RPN Infection Prevention and Control 4

Question 1

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 removing them first prevents contaminating other surfaces during doffing.

Question 2

Which intervention is most effective at preventing central line-associated bloodstream infections (CLABSIs)?

Accepted Answer

Using maximum sterile barrier precautions during insertion

Answer

Maximum sterile barrier precautions (sterile gown, gloves, mask, cap, and large drape) during insertion are the most effective CLABSI prevention strategy.

Question 3

A nurse is about to administer a subcutaneous injection. Which skin preparation is correct?

Accepted Answer

Swab the site with alcohol and allow it to dry before injecting

Answer

The alcohol must be allowed to dry completely before injection to ensure its antiseptic action and to prevent stinging.

Question 4

Which patient is at HIGHEST risk for developing a healthcare-associated infection?

Accepted Answer

An 80-year-old patient with diabetes on immunosuppressive therapy post-transplant

Answer

Advanced age, diabetes, and immunosuppressive therapy each independently increase infection risk; together they create the highest vulnerability.

Question 5

Which action is part of the ventilator-associated pneumonia (VAP) prevention bundle?

Accepted Answer

Elevating the head of the bed to 30–45 degrees

Answer

Elevating the head of the bed 30–45 degrees reduces aspiration of oropharyngeal secretions, a key mechanism in VAP development.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Infection Prevention and Control 4