Personal Protective Equipment

1. At a CHSLD, a 78 year old beneficiary is suffering from Alzheimer’s dementia. He has a pressure wound on the coccyx, and the LPN is about to reapply his sterile dressing. Select the appropriate asepsis principle regarding the use of sterile gloves. *

Putting on new sterile gloves if the beneficiary touches them

Removing the sterile gloves if the beneficiary touches them, and then continuing to provide care

Putting on sterile gloves in order to remove the dressing

Keeping the gloves on if the beneficiary touches them, and then continuing to provide care while making sure to not contaminate the wound

2. A five-month-old baby is admitted to the paediatric unit for bronchiolitis due to a respiratory virus. The RN has implemented additional droplet and contact precautions. The LPN must take the baby’s vital signs every 2 hours. The baby has hyperthermia with a temperature of 39.1, has a wet cough with clear yellow nasal discharge, and becomes dyspenic during feeding. The baby’s mother has to leave and asks the LPN to console her child after she goes. The LPN gives the baby a bath, changes the bedding, and ricks her to sleep. What principles should be followed when implementing additional contact and droplet precautions? *

1. Removing the gown, gloves and surgical mask when outside the room 2. Replacing care equipment at the appropriate locations in the care unit

1. Removing the gloves, high-efficiency mask, and gown before leaving the room 2. Cleaning care equipment using a disinfectant and while wearing gloves

1. Removing the gloves, gown and surgical mask before leaving the room 2. Cleaning care equipment using a disinfectant and while wearing gloves

1. Removing the gloves, gown and high-efficiency mask when outside the room 2. Replacing care equipment at the appropriate locations in the care unit

3. A patient who received a knee prosthesis operation six days ago is experiencing complications. The LPN has observed redness around the wound as well as a yellowish discharge. After the physician requests a wound sampling, the LPN also observes a clear nasal discharge. The physician suspects the presence of vancomycin- resistant enterococci (VRE) in the wound. The LPN therefore implements additional contact precautions. What principle should be followed when implementing additional contact precautions? *

Practicing proper hand hygiene with soap and water

Closing the door of the room

Putting the gown before entering the room

Prohibit the presence of visitors

4. During a postoperative home visit for a 72 year old client, the LPN realizes that the patient has viral gastroenteritis. Vomiting accompanied by diarrhea began the previous night. What personal protective equipment is recommended for when a home patient has gastroenteritis? 1. Gown 2. Gloves 3. Mask 4. N95 *

1&2

1&3

2&3

2&4

5. A patient has just been admitted to the medical unit. His laboratory results indicate the presence of vancomycin- resistant enterococci (VRE). For 48 hours, he has been feverish and presents flu-like symptoms. Additional droplet and contact precautions have been implemented. The LPN is asked to accompany the patient to a diagnostic examination. Among the following additional precautions, indicate the order that must be followed when moving this patient. *

1. Put PPE (gown, gloves and mask) before entering the room 2. Have the patient perform hand hygiene 3. Cover the patient with a clean blanket 4. Have the patient put on a procedural mask 5. Remove PPE upon exiting the room 6. Perform hand hygiene

1. Put on PPE (mask and gloves) before entering the room 2. Have the patient perform hand hygiene 3. Have the patient put on a procedural mask 4. Remove the PPE upon exiting the room 5. Perform hand hygiene

1. Put on PPE (gown and gloves) before entering the room 2. Cover the patient with a clean blanket 3. Have the patient put on a procedural mask 4. Perform hand hygiene 5. Remove PPE upon exiting the room

1. Put on PPE (gown, gloves and mask) before entering the room 2. Have the patient perform hand hygiene 3. Have the patient put on a procedural mask 4. Have the patient wear a gown 5. Remove the PPE upon exiting the room 6. Perform hand hygiene

6. An LPN works in a rehabilitation center, where a patient is hospitalized in a myelopathy unit with 26 beds. The patient is morbidly obese, which makes mobilization difficult, and is paralyzed in her two lower limbs following a spinal cord injury. Since she suffers from venous insufficiency, sores have appears at her ankles. The monthly screening for MRSA has come back positive in her nasal cavity, urine and wounds. The patient practices very few infection control measures, and her personal hygiene is inadequate. The LPN worries about the pother patients becoming contaminated and applies the additional precautions requested by the RN. Give the patient’s condition, what explanation best justifies the implementation of additional precautions? *

Personal protective equipment should be removed before leaving the room to avoid spreading bacteria

The wounds should be left without a dressing to accelerate healing and this prevent bacteria from being transmitted by physical contact

Since the patient is in rehabilitation, she must be allowed to move freely as this will speed up healing process

The patient should be told to perform proper hand hygiene so as not to contaminate other people

7. In the medical unit, the LPN is assigned to change the wound dressing of Mr. Leduc, who has a large postoperative incision with moderate serous drainage. The wound occasionally spurts fluid when pressure is applied. Which personal protective equipment (PPE) must the LPN wear for this procedure? *

Gloves only

Gloves and gown

Gloves, gown, and face protection

Gloves, gown, and N95 respirator

8. The LPN prepares to perform oral suctioning for Mr. Tremblay, who has copious secretions. She gathers her PPE before starting the procedure. In which order should the LPN put on her PPE? *

Gown → mask → goggles/face shield → gloves

Mask → gown → gloves → goggles/face shield

Gloves → gown → mask → goggles/face shield

Gown → gloves → mask → goggles/face shield

9. After completing care for Ms. Fortier, who has a draining wound, the LPN removes her PPE before leaving the room. What is the correct removal sequence to prevent contamination? *

Gloves → gown → goggles/face shield → mask → hand hygiene

Gown → gloves → mask → goggles/face shield → hand hygiene

Gloves → goggles/face shield → gown → mask → hand hygiene

Gown → gloves → mask → goggles/face shield → hand hygiene

10. The LPN is providing continuous care to Mr. Beaulieu, who has a productive cough. During the shift, the LPN’s surgical mask becomes damp from condensation. What should the LPN do? *

Continue using the same mask until the end of the shift

Replace the mask immediately with a new one

Dry the mask using tissue and continue

Cover the mask with a face shield to reuse it

11. While inserting a urinary catheter for Ms. Gagnon, the LPN performs hand hygiene, dons sterile gloves, and completes the procedure. She then proceeds to check another patient’s IV line without removing the gloves. What infection prevention measure was missed? *

Wearing a mask

Changing gloves and performing hand hygiene between patients

Using a gown

Wearing eye protection

12. The LPN assists the respiratory therapist with nebulizer treatment for Mr. Hamel, who has pneumonia. The patient begins coughing forcefully during the procedure. Which PPE combination provides optimal protection? *

Surgical mask and gloves

N95 respirator, gloves, gown, and eye protection

Gloves and face shield only

N95 respirator only

13. The LPN finishes providing care in a contact precaution room for Mrs. Charette (C. difficile). She is still wearing gloves and gown inside the room. When should the LPN remove her gloves and gown? *

Inside the room, before leaving

Immediately after exiting the room

At the end of the hallway

After removing her mask outside the room

14. The LPN provides medication administration for several patients on the same unit. To save time, she keeps her gloves on between each room. Which statement best describes this practice? *

Acceptable if gloves appear clean

Acceptable only when medications are oral

Unsafe, since gloves must be changed and hand hygiene performed between patients

Safe if gloves are disinfected with sanitizer between rooms

15. The LPN prepares to insert a sterile IV catheter for Mr. Pelletier in an outpatient setting. There is minimal risk of splashes. Which PPE combination is appropriate for this procedure? *

Sterile gloves only

Sterile gloves and gown

Sterile gloves, mask, and gown

Sterile gloves, mask, gown, and face shield

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