General CNA Practice CNA Practice Infection Control and Prevention 3 — Questions and Answers
Question 1: A CNA accidentally receives a needlestick injury. What is the FIRST action to take?
- Complete an incident report
- Notify the charge nurse immediately
- Wash the site thoroughly with soap and water (Correct answer)
- Apply an antiseptic and a bandage
Correct answer: Wash the site thoroughly with soap and water
The immediate first step after a needlestick is to wash the wound thoroughly with soap and water to reduce the risk of infection.
Question 2: Standard precautions apply to which of the following?
- Only blood and feces
- Only residents with known infectious diseases
- All body fluids, secretions, and excretions except sweat (Correct answer)
- Only residents who are visibly ill
Correct answer: All body fluids, secretions, and excretions except sweat
Standard precautions apply to all blood, body fluids, secretions, and excretions (except sweat) regardless of whether an infection is known.
Question 3: Which surface is considered 'clean' during a sterile dressing change procedure?
- The outer wrapper of the dressing package
- The inside of the opened sterile field (Correct answer)
- The resident's skin after cleaning
- The top of the overbed table before draping
Correct answer: The inside of the opened sterile field
The inside of an opened sterile package maintains sterility and serves as the sterile field during the procedure.
Question 4: When should a CNA perform hand hygiene during resident care?
- Only before and after care tasks
- Before and after glove use, and between tasks (Correct answer)
- Only when hands are visibly soiled
- At the start and end of each shift only
Correct answer: Before and after glove use, and between tasks
Hand hygiene must be performed before donning gloves, after removing gloves, and between different care tasks to prevent cross-contamination.
Question 5: A resident on droplet precautions needs to be transported to radiology. Which precaution should be taken during transport?
- The resident wears an N95 respirator
- The resident wears a standard surgical mask (Correct answer)
- No mask is needed if transport is brief
- The CNA wears a gown but the resident needs nothing
Correct answer: The resident wears a standard surgical mask
The resident should wear a surgical mask during transport to prevent dispersing large respiratory droplets to others in the facility.
Question 6: Which organism is classified as a multidrug-resistant organism (MDRO) that commonly causes facility-acquired infections?
- Streptococcus pyogenes
- Methicillin-resistant Staphylococcus aureus (MRSA) (Correct answer)
- Escherichia coli (non-resistant)
- Rhinovirus
Correct answer: Methicillin-resistant Staphylococcus aureus (MRSA)
MRSA is a common MDRO in healthcare settings that is resistant to many antibiotics and requires contact precautions.
Question 7: What does the term 'healthcare-associated infection' (HAI) mean?
- An infection a resident had before admission
- An infection acquired during the course of receiving healthcare (Correct answer)
- An infection only affecting healthcare workers
- A community-acquired respiratory infection
Correct answer: An infection acquired during the course of receiving healthcare
An HAI is an infection that a patient or resident acquires while receiving care in a healthcare setting that was not present at the time of admission.
General CNA Practice CNA Practice Infection Control and Prevention 3
A CNA accidentally receives a needlestick injury.
What is the FIRST action to take?