NCLEX-PN
Safety and Infection Control NCLEX Questions
Extract:
Question 1 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 2 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.
Question 3 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?
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 4 of 5
Which of these findings would the nurse more closely associate with anemia in a 10 month-old infant?
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.
Question 5 of 5
The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?
Correct Answer: C
Rationale: Dyspnea. Clients having the insertion of a central venous catheter are at risk for tension pneumothorax. Dyspnea, shortness of breath and chest pain are indications of this complication.