NCLEX-PN
Safety and Infection Control NCLEX RN Questions Questions
Question 1 of 5
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately?
Correct Answer: D
Rationale: Serum potassium 6 mEq/L. Although all of these findings are abnormal, the elevated potassium level is a life-threatening finding and must be reported immediately.
Question 2 of 5
Which of these findings would the nurse more closely associate with dehydration in a 10 month-old infant?
Correct Answer: A
Rationale: Status of the eyes and the tongue. Clinical findings of dehydration include sunken eyes, dry tongue, lethargy, irritability, dry skin, decreased play activity, and increased pulse. The normal pulse rate in this age child is 70-110.
Question 3 of 5
A clinic nurse is teaching parents with young children. About which most common sources of infectious disease transmission should the nurse teach the parents?
Correct Answer: A
Rationale: A: Young children commonly transmit infections via stool and respiratory secretions due to poor hygiene. B, C, D: These are less common sources in this age group.
Question 4 of 5
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the room in response to the call. After checking the client's pulse and respirations, what should be the function of the second nurse?
Correct Answer: C
Rationale: Participate with the compressions or breathing. Once CPR is started, it is to be continued using the approved technique until such time as a provider pronounces the client dead or the client becomes stable. American Heart Association studies have shown that the 2 person technique is most effective in sustaining the client. It is not appropriate to relieve the first nurse to leave the room for equipment. The client's advanced directives should have been filed on admission and his choices known prior to the initiation of CPR.
Question 5 of 5
The nurse is caring for the client with DM who has an open wound on the left heel. Which assessment findings should the nurse associate with a wound infection? Select all that apply.
Correct Answer: A,B,C,E
Rationale: A: Fever indicates possible infection. B: Warmth suggests inflammation or infection. C: Purulent drainage is a sign of infection. E: Elevated WBC count indicates an immune response to infection. D: Reduced sensation is related to neuropathy, not infection.