Safety & Infection
Which type of hand hygiene is needed after caring for a patient with C. difficile?
Wash hands with soap and water. Spores are not removed by alcohol sanitizer alone.
What are the five rights of delegation?
Right task, circumstance, person, direction/communication, and supervision/evaluation.
Which position places a patient flat on their back?
Supine
What does SBAR stand for?
Situation, Background, Assessment, Recommendation
Which team member helps a patient practice walking and mobility?
Physical Therapist
A patient has influenza (flu). Which type of isolation is required?
Droplet isolation. Mask, gown, gloves
Can an LPN delegate routine vital signs for a stable patient to a trained nursing assistant?
Yes, if permitted by policy and competency; the LPN must follow up on results.
Which position uses an elevated head of bed to help breathing and eating?
Fowler’s or Semi-Fowler’s, depending on the clinical need
A provider orders a medication by phone. What should the nurse do to verify it?
Read back the complete order and obtain confirmation.
Which team member helps patients adapt daily activities such as dressing and bathing?
Occupational Therapist
A nurse has a small uncovered cut and a glove tears while handling contaminated linens. Which link in the chain of infection could the cut represent?
Portal of entry. Cover broken skin before gloves.
A competent patient refuses further chemotherapy. Which ethical principle supports their choice?
Autonomy: respecting the patient’s right to decide
A patient with severe shortness of breath leans forward over a bedside table. Name this position.
Orthopneic position
In a SOAP note, where do the patient’s own words belong?
Subjective (S)
An influenza vaccine is an example of what level of prevention?
Primary prevention
A confused patient tries to get out of bed alone. Name two actions to reduce fall risk.
Keep the bed low and call light within reach; use appropriate fall precautions and frequent checks.
A nurse immediately reports that an NPO patient received a meal tray. Which ethical principle involves telling the truth?
Veracity.
A patient receiving a continuous tube feeding needs which general position to reduce aspiration risk?
Head of bed elevated, typically at least 30–45 degrees unless contraindicated. (semi-fowler's)
In a DAR note, where does the patient’s improvement after an intervention belong?
Response (R)
During disaster triage, walking patients with minor injuries are usually assigned which color?
Green (minor/minimal).
A nurse reaches over a sterile field to get supplies. What is the concern?
The sterile field may be contaminated. Replace contaminated items and restore sterility.
An RN asks the LPN to independently complete the initial comprehensive nursing assessment and develop the care plan. What should the LPN do?
Clarify the assignment; note that comprehensive assessment and nursing care planning are RN responsibilities.
Two patients need help: one has a blocked airway and one reports moderate incisional pain. Who is seen first and why?
The patient with a blocked airway: airway is the first ABCDE priority.
A nurse documents “patient was annoying and dramatic.” What is wrong with this note, and how should it be written?
It is judgmental, not factual. Record objective behavior, direct patient statements, interventions, and response.
A crash victim is unconscious, not breathing, but begins breathing after the airway is opened. In common mass-casualty triage, what color is assigned?
Red (immediate).