2. Removing the hair with clippers.
4. Using a depilatory cream.
(2. & 4. Correct: Not removing the hair at all is preferred,
but if this is not an option the use of clippers or a depilato-
The nurse is preparing a client for surgery. Which meth- ry cream may be used to prevent trauma to the skin before
ods are appropriate for the nurse to use in removing surgery.
excessive body hair?
Select all that apply. 1. Incorrect: Using a razor for hair removal is not recom-
mended because it causes micro-abrasions of the skin.
1. Shaving the hair with a razor. Bacteria multiply in the micro-abrasions, increasing the
risk of infection. This is not appropriate for a client going
2. Removing the hair with clippers. to surgery.
3. Lathering the skin with soap and water prior to shaving 3. Incorrect: Using a razor for hair removal is not recom-
with a razor. mended because it causes micro-abrasions of the skin.
Bacteria multiply in the micro-abrasions, increasing the
4. Using a depilatory cream.
risk of infection. This is not appropriate for a client going
5. Always use a new, sharp razor. to surgery.
5. Incorrect: Using a razor for hair removal is not recom-
mended because it causes micro-abrasions of the skin.
Bacteria multiply in the micro-abrasions, increasing the
risk of infection. This is not appropriate for a client going
to surgery.)
1. Cover mouth when coughing.
The nurse is planning to teach a group of assisted living
2. Proper handwashing.
residents about tuberculosis (TB) infection. What should
the nurse include?
3. Obtain a TB skin test.
Select all that apply.
5. Proper disposal of tissues.
,NCLEX Safety and Infection Control Test Questions with Answers Rated A
(1., 2., 3. & 5. Correct: In an ettort to prevent transmission
1. Cover mouth when coughing. of TB to others, the nurse should carefully instruct about
the importance of hygiene measures, including mouth
2. Proper handwashing.
care, covering the mouth when coughing and sneezing,
proper disposal of tissues, and hand hygiene. A TB skin
3. Obtain a TB skin test.
test is especially important when living in tight quarters
4. Obtain a yearly chest x-ray. such as an assisted living center.
5. Proper disposal of tissues. 4. Incorrect: Chest x-rays are not needed yearly, especially
without signs and symptoms of TB.)
4. Whooping cough
(4. Correct: Droplet isolation precautions are used for dis-
eases or germs that are spread in tiny droplets caused by
coughing and sneezing (examples: pneumonia, influenza,
whooping cough, bacterial meningitis). Healthcare work-
ers should wear a surgical mask while in the room. Mask
must be discarded in trash after leaving the room. Clean
hands (hand washing or use hand sanitizer) when they
Which client diagnosis would require the nurse to initiate enter the room and when they leave the room.
droplet precaution?
1. Incorrect: Contact isolation precautions are used for
infections, diseases, or germs that are spread by touching
the client or items in the room {examples: MRSA, VRE,
diarrheal illnesses, open wounds, Respiratory syncytial
virus (RSV)}. Healthcare workers should wear a gown and
gloves while in the client's room. Remove the gown and
gloves before leaving the room. Clean hands (hand wash-
ing or use hand sanitizer) when entering and leaving the
room. Visitors must check with the nurse before taking
anything into or out of the room.
, NCLEX Safety and Infection Control Test Questions with Answers Rated A
2. Incorrect: Airborne isolation precautions are used for
diseases or very small germs that are spread through
the air from one person to another (examples: Tubercu-
losis (TB), measles, varicella). Healthcare workers should
ensure client is placed in an appropriate negative air
pressure room (a room where the air is gently sucked
outside the building) with the door shut. Wear a fit-tested
NIOSH-approved N-95 or higher level respirator while
1. Methicillin-resistant Staphylococcus aureus (MRSA) in the room. Clean hands (hand washing or use hand
sanitizer) when they enter the room and when they leave
2. Varicella
the room. Ensure the client wears a surgical mask when
leaving the room. Instruct visitors to wear a mask while in
3. Vancomycin-resistant enterococci (VRE)
the room.
4. Whooping cough
3. Incorrect: Contact isolation precautions are used for
infections, diseases, or germs that are spread by touching
the client or items in the room (examples: MRSA, VRE, di-
arrheal illnesses, open wounds, RSV). Healthcare workers
should wear a gown and gloves while in the client's room.
Remove the gown and gloves before leaving the room.
Clean hands (hand washing or use hand sanitizer) when
entering and leaving the room. Visitors must check with
the nurse before taking anything into or out of the room.
3. "Come to the clinic now so that we can help you."
A new mother calls the clinic and tells the nurse, "I don't
have any help taking care of my 3 week old baby. I don't (3. Correct: This client is exhibiting signs of postpartum
know what to do. I just feel like I can't take care of him psychosis. Post partum psychosis is characterized by de-
anymore. I wish I never had him sometimes. Maybe then pressed mood, agitation, indecision, lack of concentration,
my husband would spend more time at home." What guilt, and an abnormal attitude toward bodily functions.
would be the nurse's best response? There is a lack of interest in or rejection of the baby, or a
morbid fear that the baby may be harmed. Risks of suicide