CPAN Safety and Infection Control 3

Question 1

During a PACU admission, a nurse identifies that antibiotic prophylaxis was NOT administered preoperatively per protocol. What is the MOST appropriate action?

Accepted Answer

Notify the surgeon and document the omission per facility policy

Answer

Administer the antibiotic immediately in the PACU

Answer

Document the finding and continue routine monitoring

Answer

Contact pharmacy to prepare the antibiotic for next-dose timing

Question 2

A patient in the PACU suddenly pulls out their endotracheal tube. The IMMEDIATE nursing priority is:

Accepted Answer

Assess airway patency and oxygenation status

Answer

Notify the anesthesia provider

Answer

Prepare equipment for reintubation

Answer

Administer supplemental oxygen via face mask

Question 3

Which of the following BEST describes the correct sequence for donning personal protective equipment (PPE) before entering a contact isolation room?

Accepted Answer

Gown, mask, eye protection, gloves

Answer

Gloves, gown, mask, eye protection

Answer

Mask, eye protection, gown, gloves

Answer

Eye protection, gown, gloves, mask

Question 4

A nurse notices a colleague recapping a used needle with two hands. What is the BEST immediate response?

Accepted Answer

Intervene immediately and educate the colleague on safe needle handling

Answer

Report the behavior anonymously to risk management later

Answer

Allow it since the needle will go directly to the sharps container

Answer

Document the observation in the patient's medical record

Question 5

A post-anesthesia patient's wound dressing is saturated with serous drainage. The nurse should:

Accepted Answer

Reinforce the dressing and notify the surgeon

Answer

Remove the dressing and apply a fresh sterile dressing

Answer

Leave the dressing intact to maintain a protective barrier

Answer

Apply a pressure dressing over the saturated one

Question 6

Which intraoperative factor places a PACU patient at GREATEST risk for hypothermia-related complications including increased infection risk?

Accepted Answer

Prolonged surgery exceeding three hours with large body cavity exposure

Answer

Use of neuraxial anesthesia

Answer

Premedication with midazolam

Answer

Use of a laryngeal mask airway instead of endotracheal tube

Question 7

Which action by a PACU nurse during a needlestick injury requires IMMEDIATE follow-up per occupational safety guidelines?

Accepted Answer

All of the above

Answer

Wash the wound thoroughly with soap and water

Answer

Report the incident to the employee health department

Answer

Receive baseline bloodwork and post-exposure prophylaxis counseling as indicated