CDS Safety & Infection Control 2 — Questions and Answers
Question 1: A disability specialist notices a client's wound dressing is saturated. What is the FIRST action to take?
- Remove the dressing immediately without gloves
- Reinforce the dressing and notify nursing staff (Correct answer)
- Leave it until the next scheduled care visit
- Apply antiseptic spray over the soiled dressing
Correct answer: Reinforce the dressing and notify nursing staff
Reinforcing the dressing prevents contamination while notifying clinical staff ensures proper wound care protocols are followed.
Question 2: Which infection control practice is most important when assisting a client with a urinary catheter?
- Keeping the drainage bag above bladder level
- Ensuring the catheter tubing is not kinked and bag stays below bladder (Correct answer)
- Emptying the bag only when completely full
- Disconnecting the catheter to clean the tubing daily
Correct answer: Ensuring the catheter tubing is not kinked and bag stays below bladder
Keeping the drainage bag below bladder level and maintaining unobstructed tubing prevents backflow and reduces UTI risk.
Question 3: A client with MRSA is being assisted with personal care. Which PPE combination is required?
- Gloves only
- Gloves and gown (Correct answer)
- Mask and gloves only
- No PPE needed if touching only intact skin
Correct answer: Gloves and gown
Contact precautions for MRSA require both gloves and a gown to prevent skin and clothing contamination during personal care.
Question 4: When is it appropriate to use an alcohol-based hand rub instead of soap and water?
- After contact with a client who has C. difficile
- When hands are visibly soiled with blood
- After providing care to a client with no known infections (Correct answer)
- Before handling food for a client with a norovirus infection
Correct answer: After providing care to a client with no known infections
Alcohol-based hand rubs are effective for routine hand hygiene when hands are not visibly soiled and no spore-forming organisms are involved.
Question 5: A specialist must transport a client in a wheelchair through a facility. Which safety measure is MOST critical?
- Locking the wheelchair wheels before the client transfers (Correct answer)
- Moving quickly to minimize the client's time in transit
- Keeping the client's feet elevated during transport
- Placing all belongings on the client's lap for efficiency
Correct answer: Locking the wheelchair wheels before the client transfers
Locking wheelchair wheels during transfers prevents the chair from rolling and is the primary safety measure to prevent falls.
Question 6: Which situation requires the specialist to file an incident report related to infection control?
- A client refuses to use hand sanitizer
- A specialist accidentally uses an expired pair of gloves
- A client develops a new fever following a community outing
- A specialist sustains a needlestick injury during care (Correct answer)
Correct answer: A specialist sustains a needlestick injury during care
Needlestick injuries are occupational exposure events that mandate immediate incident reporting and follow-up testing per OSHA standards.
Question 7: A client's home environment has visible mold near a window. What is the disability specialist's appropriate response?
- Clean the mold using bleach solution immediately
- Document the hazard and report it to the supervisor for remediation follow-up (Correct answer)
- Advise the client to open windows to ventilate the mold
- Ignore it if the client reports no respiratory symptoms
Correct answer: Document the hazard and report it to the supervisor for remediation follow-up
Mold remediation is beyond the specialist's scope; documenting and reporting ensures the hazard is addressed by appropriate personnel.
A disability specialist notices a client's wound dressing is saturated.
What is the FIRST action to take?