Nclex-Rn Practice Questions-Fundamentals Of Nursing Infection Control
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Question 1 |
The infection control nurse receives hospital laboratory confirmation that the client has positive sputum cultures for mycobacterium tuberculosis. Which action should be taken by the nurse?
A | Prepare a statement for the hospital spokesperson to release to the news agencies |
B | Recommend that only staff with recent negative tuberculin skin tests provide care |
C | Implement measures to notify the local or state health department about the case |
D | Notify the nearest infectious disease facility and prepare the client for transfer |
Question 2 |
The new nurse is caring for the client with a VRE infection. Which statement to the client indicates the new nurse needs additional orientation when caring for clients with a VRE infection?
A | “All hospital staff should be wearing gown and gloves when they enter your room." |
B | “Visitors should use soap and water for hand washing when entering and leaving your room." |
C | “You are in a private room because VRE is transmitted by direct and indirect contact.” |
D | “VRE is a new strain of enterococci bacteria normally found in a person’s GI tract.” |
Question 3 |
A college student is hospitalized with meningococcal meningitis after being seen in the campus clinic. What is the nurse’s responsibility to the campus community regarding this diagnosis?
A | Quarantine all students and faculty remaining on the campus |
B | E-mail school administrators with the names of infected students |
C | Identify all individuals who have had close contact with the student |
D | Ensure that everyone on campus receive prophylactic antibiotics |
Question 4 |
The charge nurse is planning a room assignment for the client with meningococcal meningitis. Which room and precautions should the nurse plan for this client?
A | A private room with droplet precautions |
B | A private room with airborne precautions |
C | A semiprivate room with a roommate who has a similar diagnosis and standard precautions |
D | A semiprivate room with a roommate who has a similar diagnosis and contact precautions |
Question 5 |
The HCP documents that the client has a generalized infection. Which specific assessment finding should the nurse expect?
A | Redness and warmth at the site |
B | Swelling and pain at the site |
C | Hypertension and bradycardia |
D | Fever and widespread muscle aches |
Question 6 |
The NA is preparing to provide care for four clients. The nurse should direct the NA to utilize contact precautions for which client?
A | Client with influenza |
B | Client with mumps |
C | Client with gonorrhea |
D | Client with a draining abscess |
Question 7 |
The nurse is supervising the NA caring for a group of clients with antibiotic-resistant organisms. Which observation of the NA’s performance should prompt the supervising nurse to intervene?
A | Uses an alcohol-based hand hygiene after emptying the urinary drainage bag of the client with vancomycin—resistant enterococci (VRE) |
B | Performs hand hygiene, then dons gloves to perform oral care for the client with B—lactamase—producing Klebsiella pneumoniae |
C | Uses an alcohol-based hand rub and wears gloves before and after taking the temperature of the client with penicillin G—resistant Streptococcus pneumoniac |
D | Tells visitors to use the alcohol—based hand wash when entering and leaving the room of the client with methicillin-resistant Staphylococcus aureus (MRSA) |
Question 8 |
A clinic nurse is teaching parents with young children. About which most common sources of infectious disease transmission should the nurse teach the parents?
A | Stool and oral and respiratory secretions |
B | Sharing dirty toys and used utensils |
C | Contact with blood from scrapes and sores |
D | Touching others after rubbing a runny nose |
Question 9 |
The nurse is instructing the client who is to have surgery. According to Medicare’s Surgical Care Improvement Project, what instruction is important for the client to receive prior to arrival at the hospital to prevent postoperative infection?
A | Arrive in time to receive an antibiotic before surgery. |
B | Notify the nurse of any antibiotic and food allergies. |
C | Be sure to wash your hands before coming to the hospital. |
D | Do not shave hair from the surgical incision site. |
Question 10 |
The nurse is using contact precautions to change the soiled bed sheet of the client with Clostridium difficile. In the process, the nurse’s right glove and skin on a finger is torn. After removing the soiled gloves, which action is priority?
A | Hold pressure to stop any bleeding. |
B | Use a bleach wipe to clean the hands. |
C | Wash the hands with soap and water. |
D | Cleanse hands using alcohol-based hand rub. |
Question 11 |
The nurse observes that the NA enters the client room, provides direct care, and then exits without performing any band hygiene. Which is the appropriate initial action of the nurse?
A | Inform the nurse manager about the NA’s performance. |
B | File a facility incident or variance report immediately. |
C | Talk to the NA immediately about performing hand hygiene. |
D | Tell the client to remind all staff to perform hand hygiene. |
Question 12 |
The client who has airborne precautions asks the nurse not to shut his door. Which response by the nurse is most appropriate?
A | “If I open the door you will need to always wear a mask.” |
B | “The door must be kept closed, but I can open the curtains.” |
C | “Don’t worry; I can leave the door open if it’s bothering you.” |
D | “I’m sorry, but I can only leave the door partially open.” |
Question 13 |
The hospitalized client has protective precautions (reverse isolation) in place because of severe neutropenia. Which statement by the nurse to the NA is correct regarding the use of protective precautions?
A | “You should don gloves as soon as you enter the client’s room.” |
B | “Minimize the amount of time the client spends outside the room.” |
C | “The client needs to be moved to a private room with negative air pressure.” |
D | “Everyone entering the client’s room should be sure to put on a mask.” |
Question 14 |
The client who is receiving TPN through a subclavian triple-lumen catheter expresses concern to the nurse about bacteria entering the blood through the catheter. The nurse explains that the risk of catheter-related infections can be decreased by taking which action?
A | Applying an antibiotic ointment at the catheter insertion site daily |
B | Changing the dressing over the catheter insertion site every day |
C | Designating one port of the catheter exclusively for the TPN solution |
D | Instilling an antibiotic solution daily into each port of the catheter |
Question 15 |
The client is admitted with a tentative diagnosis of hepatitis. The nurse determines that which client statement would be consistent with hepatitis?
A | “I’ve not been sleeping well; I’ve heartburn at night that wakes me.” |
B | “Whenever l eat dairy products I have diarrhea for a few days.” |
C | “Lately I’ve been short of breath when walking short distances.” |
D | “I am a smoker, but lately I can’t tolerate the taste of cigarettes.” |
Question 16 |
The nurse learns that the hospitalized client has a history of chronic hepatitis C. Which precaution should the nurse plan to implement?
A | Airborne |
B | Contact |
C | Droplet |
D | Standard |
Question 17 |
The nurse and NA are caring for the client with hepatitis A. The nurse determines that the NA understands correct infectious precautions for this client when observing what action?
A | Wears a mask, gown, and gloves when taking the client’s vital signs |
B | Wears a gown and gloves when changing the client’s incontinent briefs |
C | Wears gloves when providing urinary catheter and perineal care |
D | Wears a gown and gloves when asking the client about snack food options |
Question 18 |
The nurse is using contact precautions when eating for the client. When changing the client’s IV solution bag, the nurse inadvertently touches the end of the exposed spike of the tubing. Which is the most appropriate action by the nurse?
A | Insert the spike into the new IV solution bag |
B | Remove the gloves and obtain another pair |
C | Discard the tubing and obtain another sterile tubing |
D | Use alcohol to cleanse the spike of the tubing |
Question 19 |
The HCP is about to examine the client on contact precautions for MRSA without donning PPE. Which is the best action by the nurse?
A | Hand the provider a gown and gloves |
B | Not say anything; it is the HCP’s decision |
C | Notify the charge nurse and unit manager |
D | Monitor for increased infections on the unit |
Question 20 |
The nursing student approaches the instructor after being stuck by a bloody needle- Which instructor statement is most accurate knowing that the client was HIV-positive?
A | “Wash with soap and water and see the HCP new; treatment should begin within 1 to 2 hours.” |
B | “The first HIV antibody testing is completed in 6 weeks and then repeated in 3 months.” |
C | “Wash with soap and water now. At the end of the clinical shift, notify your physician." |
D | “Flush immediately with water for 10 minutes and then cover with a bandage and glove.” |
Question 21 |
The nurse is using contact precautions for the client with Clostridium diflicile. While the nurse transfers the client from the bed to the commode, the client has loose stool that falls on the floor. After positioning the client on the commode, how should the nurse proceed to cleanse the floor?
A | Wipe up the steel with toilet paper and then clean the area with soap and water |
B | Wipe up the stool with toilet paper and then clean the area with a 1:10 bleach-water solution |
C | Call housekeeping personnel to come clean the floor now with the unit’s mop and bucket |
D | Wipe up the stool and apply the alcohol-based hand wash to cleanse the area of stool |
Question 22 |
The client is admitted with a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which precaution should be implemented to prevent spreading the infection to health care workers and other clients?
A | Wearing a mask within 3 feet of the client |
B | Placing the client in a private room |
C | Wearing an N95 respirator mask |
D | Ensuring a negative-air—pressure room |
Question 23 |
The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?
A | “Persons entering the room with colds should stay at least 3 feet from me.” |
B | “My family plans to bring flowers from my garden to help me feel better.” |
C | “The precautions will protect me and help my blood count recover faster.” |
D | “Persons entering my room should perform hand hygiene before entering.” |
Question 24 |
The client is placed on contact precautions. When should the nurse caring for the client plan to put on disposable examination gloves?
A | As soon as the nurse enters the client’s room |
B | Only if anticipating contact with the client’s wound |
C | Only if anticipating contact with blood or body fluids |
D | Only if providing care within 3 feet of the client |
Question 25 |
The nurse is preparing for a dressing change using surgical aseptic technique. Which action by the nurse is correct when setting up the sterile field?
A | Dons sterile gloves before opening the package that contains the sterile drape. |
B | Uses alcohol to cleanse a bottle of irrigating solution before placing it on the sterile drape. |
C | Holds an opened sterile package 6 inches above the field to drop the item into the sterile field. |
D | Leaves the sterile field unattended to obtain the correct size of sterile gloves. |
Question 26 |
The charge nurse is assigning staff to care for the client with disseminated herpes zoster. Which staff member should the charge nurse exclude from being assigned?
A | A 7-month pregnant nurse who had confirmed chicken pox in childhood |
B | A 32-year-old nurse with unknown disease or vaccination history for chicken pox |
C | A 28-year-old nurse with a history of varicella vaccine and 2 small children at home |
D | A 60-year-old nurse with a history of live herpes zoster vaccine |
Question 27 |
The client’s total WBC count is 20,000/mm3 two days after surgery. Which assessment finding should the nurse most associate with this laboratory result?
A | Respiratory rate slow and shallow |
B | Skin incision pink, crusty, and intact |
C | Dark amber urine per urinary catheter |
D | Diminished lung sounds with crackles |
Question 28 |
Following morning shift report the nurse plans to assess clients who had surgery two days ago. Which client should the nurse assess first?
A | 30-year-old who had a splenectomy and has an oral temperature of 102.2°F (39°C) |
B | 69-year-old who had a right total hip arthroplasty and has a WBC count of 12,100/mm3 |
C | 55-year-old who had a lumbar discectomy and was given 30 mg oral oxycodone at 0700 |
D | 40-year-old with external traction for a tibia fracture and has a platelet count of 100 K/mm3 |
Question 29 |
The nurse is using chlorhexidine to cleanse a vein site prior to inserting an IV catheter. While pressing the activated applicator on the skin, what should the nurse do next?
A | Scrub the skin back and forth for 30 seconds. |
B | Scrub the skin in a circular motion for 10 seconds. |
C | Scrub until the solution is visually wet on the vein. |
D | Scrub until the skin appears to be dark brown in color. |
Question 30 |
The client with an infected leg wound receives treatment and a prescription for antibiotics during a clinic visit. Which information should the nurse emphasize when completing discharge teaching?
A | Return to the clinic in one week for a repeat tetanus injection. |
B | Avoid disturbing the dressing until next week’s visit with the provider. |
C | If you have chills and your temperature is over 101°F (383°C), call the HOP. |
D | Do not take cold medicines for 24 hours after starting the antibiotic. |
Question 31 |
During a health promotion seminar, the nurse plans to discuss ways to prevent food poisoning. What information should the nurse plan to address?
A | Keep all meat together during the preparation, cooking, and serving processes. |
B | Drink natural unpasteurized milk because it contains less harmful chemicals. |
C | Wash fruits and vegetables thoroughly, especially those that will be eaten raw. |
D | Ensure that ground beef patties are cooked to a temperature of 125°F (51.7°C). |
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