NCLEX PN Safety and Infection Control Questions

Extract:

Question 1 of 5

The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the provider?

Correct Answer: B

Rationale: fever of 103 degrees Fahrenheit (39.5 degrees Celsius). Persistent, prolonged fever may be an indication that the antibiotics are not effective and may need to be changed.

Question 2 of 5

The nurse is preparing for a dressing change using surgical aseptic technique. Which action by the nurse is correct when setting up the sterile field?

A. Dons sterile gloves before opening the package that contains the sterile drape. B. Uses alcohol to cleanse a bottle of irrigating solution before placing it on the sterile drape. C. Holds an opened sterile package 6 inches above the field to drop the item into the sterile field. D. Leaves the sterile field unattended to obtain the correct size of sterile gloves.

Correct Answer: C

Rationale: C: Dropping items from 6 inches above the sterile field maintains sterility by avoiding contact with non-sterile surfaces. A: Sterile gloves are donned after opening the drape. B: Non-sterile bottles cannot be placed on the sterile field. D: Leaving the field unattended risks contamination.

Question 3 of 5

The nurse is supervising the NA caring for a group of clients with antibiotic-resistant organisms. Which observation of the NA's performance should prompt the supervising nurse to intervene?

A. Uses an alcohol-based hand hygiene after emptying the urinary drainage bag of the client with vancomycin-resistant enterococci (VRE) B. Performs hand hygiene, then dons gloves to perform oral care for the client with B-lactamase-producing Klebsiella pneumoniae C. Uses an alcohol-based hand rub and wears gloves before and after taking the temperature of the client with penicillin G-resistant Streptococcus pneumoniae D. Tells visitors to use the alcohol-based hand wash when entering and leaving the room of the client with methicillin-resistant Staphylococcus aureus (MRSA)

Correct Answer: A

Rationale: A: Soap and water are required for VRE due to spore resistance to alcohol. B, C, D: These actions are appropriate for the respective organisms.

Question 4 of 5

The NA is preparing to provide care for four clients. The nurse should direct the NA to utilize contact precautions for which client?

A. Client with influenza B. Client with mumps C. Client with gonorrhea D. Client with a draining abscess

Correct Answer: D

Rationale: D: A draining abscess requires contact precautions due to potential infectious drainage. A, B: These require droplet precautions. C: Gonorrhea needs standard precautions.

Question 5 of 5

The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform?

A. Disconnect the client from the ventilator and use a manual resuscitation bag B. Perform a quick assessment of the client's condition C. Call the respiratory therapist for help D. Press the alarm re-set button on the ventilator

Correct Answer: B

Rationale: A number of situations can cause the high pressure alarm to sound. It can be as simple as the client coughing. A quick assessment of the client will alert the nurse to whether it is a more serious or complex situation that might then require using a manual resuscitation bag and calling the respiratory therapist.

NCLEX PN Safety and Infection Control Questions | Nurselytic

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