CNA Safety and Infection Control 2 — Questions and Answers
Question 1: A resident has a wound infected with MRSA. Which type of precaution should the CNA implement in addition to standard precautions?
- Airborne precautions
- Droplet precautions
- Contact precautions (Correct answer)
- Reverse isolation
Correct answer: Contact precautions
MRSA is spread by direct or indirect contact with the infected area, so contact precautions (gloves and gown) are required.
Question 2: When removing PPE after caring for a resident on contact precautions, what should the CNA remove FIRST?
- Mask
- Gloves (Correct answer)
- Gown
- Goggles
Correct answer: Gloves
Gloves are removed first because they are the most contaminated item and removing them first prevents spreading pathogens to other PPE.
Question 3: A resident is on fall precautions. Which action by the CNA is MOST appropriate?
- Keep the bed in the highest position for easy transfers
- Place the call light out of reach to prevent misuse
- Lock the bed wheels whenever the resident is in bed (Correct answer)
- Encourage the resident to get up independently at night
Correct answer: Lock the bed wheels whenever the resident is in bed
Locking bed wheels prevents unexpected movement of the bed that could cause the resident to fall.
Question 4: Which of the following is an example of a breach in surgical asepsis?
- Wearing gloves to empty a catheter bag
- Placing a sterile item on a wet surface (Correct answer)
- Washing hands before applying a clean dressing
- Using tongs to handle sterile instruments
Correct answer: Placing a sterile item on a wet surface
Moisture on a sterile field allows microorganisms to wick through and contaminate the sterile item, breaking surgical asepsis.
Question 5: A resident who uses a wheelchair begins to slide forward and appears about to fall. What should the CNA do FIRST?
- Call for help before doing anything
- Lower the resident gently to the floor in a controlled manner (Correct answer)
- Pull the resident upright by the arms
- Run to get the transfer belt
Correct answer: Lower the resident gently to the floor in a controlled manner
Guiding the resident safely to the floor in a controlled descent prevents injury better than attempting to stop a fall already in progress.
Question 6: Which item should be placed in a sharps container?
- Used lancet from blood glucose testing (Correct answer)
- Soiled gauze from a wound dressing
- Empty medication cup
- Disposable gloves
Correct answer: Used lancet from blood glucose testing
Lancets are sharps that can puncture skin and must go into a puncture-resistant sharps container to prevent needlestick injuries.
Question 7: A resident on droplet precautions needs to be transported to radiology. What should the CNA do?
- Transport is not allowed; reschedule when precautions are lifted
- Have the resident wear a surgical mask during transport (Correct answer)
- Have the CNA wear an N-95 respirator during transport
- No special precautions are needed because the trip is brief
Correct answer: Have the resident wear a surgical mask during transport
Placing a surgical mask on the resident during transport contains droplets at the source and protects others in the facility.
CNA Safety and Infection Control 2
A resident has a wound infected with MRSA.
Which type of precaution should the CNA implement in addition to standard precautions?