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WorksheetsNCLEX - INFECTION CONTROL Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
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
2.
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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3.
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
4.
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
5.
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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6.
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
7.
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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8.
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
9.
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
10.
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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