Infection control & patient safety worksheet with answers

How should the bed be left for a patient at high risk of falls?

1. AWith all four side rails up at all times
2. BWith the brakes released so it can be moved quickly
3. CIn the lowest position with the brakes locked
4. DIn the highest position

How should a healthy infant be placed to sleep to reduce the risk of sudden infant death?

1. AOn the stomach, on a soft mattress with a small pillow for comfort
2. BIn the parents’ bed, between two pillows
3. COn the side, propped up with rolled blankets
4. DOn the back, on a firm flat surface with no soft bedding

Why should a trailing zero (for example “5.0 mg”) not be written in a medication order?

1. AIt is only allowed for intravenous drugs
2. BIt makes the dose ten times too small if misread
3. CIt can change the drug name on the label
4. DA missed decimal point turns it into 50 mg

Which glove-removal technique is correct?

1. APeel the first off by its outside, then slide a bare finger under the second cuff
2. BRemove the second glove by pinching its outside with the bare hand, then wash
3. CWash the gloved hands and reuse the gloves for the next task
4. DPull both gloves off at the same time by the fingertips

When should the transparent dressing over a peripheral IV site be changed?

1. AWhen it is damp, loose or visibly soiled
2. BOnly when the patient asks for a new dressing
3. CEvery hour, so the site can be cleaned again
4. DOnly when the IV catheter is removed, whatever its state

When walking with axillary crutches, where should the patient’s weight be taken?

1. AOn the armpits, resting on the crutch tops
2. BOn the shoulders, with the crutches pressed upward
3. COn the elbows, kept bent at a right angle with the crutch tops tucked under the arms
4. DOn the hands, with the crutch tops a few finger widths below the armpits

Which patient with a suspected infection meets the qSOFA criteria that signal a higher risk of a poor outcome?

1. ARespiratory rate 24/min, new confusion, systolic BP 95 mmHg
2. BRespiratory rate 16/min, alert, systolic BP 105 mmHg, WBC 13,000/mm³
3. CRespiratory rate 18/min, alert, systolic BP 130 mmHg, temperature 38.5 °C
4. DRespiratory rate 20/min, alert, systolic BP 110 mmHg, heart rate 110/min

A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?

1. A“I clean my hands as soon as all the PPE is off.”
2. B“I remove my gloves without touching the outside with my bare hand.”
3. C“I take off my mask first, and then I take off my gloves.”
4. D“I roll the gown inward as I take it off.”