Nclex-Rn Practice Questions-Safe And Effectıve Care Envıronment-Safety And İnfection Control Part 2
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Question 1 |
During a staff in-service, the nurse describes the transmission process of hepatitis B and HIV. Which information by the nurse is most correct?
A | HIV is transmitted via toilet seats whereas hepatitis B is not. |
B | HIV is transmitted by sexual contact whereas hepatitis B is not. |
C | Hepatitis B is more readily transmitted via needle sticks than HIV. |
D | Neither virus is transmitted via body fluids. |
Question 2 |
The home health nurse administers directly observed therapy (DOT) to a client who was diagnosed with pulmonary Mycobacterium tuberculosis (MTB) nine days ago. At that time the client was started on TB chemotherapy regimen. Which personal protective equipment (PPE) should the nurse wear when making her first intake visit at the client’s home?
A | Eye shield and gloves. |
B | A surgical mask. |
C | No PPE is required. |
D | A fit-tested respirator. |
Question 3 |
The pediatric nurse cares for a client diagnosed with cytomegalovirus (CMV). The nurse should take which precaution?
A | Droplet precautions. |
B | Pediatric precautions. |
C | Standard precautions. |
D | Contact precautions. |
Question 4 |
The nurse cares for a client diagnosed with HIV whose chest x-ray results are abnormal. The nurse suspects tuberculosis (TB). Which precautions should the nurse implement when caring for this client?
A | Standard precautions only. |
B | Standard precautions and airborne precautions. |
C | Standard precautions and droplet precautions. |
D | Contact precautions only. |
Question 5 |
The nurse should implement which precautions for a client who has scabies?
A | Standard precautions only. |
B | Contact precautions only. |
C | Standard precautions and contact precautions. |
D | No precautions are required. |
Question 6 |
The nurse cares for a client who is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) infection. It is important for the nurse to:
A | Perform hand hygiene after care of the client. |
B | Implement droplet precautions for the client. |
C | Stock the client’s room with dedicated equipment including a stethoscope, thermometer, and blood pressure cuff. |
D | Eliminate dairy from the client’s diet. |
Question 7 |
While the nurse performs a hospital admission assessment, the client complains of night sweats, productive cough with blood-tinged sputum, fever, and weight loss. Chest x-ray shows an upper lobe infiltrate. The nurse should implement which precautions:
A | Standard precautions only. |
B | Standard precautions and airborne precautions. |
C | Standard precautions and droplet precautions. |
D | Standard precautions, airborne precautions, and use of a negative pressure room. |
Question 8 |
At the end of the shift, the nurse is reviewing charting information on the computer when called to a client’s room to assist with turning. The nurse should:
A | Ask another nurse to watch the computer screen as the first nurse leaves to assist with turning the client. |
B | Nothing because the computer will automatically turn off. |
C | Set the computer screen to screen saver mode. |
D | Exit the chart and return to the computer password screen. |
Question 9 |
Workplace violence is a growing concern for nurses. Major causes of violence in the hospital include:
A | Realistic client and staff expectations. |
B | Increasing resources for mental health care. |
C | The client’s understanding of the plan of care. |
D | Lack of communication between nurses and clients and visitors. |
Question 10 |
A nurse who works on an oncology unit notices a respiratory technician (RT) carrying a baby down the hallway. The nurse should:
A | Do nothing. |
B | Notify the nursery. |
C | Notify the oncology nurse manger. |
D | Ask the Director of RT to inform staff not to bring babies on the floor. |
Question 11 |
The nurse who works in the newborn nursery notices that one of the babies is missing from the bassinet. Which action should the nurse take first?
A | Notify hospital security and the nurse manager, perform a head count of infants, and begin to look for the baby. |
B | Notify the mother to inform her of the missing baby. |
C | Notify the police that an infant abduction has occurred. |
D | Notify the police, the mother, and the infant’s family and provide comfort, answering questions as they arise. |
Question 12 |
A nurse discovers that an IV pump is broken at the site where the IV tubing is placed. However, the nurse is still able to place the tubing into the pump without any complications. The nurse should:
A | Continue to use the pump. |
B | Turn the pump off, disconnect the pump from the client, and tag the pump for repair. |
C | Turn the pump off, disconnect the pump from the client, and place the pump in the soiled utility room. |
D | Turn the pump off, repair the broken area, and continue using the pump. |
Question 13 |
Ultraviolet lights are placed in the waiting room of the emergency department. Care of the ultraviolet lights should include:
A | Keeping the lights on while dusting. |
B | Ensuring that the lights are on at all times except during dusting and changing of the bulbs. |
C | Turning off the lights when the waiting room is empty. |
D | Changing the bulb only when it burns out. |
Question 14 |
Prior to administering medication to a client, the nurse decides to check the dosage strength one more time. This check reveals a dosage error, and thus the medication is not administered. What immediate action should the nurse take?
A | Nothing because an incident did not occur. |
B | Complete an incident report. |
C | Notify the physician of the potential error. |
D | Inform the client that the wrong dosage of medication was almost given. |
Question 15 |
A vase falls from a table located in the hallway of an assisted living facility and shatters. Proper removal of the glass includes:
A | Using a dustpan and broom to collect the glass and disposing of it into the garbage can. |
B | Using a dustpan and broom to collect the glass and disposing of it into a puncture resistant sharps container. |
C | Donning gloves, picking up the glass, and disposing of it in a puncture resistant sharps container. |
D | Using a wet mop to collect the glass and disposing of it into the garbage can. |
Question 16 |
A nurse is at highest risk for blood-borne exposure during which situation?
A | When removing a needle from the syringe. |
B | While placing a suture in the mechanical holder. |
C | Prior to inserting the IV, the client moves causing a needle stick to the nurse. |
D | A clean needle sticks the nurse through blood-soiled gloves. |
Question 17 |
The nurse is working in the newborn nursery when the Environmental Services Department states they would like to evaluate a new disinfectant on the unit. Which disinfectant should the nurse not recommend for the newborn nursery?
A | Bleach. |
B | Phenolic. |
C | Alcohol. |
D | Iodophor. |
Question 18 |
The nurse assists a physician in draining a client’s large abscess at the bedside. The nurse holds the client to prevent the client from jerking during the procedure. The nurse should wear which personal protective equipment:
A | Sterile gloves and face shield. |
B | Gloves and gown. |
C | Gown, sterile gloves, and mask. |
D | Gown, gloves, mask, and face shield. |
Question 19 |
An incorrect needle count is found during the closing of a surgical wound. Which action should the nurse take first?
A | Inform the Director of Surgery of an incorrect needle count. |
B | Carry out steps to locate the missing needle. |
C | Complete an incident report. |
D | Inform the family of an incorrect needle count. |
Question 20 |
During the middle of a surgical procedure, the technician informs the nurse that the biological indicator in the instrumentation pan does not indicate the instruments are sterilized. Which action should the nurse take first?
A | Tear down the entire sterile field and start over. |
B | Nothing because the instrument pan indicator may have been faulty. |
C | Remove the instrument pan and involved instruments from the sterile field. |
D | Complete an incident report. |
Question 21 |
A client is undergoing a total hip replacement when a screw that is going to be placed into the client is dropped on the floor. The nurse should:
A | Prepare the instrument for flash sterilization for three minutes in a gravity-displacement steam sterilizer. |
B | Monitor the load with a biological indicator during sterilization and quarantine the device until results of the biological indicator are known. |
C | Soak the instrument in a disinfectant according to manufacturer recommendations. |
D | Check the availability of another sterilized screw to be used immediately. |
Question 22 |
Before using a bronchoscope from one client to the next, the bronchoscope must be cleaned. The nurse knows that minimal cleaning of the bronchoscope includes:
A | Sterilization. |
B | High-level disinfection. |
C | Low-level disinfection. |
D | Washing with soap and water. |
Question 23 |
The nurse makes a client’s bed when the nurse’s index finger is caught between the bed coil and mattress. Two days later, the finger begins to swell, throb, and become red and warm. The nurse goes to the emergency department where a fracture of the third right finger is diagnosed. What action should the nurse have taken when the incident first occurred?
A | Completed an incident report at the time of the incident. |
B | No action was required at the time of the incident. |
C | Completed an incident report while in the emergency department. |
D | Notified the physician that an incident occurred in the client’s room. |
Question 24 |
The nurse prepares to insert a peripheral intravascular catheter in a client requiring fluids. Which antiseptic is preferred for prepping the skin prior to insertion of the catheter?
A | Alcohol. |
B | Iodophor. |
C | Acetone. |
D | Chlorhexadine. |
Question 25 |
A critical care client is scheduled for computed tomography (CT) of the chest in the radiology department. The client currently receives 5 liters of oxygen via nasal cannula. The respiratory therapist is asked to bring an oxygen cylinder for client transport. The nurse knows the safe handling of oxygen cylinders includes:
A | Allowing the cylinder to tip for proper transport. |
B | Laying the cylinder on the floor beside the client’s bed to prevent it from falling. |
C | Dragging the cylinder to radiology. |
D | Using a cylinder cart or holder during transport. |
Question 26 |
The nurse cares for a client who recently delivered a baby. The client has a 10-mm reaction to a tuberculin (TB) skin test as measured on her left arm. The client does not have any symptoms, and chest x-ray is negative. The baby develops respiratory distress and is placed in the neonatal intensive care unit. The nurse should:
A | Place the mother on airborne precautions. |
B | Place the baby on airborne precautions. |
C | Leave the mother and baby in a regular, nonisolated hospital room. |
D | Place a mask on the mother to prevent infecting the baby during visitation. |
Question 27 |
A 20-year-old college student who lives in a dormitory is admitted to the emergency department with complaints of headache, nausea, vomiting, stiff neck, and a rash. The nurse should perform which action based on the information given:
A | Wear a fit-tested N95 mask when caring for the client. |
B | Implement droplet precautions when caring for the client. |
C | Use airborne precautions and place the client into a negative pressure room. |
D | Implement standard precautions when caring for the client. |
Question 28 |
The circulating nurse prepares the sterile field in the operating room (OR). Fifteen minutes later, the nurse is informed the surgery is delayed for 20 minutes because the surgeon is working at another hospital. Which is the best action for the nurse to take?
A | Cover the sterile field with a sterile drape until the surgery is about to begin. |
B | Close and tape the OR doors so that no one may enter. |
C | Monitor the sterile field while awaiting the surgeon. |
D | Tear down the sterile field until the surgeon arrives in the OR. |
Question 29 |
During the hospital admission process, the client informs the nurse of $25 cash located in the client’s wallet. The nurse should:
A | Instruct the client to place the money in the bedside table for safekeeping. |
B | Document the amount of money on the client’s record. |
C | Instruct the client to send the money home with the family. |
D | Lock the money in the safe. |
Question 30 |
The nurse knows negative pressure should be used in the operating room (OR):
A | Always. |
B | Never. |
C | Sometimes. |
D | 50% of the time. |
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