HANDBOOK 2026 INFECTION CONTROL
SAFETY AND NURSING PROCESS
◉ A nurse is caring for a client who is receiving intramuscularly. The
nurse should recognize that this route:
a.) increase infection rates
b.) is the safest option
c.) has the slowest absorption rate
d.) decreases the client's risk for reactions.
Answer: A
reason: any time you puncture the body, the risk of introducing
bacteria is increased
◉ A nurse if caring for a client and performing blood glucose
monitoring. Which of the following is an appropriate nursing
intervention?
a.) wipe away the first drop of blood from the client's finger
b.) gently massage the client's finger in a distal to proximal direction
,c.) puncture the tip of the client's finger
d.) hold the client's finger in an elevated position prior to testing.
Answer: A
reason: you have to wipe the first drop of blood because the alcohol
can give you a false reading
◉ A nurse is planning care for a client who has had a stroke,
resulting in aphasia and dysphagia. Which of the following tasks
should the nurse assign to an AP? Select all that apply.
a.) assist the client with a partial bed bath
b.) measure the client's BP after the nurse administers an
antihypertensive medication
c.) test the client's swallowing ability by providing thickened liquids
d.) use a communication board to ask what the client wants for
lunch
e.) irrigate the clients indwelling urinary catheter.
Answer: A, B, D
reason: these choices don't require a special training
,◉ A nurse is caring for a client who is at risk for hypokalemia. Which
of the following foods should be included in the client's diet?
a.) avocados
b.) corn
c.) asparagus
d.) cucumbers.
Answer: A
reason: avocados are rich in potassium
◉ A nurse is caring for a client who is postoperative and has signs of
hemorrhagic shock. When the nurse notifies the surgeon, he directs
her to continue to take the clients vital signs every 15 minutes and
call him back in 1 hour. From a legal perspective, which of the
following actions should the nurse take next?
a.) document the provider's statement in the medical record
b.) complete an incident report
c.) consult the facility's risk manager
d.) notify the nursing manager.
Answer: D
, reason: the nursing manager is another resource; the patient is
priority and needs attention. The other choices doesn't help the
patient.
◉ The nurse is caring for client who is combative in the emergency
department. The provider orders wrist restraints after the client
attempts to assault the admitting nurse. Which of the following
actions is appropriate for the nurse to take?
a.) tie restraints to the lower edge of the side rail
b.) remove each restraint one at a time every 2 hours
c.) ensure 3 finger-widths of space between the restraint and the
client's wrist
d.) use a square knot to securely tie the restraints to the bed.
Answer: B
reason: remove one side of restraint (left), then after 2 hours put the
(left) restraint back on and remove the (right) restraint. Alternating,
leaving one restraint on the patient.
◉ A nurse is preparing to perform nasopharyngeal suctioning for a
client who is unable to cough up excessive secretions. Which of the
following actions is appropriate?