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NCLEX Fundamentals Safety and Infection Control questions with answers.
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NCLEX Fundamentals Safety and Infection Control questions with answers.
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NCLEX Fundamentals Safety andInfection Control questions with
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? ANS -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? ANS -- 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? ANS -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? ANS -
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? ANS -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. ANS -
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? ANS -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? ANS -
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? ANS -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? ANS -Clopidogrel is
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