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NCLEX-PN safety and infection control practice questions, set 2

NCLEX-PN · safety and infection control

NCLEX-PN safety and infection control practice questions set 2

You stop the harm first: isolation, falls, equipment, and the order that keeps the unit safe. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the NCLEX-PN exam guide or more NCLEX-PN practice questions.

Five safety and infection control questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

Which of these would be an appropriate meal for a client with Celiac disease?

  1. A. egg noodles with cream sauce and broccoli, oat cookie, almond milk
  2. B. turkey sandwich with rye bread, carrots
  3. C. chicken and rice, apple, and tapioca pudding
  4. D. granola and dried apricots with cow's milk
Show answer and rationale

Correct answer: C — chicken and rice, apple, and tapioca pudding

For individuals with Celiac disease, it's crucial to avoid gluten-containing foods. Choice C, which includes chicken, rice, apple, and tapioca pudding, is the most suitable option as all these foods are naturally gluten-free. Rice, fruits, vegetables, meat, dairy, and tapioca are all safe gluten-free options. Oats can be gluten-free if specially labeled, but many are processed on shared equipment with wheat. Granola often contains oats that may have been exposed to gluten. Dried and prepackaged fruits may contain gluten additives. Rye is a wheat derivative, and cream sauces usually contain flour as a base, making choices A and B inappropriate for individuals with Celiac disease.

Question 2

A case management clinical pathway for congestive heart failure might include all of the following except:

  1. A. physician follow-up appointments with transportation
  2. B. client education regarding medication use
  3. C. a nutritional consult for diet review and accommodation
  4. D. insurance review for reimbursement
Show answer and rationale

Correct answer: D — insurance review for reimbursement

In a case management clinical pathway for congestive heart failure, the focus is on providing medical care and support to the patient. Choices A, B, and C are integral parts of managing congestive heart failure. Physician follow-up appointments with transportation ensure continuity of care, client education about medication use is crucial for adherence, and a nutritional consult helps in managing the patient's diet. However, insurance review for reimbursement is not typically part of the clinical pathway as it pertains to financial aspects and is usually handled by billing departments or external agencies. Therefore, the correct answer is 'insurance review for reimbursement.'

Question 3

Which of the following devices may be applicable to a bedridden patient to address potential venous insufficiency?

  1. A. Shear-reducing mattress
  2. B. Sequential compression devices
  3. C. Hiking stockings
  4. D. Non-skid socks
Show answer and rationale

Correct answer: B — Sequential compression devices

For a bedridden patient with potential venous insufficiency, sequential compression devices (SCDs) and compression stockings are appropriate choices. SCDs help improve venous return from the lower extremities by applying sequential pressure, aiding circulation. Compression stockings also assist in preventing blood from pooling in the legs by applying pressure to support venous return. Shear-reducing mattresses are not directly related to managing venous insufficiency, as they are designed to reduce friction and shear forces on the skin to prevent pressure ulcers. Non-skid socks are primarily used for fall prevention and have no direct impact on venous insufficiency.

Question 4

When placing a Foley catheter in a female client, what is the correct order of steps?

  1. A. E, A, F, B, C, G, D
  2. B. A, E, B, F, G, D, C
  3. C. A, E, F, B, C, G, D
  4. D. E, A, F, B, C, G, D
Show answer and rationale

Correct answer: D — E, A, F, B, C, G, D

The correct order for placing a Foley catheter in a female client is as follows: E. Place the client in a supine position with flexed knees, A. Prepare the sterile field, F. Place lubricant on the catheter, B. Separate labia with the non-dominant hand, C. Clean the urinary meatus using cleansing solutions and forceps, G. Place the catheter in the meatus with the dominant (sterile) hand, and D. Inflate the catheter balloon. This sequence ensures proper hygiene, patient comfort, and reduces the risk of infection. Incorrect sequences could compromise sterility, cause discomfort, and increase the risk of infection. Therefore, the correct answer is E, A, F, B, C, G, D.

Question 5

To what does legal protection of confidentiality extend?

  1. A. Written documentation only.
  2. B. Electronic dissemination of information not identifiable to a specific client.
  3. C. Only within the court system.
  4. D. Both written and verbal information.
Show answer and rationale

Correct answer: D — Both written and verbal information.

Legal protection of confidentiality extends to both written and verbal information that is identifiable as individual private health information. Confidentiality in healthcare settings is vital to protect patients' privacy and trust. Choice A is incorrect because legal protection covers verbal information as well, not just written documentation. Choice B is incorrect as it mentions information not identifiable to a specific client, which wouldn't fall under legal protection of confidentiality. Choice C is incorrect as confidentiality extends beyond just the court system, impacting various healthcare settings and interactions. Therefore, the correct answer is D.

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Question 6

Which of these statements from the caregiver of a palliative care client indicates a proper understanding?

  1. A. This treatment plan usually indicates a prognosis of less than 6 months.
  2. B. We will need to stay in the hospital to receive this level of care.
  3. C. The main therapeutic goals are comfort and better quality of life.
  4. D. The medications to treat the underlying disease will be continued.
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Question 7

Which of the following statements from a client may indicate that they are at a higher risk for a fall?

  1. A. "I would like to get out of bed but would like to put on my non-skid socks first."?
  2. B. "Can you make sure the two bedrails are raised before leaving the room?"?
  3. C. "I think I'm ready to walk a longer distance with the cane today."?
  4. D. "I need to get out of bed to go to the bathroom now. I cannot find my glasses but cannot wait."?
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Question 8

What is the purpose of the hydraulic lift (Hoyer lift)?

  1. A. To assist clients who have had orthopedic surgery.
  2. B. To assist clients who are unable to stand and extremely obese clients.
  3. C. To assist clients of all ages in a hospital setting.
  4. D. To assist clients with special needs.
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Question 9

While observing a client using crutches for a leg injury, which action would indicate a need for more education by the LPN?

  1. A. The client places the top padding 1-2 inches below the axilla with a firm grip on the handles.
  2. B. The client rests the axilla on the top padding and loosely grips the handles with hands.
  3. C. The client has a slight bend in the elbow when using the handles.
  4. D. When going down the stairs, the client leads with the injured leg.
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Question 10

After administering medication through an NG tube, the client asks if he can lie down when the nurse leaves the room. What is the most appropriate response?

  1. A. You can lie down in 1 hour.
  2. B. You can lie down in 5 minutes if your NG residual is below 50 mLs.
  3. C. You can lie down in about 30 minutes.
  4. D. Yes, feel free to lie down.
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Question 11

Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?

  1. A. high protein
  2. B. high carbohydrate
  3. C. low carbohydrate
  4. D. low protein
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Question 12

When removing a client's gown with an intravenous line, what should the nurse do?

  1. A. temporarily disconnect the intravenous tubing at a point close to the client and thread it through the gown
  2. B. cut the gown with scissors
  3. C. thread the bag and tubing through the gown sleeve, keeping the line intact
  4. D. temporarily disconnect the tubing from the intravenous container and thread it through the gown
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Question 13

What spinal change occurring with pregnancy alters mobility?

  1. A. Scoliosis.
  2. B. Kyphosis.
  3. C. Lordosis.
  4. D. Ankylosing spondylitis.
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Question 14

Which of the following statements indicates that the provider understands how to promote rest and sleep for the client?

  1. A. If you would prefer not to be disturbed, we can postpone all vital signs and assessments until tomorrow morning.
  2. B. With your physical therapy appointments, you cannot nap more during the day even if your sleep is often interrupted at nighttime.
  3. C. I can try to incorporate any sleep rituals or an ideal bedtime into your routine.
  4. D. We cannot group together medications, assessments, and other interventions so you may have multiple interruptions at night.
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Question 15

Which of the following is least important to test when assessing the client’s motor skills?

  1. A. strength
  2. B. knowledge of ergonomics
  3. C. balance
  4. D. coordination
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About these NCLEX-PN safety and infection control questions

NCLEX-PN safety and infection control practice questions, set 2 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the NCLEX-PN exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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