STNA Infection Control and Safety 2 — Questions and Answers
Question 1: A nurse aide finds a needlestick injury after disposing of a sharp. The first action should be:
- Apply a tourniquet above the injury
- Report to the charge nurse immediately after washing the wound (Correct answer)
- Continue working and report at the end of the shift
- Apply antibiotic ointment and cover with a bandage
Correct answer: Report to the charge nurse immediately after washing the wound
Washing the wound thoroughly with soap and water and then immediately reporting to the charge nurse ensures timely post-exposure evaluation and treatment.
Question 2: Which patient placement measure is used for airborne precautions?
- Shared room with a curtain divider
- A private room with negative air pressure (Correct answer)
- Any private room regardless of ventilation
- A positive-pressure room
Correct answer: A private room with negative air pressure
Airborne precautions require a private room with negative air pressure to prevent airborne particles from escaping into the hallway.
Question 3: The nurse aide notes that a patient on droplet precautions needs to be transported for an X-ray. The patient should wear:
- An N95 respirator
- No special equipment since the transport is brief
- A standard surgical mask (Correct answer)
- A face shield only
Correct answer: A standard surgical mask
A surgical mask placed on the patient during transport captures respiratory droplets, protecting others in corridors and common areas.
Question 4: Which action by the nurse aide demonstrates proper aseptic technique when changing bed linens?
- Shaking linens to unfold them at the bedside
- Carrying soiled linens close to the body for efficiency
- Rolling soiled linens inward so the contaminated side is inside (Correct answer)
- Placing clean linens on the floor temporarily
Correct answer: Rolling soiled linens inward so the contaminated side is inside
Rolling soiled linens with the contaminated surface inward prevents spreading microorganisms to the environment and the nurse aide's uniform.
Question 5: What is the correct order for donning PPE before entering an isolation room?
- Gloves, gown, mask, goggles
- Mask/respirator, goggles, gown, gloves (Correct answer)
- Gown, goggles, mask, gloves
- Goggles, mask, gloves, gown
Correct answer: Mask/respirator, goggles, gown, gloves
Donning begins with the mask/respirator first (protects airways), then eye protection, then gown, then gloves last (since gloves are the most frequently contaminated item).
Question 6: A patient in contact isolation has just been transferred to another facility. Before the room can be reused, the nurse aide should:
- Simply change the bed linens and restock supplies
- Leave the room vacant for 24 hours
- Report to the nurse that the room needs a terminal cleaning (Correct answer)
- Wipe down visible surfaces with a dry cloth
Correct answer: Report to the nurse that the room needs a terminal cleaning
After a contact-precaution patient is discharged, a terminal (thorough) cleaning of the entire room by environmental services is required before the room is occupied again.
A nurse aide finds a needlestick injury after disposing of a sharp.
The first action should be: