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WorksheetsNCLEX - INFECTION CONTROL Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
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.
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
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
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
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.
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
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
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
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
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
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
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