CNA Proper Hand Hygiene and PPE Usage 2

Question 1

A CNA is providing care for a resident with scabies who is on contact precautions. Which of the following PPE actions is most appropriate in this specific situation?

Accepted Answer

Wear a gown and gloves for any direct contact with the resident or their environment.

Answer

For residents with scabies, contact precautions are necessary. This requires wearing a gown and gloves upon entering the room to prevent the spread of mites through direct skin-to-skin contact or contact with contaminated items like bedding and clothing. Masks are not typically required for scabies as it is not an airborne illness. Standard gloving procedure is sufficient; double-gloving is not standard practice for this condition.

Question 2

While caring for a resident, your gloves become visibly soiled with stool. The resident also needs their pillows repositioned. What is the correct sequence of actions?

Accepted Answer

Remove the soiled gloves, perform hand hygiene, don new gloves, and then reposition the pillows.

Answer

When gloves become soiled or when moving from a contaminated body site to a clean one (or to the patient's environment), the CNA must change them. The correct procedure is to remove the soiled gloves, perform hand hygiene, and then put on a new, clean pair before touching another surface or continuing care. This prevents cross-contamination.

Question 3

A CNA is leaving the room of a resident with a C. difficile infection. The CNA's hands are not visibly soiled. Which method of hand hygiene is required?

Accepted Answer

Vigorously washing hands with soap and water.

Answer

Alcohol-based hand sanitizers are not effective at killing C. difficile spores. Therefore, after caring for a patient with a known or suspected C. difficile infection, healthcare workers must wash their hands with soap and water to physically remove the spores through friction and rinsing. This should be done even if gloves were worn.

Question 4

When removing a full set of PPE (gown, mask, goggles, and gloves), which item should a CNA remove FIRST according to CDC guidelines to minimize self-contamination?

Accepted Answer

Gloves

Answer

According to CDC guidelines, gloves are typically removed first because they are considered the most contaminated items. The technique involves peeling one glove off with the other gloved hand, holding it, and then sliding the fingers of the ungloved hand under the remaining glove to peel it off. This sequence helps prevent the contaminated gloves from touching the face, hair, or clothing during the rest of the doffing process.

Question 5

A CNA is carrying clean linens into a resident's room. When is the most appropriate time to perform hand hygiene?

Accepted Answer

Immediately after placing the linens down, before touching the resident.

Answer

Hand hygiene should be performed upon entering a patient's room. When hands are full, the CNA should enter, place the items in a designated clean area, and then immediately perform hand hygiene before initiating any care or touching the resident or their immediate surroundings. This prevents transferring any pathogens from outside the room onto the resident's environment.

CNA Practice Test

CNA Practice Test

CNA Proper Hand Hygiene and PPE Usage 2