NCLEX PN Safety and Infection Control Questions

Extract:

Question 1 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?

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.

Question 2 of 5

When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula

A. every four to six hours B. continuously C. in a bolus D. every hour

Correct Answer: B

Rationale: continuously. Usually gastrostomy and jejunostomy feedings are given continuously to ensure proper absorption. However, initial feedings may be given by bolus to assess the client's tolerance to formula.

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

A client is recovering from a hip replacement and is taking Tylenol #3 every 3 hours for pain. In checking the client, which finding suggests a side effect of the analgesic?

A. Bruising at the operative site B. Elevated heart rate C. Decreased platelet count D. No bowel movement for 3 days

Correct Answer: D

Rationale: No bowel movement for 3 days. With opioid analgesics, observe for respiratory depression, sedation, and constipation. Bruising is not related to the analgesic, but could be the result of corticosteroids or previously used anticoagulants. Elevated heart rate could be the result of bronchodilators. Some antibiotics can lower platelet count.

Question 5 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.

NCLEX PN Safety and Infection Control Questions | Nurselytic

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