CNO - College of Nurses of Ontario Infection Prevention and Control Questions and Answers

Question 1

A nurse is leaving the room of a client on contact and droplet precautions for influenza.
The nurse has worn gloves, a gown, a surgical mask, and eye protection.
Which sequence for removing (doffing) Personal Protective Equipment (PPE) is correct to minimize self-contamination?

Accepted Answer

Gloves, gown, perform hand hygiene, eye protection, mask, perform hand hygiene.

Answer

Mask, eye protection, gown, gloves.

Answer

Gown, gloves, mask, eye protection.

Answer

Gloves, hand hygiene, gown, hand hygiene, mask, eye protection.

Question 2

When caring for a client with a confirmed Clostridioides difficile (C. diff) infection, which of the following hand hygiene practices is mandatory after removing gloves and before exiting the room?

Accepted Answer

Washing hands with soap and running water.

Answer

Using an alcohol-based hand rub (ABHR) with at least 70% alcohol.

Answer

Wiping hands with a disinfectant wipe used for surfaces.

Answer

Performing hand hygiene is only necessary if the hands are visibly soiled.

Question 3

A nurse on a long-term care unit notes that two residents in the same wing have developed a new onset of cough and fever within a 48-hour period. According to provincial guidelines, what is the most appropriate initial action?

Accepted Answer

Implement respiratory outbreak control measures and report the suspicion to the local public health unit.

Answer

Wait for laboratory confirmation before reporting the illnesses.

Answer

Document the findings and continue to monitor the residents for the next 24 hours.

Answer

Transfer the two symptomatic residents to an acute care hospital immediately.

Question 4

A nurse is preparing to administer an intramuscular injection. According to the principles of Routine Practices, what is the minimum Personal Protective Equipment (PPE) the nurse should wear?

Accepted Answer

Gloves only.

Answer

No PPE is required as injections are a sterile procedure.

Answer

A gown and gloves.

Answer

A surgical mask and eye protection.

Question 5

A nurse provides education to a client about the importance of handwashing after using the washroom. This action is primarily aimed at breaking which link in the chain of infection?

Accepted Answer

Mode of Transmission

Answer

Reservoir

Answer

Susceptible Host

Answer

Portal of Entry

Question 6

A nurse is assigned to care for a client with confirmed pulmonary tuberculosis. Which of the following infection control measures is a mandatory component of Airborne Precautions for this client?

Accepted Answer

Ensuring healthcare providers wear a fit-tested N95 respirator when entering the client's room.

Answer

Placing the client in a positive-pressure isolation room.

Answer

Wearing a fluid-resistant surgical mask when entering the client's room.

Answer

Keeping the door to the client's room open to promote air circulation.