NCLEX Questions Safety and Infection Control

Extract:

Question 1 of 5

The new nurse is caring for the client with a VRE infection. Which statement to the client indicates the new nurse needs additional orientation when caring for clients with a VRE infection?

Correct Answer: A

Rationale: A: Gowns are only needed if clothing contamination is likely, indicating a need for further training. B, C, D: These statements are correct.

Question 2 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.

A. "Have you been exposed to someone with tuberculosis?" B. "What was the date of your last tuberculin skin test?" C. "Have you had a cough that lasted more than 3 weeks?" D. "Have you experienced blood in your urine or stools?" E. "Have you had a recent weight gain, fever, or night sweats?"

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 3 of 5

The client's total WBC count is 20,000/mm3 two days after surgery. Which assessment finding should the nurse most associate with this laboratory result?

A. Respiratory rate slow and shallow B. Skin incision pink, crusty, and intact C. Dark amber urine per urinary catheter D. Diminished lung sounds with crackles

Correct Answer: D

Rationale: D: Elevated WBC and crackles suggest a respiratory infection. A: Slow respiration is unrelated. B: Normal incision appearance doesn't correlate. C: Amber urine indicates dehydration, not infection.

Question 4 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?

A. Wipe up the stool with toilet paper and then clean the area with soap and water B. Wipe up the stool with toilet paper and then clean the area with a 1:10 bleach-water solution C. Call housekeeping personnel to come clean the floor now with the unit's mop and bucket D. Wipe up the stool and apply the alcohol-based hand wash to cleanse the area of stool

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 5 of 5

A client has returned from a cardiac catheterization. Which one of the following findings would indicate the client is experiencing a complication from the procedure?

A. Increased blood pressure B. Increased heart rate C. Loss of pulse in the extremity D. Decreased urine output

Correct Answer: C

Rationale: Loss of pulse in the extremity. Loss of the pulse in the extremity would indicate impaired circulation.

NCLEX Questions Safety and Infection Control | Nurselytic

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