NCLEX-PN
NCLEX Questions on Safety and Infection Control Questions
Extract:
Question 1 of 5
The nurse provides a collection container to the client for collecting a sputum specimen for culture and sensitivity. Which additional interventions should the nurse implement? Select all that apply.
Correct Answer: C,D,E
Rationale: C: A clean bag prevents external contamination. D: A biohazard symbol indicates infectious material. E: Prompt delivery ensures accurate results. A: Single morning collection is preferred. B: Eyewear is unnecessary.
Question 2 of 5
The nurse learns that the hospitalized client has a history of chronic hepatitis C. Which precaution should the nurse plan to implement?
Correct Answer: D
Rationale: D: Standard precautions are sufficient for hepatitis C, which is transmitted via blood and body fluids. A, B, C are unnecessary as hepatitis C is not airborne or droplet-transmitted.
Question 3 of 5
The nurse is preparing to care for the client with Ebola, a febrile, hemorrhagic disease. After selecting a disposable surgical hood that extends to the shoulders, what additional PPE should the nurse obtain? Select all that apply.
Correct Answer: B,C,E,F
Rationale: B: N95 respirator protects against possible airborne transmission. C: Face shield prevents mucosal exposure. E: Double gloves enhance protection. F: Boot covers prevent lower leg exposure. A: Docimeters are for radiation. D: Cloth gowns are inadequate; impermeable gowns are needed.
Question 4 of 5
Why is it important for the nurse to monitor blood pressure in clients receiving antipsychotic drugs?
Correct Answer: A
Rationale: Orthostatic hypotension is a common side effect. Clients should be made aware of the possibility of dizziness and syncope from postural hypotension for about an hour after receiving medication. They should be advised to get up slowly, especially from a supine position.
Question 5 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.