ANSWERS FOR EXAM PREP AND REVISION.
2024/2025 FALL STUDY MATERIAL
1. The nurse is preparing an intravenous (IV) solution and tubing
for a client who requires IV fluids. While preparing to prime the
tubing, the tubing drops and hits the top of the medication cart.
The nurse should plan to take which action? Change the IV
tubing
2. The nurse is caring for a client with a health care associated
infection caused by methicillin-resistant Staphylococcus aureus.
Contact precautions are prescribed for the client. The nurse
prepares to irrigate the wound and apply a new dressing. Which
protective interventions should the nurse use to perform this
procedure? Select all that apply.: Put on mask Don gown and
gloves
Wear a pair of protective goggles
3. The nurse should institute which interventions for a client
diagnosed with Clostridium difficile? Select all that apply.: -
Where gloves and a gown while in the room carrying for the
client
-Use soap and water not alcohol base hand rub, for hand hygiene
4. A licensed practical nurse (LPN) attends a session about
bioterrorism agents including anthrax. Which statement by an
attendee demonstrates the need for further teaching about
anthrax? Anthrax bacteria produces a neurotoxin leading to a
serious, possibly fatal paralysis.
5. A pregnant woman has a positive history of genital herpes,
but she has not had lesions during her pregnancy. The nurse
plans to provide which information to the client? "You will be
evaluated at the time of delivery for herpetic genital tract
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, NCLEX FUNDAMENTALS. QUESTIONS AND
ANSWERS FOR EXAM PREP AND REVISION.
2024/2025 FALL STUDY MATERIAL
lesions. If they are present, a cesarean delivery will be needed."
6. The nurse reinforces instructions to the parent of a child with
meningococcal meningitis. Which statement by the parent
indicates a need for further teaching? "l will need to get my
other children the pneumococcal vaccine, but not the baby yet,
he is only 3 months."
7. The nurse, employed in a long-term care facility, is planning
the clinical assignments for the day. The nurse knows not to
assign which staff member to the client with a diagnosis of
herpes zoster? An unlicensed assistive personnel who has never
had chickenpox
8. The nurse is told that an assigned client is suspected of
having methicillin-resistant Staphylococcus aureus (MRSA).
Which precautions should the nurse institute during the care of
the client? wear gown and gloves
9. The nurse has reinforced instructions to a client with
tuberculosis about proper handling and disposal of respiratory
secretions. The nurse determines that the client understands the
instructions if the client verbalizes to take which measure?
Discard used tissues in a plastic bag.
10. The nurse is preparing to set up a sterile field using the
principles of aseptic technique to perform a dressing change.
Which should the nurse include in the preparations? Select all
that apply.: -Open the distal flap of a sterile package first.
-Prepare the sterile field just before the planned procedure.
-Avoid placing items within 1 inch of any area surrounding the outer
edge of the sterile field.
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