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

NCLEX-RN · safety and infection control

NCLEX-RN 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-RN exam guide or more NCLEX-RN 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 the following diseases would require the nurse to wear an N95 respirator as part of personal protective equipment?

  1. A. Human immunodeficiency virus
  2. B. Clostridium difficile enterocolitis
  3. C. Vancomycin-resistant enterococcus
  4. D. Measles
Show answer and rationale

Correct answer: D — Measles

Infections that require airborne precautions necessitate the use of an N95 respirator, a type of mask that filters particles that are 5 micrograms or smaller. Illnesses that require airborne precautions include Measles, Varicella, Severe Acute Respiratory Syndrome (SARS), and tuberculosis. Measles is a highly contagious airborne disease caused by a virus. It can spread through respiratory droplets when an infected person coughs or sneezes. Wearing an N95 respirator helps prevent the nurse from inhaling these infectious particles. Human immunodeficiency virus, Clostridium difficile enterocolitis, and Vancomycin-resistant enterococcus do not require the use of an N95 respirator as they are not transmitted through the air but have other modes of transmission.

Question 2

When dismissing a 5-year-old boy from the pediatrics unit, what type of seat belt restraint should the child wear as the parents drive the car to the front door of the hospital?

  1. A. A 5-point restraint in the back seat, facing backward
  2. B. A booster seat with a lap and shoulder belt in the back seat
  3. C. A lap belt in the back seat
  4. D. A lap and shoulder belt in the front seat
Show answer and rationale

Correct answer: B — A booster seat with a lap and shoulder belt in the back seat

A 5-year-old child riding in a car should use a restraint system for safety. The Centers for Disease Control and Prevention recommend that children under 13 years should not ride in the front seat of a car due to safety concerns. For a 5-year-old child, a booster seat with a lap and shoulder belt in the back seat is the most appropriate choice. This setup ensures proper protection and restraint for the child's size and age. Choice A is incorrect because a 5-point restraint system facing backward is not suitable for a 5-year-old child in a car. Choice C is incorrect as a lap belt alone does not provide adequate protection for a child of this age. Choice D is incorrect as children should not be seated in the front seat, especially at this young age.

Question 3

Which of the following safety precautions should the nurse discuss when working with an immunocompromised client?

  1. A. Avoid canned foods and increase consumption of fresh fruits and vegetables
  2. B. Hand-wash utensils after use and allow them to air dry
  3. C. Only drink tap water that has been filtered or boiled before consumption
  4. D. Never eat meals prepared in restaurants
Show answer and rationale

Correct answer: C — Only drink tap water that has been filtered or boiled before consumption

The correct answer is to only drink tap water that has been filtered or boiled before consumption. Immunocompromised clients are susceptible to infections, so it is essential to take precautions to prevent exposure to harmful pathogens. Drinking tap water that has been filtered or boiled helps eliminate potential pathogens that could be harmful to the client's health. Choices A, B, and D do not directly address the issue of avoiding potential pathogens that could compromise the health of an immunocompromised client. Thus, they are incorrect. Hand-washing utensils, avoiding canned foods, and increasing fruit and vegetable consumption are good general hygiene practices but may not specifically address the needs of an immunocompromised client.

Question 4

A client is being transferred from a bed to a wheelchair. Which action is essential to maintain client safety in this situation?

  1. A. Position the wheelchair at the foot of the bed
  2. B. Maintain a space of at least 12 inches between the wheelchair and the bed
  3. C. Place the footplates in the lowest position before transferring the client
  4. D. Lock both wheels on the wheelchair before moving the client
Show answer and rationale

Correct answer: D — Lock both wheels on the wheelchair before moving the client

When transferring a client from a bed to a wheelchair, it is crucial to prioritize client safety. Locking both wheels on the wheelchair before moving the client is essential as it adds stability and prevents the wheelchair from moving unexpectedly during the transfer process. Placing the wheelchair at the foot of the bed allows for easier transfer, but ensuring the wheels are locked is more critical for safety. Maintaining a 12-inch space between the wheelchair and the bed is not as essential as ensuring wheel locks are engaged. While placing the footplates in the lowest position can enhance client comfort, it is not a safety measure that is as critical as securing the wheelchair by locking its wheels before the transfer.

Question 5

A nurse caring for a client diagnosed with pertussis is ordered to maintain droplet precautions. Which of the following actions of the nurse upholds droplet precautions?

  1. A. Assign the client to stay in a negative-pressure room
  2. B. Use sterilized equipment when sharing between this client and another person with pertussis
  3. C. Wear a mask if coming within 3 feet of the client
  4. D. Both A and C
Show answer and rationale

Correct answer: C — Wear a mask if coming within 3 feet of the client

When caring for a client requiring droplet precautions, it is essential for the nurse to wear a mask when within 3 feet of the client. This practice helps prevent the transmission of droplet particles that may be produced when the client coughs or sneezes. Assigning the client to a negative-pressure room is not typically necessary for droplet precautions unless specifically indicated for airborne precautions. Using sterilized equipment when sharing between clients with pertussis is important for infection control but does not directly relate to droplet precautions. Therefore, the correct action to uphold droplet precautions in this scenario is to wear a mask when coming within close proximity to the client.

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Question 6

Which of the following is the correct sequence for removing personal protective equipment?

  1. A. Remove gown, gloves, shoe covers, mask
  2. B. Remove mask, gloves, gown, shoe covers
  3. C. Remove gloves, gown, mask, shoe covers
  4. D. Remove shoe covers, mask, gloves, gown
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Question 7

Should standard precautions be used when providing post mortem care to a patient who has died from a massive heart attack and had no other diseases, illnesses, or infections?

  1. A. Yes, because the patient must be treated with respect
  2. B. Yes, you still must use standard precautions
  3. C. No, because the patient had no infections
  4. D. No, because this is not respectful
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Question 8

The student observes a patient with no breathing problems. Which action by the student indicates a need to review respiratory assessment skills?

  1. A. The student starts at the apices of the lungs and moves to the bases.
  2. B. The student compares breath sounds from side to side, avoiding bony areas.
  3. C. The student places the stethoscope over the posterior chest and listens during expiration.
  4. D. The student instructs the patient to breathe slowly and a little more deeply than normal through the mouth.
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Question 9

During a class on the aspects of culture, the instructor shares that culture has four basic characteristics. Which statement correctly reflects one of the characteristics of culture?

  1. A. Static and unchanging
  2. B. Members sharing similar physical characteristics
  3. C. Members sharing a common geographic origin and religion
  4. D. Adapted to specific conditions related to environmental and technical factors
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Question 10

A healthcare professional is preparing to administer a dose of platelets to a client. Which of the following actions must the healthcare professional perform before giving the platelets?

  1. A. Start an IV of 0.9% Normal Saline to administer with the platelets
  2. B. Ensure the container with the platelets is intact and not damaged
  3. C. Verify the client's identity using two unique identifiers
  4. D. Check the client's chart to ensure no contraindications to platelet transfusion
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Question 11

A client is suspected of having carbon monoxide poisoning. Which of the following symptoms are associated with this condition?

  1. A. Red rash across the trunk and extremities
  2. B. Nausea, vomiting, seizures
  3. C. Flushing of the face and neck
  4. D. Abdominal pain radiating to the back
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Question 12

When a nurse's hand comes in contact with a client's blood after providing wound care, what is the next action the nurse should take?

  1. A. Use an alcohol-based hand sanitizer to disinfect the hands
  2. B. Wash hands with soap and water using appropriate technique
  3. C. Notify the appropriate personnel about the exposure to client's blood
  4. D. Sample some of the client's blood to determine the presence of diseases
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Question 13

A physician has ordered that a client must be placed in a high Fowler's position. How does the nurse position this client?

  1. A. The client is placed face-down
  2. B. The client lies on his back with his head lower than his feet
  3. C. The client lies on his back with the knees drawn up toward the chest
  4. D. The client is sitting with the backrest at a 90-degree angle
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Question 14

When educating a client about their new prescription for warfarin, what should the nurse advise?

  1. A. To have his white blood cell count tested once a month
  2. B. To avoid any activities that could lead to injury
  3. C. To avoid eating leafy green vegetables
  4. D. Both A and B
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Question 15

A client has become combative and is attempting to pull out his IV and take off his surgical dressings. The nurse receives an order to apply wrist restraints. Which action of the nurse signifies that restraints are being used safely?

  1. A. The nurse ties the restraints in a square knot to prevent the client from untying them
  2. B. The restraints are attached to a movable portion of the bed
  3. C. The padded side of the restraint is applied next to the skin of the wrist
  4. D. The nurse assesses the client's distal circulation every 24 hours
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About these NCLEX-RN safety and infection control questions

NCLEX-RN 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.

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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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