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NCLEX-RN practice test focused on Patient Care and Safety under the subtopic Patient Safety and Infection Control. 1. Safe medication administration 2. Fall precautions, 3. Infection prevention, 4. Emergency response protocols. This set of questions foc $35.99   Add to cart

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NCLEX-RN practice test focused on Patient Care and Safety under the subtopic Patient Safety and Infection Control. 1. Safe medication administration 2. Fall precautions, 3. Infection prevention, 4. Emergency response protocols. This set of questions foc

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NCLEX-RN practice test focused on Patient Care and Safety under the subtopic Patient Safety and Infection Control. 1. Safe medication administration 2. Fall precautions, 3. Infection prevention, 4. Emergency response protocols. This set of questions focuses on the key aspects of patient care...

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  • September 17, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX RN
  • NCLEX RN
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Estonloyford
NCLEX-RN practice test focused on Patient Care
and Safety under the subtopic Patient Safety and
Infection Control.
1. Safe medication administration
2. Fall precautions,
3. Infection prevention,
4. Emergency response protocols.
This set of questions focuses on the key aspects of patient care and safety,
including safe medication administration, fall prevention, infection control, and
emergency response.

comprehensive practice for the NCLEX-RN exam. Each question is designed to
reflect real-world nursing scenarios that are essential for patient safety.



Practice Test: Patient Safety and Infection Control

Question 1: Safe Medication Administration

A patient on warfarin is experiencing sudden epistaxis (nosebleeds). What is the most
appropriate initial nursing action?

• A) Apply a cold compress to the back of the neck.
• B) Pinch the nostrils and ask the patient to lean forward.
• C) Administer Vitamin K.
• D) Prepare the patient for blood transfusion.

Correct Answer: B) Pinch the nostrils and ask the patient to lean forward.

Explanation: The initial action in the case of epistaxis is to stop the bleeding. By pinching
the nostrils and leaning forward, pressure is applied to the site of bleeding, and leaning
forward prevents blood from being swallowed, which can cause nausea or vomiting.
Administering Vitamin K (C) may be appropriate later if bleeding persists and is related to
excessive anticoagulation, but not as an initial action. Cold compresses (A) might help, but
direct pressure is more effective initially.



Question 2: Fall Precautions

,An elderly patient with a history of falls is admitted to the hospital. Which nursing
intervention is most appropriate to prevent falls?

• A) Instruct the patient to call for assistance before getting out of bed.
• B) Ensure that the patient’s bed is in the highest position.
• C) Place a bedside commode far from the bed to encourage movement.
• D) Keep all four side rails up at all times.

Correct Answer: A) Instruct the patient to call for assistance before getting out of bed.

Explanation: Encouraging the patient to call for assistance ensures that help is available
when needed and prevents unsupervised ambulation. Placing the bed in the highest position
(B) increases the risk of injury in case of a fall. Keeping all four side rails up (D) can be
considered a form of restraint and might actually increase the risk of falls if the patient tries
to climb over them. The bedside commode should be placed close, not far away (C), to
reduce the risk of falls.



Question 3: Infection Prevention

A nurse is preparing to insert a urinary catheter in a hospitalized patient. What is the most
important step to reduce the risk of infection?

• A) Wash hands thoroughly before and after the procedure.
• B) Wear clean gloves.
• C) Place the catheter bag on the bed above the level of the bladder.
• D) Use the smallest catheter size possible.

Correct Answer: A) Wash hands thoroughly before and after the procedure.

Explanation: Hand hygiene is the most important step in preventing healthcare-associated
infections. Clean gloves (B) should also be worn, but sterile gloves are required for invasive
procedures like catheterization. The catheter bag should be placed below the bladder (C) to
prevent backflow and infection. The catheter size (D) should be appropriate for the patient,
but proper hand hygiene remains the priority in infection control.



Question 4: Emergency Response Protocols

A patient is in respiratory distress due to suspected airway obstruction. What is the nurse’s
first priority?

• A) Administer oxygen at 2 L/min via nasal cannula.
• B) Perform the Heimlich maneuver.
• C) Call for rapid response.
• D) Assess the airway and attempt to remove the obstruction.

Correct Answer: D) Assess the airway and attempt to remove the obstruction.

, Explanation: The first step in managing suspected airway obstruction is to assess the airway
and attempt to clear the obstruction if possible. Oxygen administration (A) should follow
after the airway is clear. The Heimlich maneuver (B) is appropriate if there is a complete
obstruction and the patient is choking. Calling for help (C) is also important, but the nurse’s
immediate action is to assess and try to clear the airway.



Question 5: Isolation Precautions

A patient with a confirmed case of tuberculosis (TB) is admitted to the hospital. What type of
isolation precautions should the nurse implement?

• A) Contact precautions.
• B) Droplet precautions.
• C) Airborne precautions.
• D) Reverse isolation.

Correct Answer: C) Airborne precautions.

Explanation: Tuberculosis is spread through airborne particles, so airborne precautions are
required, which includes placing the patient in a negative pressure room and requiring
healthcare providers to wear N95 masks. Contact (A) and droplet (B) precautions are used for
infections spread through direct contact or large respiratory droplets. Reverse isolation (D) is
used for protecting immunocompromised patients, not for TB.



Question 6: Infection Prevention - Central Line Dressing Change

A nurse is performing a central line dressing change. Which of the following actions should
the nurse take to minimize the risk of infection?

• A) Wash hands thoroughly before and after the procedure.
• B) Apply sterile gloves before removing the old dressing.
• C) Use a clean technique to cleanse the insertion site.
• D) Allow the antiseptic to air-dry completely before applying the new dressing.

Correct Answer: D) Allow the antiseptic to air-dry completely before applying the new
dressing.

Explanation: Allowing the antiseptic to air-dry completely ensures the full antimicrobial
effect. Washing hands (A) is critical but not the direct action related to the dressing change.
Sterile gloves (B) are applied after removing the old dressing, not before. The nurse should
use sterile, not clean (C), technique when cleansing the insertion site to reduce infection risk.



Question 7: Fall Precautions - Postoperative Patient

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