Verified Answers
1. The nurse should institute which interventions for a Correct Answer: 3,
client diagnosed with Clostridium difficile? Select all 4
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. A client with tuberculosis (TB) who is being prepared Correct Answer: 3
for discharge to home should be instructed to follow
which practice to decrease the possibility of spread-
ing the infection?
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
protect other people from exposure.
3. The nurse is preparing to set up a sterile field us- Correct Answer: 2,
ing the principles of aseptic technique to perform a 3, 6
dressing change. Which should the nurse include in
the preparations? Select all that apply.
1.
,Saunders NCLEX-PN Fun: Infection Control Exam Test Questions with 100%
Verified Answers
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 proce-
dure.
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 sur-
rounding the outer edge of the sterile field.
4. The nurse receives the culture test results for a client Correct Answer: 1,
who developed a bloodstream infection from a cen- 2, 5
tral 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 poten-
tial sources of infectious organisms? 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. Which instructions should be included in the teaching Correct Answer: 4
plan for a mother whose newborn is human immunod-
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Verified Answers
eficiency 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. The nurse is assigned to care for a client on con- Correct Answer: 3
tact precautions. On review of the client's record, the
nurse notes that the client has a hospital-acquired
infection caused by methicillin-resistant Staphylococ-
cus aureus (MRSA). The client has an abdominal
wound that requires irrigation and has a tracheostomy
attached to a mechanical ventilator and requires fre-
quent suctioning. The nurse gathers supplies before
entering the client's room and obtains which neces-
sary 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. A client is seen in the health care clinic, and a diag- Correct Answer: 2
nosis of conjunctivitis is made. The nurse reinforces
discharge instructions to the client regarding care of