1. When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown?

1. To ensure that the gown can be reused
2. To protect the nurse’s uniform
3. To prevent touching contaminated material with unprotected hands
4. To fold the gown correctly for reuse by the same nurse

2. How does soap work?

1. Creates a sheetlike microscopic barrier between the skin and microorganisms in the environment
2. Emulsifies fat and oil so that dirt and microorganisms can be mechanically removed
3. Kills all microorganisms exposed to the lather
4. Removes visible soiling but is ineffective in isolating, removing, or killing microorganisms

3. Which personal protective equipment (PPE) will the nurse wear if there is a risk of a blood splash when caring for a patient?

1. Gown
2. Gown and gloves
3. Gown, gloves, and mask
4. Gown, gloves, mask, and eye protection

4. In which situation would it be appropriate for the nurse to use an antiseptic hand rub to perform hand hygiene?

1. The nurse has dry, cracked skin.
2. The nurse’s hands are not visibly soiled.
3. The nurse is sensitive to antimicrobial soap.
4. The nurse has been exposed to a protein-based contaminant.

5. What will the nurse do first when preparing to apply personal protective equipment (PPE) before caring for a patient in isolation?

1. Perform hand hygiene
2. Put on the gown
3. Put on clean gloves
4. Apply eyewear

6. The nurse is discussing the guidelines for proper use of PPE by nursing assistive personnel (NAP). Which statement made by the NAP requires follow-up by the nurse?

1. "When in doubt, I wear gloves."
2. "I really dislike wearing a mask, so it's the first thing I take off."
3. "I always do hand hygiene when entering and leaving a patient's room."
4. "I wear a mask whenever I am caring for a patient who's coughing."

7. When delegating patient care that requires nursing assistive personnel (NAP) to use personal protective equipment (PPE), it is necessary for the nurse to do what first?

1. Discuss what equipment and supplies to bring into the patient's room
2. Document that the care was delegated to the NAP
3. Review the patient's need for a specific isolation precaution
4. Observe the NAP donning the appropriate PPE

8. The nurse is discussing the guidelines for proper hand hygiene with nursing assistive personnel (NAP). Which statement made by NAP requires follow-up by the nurse?

1. “I always perform hand hygiene after I use the computer workstation in the patient’s room.”
2. “To prevent dry skin, I avoid using soap and water.”
3. “It takes at least 15 seconds of rubbing to wash the hands properly.”
4. “I do hand hygiene before and after lifting or moving my patients.”

9. What is the primary purpose of appropriate hand hygiene?

1. To remove all microorganisms from the hands
2. To prevent or control the transmission of infectious microorganisms from any source
3. To leave a protective antimicrobial film on the hands
4. To minimize exposure to microorganisms on contaminated sinks, medication containers, catheters, and other hard surfaces

10. Which patient is at the greatest risk for hospital-acquired infection (HAI)?

1. A middle-age female patient receiving chemotherapy for lung cancer
2. An older adult male patient who experienced a myocardial infarction 3 days ago
3. A young man recovering from bilateral femur fractures and a mild concussion sustained in a car accident
4. A young woman with abdominal pain who is scheduled for exploratory surgery in the morning