NCLEX PN TESTBANK Contains 862 Questions and
Answers
The nurse is teaching a group of client-care attendants about infection-control
measures. The nurse tells the group that the first line of intervention for preventing
the spread of infection is: - ANSWER: Washing hands
A nurse monitors members of the healthcare team for the use of interventions to
reduce the occurrence of methicillin-resistant staphylococcus aureus (MRSA) and
other nosocomial infections. Which finding demonstrates to the nurse that the team
members understand infection control measures? - ANSWER: Performing hand
hygiene before and after contact with every client
A nurse is providing care to a client after surgery. The nurse must practice surgical
asepsis when performing which procedure? - ANSWER: Insertion of an indwelling
urinary catheter
Which nursing action is appropriate when performing wound care for a client who
has a diabetic foot ulcer? - ANSWER: Change the sterile field after sterile water is
spilled on it
After completing a course on infection control, a licensed practical nurse (LPN)
demonstrates knowledge of the use of standard precautions based on which
statement? - ANSWER: Standard precautions are mandatory for use with all client
care.
A nurse implements standard precautions when caring for a client. Which action best
demonstrates proper use of these precautions? - ANSWER: Performing hand hygiene
immediately after removing gloves
A nurse is implementing standard precautions when caring for all assigned clients,
regardless of their diagnosis or infection status. The nurse demonstrates adherence
to the guidelines for standard precautions by which action? - ANSWER: disposing of
sharps into a puncture-resistant container
The nurse is aware that Standard Precautions represent the first tier of Centers for
Disease Control guidelines for isolation precautions. Which is the nurse's primary
responsibility when following Standard Precautions? - ANSWER: Consider all body
substances potentially infectious
The nurse educator is presenting information about Standard Precautions to a group
of newly hired nurses. Hand hygiene is a necessity in Standard Precautions. Which
true statement about hand washing would the educator include in her teachings? -
ANSWER: Frequent hand washing reduces transmission of pathogens from one client
to another.
, Which procedure performed by the nurse will require the use of sterile technique? -
ANSWER: inserting an indwelling urinary catheter
The health care provider orders contact precautions for a client with a draining
wound. Which action should the nurse take to initiate these precautions? - ANSWER:
place an isolation cart containing gloves and gowns outside the client's room.
A nurse is reviewing infection-control measures with a group of unlicensed assistive
personnel (UAP). Which statement made by one of the group members indicates
learning goals have been met? - ANSWER: Standard precautions should be used
when performing client care.
A certified nursing assistant (CNA) is caring for a client with Clostridium difficile
diarrhea and asks the nurse, "How can I keep from catching this from the client?"
The nurse reminds the CNA to wash her hands and to ensure that the client is
placed: - ANSWER: on contact isolation
A nurse is changing a client's dressing and providing wound care. Which activity
should the nurse perform first? - ANSWER: wash hands thoroughly
A client is admitted to the health care facility with active tuberculosis (TB). The nurse
should include which intervention in the plan of care? - ANSWER: Putting on an
individually fitted N95 respiratory or high-efficiency particulate air (HEPA) respirator
when entering the client's room
A nurse must obtain the blood pressure of a client in airborne isolation. Which
method is best to prevent transmission of infection to other clients by the
equipment? - ANSWER: Leave the equipment in the room for use only with that
client
The nurse is teaching a group of unlicensed assistive personnel (UAP) about standard
precautions. What information should the nurse include that best describes standard
precautions? Select all that apply. - ANSWER: >Wear gloves when there is the
potential for contact with a clientj's body fluid; >Wear gloves, a face shield, and a
gown when contact with body fluids is possible
The nurse preceptor is discussing Standard Precautions with a graduate nurse. The
preceptor should include which measures when discussing Standard Precautions?
Select all that apply. - ANSWER: >wear gloves when administering intramuscular (IM)
medication
>wash hands after removal of gloves
The physician orders contact precautions for a client with a draining wound. Which
action should the nurse take to initiate these precautions? - ANSWER: Place an
isolation cart containing gloves and gowns outside the client's room.
Answers
The nurse is teaching a group of client-care attendants about infection-control
measures. The nurse tells the group that the first line of intervention for preventing
the spread of infection is: - ANSWER: Washing hands
A nurse monitors members of the healthcare team for the use of interventions to
reduce the occurrence of methicillin-resistant staphylococcus aureus (MRSA) and
other nosocomial infections. Which finding demonstrates to the nurse that the team
members understand infection control measures? - ANSWER: Performing hand
hygiene before and after contact with every client
A nurse is providing care to a client after surgery. The nurse must practice surgical
asepsis when performing which procedure? - ANSWER: Insertion of an indwelling
urinary catheter
Which nursing action is appropriate when performing wound care for a client who
has a diabetic foot ulcer? - ANSWER: Change the sterile field after sterile water is
spilled on it
After completing a course on infection control, a licensed practical nurse (LPN)
demonstrates knowledge of the use of standard precautions based on which
statement? - ANSWER: Standard precautions are mandatory for use with all client
care.
A nurse implements standard precautions when caring for a client. Which action best
demonstrates proper use of these precautions? - ANSWER: Performing hand hygiene
immediately after removing gloves
A nurse is implementing standard precautions when caring for all assigned clients,
regardless of their diagnosis or infection status. The nurse demonstrates adherence
to the guidelines for standard precautions by which action? - ANSWER: disposing of
sharps into a puncture-resistant container
The nurse is aware that Standard Precautions represent the first tier of Centers for
Disease Control guidelines for isolation precautions. Which is the nurse's primary
responsibility when following Standard Precautions? - ANSWER: Consider all body
substances potentially infectious
The nurse educator is presenting information about Standard Precautions to a group
of newly hired nurses. Hand hygiene is a necessity in Standard Precautions. Which
true statement about hand washing would the educator include in her teachings? -
ANSWER: Frequent hand washing reduces transmission of pathogens from one client
to another.
, Which procedure performed by the nurse will require the use of sterile technique? -
ANSWER: inserting an indwelling urinary catheter
The health care provider orders contact precautions for a client with a draining
wound. Which action should the nurse take to initiate these precautions? - ANSWER:
place an isolation cart containing gloves and gowns outside the client's room.
A nurse is reviewing infection-control measures with a group of unlicensed assistive
personnel (UAP). Which statement made by one of the group members indicates
learning goals have been met? - ANSWER: Standard precautions should be used
when performing client care.
A certified nursing assistant (CNA) is caring for a client with Clostridium difficile
diarrhea and asks the nurse, "How can I keep from catching this from the client?"
The nurse reminds the CNA to wash her hands and to ensure that the client is
placed: - ANSWER: on contact isolation
A nurse is changing a client's dressing and providing wound care. Which activity
should the nurse perform first? - ANSWER: wash hands thoroughly
A client is admitted to the health care facility with active tuberculosis (TB). The nurse
should include which intervention in the plan of care? - ANSWER: Putting on an
individually fitted N95 respiratory or high-efficiency particulate air (HEPA) respirator
when entering the client's room
A nurse must obtain the blood pressure of a client in airborne isolation. Which
method is best to prevent transmission of infection to other clients by the
equipment? - ANSWER: Leave the equipment in the room for use only with that
client
The nurse is teaching a group of unlicensed assistive personnel (UAP) about standard
precautions. What information should the nurse include that best describes standard
precautions? Select all that apply. - ANSWER: >Wear gloves when there is the
potential for contact with a clientj's body fluid; >Wear gloves, a face shield, and a
gown when contact with body fluids is possible
The nurse preceptor is discussing Standard Precautions with a graduate nurse. The
preceptor should include which measures when discussing Standard Precautions?
Select all that apply. - ANSWER: >wear gloves when administering intramuscular (IM)
medication
>wash hands after removal of gloves
The physician orders contact precautions for a client with a draining wound. Which
action should the nurse take to initiate these precautions? - ANSWER: Place an
isolation cart containing gloves and gowns outside the client's room.
