You have been asked to do an in-service for Environmental Services on cleaning procedures. Which of the following is the best practice for cleaning a patient room: 1. Clean the patient zone first, and then the perimeter of the room 2. Clean the perimeter of the room first, and then the patient zone 3. Clean items that are low to the floor and then work your way up to higher items 4. Clean items that are higher up first, and then work your way down to lower items

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Question 1 of 5

You have been asked to do an in-service for Environmental Services on cleaning procedures. Which of the following is the best practice for cleaning a patient room: 1. Clean the patient zone first, and then the perimeter of the room 2. Clean the perimeter of the room first, and then the patient zone 3. Clean items that are low to the floor and then work your way up to higher items 4. Clean items that are higher up first, and then work your way down to lower items

Correct Answer: D

Rationale: Cleaning from perimeter to patient zone and high to low prevents recontamination.

Question 2 of 5

Which statement about the meningococcal vaccine is correct?

Correct Answer: D

Rationale: Meningococcal meningitis has seasonal variation in prevalence in Sub-Saharan Africa.

Question 3 of 5

What precaution will the nurse take while performing a dressing change for a client who has methicillin-resistant Staphylococcus aureus(MRSA) infection?

Correct Answer: A

Rationale: Disposable gloves are necessary when changing a dressing on a wound infected with MRSA to prevent transmission to others. It is not necessary to wear a mask, since the infection is spread by direct contact with the infected material. Sterile technique is not indicated. Soiled dressings should be placed in a sealed plastic bag before discarding, and according to agency policy.

Question 4 of 5

The nurse is concerned that a client who had myocardial infarction(MI) has developed cardiogenic shock. Which findings indicate shock? Select one that doesn't apply.

Correct Answer: A

Rationale: The client with shock has cool, moist skin. Because of extensive tissue necrosis, the left ventricle cannot forward blood adequately, resulting in pulmonary congestion and crackles in the lung fields due to poor tissue perfusion. A change in mental status, anxiety, and restlessness are also expected.

Question 5 of 5

How often do you complete TB (PPD) testing?

Correct Answer: A

Rationale: Testing frequency aligns with exposure risk and regulatory requirements.

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