Saunders NCLEX-PN Fun: Infection Control Test with 100% Verified
Answers
1. Correct Answer: The nurse should institute which interventions for a client
3, 4 diagnosed with Clostridium difficile? Select all that apply.
1.
Wear a mask if within 3 feet of the client.
2.
Place a mask on the client when client is outside the room.
3.
Wear gloves and gown while in the room caring for the
client.
4.
Use soap and water, not alcohol-based hand rub, for hand
hygiene.
5.
Keep the door of the room shut except when entering or
exiting the client's room.
2. Correct Answer: A client with tuberculosis (TB) who is being prepared for
3 discharge to home should be instructed to follow which
practice to decrease the possibility of spreading the infec-
tion?
1.
Wear a mask when at home with family members.
2.
Have a weekly sputum culture to follow the course of the
infection.
3.
Wear a mask when in contact with people outside of the
family until medications are effective.
4.
Have a bacille Calmette-Guérin (BCG) vaccination to pro-
tect other people from exposure.
3. Correct Answer: The nurse is preparing to set up a sterile field using
2, 3, 6 the principles of aseptic technique to perform a dressing
change. Which should the nurse include in the prepara-
tions? Select all that apply.
1.
Use a dry table that is below waist level.
2.
, Open the distal flap of a sterile package first.
3.
Prepare the sterile field just before the planned procedure.
4.
Don clean gloves before touching items on the sterile field.
5.
Place the sterile field 1 foot behind the working area and
out of view of the client.
6.
Avoid placing items within 1 inch of any area surrounding
the outer edge of the sterile field.
4. Correct Answer: The nurse receives the culture test results for a client who
1, 2, 5 developed a bloodstream infection from a central venous
device. The culture report indicates that the infection is
exogenous. The client asks the nurse how she could have
contracted this infection. Which should the nurse include
in the explanation of potential sources of infectious organ-
isms? Select all that apply.
1.
The health care facility
2.
The nurse caring for the client
3.
The client's use of homeopathy
4.
The use of high doses of antibiotic therapy
5.
The use of contaminated intravenous fluids
6.
The reactivation of a previous dormant organism
5. Correct Answer: Which instructions should be included in the teaching plan
4 for a mother whose newborn is human immunodeficiency
virus (HIV) positive?
1.
Instruct the mother to check the anterior fontanel for
bulging and sutures for widening each day.
2.
, Instruct the mother to feed the newborn in an upright
position with the head and chest tilted slightly back to avoid
aspiration.
3.
Instruct the mother to feed the newborn with a special
nipple and burp the newborn frequently to decrease the
tendency to swallow air.
4.
Instruct the mother and family to provide meticulous skin
care to the newborn and to change the newborn's diaper
after each voiding or stool.
6. Correct Answer: The nurse is assigned to care for a client on contact pre-
3 cautions. On review of the client's record, the nurse notes
that the client has a hospital-acquired infection caused by
methicillin-resistant Staphylococcus aureus (MRSA). The
client has an abdominal wound that requires irrigation and
has a tracheostomy attached to a mechanical ventilator
and requires frequent suctioning. The nurse gathers sup-
plies before entering the client's room and obtains which
necessary protective items?
1.
Gloves and a gown
2.
Gloves, mask, and goggles
3.
Gloves, mask, gown, and goggles
4.
Gloves, gown, and shoe protectors
7. Correct Answer: A client is seen in the health care clinic, and a diagnosis
2 of conjunctivitis is made. The nurse reinforces discharge
instructions to the client regarding care of the disorder
while at home. Which statement by the client indicates a
need for further teaching?
1.
"I can use an ophthalmic analgesic ointment at night if I
have eye discomfort."
2.
Answers
1. Correct Answer: The nurse should institute which interventions for a client
3, 4 diagnosed with Clostridium difficile? Select all that apply.
1.
Wear a mask if within 3 feet of the client.
2.
Place a mask on the client when client is outside the room.
3.
Wear gloves and gown while in the room caring for the
client.
4.
Use soap and water, not alcohol-based hand rub, for hand
hygiene.
5.
Keep the door of the room shut except when entering or
exiting the client's room.
2. Correct Answer: A client with tuberculosis (TB) who is being prepared for
3 discharge to home should be instructed to follow which
practice to decrease the possibility of spreading the infec-
tion?
1.
Wear a mask when at home with family members.
2.
Have a weekly sputum culture to follow the course of the
infection.
3.
Wear a mask when in contact with people outside of the
family until medications are effective.
4.
Have a bacille Calmette-Guérin (BCG) vaccination to pro-
tect other people from exposure.
3. Correct Answer: The nurse is preparing to set up a sterile field using
2, 3, 6 the principles of aseptic technique to perform a dressing
change. Which should the nurse include in the prepara-
tions? Select all that apply.
1.
Use a dry table that is below waist level.
2.
, Open the distal flap of a sterile package first.
3.
Prepare the sterile field just before the planned procedure.
4.
Don clean gloves before touching items on the sterile field.
5.
Place the sterile field 1 foot behind the working area and
out of view of the client.
6.
Avoid placing items within 1 inch of any area surrounding
the outer edge of the sterile field.
4. Correct Answer: The nurse receives the culture test results for a client who
1, 2, 5 developed a bloodstream infection from a central venous
device. The culture report indicates that the infection is
exogenous. The client asks the nurse how she could have
contracted this infection. Which should the nurse include
in the explanation of potential sources of infectious organ-
isms? Select all that apply.
1.
The health care facility
2.
The nurse caring for the client
3.
The client's use of homeopathy
4.
The use of high doses of antibiotic therapy
5.
The use of contaminated intravenous fluids
6.
The reactivation of a previous dormant organism
5. Correct Answer: Which instructions should be included in the teaching plan
4 for a mother whose newborn is human immunodeficiency
virus (HIV) positive?
1.
Instruct the mother to check the anterior fontanel for
bulging and sutures for widening each day.
2.
, Instruct the mother to feed the newborn in an upright
position with the head and chest tilted slightly back to avoid
aspiration.
3.
Instruct the mother to feed the newborn with a special
nipple and burp the newborn frequently to decrease the
tendency to swallow air.
4.
Instruct the mother and family to provide meticulous skin
care to the newborn and to change the newborn's diaper
after each voiding or stool.
6. Correct Answer: The nurse is assigned to care for a client on contact pre-
3 cautions. On review of the client's record, the nurse notes
that the client has a hospital-acquired infection caused by
methicillin-resistant Staphylococcus aureus (MRSA). The
client has an abdominal wound that requires irrigation and
has a tracheostomy attached to a mechanical ventilator
and requires frequent suctioning. The nurse gathers sup-
plies before entering the client's room and obtains which
necessary protective items?
1.
Gloves and a gown
2.
Gloves, mask, and goggles
3.
Gloves, mask, gown, and goggles
4.
Gloves, gown, and shoe protectors
7. Correct Answer: A client is seen in the health care clinic, and a diagnosis
2 of conjunctivitis is made. The nurse reinforces discharge
instructions to the client regarding care of the disorder
while at home. Which statement by the client indicates a
need for further teaching?
1.
"I can use an ophthalmic analgesic ointment at night if I
have eye discomfort."
2.
