SAFETY AND INFECTION CONTROL NCLEX NURSING 2026
EXAM 3
1. Question1 point(s)
While working in a pediatric clinic, you receive a telephone call from the parent of
a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has
chickenpox. Which of these actions will you anticipate taking next?
A. Administer varicella-zoster immune globulin to the client
Correct Answer
B. Educate the parent about the correct use of acyclovir (Zovirax)
C. Prepare the client for admission to a private room in the hospital
Incorrect
D. Teach the parents regarding contact and airborne precaution
Incorrect
Correct Answer: A. Administer varicella-zoster immune globulin to the client
Varicella-zoster immune globulin administration can prevent the development of
chickenpox in high-risk clients and will typically be prescribed. The varicella-zoster
,immunoglobulin is used to manage patients who are immunocompromised. In
addition, a live attenuated vaccine has been available since 1995. There is high
seroconversion following the vaccine which is long-lasting. Adverse effects of the
vaccine are rare.
Option B: In children, acyclovir decreases symptoms by one day if taken within 24
hours of the start of the rash, but it has no effect on complication rates, and it is
not recommended for individuals with normal immune function.
Option C: Hospitalization may be required if the child develops a varicella-zoster
virus infection. For most children who develop chickenpox, the outcome is
excellent. However, in immunocompromised individuals, there is increased
morbidity and mortality.
Option D: Contact and airborne precautions will be implemented to prevent the
spread of infection to other children if the child develops varicella. It is acquired
by inhalation of infected aerosolized droplets. This virus is highly contagious and
can spread rapidly. The initial infection is in the mucosa of the upper airways.
2. Question1 point(s)
Which action will you take to most effectively reduce the incidence of hospital-
associated urinary tract infections?
A. Ensure that clients have enough adequate fluid intake
,Incorrect
B. Teach assistive personnel how to provide good perineal hygiene
C. Perform dipstick urinalysis for clients with risk factors for UTI
D. Limit the use of indwelling foley catheter (IFC)
Correct Answer
Incorrect
Correct Answer: D. Limit the use of indwelling foley catheter (IFC)
The most effective way to reduce the incidence of UTIs in the hospital setting is to
avoid using retention catheters. Among UTIs acquired in the hospital,
approximately 75% are associated with a urinary catheter, which is a tube
inserted into the bladder through the urethra to drain urine. Between 15-25% of
hospitalized patients receive urinary catheters during their hospital stay. The
most important risk factor for developing a catheter-associated UTI (CAUTI) is
prolonged use of the urinary catheter.
Option A: Adequate fluid intake may improve the symptoms of UTI, however, it
can help mildly with the prevention of hospital-acquired UTI. The DRInK-Up study
provides preliminary evidence suggesting that increasing daily fluid intake by
small amounts may have a potentially positive effect on the number of UTIs
experienced. However, further research is still needed.
, Option B: Routine hygiene of the urethral meatus surface should be performed
during daily bathing or showering. Urethral cleaning with povidone-iodine
solution or soap and water has not been shown to prevent CA-UTIs. However,
there is evidence that frequent urethral cleaning can lead to mucosal irritation
and breakdown that may increase the risk of infection.
Option C: Avoid breaking the collecting system to obtain urine specimens for
analysis and bacterial culture. To obtain urine specimens, the sampling port for
the urine collection must be used. If this is not available, urine can be aspirated
with a sterile needle and syringe from the distal end of the catheter using an
aseptic technique.
3. Question1 point(s)
You are caring for a client who has been admitted to the hospital with a leg ulcer
that is infected with vancomycin-resistant S. aureus (VRSA). Which of these
nursing actions can you delegate to an LPN/LVN?
A. Assess risk for further skin breakdown
B. Plan ways to improve the client's oral protein intake
C. Obtain wound cultures during dressing changes
Correct
D. Educate the client about home care of the leg ulcer
Correct
EXAM 3
1. Question1 point(s)
While working in a pediatric clinic, you receive a telephone call from the parent of
a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has
chickenpox. Which of these actions will you anticipate taking next?
A. Administer varicella-zoster immune globulin to the client
Correct Answer
B. Educate the parent about the correct use of acyclovir (Zovirax)
C. Prepare the client for admission to a private room in the hospital
Incorrect
D. Teach the parents regarding contact and airborne precaution
Incorrect
Correct Answer: A. Administer varicella-zoster immune globulin to the client
Varicella-zoster immune globulin administration can prevent the development of
chickenpox in high-risk clients and will typically be prescribed. The varicella-zoster
,immunoglobulin is used to manage patients who are immunocompromised. In
addition, a live attenuated vaccine has been available since 1995. There is high
seroconversion following the vaccine which is long-lasting. Adverse effects of the
vaccine are rare.
Option B: In children, acyclovir decreases symptoms by one day if taken within 24
hours of the start of the rash, but it has no effect on complication rates, and it is
not recommended for individuals with normal immune function.
Option C: Hospitalization may be required if the child develops a varicella-zoster
virus infection. For most children who develop chickenpox, the outcome is
excellent. However, in immunocompromised individuals, there is increased
morbidity and mortality.
Option D: Contact and airborne precautions will be implemented to prevent the
spread of infection to other children if the child develops varicella. It is acquired
by inhalation of infected aerosolized droplets. This virus is highly contagious and
can spread rapidly. The initial infection is in the mucosa of the upper airways.
2. Question1 point(s)
Which action will you take to most effectively reduce the incidence of hospital-
associated urinary tract infections?
A. Ensure that clients have enough adequate fluid intake
,Incorrect
B. Teach assistive personnel how to provide good perineal hygiene
C. Perform dipstick urinalysis for clients with risk factors for UTI
D. Limit the use of indwelling foley catheter (IFC)
Correct Answer
Incorrect
Correct Answer: D. Limit the use of indwelling foley catheter (IFC)
The most effective way to reduce the incidence of UTIs in the hospital setting is to
avoid using retention catheters. Among UTIs acquired in the hospital,
approximately 75% are associated with a urinary catheter, which is a tube
inserted into the bladder through the urethra to drain urine. Between 15-25% of
hospitalized patients receive urinary catheters during their hospital stay. The
most important risk factor for developing a catheter-associated UTI (CAUTI) is
prolonged use of the urinary catheter.
Option A: Adequate fluid intake may improve the symptoms of UTI, however, it
can help mildly with the prevention of hospital-acquired UTI. The DRInK-Up study
provides preliminary evidence suggesting that increasing daily fluid intake by
small amounts may have a potentially positive effect on the number of UTIs
experienced. However, further research is still needed.
, Option B: Routine hygiene of the urethral meatus surface should be performed
during daily bathing or showering. Urethral cleaning with povidone-iodine
solution or soap and water has not been shown to prevent CA-UTIs. However,
there is evidence that frequent urethral cleaning can lead to mucosal irritation
and breakdown that may increase the risk of infection.
Option C: Avoid breaking the collecting system to obtain urine specimens for
analysis and bacterial culture. To obtain urine specimens, the sampling port for
the urine collection must be used. If this is not available, urine can be aspirated
with a sterile needle and syringe from the distal end of the catheter using an
aseptic technique.
3. Question1 point(s)
You are caring for a client who has been admitted to the hospital with a leg ulcer
that is infected with vancomycin-resistant S. aureus (VRSA). Which of these
nursing actions can you delegate to an LPN/LVN?
A. Assess risk for further skin breakdown
B. Plan ways to improve the client's oral protein intake
C. Obtain wound cultures during dressing changes
Correct
D. Educate the client about home care of the leg ulcer
Correct
