NACE Safety and Infection Control 4

Question 1

A nurse is caring for a patient with Clostridioides difficile (C. diff) infection. Which personal protective equipment (PPE) is essential when entering the room?

Accepted Answer

Gown and gloves only

Answer

C. diff is transmitted via contact, so a gown and gloves are required; a mask is not routinely needed unless splashing is anticipated.

Question 2

Which disinfectant is most appropriate for cleaning surfaces contaminated with C. difficile spores?

Accepted Answer

Bleach (sodium hypochlorite) solution

Answer

Bleach (sodium hypochlorite) is sporicidal and is the recommended agent for environmental decontamination of C. diff.

Question 3

A nurse must perform hand hygiene after caring for a patient with C. difficile. Which method is preferred?

Accepted Answer

Soap and water for at least 20 seconds

Answer

Soap and water physically removes C. diff spores; alcohol-based hand rubs are not effective against spores.

Question 4

A nurse administers the wrong dose of a medication but the patient experiences no harm. This event is classified as a:

Accepted Answer

Near miss

Answer

A near miss (close call) is an error that reaches the patient but causes no harm.

Question 5

When removing PPE after caring for a patient on contact precautions, which item should be removed FIRST?

Accepted Answer

Gloves

Answer

Gloves are removed first because they are the most contaminated item and removal prevents contaminating the hands during further doffing.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Safety and Infection Control 4