Safety and Infection Control NCLEX Questions

Extract:

Question 1 of 5

The nursing student approaches the instructor after being stuck by a bloody needle. Which instructor statement is most accurate knowing that the client was HIV-positive?

Correct Answer: A

Rationale: A: Immediate washing and HCP evaluation within 1-2 hours are critical for post-exposure prophylaxis. B: Testing timing is incorrect. C: Delaying care is risky. D: Flushing is for mucosal exposure.

Question 2 of 5

Which information is most important for the nurse to reinforce with a male client who is about to undergo a vasectomy?

A. Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use another form of contraception.' B. This procedure doesn't impede the production of male hormones or the production of sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.' C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you may return to work as soon as you feel up to it.' D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter pain medication to relieve any discomfort.'

Correct Answer: A

Rationale: All of these options are correct information. The most important point to reinforce is the continuing need to take additional action for birth control until the absence of sperm in the ejaculate is confirmed.

Question 3 of 5

The nurse is caring for hospitalized clients. Which nursing actions require the nurse to use sterile gloves? Select all that apply.

A. Insertion of a nasogastric tube B. Administration of an enema C. Administration of a subcutaneous injection D. Insertion of an indwelling urinary catheter E. Suctioning of a tracheostomy tube

Correct Answer: D,E

Rationale: D: Sterile gloves are required for urinary catheter insertion to prevent introducing pathogens. E: Sterile gloves are needed for tracheostomy suctioning to minimize infection risk. A, B, C involve non-sterile procedures.

Question 4 of 5

The nursing student approaches the instructor after being stuck by a bloody needle. Which instructor statement is most accurate knowing that the client was HIV-positive?

A. "Wash with soap and water and see the HCP now; treatment should begin within 1 to 2 hours." B. "The first HIV antibody testing is completed in 6 weeks and then repeated in 3 months." C. "Wash with soap and water now. At the end of the clinical shift, notify your physician." D. "Flush immediately with water for 10 minutes and then cover with a bandage and glove."

Correct Answer: A

Rationale: A: Immediate washing and HCP evaluation within 1-2 hours are critical for post-exposure prophylaxis. B: Testing timing is incorrect. C: Delaying care is risky. D: Flushing is for mucosal exposure.

Question 5 of 5

A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Addressing which of the following should take priority in planning care?

A. Esophagitis B. Leukopenia C. Fatigue D. Skin irritation

Correct Answer: B

Rationale: Leukopenia. Clients develop leukopenia due to the depressant effect of radiation therapy on bone marrow function. Infection is the most frequent cause of morbidity and death in clients with cancer.

Safety and Infection Control NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN