Chapter 6

1. What is the single most effective way to prevent healthcare-associated infections?

Wearing gloves at all times Hand hygiene Using antibiotics Isolating all patients

2. In the updated 2025 PPE removal sequence what should be removed first?

Mask Gown Goggles Gloves

3. What is the most critical safety step before transferring a patient to a wheelchair?

Check that patient is wearing shoes Lock both wheelchair and bed wheels Call for another CNA to help Take vital signs

4. You have just finished caring for a patient on C. difficile Contact Precautions. Which hand hygiene method is required?

A) Alcohol-based hand rub (ABHR) — faster and equally effective B) Soap and water for at least 20 seconds — ABHR does not kill C. diff spores C) Either method is acceptable for C. diff D) Gloves alone are sufficient; no hand hygiene needed after removal

5. You assist a patient from lying to sitting at the edge of the bed. According to the 2026 orthostatic hypotension protocol, what must you do BEFORE helping the patient stand?

A) Immediately assist to standing — delays increase fall risk B) Take a full set of vital signs before any movement C) Wait 30–60 seconds and ask the patient about dizziness or lightheadedness D) Apply the gait belt first, then move immediately to standing

6. You sustain a needlestick injury while caring for a patient. What is your FIRST action?

A) Apply a bandage and monitor for symptoms over the next few days B) Immediately wash the area with soap and water, then report to the charge nurse without delay C) Complete your assigned tasks and report the incident at end of shift D) Use alcohol hand sanitizer on the puncture site and document in the incident report

7. A patient has active tuberculosis (TB) and is on Airborne Precautions. What PPE is required before you enter the room?

A) Surgical mask and gloves only B) N95 respirator only — gown and gloves are optional for TB C) Gown and gloves only — a mask is not required for brief entries D) Fit-tested N95 respirator, gown, and gloves — a surgical mask alone is NOT sufficient for TB