CNA Infection Control and Safety 2

Question 1

A resident becomes verbally agitated and starts shouting during personal care. From a safety perspective, what is the CNA's most important first action?

Accepted Answer

Ensure there is a clear path to the door and maintain a safe distance.

Answer

Continue with the care task as quickly as possible to finish.

Answer

Raise their voice to be heard over the resident's shouting.

Answer

Immediately apply physical restraints to prevent escalation.

Question 2

A CNA is cleaning the room of a resident who has been discharged after a Clostridioides difficile (C. diff) infection. Which of the following is a critical step in the environmental cleaning process for this specific pathogen?

Accepted Answer

Using a bleach-based disinfectant or another EPA-approved sporicidal agent.

Answer

Using a standard household cleaner is sufficient for all surfaces.

Answer

Wiping surfaces with an alcohol-based solution to kill the bacteria.

Answer

Airing out the room with an open window for several hours is the top priority.

Question 3

A resident with scabies is on contact precautions. When preparing to dispose of their bed linens, what is the most appropriate action for the CNA to take?

Accepted Answer

Roll the linens carefully inward, place them in a specially marked, sealed bag inside the room, and wear gloves throughout.

Answer

Shake the linens vigorously in the hallway to remove any loose mites before bagging.

Answer

Place the linens in a standard, unmarked laundry bag and leave it by the resident's door.

Answer

Leave the linens on the floor for housekeeping staff, who have specialized training for this task.

Question 4

During a norovirus outbreak in the facility, which hand hygiene method is most effective for a CNA after providing care to a symptomatic resident?

Accepted Answer

Washing hands thoroughly with soap and water for at least 20 seconds.

Answer

Using an alcohol-based hand sanitizer with at least 60% alcohol.

Answer

Wiping hands with a disinfectant wipe and then applying hand sanitizer.

Answer

Wearing gloves is sufficient, so no hand hygiene is needed immediately after removal.

Question 5

A CNA is assigned to a resident with a multi-drug resistant organism (MDRO) who is under contact precautions. The resident's family member is visiting and is not wearing any PPE. What is the CNA's most appropriate initial action?

Accepted Answer

Politely intercept the visitor, explain the precautions, and offer to help them put on the correct PPE.

Answer

Immediately report the family member to the facility administrator for a policy violation.

Answer

Ignore the situation as family members are exempt from PPE requirements.

Answer

Ask the resident to tell their family member to put on a gown and gloves.

Question 6

While caring for a resident with dementia who has a history of wandering, the CNA notices the resident is dressed in outdoor clothing and pacing near the exit. Which of the following actions is the best immediate safety intervention?

Accepted Answer

Gently approach the resident and redirect them to a supervised activity or common area.

Answer

Lock the resident in their room to prevent elopement.

Answer

Alert security immediately without approaching the resident.

Answer

Tell the resident firmly that they are not allowed to leave.