Safety and Infection Control NCLEX PN

Extract:

Question 1 of 5

The infection control nurse receives hospital laboratory confirmation that the client has positive sputum cultures for mycobacterium tuberculosis. Which action should be taken by the nurse?

Correct Answer: C

Rationale: C: TB is a reportable disease, requiring health department notification. A: Media release is inappropriate. B: All staff can provide care with precautions. D: Transfer is unnecessary.

Question 2 of 5

The infection control nurse receives hospital laboratory confirmation that the client has positive sputum cultures for mycobacterium tuberculosis. Which action should be taken by the nurse?

A. Prepare a statement for the hospital spokesperson to release to the news agencies B. Recommend that only staff with recent negative tuberculin skin tests provide care C. Implement measures to notify the local or state health department about the case D. Notify the nearest infectious disease facility and prepare the client for transfer

Correct Answer: C

Rationale: C: TB is a reportable disease, requiring health department notification. A: Media release is inappropriate. B: All staff can provide care with precautions. D: Transfer is unnecessary.

Question 3 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?

A. Applying an antibiotic ointment at the catheter insertion site daily B. Changing the dressing over the catheter insertion site every day C. Designating one port of the catheter exclusively for the TPN solution D. Instilling an antibiotic solution daily into each port of the catheter

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 4 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.

A. Wear a mask while changing the soiled linens B. Wear gown and gloves while in the room C. Use alcohol-based hand wash before and after care D. Request that the HCP prescribe a stool culture E. Post an enteric precaution sign outside the room

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.

Question 5 of 5

The clinic nurse encounters the client who has a congested cough and rhinorrhea. The nurse follows droplet precautions/cough protocol by taking which action? Select all that apply.

A. Offering the client sterile disposable tissues B. Wearing a mask while examining the client C. Offering the client water to drink while waiting D. Teaching how to cover the mouth when coughing E. Performing hand hygiene before and after client contact F. Separating the client by at least 3 feet from others in the area

Correct Answer: B,D,E,F

Rationale: B: A mask is required during examination to prevent droplet transmission. D: Teaching cough etiquette reduces spread. E: Hand hygiene prevents pathogen transmission. F: Maintaining 3 feet distance reduces droplet spread. A: Sterile tissues are unnecessary. C: Water does not limit transmission.

Safety and Infection Control NCLEX PN | Nurselytic

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NCLEX-PN

NCLEX-PN