WorksheetsNCLEX - INFECTION CONTROL Day1
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse has attended a staff education program about needlestick injuries. Which of the following statements by the nurse would require follow-up?
a)
Needlestick injuries should be reported to the employee health clinic.
b)
Needlestick injuries can be prevented by recapping needles after use.
c)
Postexposure prophylaxis may be prescribed after a needlestick injury occurs.
d)
Soap and water should be used to wash the affected area after a needlestick injury occurs.
e)
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2.
The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Which instruction should the nurse give the transporter?
a)
Have the client wear a mask
b)
Have the client wear gloves
c)
Wear a mask
d)
Wear an isolation gown
e)
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3.
The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which information obtained by the nurse should be reported immediately to the prescribing health care provider?
a)
The client ate a full breakfast that morning
b)
The client has an implantable cardioverter defibrillator (ICD)
c)
The client is allergic to povidone-iodine
d)
The client took all prescribed cardiac medications before arriving
e)
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4.
A nurse is making a home visit when a fire starts in the client's kitchen trash can. The client has a fire extinguisher. The nurse should take which actions to properly operate the fire extinguisher? Select all that apply.
a)
Aim the nozzle at the base of the fire
b)
Pull out the pin on the handle
c)
Shake the canister prior to use
d)
Squeeze the handle to spray
e)
Sweep the spray from side to side
5.
The nurse is providing teaching regarding home oxygen use for a client with emphysema who is using a nasal cannula and portable oxygen tank. Which of the following statements by the client would require follow-up? Select all that apply.
a)
I can continue to cook on my gas stove.
b)
I can increase the liter flow whenever I feel short of breath.
c)
I can use a humidifier if my nostrils feel dry from the oxygen.
d)
I need to keep a working fire extinguisher in my home.
e)
I should use a wool blanket on my bed instead of cotton.
6.
The nurse is preparing to care for a client with acute myelogenous leukemia who is going through induction chemotherapy. The client's laboratory results are shown in the exhibit. Which intervention would be a priority for this client?
a)
Administer erythropoietin injection
b)
Minimize venipunctures and avoid intramuscular injections
c)
Place sequential compression devices (SCDs) to the legs
d)
Provide a private room and neutropenic precautions
e)
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7.
The nurse should consider which of the following client reports as an indication of an allergic reaction?
a)
I can't eat broccoli or cabbage when I take my warfarin.
b)
I get a headache when using my nitroglycerine patch.
c)
My feet swell when I take felodipine.
d)
My lips swell when I eat bananas or avocados.
e)
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8.
The nurse is observing client care situations. Which of the following situations would require an order for physical restraints? Select all that apply.
a)
A long leg immobilizer is used for a client with a fractured tibia.
b)
A mummy restraint is used for an infant while the nurse obtains a blood specimen.
c)
Full padded side rails are placed in the raised position for a client who is experiencing a seizure.
d)
A belt restraint is used for a client with confusion who is on bed rest but continually attempts to get out of the bed.
e)
A soft ankle restraint is used to prevent bleeding at the femoral site for a client who had a cardiac catheterization and is drowsy.
9.
The nurse is caring for a client with a seizure disorder. Which of the following seizure precautions should the nurse implement? Select all that apply.
a)
Apply pads to the side rails.
b)
Remove all linen from the bed.
c)
Set up bedside suction equipment
d)
Prepare to apply soft limb restraints.
e)
Ensure supplemental oxygen is available.
10.
A nurse is caring for a client who is intubated and has a subclavian central venous catheter. Which nursing intervention is most important to prevent the spread of infection to this client?
a)
Frequent hand hygiene
b)
No artificial nails
c)
Use of chlorhexidine bath wipes
d)
Wearing personal protective equipment
e)
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11.
A nurse is caring for a group of clients on a medical surgical unit. Which client is most at risk for contracting a nosocomial infection?
a)
51-year-old client who received a permanent pacemaker 48 hours ago
b)
60-year-old client who had a myocardial infarction 24 hours ago
c)
74-year-old client with stroke and an indwelling urinary catheter for 3 days
d)
75-year-old client with dementia and dehydration who is on IV fluids
e)
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12.
The nurse and unlicensed assistive personnel (UAP) are caring for a client who is experiencing an acute episode of Meniere disease. Which action by the UAP would require the nurse to intervene?
a)
Assists the client to use the bedside commode
b)
Dims the lights in the client's room
c)
Places the bed in the lowest position with all side rails raised
d)
Turns off the television in the client's room
e)
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13.
The nurse is preparing to admit a client who has disseminated herpes zoster and open lesions. Which of the following infection control precautions should the nurse implement?
a)
Assign the client to a semiprivate room
b)
Wear a surgical mask when caring for the client
c)
Place the client in a room with monitored negative airflow
d)
Do not allow visitors for the client until the infection has resolved
e)
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14.
The emergency department nurse receives report on 4 clients. Which client will the nurse prioritize for placement in an isolation room?
a)
4-year-old diagnosed with scabies who has red burrows and bumps along the neckline and inner elbows
b)
7-year-old diagnosed with measles who has a fever, conjunctivitis, cough, and maculopapular rash
c)
12-year-old with a positive rapid influenza test who has a fever, cough, and runny nose
d)
14-year-old with 4-inch wound on inner aspect of thigh with a positive culture for methicillin-resistant Staphylococcus aureus
e)
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15.
The charge nurse must assign rooms to 4 clients who are scheduled for admission. Which client has the highest priority for a private room assignment?
a)
Client who is a known IV drug abuser who has osteomyelitis of the arm and chronic hepatitis C
b)
Client with chronic obstructive pulmonary disease who has a latent tuberculosis infection
c)
Client with diabetes mellitus and HIV infection who is in diabetic ketoacidosis
d)
Client with pneumonia who has a positive methicillin-resistant Staphylococcus aureus nose culture
e)
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16.
A graduate nurse is caring for a client with a triple-lumen peripherally inserted central catheter in the right arm. Which actions by the graduate nurse indicate that more education is needed? Select all that apply.
a)
Flushing the line before and after each medication administration
b)
Pausing the parenteral nutrition prior to drawing blood from a different port
c)
Reinforcing a torn peripherally inserted central catheter line dressing with tape
d)
Scrubbing the port with alcohol for 5 seconds before use
e)
Taking the client's blood pressure in the left arm
17.
The nurse is talking with a client's spouse who insists on being present in the room while the client is receiving CPR. Which of the following actions should the nurse take?
a)
Call security to escort the spouse to the waiting room
b)
Let the spouse stay and assign a staff member to explain the situation
c)
Allow the spouse to stay in the room but out of sight of the resuscitation efforts
d)
Inform the spouse that family members are not allowed in a client's room during emergency situations
e)
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18.
The nurse is caring for a client who is receiving antibiotic therapy and develops Clostridioides difficile colitis. Which of the following infection-control precautions should the nurse implement? Select all that apply.
a)
Disinfect surfaces using a diluted bleach solution
b)
Perform hand hygiene using an alcohol-based hand sanitizer
c)
Wear a face mask
d)
Wear a protective gown
e)
Wear nonsterile gloves
19.
The nurse is caring for an older adult client who is confused and has a high risk for falls. The client is incontinent of urine and frequently attempts to get out of bed unassisted to use the restroom. Which nursing interventions are appropriate when caring for this client? Select all that apply.
a)
Ensuring bed alarm remains activated
b)
Initiating an hourly rounding schedule
c)
Inserting an indwelling urinary catheter
d)
Moving client to a room close to the nurses' station
e)
Raising all side rails of the client's bed
20.
The male client had a hemicolectomy. The client is refusing to wear the prescribed sequential compression devices (SCDs). What is most important for the nurse to communicate to the client?
a)
An appropriate form must be signed, verifying refusal
b)
Complications, including death, could result
c)
The client will be billed for the equipment regardless
d)
The surgeon will be informed of the refusal
e)
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21.
Which of the following drug administrations should be reported as a practice error? Select all that apply.
a)
Cephalexin administered; client has history of anaphylaxis from penicillin
b)
Hydromorphone 2 mg administered; client reports pruritus
c)
Immunization for 3-month-old administered in ventrogluteal site
d)
Oral niacin (nicotinic acid) administered; client has facial flushing
e)
Warfarin administered; client at 12 weeks gestation
22.
The nurse is observing a staff member collecting a sputum specimen from a client with active tuberculosis. The nurse should intervene if the staff member is observed
a)
Leaving unused supplies in the client's room after the procedure
b)
Putting on clean gloves before putting on a protective gown
c)
Leaving a dedicated, disposable stethoscope in the client's room
d)
Putting on an N95 respirator mask and face shield before entering the client's room
e)
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23.
A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply.
a)
Keep dedicated equipment for client
b)
Perform hand hygiene before exiting the room
c)
Place a "No Visitors" sign on the client's door
d)
Wear a face mask when in the room
e)
Wear an isolation gown when providing direct care
24.
Which measures will help prevent falls in the elderly clients of a long-term care facility? Select all that apply.
a)
Exercise programs
b)
Good room lighting
c)
Handrails in stairwell
d)
Smooth-soled shoes
e)
Staff hourly rounds
25.
A nurse is performing a dressing change for a hospitalized client with an infected surgical incision. Which actions should the nurse take?
a)
Have the client remove the existing dressing while the nurse prepares sterile supplies
b)
Wear clean gloves for removal and application of a new dressing
c)
Wear clean gloves to remove the existing dressing, changing to sterile gloves to apply the new dressing
d)
Wear sterile gloves, gown, and goggles to remove the soiled existing dressing
e)
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