NCLEX-PN
NCLEX Questions on Safety and Infection Control Questions
Extract:
Question 1 of 5
The nurse is caring for a client with uncontrolled hypertension. Which findings require immediate nursing action?
Correct Answer: D
Rationale: weakness in left arm. In a client with hypertension, weakness in the extremities is a sign of cerebral involvement with the potential for cerebral infarction or stroke. Cerebral infarctions account for about 80% of the strokes in clients with hypertension. The remaining three choices indicate mild fluid overload and are not medical emergencies.
Question 2 of 5
Which information is a priority for the nurse to reinforce to an older client after intravenous pyelography?
Correct Answer: D
Rationale: This information would alert to the complication of acute renal failure which may occur as a complication from the dye and the procedure. Renal failure occurs most often in elderly patients who are chronically dehydrated before the dye injection.
Question 3 of 5
After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is
Correct Answer: A
Rationale: abdominal x-ray. Placement should be verified by radiograph to determine that the tube is in the stomach or intestine rather than in the airways.
Question 4 of 5
Following morning shift report the nurse plans to assess clients who had surgery two days ago. Which client should the nurse assess first?
Correct Answer: A
Rationale: A: High fever post-splenectomy suggests possible sepsis, requiring immediate assessment. B: Slightly elevated WBC is expected. C, D: Pain management and low platelets are less urgent.
Question 5 of 5
A college student is hospitalized with meningococcal meningitis after being seen in the campus clinic. What is the nurse's responsibility to the campus community regarding this diagnosis?
Correct Answer: C
Rationale: C: Identifying close contacts allows targeted prophylaxis, preventing spread. A: Quarantine is excessive. B: Sharing names violates privacy. D: Prophylaxis is only for close contacts.