NCLEX PN Safety and Infection Control Questions

Extract:

Question 1 of 5

The nurse is instructing the client who is to have surgery. According to Medicare's Surgical Care Improvement Project, what instruction is important for the client to receive prior to arrival at the hospital to prevent postoperative infection?

Correct Answer: D

Rationale: D: Avoiding shaving prevents skin lacerations that increase infection risk. A, B: While important, they are managed in-hospital. C: Hand washing by the client is less critical.

Question 2 of 5

An elderly client admitted after a fall begins to seize and loses consciousness. What action by the nurse is appropriate to do next?

A. Stay with client and observe for airway obstruction B. Collect pillows and pad the side rails of the bed C. Place an oral airway and use the body D. Announce a cardiac arrest, and assist with intubation

Correct Answer: A

Rationale: Stay with client and observe for airway obstruction. For the client's safety, remain at the bedside and observe respirations and level of consciousness. Prepare to clear the airway if obstructed. Do not place anything in the client's mouth. For safety, do not leave the client unattended. A cardiac arrest should only be announced if pulse or respirations are absent after the seizure.

Question 3 of 5

Which information should the nurse reinforce to the parents of a child recently diagnosed with Kawasaki disease?

A. It is also called mucocutaneous lymph node syndrome because it affects the mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.' B. In the second phase of the disease, findings include peeling of the skin on the hands and feet with joint and abdominal pain.' C. Kawasaki disease occurs most often in boys, children younger than age 5 and children of Asian descent.' D. Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1 to 2 weeks.'

Correct Answer: C

Rationale: Kawasaki disease occurs most often in boys, children younger than age 5 and children of Asian descent, particularly Japanese. Other findings in the initial phase are extremely red eyes (conjunctivitis), a rash on the main part of the body (trunk) and in the genital area, red, dry, cracked lips; a red, swollen tongue resembling a strawberry; swollen, red skin on the palms of the hands and the soles of the feet; swollen lymph nodes in the neck.

Question 4 of 5

The nurse has been teaching a client with Insulin Dependent Diabetes Mellitus. Which statement by the client indicates a need for further teaching?

A. I use a sliding scale to adjust regular insulin to my sugar level.' B. Since my eyesight is so bad, I ask the nurse to fill several syringes.' C. I keep my regular insulin bottle in the refrigerator.' D. I always make sure to shake the NPH bottle hard to mix it well.'

Correct Answer: D

Rationale: I always make sure to shake the NPH bottle hard to mix it well.' The bottle should be rolled gently, not shaken.

Question 5 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.

NCLEX PN Safety and Infection Control Questions | Nurselytic

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