Infection control & patient safety worksheet with answers

Why are a low bed and floor mats used for some patients at high risk of falls?

1. AThey stop the patient from ever leaving the bed
2. BThey make it easier for staff to clean under and around the bed
3. CThey reduce the risk of injury if the patient falls out of bed
4. DThey help the patient sleep more deeply

Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?

1. AOnly after the worker has an exposure
2. BAt least once a year, and when the model changes
3. CEvery five years, at license renewal
4. DOnce only, when the worker is first hired by the hospital

How should a nurse clean a stethoscope between patients?

1. AWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
2. BRinse it under running water and dry it on a towel
3. CClean it once a week, unless it is visibly dirty
4. DSend it to be sterilized in an autoclave after every single patient contact

A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?

1. APressing it while the patient sleeps prevents the pain from getting worse later
2. BFamily can press it as long as they count the presses
3. COnly the patient should press it, because this keeps the system safe
4. DThe pump will always stop any overdose

Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?

1. ARoutine replacement of the catheter on a fixed schedule, such as every three days
2. BChoosing the femoral vein as the first site in adults
3. CChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
4. DGiving antibiotics to every patient before insertion

How should the urethral meatus be cared for in a patient with an indwelling urinary catheter?

1. ABy sliding the catheter in and out a little to clean it
2. BWith antiseptic cream applied to the meatus every shift
3. CWith daily bladder irrigation using an antibiotic solution through the catheter
4. DWith routine hygiene, using soap and water during daily washing

A patient with severe dementia gets out of bed alone at night and has fallen twice. Which plan is most appropriate?

1. AFour raised side rails, with the door closed at night for quiet
2. BTying the patient into the chair overnight
3. CLow bed, bed alarm, toileting rounds, night light and nonslip socks
4. DA sedative every night to keep the patient in bed

A nurse has a needlestick from a patient known to have hepatitis C. Which statement about management is correct?

1. AHepatitis C immune globulin is given within 24 hours, followed by a booster dose
2. BThe hepatitis C vaccine series is started at once, with a booster dose six months later
3. CNo follow-up is needed because hepatitis C does not spread by needles
4. DThere is no preventive drug, so baseline and follow-up testing are done to detect infection early