1. A charge nurse is teaching a new nurse how to initiate IV access on a client. Which of
the following actions by the new nurse indicates an understanding of the teaching? -
- Washes hands with soap and water before the procedure
2. A nurse has completed care procedures for a client who requires airborne
precautions. Which of the following items of personal protective equipment (PPE)
should the nurse remove first?
- Gloves
3. A clinical nurse educator is preparing an educational program about transmission of
methicillin-resistant staphylococcus aureus (MRSA) in hospitalized clients. Which of the
following information should the nurse include in the program?
- Bathe clients with water and chlorhexidine gluconate.
4. A nurse is planning care for a client who requires airborne precautions. Which of the
following actions should the nurse take?
- Wear an N95 respirator mask
5. A nurse is planning care for a client who has manifestations of Clostridium difficile
(C.Difficile) infection. Which of the following actions should the nurse plan to take?
- Place the client on contact precautions
6. A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal
for this client is to use proper body mechanics at all times. Which of the following
findings indicates that the client is meeting this goal?
- The client faces the direction of movement when sliding an object across the floor
7. A nurse is admitting a client who requires droplet precautions due to influenza. Which
of the following actions should the nurse take?
- Wear a mask when providing care to the client -
8. A charge nurse is planning a room assignment for a client who has a productive
cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private,
negative pressure airflow room; room 212 is a semi-private, positive pressure airflow
room; 214 is a negative-pressure semi private room; and room 216 is a private, positive
pressure airflow room. To which of the following rooms should the nurse assign the
client?
- 208 -
9. A nurse is observing assistive personnel (AP) changing the linens on the bed of a
client who is immobile. Which of the following actions by the AP should the nurse
identify as an indication of the need to intervene?
- Reaches over the bed to straighten the fitted sheet
, 10. A nurse is planning to perform a sterile dressing change for a client. Which of the
following actions should the nurse plan to take?
- Use sterile forceps to move the sterile items on the sterile field
11. A nurse is preparing a clients evening dose of risperidone when the tablet falls on
the countertop. Which of the following actions should the nurse take?
- Discard the tablet and obtain another dose of medication
12. A nurse is teaching a newly hired group of assistive personnel (AP) about infection-
control measures on the unit. It is crucial for the nurse to remind APs that which of the
following is the most effective way to prevent the spread of pathogens during client
care?
- Performing hand hygiene frequently and consistently
13. When reviewing the admitting prescriptions for a client, the nurse notes that the
dose of one medication is three times the usual dose of this medication. Which of the
following actions should the nurse take?
- Contact the provider to question the dosage
14. A nurse is providing discharge teaching for a client who requires home oxygen
therapy. Which of the following statements should the nurse identify as an indication
that the client needs further teaching
- "I will wear synthetic clothing and woolen socks when using my oxygen"
15. A nurse is presenting a class about fall prevention to a group of assisted-living
residents. Which of the following statements by a resident best indicates an
understanding of the teaching?
- "It is a good idea to use the handrails in the bathroom"
16. A nurse is admitting a client who has tuberculosis and a productive cough. Which of
the following types of isolation should the nurse initiate for the client?
- Airborne
17. A nurse is caring for an older adult who states, "I am afraid that I may fall while
walking to the bathroom during the night." Which of the following actions should the
nurse take?
- Leave a nightlight on in the client's room
18. A nurse is teaching a new group of AP about the importance of hand hygiene.
Which of the following statements should the nurse include?
- "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds."
19. A nurse is measuring a client's oral temperature. The client informs the nurse that
he has just eaten some ice chips. Which of the following actions should the nurse take?
- Wait 30 min and return to measure the oral temperature