord blood from a neonate -suctioning secretions from a child's newly placed tracheostomy tube

A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy. Which of the following actions requires the nurse to wear a gown as personal protective equipment (PPE)?

Changing wound dressing

A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment is should the nurse wear when setting up the client's meal tray?

Mask (The nurse should follow droplet precautions for clients who have infections that spread by droplets larger than 5 microns. The nurse should wear a mask whenever she is within 1 in (3ft) of the client.)

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to interrupt the transmission of the client's infection?

Performing hand hygiene before, during, and after direct contact with the client

A nurse is about to give a client a complete bed bath. Which of the following actions should the nurse take to maintain the client's privacy?

close the curtain around the client's bed.

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

Mask

A nurse on a medical unit is coaching a group of nursing students about the variety of roles nurses assume while working with clients. The nurse should explain that which of the following roles focuses on protecting the client and supporting the client's decisions?

Advocate (A client advocate acts to protect the client's rights and helps the client's speak for themselves

A nurse is caring for a client who requires contact precautions. Which of the following actions should the nurse take?

Dedicate equipment and supplies for use with the client

A nurse observes an assistive personnel (AP) entering the room of a client who is under contact precautions without wearing personal protective equipment (PPE). Which of the following actions should the nurse take?

Give the AP the appropriate PPE

A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit. The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?

Performing hand hygiene frequency and consistently

A nurse in a long-term care facility is observing an assistant personnel (AP) understands the principles of infections control?

Place clean linen that touched the floor in the solid linen bag

A nurse is assisting with Developing the plan of care for a client who requires airborne precautions. Which of the following actions should the nurse suggest?

Wear an N95 respirator mask (The nurse should wear an N95 respirator mask to prevent exposure to infectious particles)

An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vita signs of a client who has pneumonia. Which of the following responses should the nurse make?

"wear a mask when entering the client's room"

A nurse is assisting with the admission of a client who has tuberculosis with a productive cough. Which type of isolation precautions should the nurse initiate for the client?

Airborne (The nurse should initiate airborne precautions when a client has an infection that spreads through small droplets that remain airborne for longer periods, such as tuberculosis and measles. The client requires a negative pressure airflow room, and staff should wear an N95 respirator when in tact with the client.)

A nurse on a medical unit is reinforcing teaching with a group of assistive personnel about handling client's bed linens safety. Which of the following instructions should the nurse include?

Tie linen bags securely at the top

A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?

Tuberculosis

A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse plan to delegate to an assistive personnel (AP)?

assisting a client with feeding ( this task does not require advanced training or nursing data-collection skills)

A nurse at a community-based health fair is promoting having a routine Papanicolaou test (Pap smear) to young adult women. Which of the following types of preventive care is the Pap smear?

secondary level (A Pap smear focuses on early detection, which is the secondary level preventive care)

A nurse is preparing an in-service presentation about preventing health care-associated infections (HAI). The nurse should include which of the following as a common cause of these infections?

urinary catheterization (invasive nursing procedures are common causes of HAIs. These include urinary cauterization, IV infusions, and administration of parenteral medications.