NCLEX-PN
Safety and Infection Control NCLEX PN Questions
Extract:
Question 1 of 5
The HCP documents that the client has a generalized infection. Which specific assessment finding should the nurse expect?
Correct Answer: D
Rationale: D: Generalized infections cause systemic symptoms like fever and muscle aches. A, B: These are localized signs. C: Hypotension and tachycardia are more likely.
Question 2 of 5
The HCP documents that the client has a generalized infection. Which specific assessment finding should the nurse expect?
Correct Answer: D
Rationale: D: Generalized infections cause systemic symptoms like fever and muscle aches. A, B: These are localized signs. C: Hypotension and tachycardia are more likely.
Question 3 of 5
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
Correct Answer: C
Rationale: accept the client's report of pain. Although all of the options above are correct, the first and most important piece of information in this client's pain assessment is what the client is telling you about the pain -- 'the client's report.'
Question 4 of 5
The client who is receiving TPN through a subclavian triple-lumen catheter expresses concern to the nurse about bacteria entering the blood through the catheter. The nurse explains that the risk of catheter-related infections can be decreased by taking which action?
Correct Answer: C
Rationale: C: Using one port exclusively for TPN reduces infection risk by limiting access points. A, D: Antibiotic use risks resistance. B: Daily dressing changes are unnecessary unless soiled.
Question 5 of 5
The nurse is preparing to change the soiled bed linens of the client with acute diarrhea of unknown origin. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B,D,E
Rationale: B: Gown and gloves protect against potential infectious stool. D: A stool culture identifies the cause. E: Enteric precautions prevent transmission. A: Masks are unnecessary for non-airborne pathogens. C: Soap and water are needed for possible C. difficile.