NCLEX-PN
Safety and Infection Control NCLEX Questions
Extract:
Question 1 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.
Question 2 of 5
During a health promotion seminar, the nurse plans to discuss ways to prevent food poisoning. What information should the nurse plan to address?
Correct Answer: C
Rationale: C: Thorough washing of raw produce removes bacteria, preventing food poisoning. A: Meats should be separated to avoid cross-contamination. B: Unpasteurized milk carries infection risks. D: Ground beef must reach 160°F to kill pathogens.
Question 3 of 5
The nurse assesses the hospitalized client and surveys the client's room. The client is Muslim. Which findings require the nurse's immediate attention to remove possible sources of infection? Select all that apply.
Correct Answer: B,C,E,F
Rationale: B: A saturated dressing can harbor microorganisms, increasing infection risk. C: Unknown IV tubing change dates pose a risk as tubing should be changed every 72-96 hours. E: Opened dressing packages are contaminated and unsuitable for use. F: Uncovered food can attract microorganisms, requiring immediate attention.
Question 4 of 5
The nurse educator is focusing on the prevention of infection. Place an X on the illustration that displays the best measure to prevent infection when caring for clients on a nursing unit?
Correct Answer: A
Rationale: A: Hand hygiene is the most effective measure to prevent infection transmission. Other measures like isolation or gloves are situational, but hand washing is universally critical.
Question 5 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.