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NCLEX Fundamentals: Safety and Infection Control Exam Questions and Answers
NCLEX Fundamentals: Safety and Infection Control Exam Questions and Answers
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NCLEX Fundamentals: Safety andInfection Control Exam Questions and
Answers
The nurse prepares to care for a client being admitted with a confirmed
diagnosis of Middle East respiratory syndrome. Which personal protective
equipment will the nurse use when providing care to the client? - -Gown,
gloves, N95 respirator, and eye protection
- it is a viral respiratory illness
-The nurse prepares to administer medications to a client. Which of the
following client data are acceptable for use as client identifiers? - -- First and
last name
- DOB
- Medical record number
do NOT use room number
-The nurse is contributing to the plan of care for a client who has active
varicella with open, moist lesions. Which of the following actions are
appropriate to include in the plan of care? - -Wear gown, gloves, and N95
respirator
Ensure that pregnant staff do not care for patient
Place single use thermometer and stethoscope in room
Place patient in a private room with negative air pressure
Request discontinuation of isolation once patients lesions have crusted over
-The nurse removes personal protective equipment (PPE) after completing a
wound dressing change for a client in airborne transmission-based
precautions. Which PPE should the nurse remove first? - -gloves
- see in google docs
-A client with a tracheostomy is alert and oriented and able to tolerate oral
intake. Which action would be appropriate to reduce the client's risk of
aspiration pneumonia? - -Partially or fully deflate the cuff
- The risk of aspiration in a conscious, alert, and oriented client with a
tracheostomy can be reduced by partially or fully deflating the tracheostomy
cuff, having the client in an upright position, monitoring for a wet cough or
voice quality, and monitoring vital signs.
-The nurse dons personal protective equipment (PPE) before providing care
for a client in airborne transmission-based precautions. Place the steps for
donning PPE in the appropriate sequence. - -Hand hygiene
Gown
, Mask or respirator
Goggles or face shield
Gloves
-The nurse cares for a confused client who continues to pull at the
intravenous (IV) catheter on the left forearm despite frequent instructions
not to do so. What is the nurse's next action? - -Put a gauze wrap and
stockinette over the IV site
-A graduate nurse is caring for a client with a triple-lumen peripherally
inserted central catheter in the right arm. Which actions by the graduate
nurse indicate that more education is needed? - -Reinforcing a torn PICC
catheter dressing with tape
Scrubbing the port with alcohol for 5 secs
- scrubbing should be done for 10 - 15 seconds
-The nurse is caring for an agitated client with dementia who is pulling at
the oxygen and IV tubing. Wrist restraints are applied after less-restrictive
safety measures have been ineffective. Which actions are appropriate to
protect the client from injury? - -Release restraints at regular intervals to
assess behavior
Use gauze pads on bony prominences under restraints
Use a quick release knot
Position in semi fowlers
-The same-day surgery nurse performs the preoperative assessment for a
client with a history of coronary artery disease scheduled for an elective
laparoscopic cholecystectomy. Which statement made by the client is critical
to report to the health care provider (HCP) before the surgery? - -Clopidogrel
is an anitplatelet and should be discontinued 5 - 7 days before surgery (same
for NSAIDS, other anticoagulants)
-Which diseases are on droplet precautions? - -Flu and pertussis
-The nurse on the IV therapy team is making rounds in the intensive care
unit on clients with central venous catheters. Which central line should be
removed earliest to prevent infection? - -A femoral line inserted in the ER
post cardiac arrest 48 hours ago
- Peripherally inserted central catheter (PICC) lines can be left in for weeks or
months. The occlusion of one lumen does not necessitate removal of the
catheter.
- The subclavian vein is a preferred site for a CVC. Although slight redness is
present at the suture sites, it is not located at the insertion site. The femoral
line is still at higher risk for infection.
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