NCLEX-PN
NCLEX Questions Safety and Infection Control Questions
Extract:
Question 1 of 5
A nurse is providing care to a 17 year-old client in the post-operative care unit (PACU) after an emergency appendectomy. Which finding is an early indication that the client is experiencing poor oxygenation?
Correct Answer: C
Rationale: The earliest sign of poor oxygenation is an increasing pulse rate as a part of the body's compensatory mechanism. Abnormal breath sounds and cyanosis are late signs of poor oxygenation. A pulse oximetry reading of 92% is normal.
Question 2 of 5
The nurse is using contact precautions for the client with Clostridium difficile. While the nurse transfers the client from the bed to the commode, the client has loose stool that falls on the floor. After positioning the client on the commode, how should the nurse proceed to cleanse the floor?
Correct Answer: B
Rationale: B: Bleach solution effectively kills C. difficile spores. A: Soap and water are insufficient. C: Housekeeping delays action and risks spread. D: Alcohol is ineffective against C. difficile.
Question 3 of 5
The client is admitted with a tentative diagnosis of hepatitis. The nurse determines that which client statement would be consistent with hepatitis?
Correct Answer: D
Rationale: D: Distaste for cigarettes reflects anorexia, a common hepatitis symptom. A: Heartburn suggests GERD. B: Diarrhea with dairy indicates lactose intolerance. C: Shortness of breath is unrelated to hepatitis.
Question 4 of 5
As part of an infection-control policy, newly admitted clients are screened for possible undiagnosed or unsuspected infectious tuberculosis. Which questions should the nurse ask to accomplish this screening? Select all that apply.
Correct Answer: A,B,C
Rationale: A: Exposure history is key for TB screening. B: Recent skin tests indicate prior screening. C: Prolonged cough is a TB symptom. D: Blood in urine/stools is unrelated. E: Weight loss, not gain, is associated with TB.
Question 5 of 5
A client is being maintained on heparin therapy for deep vein thrombosis (DVT). The nurse must closely monitor which of the following laboratory values?
Correct Answer: C
Rationale: activated PTT. Heparin is used to prevent further clots from being formed and to prevent the present clot from enlarging. The Activated Prothromboplastin Time (APTT) test is a highly sensitive test to monitor the client on heparin.