Infection source and Immunocompromised Clients
MRSA, Shigella, & C.Diff
Isolation precautions & TB
PPE Protocol
100

A nurse is assessing a client for a localized infection. Which of the following will the client present with?

A. Edema with normal skin tone

B. A red, warm and swollen area

C. A fever

D. Generalized fatigue

What is  B. a red, warm and swollen area

100

A nurse is caring for a client with MRSA. What type of precaution is used with MRSA?

A.Droplet precautions

B. Airborne precuations

C. MRSA does not require isolation precautions

D. Contact precautions

What is D. contact precautions

100

A nurse is caring for a client with active TB. This type of PPE should be used when caring for the client?

A. N-95 mask 

B. A simple mask

C. The nurse does not need a mask

D. A positive pressure room

What is A. A N-95 Mask

100

A nurse is teaching a nursing student about donning PPE. The correct first step when putting on PPE for contact precautions is this

A. Donning the Gloves

B. Donning the Gown

C. Donning the Mask

D. Donning the Face shield

What is B. Donning the gown

200

This laboratory value will increase in response to a systemic infection?

A. White blood cell count (WBC)

B.Platelet count

C. Hemoglobin (Hgb)
D.Glucose

What is A. WBC (white blood cell count)

200

A nurse is reviewing contact precautions gloves and gown are required for this fecal-oral transmitted pathogen

A. Shigella

B. Flu

C. Urinary Tract Infection 


D. Pediculosis

What is A. shigella

200

A nurse is caring for a client in a negative pressure room. What category of isolation precaution is a negative pressure room used for?

A. Airborne precautions

B. Contact precautions

C. Neutropenic precautions

D. Standard precautions

What is A. airborne precautions

200

A charge nurse is testing newly licensed nurses about donning PPE. The correct order for donning PPE is: Gown, Mask, Goggles, and then these

A. Mask, gown, googles, and gloves

B. Goggles, mask, gloves and then gown

C. Gloves, gown, mask and then goggles

D. Gown, mask, goggles then gloves

What is D. Gown, mask, goggles then gloves

300

A nurse is caring for a client that requires caretakers and visitors to wear masks and should not have fresh flower or live plants in their room. What type of client is this?

A. A client in airborne precautions

B. A client in droplet precautions

C. An immunocompromised client

D. All clients

What is C. an immunocompromised client.

300

A newly licensed nurse is reviewing Clostridioides difficile. This method of hand washing is used when caring for a patient with C.Diff

A. Using alcohol based hand-sanitizer

B. Washing hands with only water for 20 seconds

C. Washing hands with soap and water

D. Wet hands with warm water and dry completely.

What is C. washing hands with soap and water

300

A charge nurse is reviewing TB with a group of newly licensed nurses. What type of airflow system is necessary for isolating clients with TB?

A. Specialized ventilation

B. Positive airflow

C. Standard airflow

D. Negative airflow

What is D. negative airflow

300

When caring for a client in isolation precautions. What are the first items that should be removed when doffing PPE?

A. Mask

B. Gown

C. Gloves

D. Face shield

What is C. gloves

400

A charge nurse is teaching newly licensed nurses about CAUTI. What type of infection is common with catheters.

A. An Urinary tract infection

B. Clostridioides difficile infection

C. A shigella infection

D. A MRSA infection

What is A. An urinary tract infection

400

A nurse is caring for a client with C. Diff. Unlike MRSA, C.diff spores are resistant to this type of hospital hygeine product. Select all that apply:

A. Soap and water

B. Alcohol based hand sanitizer

C. CHG wipes

D. Lavender face wipes

What is B, C and D.

400

A nurse is caring for a Client with influenza. This client will require what two types of precautions?

A. Contact and neutropenic

B. Droplet and contact

C. Airborne and droplet

D. Contact and Airborne

What is B. droplet and contact precautions

400

When caring for a client in isolation precautions, a nurse should remove PPE in this area to avoid contaminating other areas. Select all the apply

A. Doorway

B. Anteroom

C. Hallway

D. Closest bathroom

What is A. and B.

500

A nurse is caring for a neutropenic client. What type of precaution should be used? 

A. Airborne Precautions

B. Protective (Reverse) isolation

C. Contact precautions

D. Droplet precautions

What is B. protective (reverse) isolation

500

A nurse is caring for a client with persistent diarrhea after taking antibiotics. They should be tested for this specific infection

A. MRSA

B.Staphylococcus aureus
C. Clostridioides difficile

D.Pseudomonas aeruginosa

What is C. Clostridioides difficile

500

A nurse is caring for a client with suspected TB. What action should the nurse do first?

A. Obtain Vital signs

B. Go home and take a shower

C. Tell the client they have TB and to not leave the room

D. Initiate airborne precautions

What is D. initiate airborne precautions

500

An assistive personnel is caring for a client in isolation precautions. Which action by the assistive personnel prompts immediate nursing intervention. Select all that apply:

A. Keeping gown on after walking into the room to grab more supplies. 

B. Keeping the door closed for a client in airborne precautions

C. Not performing hand hygiene after exiting the room

D. Applying a mask before gloves when donning

What is A and C.

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