LVN Safe and Effective Care Environment 2 — Questions and Answers
Question 1: A client has been placed in contact precautions. Which PPE must the LVN don before entering the room?
- Mask and goggles only
- Gown and gloves (Correct answer)
- Gown, gloves, and N95 respirator
- Gloves only
Correct answer: Gown and gloves
Contact precautions require a gown and gloves to prevent transmission of organisms spread by direct or indirect contact.
Question 2: Which action by the LVN best demonstrates correct hand hygiene technique?
- Using hand sanitizer after removing soiled gloves
- Washing hands for at least 20 seconds with soap and water after removing gloves (Correct answer)
- Wiping hands with an alcohol wipe between patients
- Rinsing hands briefly with warm water after glove removal
Correct answer: Washing hands for at least 20 seconds with soap and water after removing gloves
Washing with soap and water for at least 20 seconds is the most effective method, especially after removing gloves.
Question 3: An LVN is caring for a client with C. difficile (C. diff). Which hand hygiene method is most appropriate?
- Alcohol-based hand rub
- Soap and water handwashing (Correct answer)
- Antiseptic wipes
- Either soap or alcohol-based hand rub is equally effective
Correct answer: Soap and water handwashing
Alcohol-based hand rubs are not effective against C. difficile spores; soap and water must be used.
Question 4: A client is placed on airborne precautions. Which room assignment is most appropriate?
- A semi-private room with the door closed
- A private room with negative air pressure (Correct answer)
- Any available room with a mask placed outside the door
- A positive-pressure isolation room
Correct answer: A private room with negative air pressure
Airborne precautions require a private room with negative pressure ventilation to prevent spread of airborne pathogens.
Question 5: The LVN is preparing to change a sterile dressing. Which action would break sterile technique?
- Opening the sterile field away from the body
- Keeping sterile items above waist level
- Reaching across the sterile field to place supplies (Correct answer)
- Allowing only sterile items to touch the sterile field
Correct answer: Reaching across the sterile field to place supplies
Reaching across a sterile field contaminates it because the arm passes over the sterile area.
Question 6: Which client situation requires droplet precautions?
- A client with active tuberculosis
- A client with influenza (Correct answer)
- A client with C. difficile diarrhea
- A client with a MRSA wound infection
Correct answer: A client with influenza
Influenza is transmitted via respiratory droplets and requires droplet precautions including a surgical mask.
Question 7: After removing PPE in the correct sequence, the LVN's final step should be:
- Removing the gown
- Removing the mask or respirator
- Performing hand hygiene (Correct answer)
- Removing eye protection
Correct answer: Performing hand hygiene
Hand hygiene is always the final step after removing all PPE to remove any contaminants that may have transferred during doffing.
LVN Safe and Effective Care Environment 2
A client has been placed in contact precautions.
Which PPE must the LVN don before entering the room?