CPAN Safety and Infection Control 2

Question 1

A PACU nurse discovers that a patient's IV site shows redness, warmth, and purulent drainage. What is the FIRST nursing action?

Accepted Answer

Discontinue the IV and notify the physician

Answer

Apply a warm compress and continue monitoring

Answer

Increase the IV flow rate to dilute any infection

Answer

Document the finding and reassess in one hour

Question 2

Which transmission-based precaution is required for a PACU patient with confirmed pulmonary tuberculosis?

Accepted Answer

Airborne precautions with N95 respirator and negative-pressure room

Answer

Contact precautions with gown and gloves

Answer

Droplet precautions with surgical mask

Answer

Standard precautions only

Question 3

A post-operative patient develops fever of 38.8°C, hypotension, and tachycardia six hours after surgery. These findings are MOST consistent with:

Accepted Answer

Systemic inflammatory response syndrome (SIRS)

Answer

Malignant hyperthermia

Answer

Neuroleptic malignant syndrome

Answer

Postoperative shivering

Question 4

When caring for a patient with Clostridioides difficile (C. diff) infection, which hand hygiene method is MOST effective?

Accepted Answer

Soap and water hand washing for at least 15 seconds

Answer

Alcohol-based hand rub for at least 20 seconds

Answer

Alcohol-based hand rub followed by glove application

Answer

Chlorhexidine-impregnated wipes

Question 5

A PACU nurse is preparing to insert a urinary catheter. Which action BEST reduces catheter-associated urinary tract infection (CAUTI) risk?

Accepted Answer

Maintaining a closed sterile drainage system throughout care

Answer

Using a smaller catheter size to reduce trauma

Answer

Irrigating the catheter with antiseptic solution daily

Answer

Securing the catheter to the abdomen to prevent kinking

Question 6

Which patient is at HIGHEST risk for developing a surgical site infection (SSI)?

Accepted Answer

A 65-year-old diabetic with HbA1c of 10% undergoing open bowel resection

Answer

A 30-year-old with BMI 22 undergoing laparoscopic cholecystectomy

Answer

A 45-year-old nonsmoker undergoing elective hernia repair

Answer

A 55-year-old with well-controlled hypertension undergoing appendectomy

Question 7

A PACU nurse notes that a blood pressure cuff is visibly soiled after use. What is the appropriate action?

Accepted Answer

Clean the cuff with an EPA-approved disinfectant before reuse

Answer

Continue use on the same patient only until discharge

Answer

Discard the cuff and replace with a new one immediately

Answer

Leave the cuff for central supply to process