Safety and Infection Control NCLEX Questions

Extract:

Question 1 of 5

A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client?

Correct Answer: B

Rationale: The purpose of the chest tube is to create negative pressure and remove the air that has accumulated in the pleural space.

Question 2 of 5

The nursing student approaches the instructor after being stuck by a bloody needle. Which instructor statement is most accurate knowing that the client was HIV-positive?

A. "Wash with soap and water and see the HCP now; treatment should begin within 1 to 2 hours." B. "The first HIV antibody testing is completed in 6 weeks and then repeated in 3 months." C. "Wash with soap and water now. At the end of the clinical shift, notify your physician." D. "Flush immediately with water for 10 minutes and then cover with a bandage and glove."

Correct Answer: A

Rationale: A: Immediate washing and HCP evaluation within 1-2 hours are critical for post-exposure prophylaxis. B: Testing timing is incorrect. C: Delaying care is risky. D: Flushing is for mucosal exposure.

Question 3 of 5

The nurse is assessing an 8 month-old child with atonic cerebral palsy. Which statement from the parent supports the presence of this problem?

A. When I put my finger in the left hand the baby doesn't respond with a grasp.' B. My baby doesn't seem to follow when I shake toys in front of its face.' C. When it thundered loudly last night the baby didn't even jump.' D. When I put the baby in a back lying position that's how I find it hours later.'

Correct Answer: D

Rationale: When I put the baby in a back lying position that's how I find it hours later.' Atonic cerebral palsy is characterized by low muscle tone and lack of movement, so the baby remaining in the same position for hours supports this diagnosis.

Question 4 of 5

Which information is most important for the nurse to reinforce with a male client who is about to undergo a vasectomy?

A. Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use another form of contraception.' B. This procedure doesn't impede the production of male hormones or the production of sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.' C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you may return to work as soon as you feel up to it.' D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter pain medication to relieve any discomfort.'

Correct Answer: A

Rationale: All of these options are correct information. The most important point to reinforce is the continuing need to take additional action for birth control until the absence of sperm in the ejaculate is confirmed.

Question 5 of 5

After a myocardial infarction, a client is placed on a sodium restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?

A. 3 oz broiled fish, 1 baked potato, 1/2 cup canned beets, 1 orange, and milk B. 3 oz. canned salmon, fresh broccoli, 1 biscuit, tea, and 1 apple C. A bologna sandwich, fresh eggplant, 2 oz fresh fruit, tea, and apple juice D. 3 oz turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1 orange

Correct Answer: D

Rationale: 3 oz turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1 orange. Canned fish and vegetables and cured meats are high in sodium. This meal does not contain any canned fish and/or vegetables or cured meats.

Safety and Infection Control NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN