NCLEX-PN
Safety and Infection Control NCLEX Questions
Extract:
Question 1 of 5
The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs?
Correct Answer: D
Rationale: baked potato. A baked potato contains 610 milligrams of potassium.
Question 2 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: obtain a health and dietary history. Initially, the nurse should obtain information about the chronicity of and details about constipation, recent changes in bowel habits, physical and emotional health, medications, activity pattern, and food and fluid history. This information may suggest causes as well as an appropriate, safe treatment plan.
Question 3 of 5
The nurse is using chlorhexidine to cleanse a vein site prior to inserting an IV catheter. While pressing the activated applicator on the skin, what should the nurse do next?
Correct Answer: A
Rationale: A: Back-and-forth scrubbing for 30 seconds ensures effective antisepsis. B: Circular motion and 10 seconds are inadequate. C: Visual wetness is insufficient. D: Chlorhexidine is clear, causing no discoloration.
Question 4 of 5
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0 ml. The correct action is to
Correct Answer: A
Rationale: administer the medication in 2 separate injections. Intramuscular injections should not exceed a volume of 1 ml for small children. Medication doses exceeding this volume should be split into 2 separate injections of 1.0 ml each. In adults the maximum intramuscular injection volume is 5 ml per site.
Question 5 of 5
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump?
Correct Answer: D
Rationale: A preschooler with intermittent episodes of alertness. A preschooler is most likely of these clients to have difficulty with the use or understanding of a PCA pump. This very young child lacking a normal level of consciousness would not benefit from the use of a PCA pump.