INACE Safety and Infection Control 3 — Questions and Answers
Question 1: A patient's call light goes unanswered and the patient falls while trying to reach the bathroom. This is an example of:
- An unavoidable accident
- A sentinel event caused by inadequate response (Correct answer)
- Normal risk in healthcare
- The patient's own fault
Correct answer: A sentinel event caused by inadequate response
Failure to respond to a call light in a timely manner is a system failure that contributed to a preventable fall, classifying it as a sentinel event.
Question 2: When is it appropriate for a nursing assistant to use an N95 respirator?
- When caring for a patient on droplet precautions
- When caring for a patient with active airborne disease such as TB or measles (Correct answer)
- During routine resident care as standard practice
- Only during surgery
Correct answer: When caring for a patient with active airborne disease such as TB or measles
N95 respirators filter airborne particles and are required when caring for patients with diseases spread by the airborne route, like TB or measles.
Question 3: Which item should be placed in a puncture-resistant sharps container?
- Used gloves
- Soiled bed linens
- A used insulin syringe (Correct answer)
- Empty medication bottles
Correct answer: A used insulin syringe
Used syringes and other sharps must be disposed of in puncture-resistant containers to prevent needlestick injuries.
Question 4: What is the proper technique for performing a two-person assist transfer from bed to wheelchair?
- One person lifts at the shoulders, the other at the knees, on a count (Correct answer)
- Each person grabs an arm and swings the patient
- One person does all the lifting while the other watches
- The patient is dragged across the bed surface
Correct answer: One person lifts at the shoulders, the other at the knees, on a count
A coordinated two-person lift with one at the shoulders and one at the knees distributes weight and reduces injury risk for both staff and patient.
Question 5: A nursing assistant finds a resident on the floor. After calling for help, what should the nursing assistant do NEXT?
- Pick the resident up immediately to prevent further injury
- Stay with the resident and keep them calm until help arrives (Correct answer)
- Leave the resident to get the nurse quickly
- Ask other residents to help lift the person
Correct answer: Stay with the resident and keep them calm until help arrives
Staying with the fallen resident provides reassurance and safety monitoring while waiting for the nurse to assess before any movement.
Question 6: What is the purpose of using a gait belt during ambulation?
- To restrict the resident's movement
- To provide a secure grip for the nursing assistant during walking assistance (Correct answer)
- To replace a walker or cane
- To prevent incontinence during walking
Correct answer: To provide a secure grip for the nursing assistant during walking assistance
A gait belt gives the nursing assistant a secure, safe point of control to guide and support the resident during ambulation.
Question 7: A nursing assistant accidentally gives a resident the wrong meal tray. This should be reported because it is:
- A minor mistake that does not need documentation
- An error that could harm the patient due to dietary restrictions or allergies (Correct answer)
- The dietary department's responsibility only
- Normal and happens frequently
Correct answer: An error that could harm the patient due to dietary restrictions or allergies
Wrong dietary trays can result in serious harm if a resident has allergies, diabetes, or swallowing disorders requiring specific diet modifications.
INACE Safety and Infection Control 3
A patient's call light goes unanswered and the patient falls while trying to reach the bathroom.
This is an example of: