NCLEX-PN
Safety and Infection Control NCLEX Questions
Extract:
Question 1 of 5
A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should be reported to the health care provider?
Correct Answer: C
Rationale: Options A, B, and D are expected complaints after this procedure. Option C needs to be reported immediately since minimal urinary drainage puts the client at risk for bladder rupture.
Question 2 of 5
The nurse assesses the hospitalized client and surveys the client's room. The client is Muslim. Which findings require the nurse's immediate attention to remove possible sources of infection? Select all that apply.
Correct Answer: B,C,E,F
Rationale: B: A saturated dressing can harbor microorganisms, increasing infection risk. C: Unknown IV tubing change dates pose a risk as tubing should be changed every 72-96 hours. E: Opened dressing packages are contaminated and unsuitable for use. F: Uncovered food can attract microorganisms, requiring immediate attention.
Question 3 of 5
The client with an infected leg wound receives treatment and a prescription for antibiotics during a clinic visit. Which information should the nurse emphasize when completing discharge teaching?
Correct Answer: C
Rationale: C: Chills and fever over 101°F indicate possible antibiotic failure, requiring prompt reporting. A: Tetanus shots are not repeated weekly. B: Dressings need frequent changes for infected wounds. D: Cold medicines are generally safe unless contraindicated.
Question 4 of 5
The charge nurse is planning hospital bed placements for the five male clients identified in the exhibit. Two double rooms and one private room are available. Which room assignments should be made by the charge nurse?
Correct Answer: B
Rationale: B: Client C requires airborne precautions and a private room. A and D share the same organism and contact precautions. B and E require standard precautions and can share a room.
Question 5 of 5
The nurse educator is focusing on the prevention of infection. Place an X on the illustration that displays the best measure to prevent infection when caring for clients on a nursing unit?
Correct Answer: A
Rationale: A: Hand hygiene is the most effective measure to prevent infection transmission. Other measures like isolation or gloves are situational, but hand washing is universally critical.