1. When you notice a client masturbating in the activities room, your first action should be to
A. immediately remove the client to the client's own room
B. shame the client for inappropriate behavior
C. report it to the charge nurse Correct
D. tell the client to stop
Explanation
The most professional and appropriate response is to report the behavior to the charge nurse, who can guide the proper intervention (like respectfully redirecting the client to a private space). This respects the client's dignity while addressing the inappropriate public behavior.
2. Tuberculosis is spread by
A. bacteria entering the urethra
B. insufficient fluid intake
C. airborne droplets spread by coughing Correct
D. lack of proper rest
Explanation
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. It is spread through airborne droplets when an infected person coughs, sneezes, speaks, or sings, releasing the bacteria into the air for others to inhale.
3. A condition that requires Transmission-Based Precautions in addition to Standard Precautions is
A. cerebrovascular accident
B. cerebral palsy
C. clostridium difficile Correct
D. colorectal cancer
Explanation
Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and colitis. It is highly contagious and spreads via spores. Contact Precautions, a type of Transmission-Based Precautions (in addition to Standard Precautions), are required to prevent its spread in healthcare settings.
4. Maintaining a clean health care facility is the responsibility of the
A. nursing assistant
B. facility housekeeper
C. health care team Correct
D. maintenance team
Explanation
While specific cleaning tasks are assigned to various roles (e.g., housekeepers, nursing staff), overall facility cleanliness is a shared responsibility of the entire healthcare team to ensure a safe, infection-free environment for clients and staff.
5. The first action to take when using a fire extinguisher is to
A. aim the nozzle at the top of the fire
B. squeeze the handle
C. check the inspection date on the tag
D. pull the pin Correct
Explanation
The PASS technique for fire extinguisher use is: Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep side to side. Pulling the pin unlocks the operating lever and is always the first step.