Trivium Patient Care and Safety 3 — Questions and Answers
Question 1: When caring for a patient in contact precautions, which PPE must be donned BEFORE entering the room?
- Gloves only
- Gown and gloves (Correct answer)
- Mask and eye protection only
- Full PPE including respirator
Correct answer: Gown and gloves
Contact precautions require a gown and gloves to be put on before entering the patient's room to prevent pathogen transfer.
Question 2: A patient's call light is placed out of reach. This situation creates which type of safety risk?
- Medication error
- Communication barrier
- Fall risk and delayed emergency response (Correct answer)
- Infection transmission risk
Correct answer: Fall risk and delayed emergency response
An inaccessible call light prevents the patient from summoning help, increasing fall risk if they attempt to get up unassisted.
Question 3: Which of the following is the correct order for removing PPE after patient care?
- Gloves, mask, gown, hand hygiene
- Gown, gloves, eye protection, mask, hand hygiene
- Gloves, gown, eye protection, mask, hand hygiene (Correct answer)
- Mask, gloves, gown, hand hygiene
Correct answer: Gloves, gown, eye protection, mask, hand hygiene
The CDC-recommended order is: gloves, gown, eye protection, then mask, followed by hand hygiene to prevent self-contamination.
Question 4: A confused elderly patient repeatedly attempts to climb out of bed. Which intervention is the priority?
- Apply bilateral wrist restraints immediately
- Keep all four side rails raised at all times
- Lower the bed to its lowest position and place a fall mat (Correct answer)
- Instruct the patient to stay in bed
Correct answer: Lower the bed to its lowest position and place a fall mat
Lowering the bed and using a fall mat reduces injury severity if the patient does fall, while avoiding restraints.
Question 5: Which patient is at HIGHEST risk for developing a pressure injury?
- An ambulatory patient with mild hypertension
- A bedridden patient with incontinence and poor nutrition (Correct answer)
- A post-surgical patient who is ambulating with assistance
- A patient with diabetes who is fully mobile
Correct answer: A bedridden patient with incontinence and poor nutrition
Immobility, moisture from incontinence, and poor nutrition are major risk factors that combine to greatly increase pressure injury risk.
Question 6: A healthcare worker accidentally sticks themselves with a used needle. What is the FIRST action to take?
- Report immediately to the supervisor
- Squeeze the wound to express blood, then wash with soap and water (Correct answer)
- Apply a tourniquet proximal to the wound
- Immediately start post-exposure prophylaxis medications
Correct answer: Squeeze the wound to express blood, then wash with soap and water
First aid for a needlestick involves washing the wound thoroughly with soap and water, then reporting and following facility exposure protocol.
Question 7: When performing a two-person assist for a patient ambulation, where should each caregiver be positioned?
- Both caregivers behind the patient
- One on each side of the patient (Correct answer)
- One in front and one behind the patient
- One caregiver assists while the other observes
Correct answer: One on each side of the patient
Positioning one caregiver on each side provides bilateral support and allows both to react quickly if the patient loses balance.
Trivium Patient Care and Safety 3
When caring for a patient in contact precautions, which PPE must be donned BEFORE entering the room?