Before a nursing assistant leaves a dirty utility room, what must she do to avoid transferring pathogens to other areas of the facility?

Correct Answer: C

Rationale: The correct answer is C: Wash her hands. Washing hands is crucial to prevent the transfer of pathogens from dirty utility room to other areas. Firstly, it removes any pathogens that may be on the hands. Secondly, it reduces the risk of contamination when touching other surfaces. Changing gloves (A) is important, but hand washing is more effective. Disinfecting equipment (B) is also necessary, but hand hygiene is the primary measure. Closing the door securely (D) does not directly address the transfer of pathogens through hand contact.

Correct Answer: D

Rationale: The correct answer is D: Apply light pressure with a Band-aid. This is the correct choice because applying light pressure with a Band-aid can help to control bleeding without causing further harm. Using bare hands (A) can introduce infection, lowering the wound below the heart (B) may not be effective, and pressing down hard with a thick pad (C) can further damage tissue and worsen bleeding. The best approach is to apply gentle pressure with a Band-aid until bleeding stops.

Correct Answer: C

Rationale: The correct answer is C: Dorsal recumbent position. In this position, the resident lies on their back with knees bent and feet flat on the exam table. This position allows easy access to the breasts, chest, and abdomen for examination. The knees-chest position (A) is used for rectal exams, lithotomy position (B) for gynecological exams, and Trendelenburg position (D) with the head lower than the feet for certain surgeries or procedures involving the pelvis or lower abdomen.

Correct Answer: A

Rationale: The correct answer is A: Sitting up with legs hanging over the side of the bed. Dangling refers to the posture where the legs are hanging off the side of the bed. This position promotes circulation and prevents pressure ulcers. Choices B, C, and D do not accurately define dangling. Choice B describes sitting in a wheelchair, choice C describes lying in bed, and choice D describes hanging arms over chair rests, none of which involve the specific posture of dangling legs.

Correct Answer: D

Rationale: The correct answer is D: Using as little liquid as possible when giving mouth care. This is because excessive liquid increases the risk of aspiration in unconscious residents. By using minimal liquid, the chances of accidental inhalation or aspiration are reduced. Pouring mouthwash slowly (Choice A) can still lead to excess liquid in the mouth. Turning residents on their backs (Choice B) can increase the risk of aspiration. Avoiding mouth care altogether (Choice C) is not a proper solution as proper oral hygiene is crucial even for unconscious residents.