NU 301 Unit 2 Exam (PDF) (Updated) NCLEX-Style Fundamentals of Nursing
Questions.
Topic 1: Safety & Infection Control (Questions 1-35)
1. A home health nurse is conducting a home safety assessment for an older adult
client. Which of the following findings should the nurse identify as a safety risk?
(Select all that apply.)
A. Water heater temperature 54.4°C (130°F) and throw rugs
B. Grab bars near the toilet and shower
C. Non-slip mats in the bathtub
D. Nightlights in the hallway
Answer: A
Rationale: Water temperature >120°F (48.9°C) significantly increases burn risk,
and throw rugs are major fall hazards for older adults. Options B, C, and D are
safety-enhancing modifications that reduce risk, not increase it .
2. A nurse sees an assistive personnel (AP) entering the room of a client who
requires transmission-based precautions without using the appropriate personal
protective equipment (PPE). Which action should the nurse take first?
,A. Report the AP to the unit manager
B. Provide the appropriate PPE to the AP
C. Document the incident and take no further action
D. Ignore the situation this time
Answer: B
Rationale: The immediate priority is protecting both the client and AP by ensuring
proper PPE is used. Coaching at the point of care reinforces infection control.
Reporting and documentation should follow after the immediate safety concern is
addressed .
3. A nurse is caring for an older adult client who was alert and oriented at
admission but now seems increasingly restless and intermittently confused.
Which action should the nurse take to address the client's safety needs?
A. Apply bilateral wrist restraints
B. Move the client to a room closer to the nurses' station
C. Turn off the lights and shut the door
,D. Ignore the behavior if vital signs are normal
Answer: B
Rationale: Placing the client close to the nurses' station allows frequent
observation and rapid intervention, reducing fall and injury risk. Restraints should
be a last resort, sensory deprivation can worsen confusion, and ignoring
behavioral changes is unsafe .
4. A nurse is caring for an older adult client. Which factor places this client at
highest risk for a healthcare-associated infection (HAI)?
A. The client is 71 years old
B. The client walks daily for exercise
C. The client has no chronic diseases
D. The client is fully vaccinated
Answer: A
, Rationale: Older adults have decreased immune function and increased exposure
to healthcare environments, raising HAI risk. Regular exercise, absence of chronic
disease, and vaccination are protective factors .
5. A nurse is teaching a client who has hepatitis A about preventing transmission
of the virus. Which strategy should the nurse include?
A. Practice effective hand hygiene
B. Avoid sharing toothbrushes only
C. Wear a mask at all times
D. Avoid talking face-to-face with others
Answer: A
Rationale: Hepatitis A is spread by the fecal-oral route; strict hand hygiene after
toileting and before food handling is the key prevention strategy. Mask use and
limiting conversation are not primary measures for hepatitis A transmission
prevention .
Questions.
Topic 1: Safety & Infection Control (Questions 1-35)
1. A home health nurse is conducting a home safety assessment for an older adult
client. Which of the following findings should the nurse identify as a safety risk?
(Select all that apply.)
A. Water heater temperature 54.4°C (130°F) and throw rugs
B. Grab bars near the toilet and shower
C. Non-slip mats in the bathtub
D. Nightlights in the hallway
Answer: A
Rationale: Water temperature >120°F (48.9°C) significantly increases burn risk,
and throw rugs are major fall hazards for older adults. Options B, C, and D are
safety-enhancing modifications that reduce risk, not increase it .
2. A nurse sees an assistive personnel (AP) entering the room of a client who
requires transmission-based precautions without using the appropriate personal
protective equipment (PPE). Which action should the nurse take first?
,A. Report the AP to the unit manager
B. Provide the appropriate PPE to the AP
C. Document the incident and take no further action
D. Ignore the situation this time
Answer: B
Rationale: The immediate priority is protecting both the client and AP by ensuring
proper PPE is used. Coaching at the point of care reinforces infection control.
Reporting and documentation should follow after the immediate safety concern is
addressed .
3. A nurse is caring for an older adult client who was alert and oriented at
admission but now seems increasingly restless and intermittently confused.
Which action should the nurse take to address the client's safety needs?
A. Apply bilateral wrist restraints
B. Move the client to a room closer to the nurses' station
C. Turn off the lights and shut the door
,D. Ignore the behavior if vital signs are normal
Answer: B
Rationale: Placing the client close to the nurses' station allows frequent
observation and rapid intervention, reducing fall and injury risk. Restraints should
be a last resort, sensory deprivation can worsen confusion, and ignoring
behavioral changes is unsafe .
4. A nurse is caring for an older adult client. Which factor places this client at
highest risk for a healthcare-associated infection (HAI)?
A. The client is 71 years old
B. The client walks daily for exercise
C. The client has no chronic diseases
D. The client is fully vaccinated
Answer: A
, Rationale: Older adults have decreased immune function and increased exposure
to healthcare environments, raising HAI risk. Regular exercise, absence of chronic
disease, and vaccination are protective factors .
5. A nurse is teaching a client who has hepatitis A about preventing transmission
of the virus. Which strategy should the nurse include?
A. Practice effective hand hygiene
B. Avoid sharing toothbrushes only
C. Wear a mask at all times
D. Avoid talking face-to-face with others
Answer: A
Rationale: Hepatitis A is spread by the fecal-oral route; strict hand hygiene after
toileting and before food handling is the key prevention strategy. Mask use and
limiting conversation are not primary measures for hepatitis A transmission
prevention .
