Safety and Infection Control NCLEX

Question 1 of 5

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.

Correct Answer: A

Rationale: A: Back-and-forth scrubbing for 30 seconds ensures effective antisepsis. B: Circular motion and 10 seconds are inadequate. C: Visual wetness is insufficient. D: Chlorhexidine is clear, causing no discoloration.

Question 2 of 5

A client has a chest tube inserted following a left lower lobectomy required by a stab wound to the chest. While repositioning the client, the nurse notices dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action?

A. Clamp the chest tubeB. Call the surgeon immediatelyC. Prepare for blood transfusionD. Continue to monitor the rate of drainage

Correct Answer: D

Rationale: It is not unusual for blood to collect in the chest and be released into the chest drain when the client changes position. The dark color of the blood indicates it is not fresh bleeding inside the chest.

Question 3 of 5

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 125Â°F (51.7Â°C).

Correct Answer: C

Rationale: C: Thorough washing of raw produce removes bacteria, preventing food poisoning. A: Meats should be separated to avoid cross-contamination. B: Unpasteurized milk carries infection risks. D: Ground beef must reach 160Â°F to kill pathogens.

Question 4 of 5

Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump?

A. A young adult with a history of Down syndromeB. A teenager who reads at a 4th grade levelC. An elderly client with numerous arthritic nodules on the handsD. A preschooler with intermittent episodes of alertness

Correct Answer: D

Rationale: A preschooler with intermittent episodes of alertness. A preschooler is most likely of these clients to have difficulty with the use or understanding of a PCA pump. This very young child lacking a normal level of consciousness would not benefit from the use of a PCA pump.

Question 5 of 5

Which of these findings would the nurse more closely associate with anemia in a 10 month-old infant?

A. hemoglobin level of 12 g/dLB. pale mucosa of the eyelids and lipsC. hypoactivityD. a heart rate between 80 and 130

Correct Answer: B

Rationale: pale mucosa of the eyelids and lips. In iron-deficiency anemia, the physical exam reveals a pale, tired-appearing infant with mild to severe tachycardia.

Safety and Infection Control NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN