Infection Prevention and Control NCLEX Questions

Infection Prevention and Control NCLEX Questions 5.0 (1 review) Students also studied Terms in this set (46) Science MedicineNursing Save CH 29 Infection Prevention and Con...16 terms jennfasPreview Vital Signs Practice for NCLEX Ques...15 terms lizzyohmesPreview NCLEX Safety and Infection Control...42 terms Kate383Preview Fluid an 33 terms Ale The nurse and a new nurse in orientation are caring for a patient with pneumonia. Which statement by the new nurse will indicate a correct understanding of this condition?

• "An infectious disease like pneumonia may not pose a

risk to others."

• "We need to isolate the patient in a private negative-

pressure room."

• "Clinical signs and symptoms are not present in

pneumonia."

• "The patient will not be able to return home."

A The patient and the nurse are discussing the vector transmitted Rickettsia rickettsii—Rocky Mountain spotted fever. Which patient statement to the nurse indicates understanding regarding the mode of transmission for this disease?

• "When camping, I will use sunscreen."
• "When camping, I will drink bottled water."
• "When camping, I will wear insect repellent."
• "When camping, I will wash my hands with hand gel."

C

The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group about the most important thing to do to prevent the spread of infection. Which information did the nurse share with the preschool workers?

• Encourage preschool children to eat a nutritious diet
• Suggest that parents provide a multivitamin to the

children

• Clean the toys every afternoon before putting them

away

• Wash their hands between each interaction with

children D The nurse is admitting a patient with an infectious disease process. Which question will be most appropriate for a nurse to ask about the patient's susceptibility to this infectious process?

• Do you have a spouse?
• Do you have a chronic disease?
• Do you have any children living in the home?
• Do you have any religious beliefs that will influence

your care?B The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days post op, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5 degrees F, and the WBC is 10,500/mm^3. Which action will the nurse take first?

• Plan to to change the surgical dressing during the shift
• Utilize SBAR to notify the primary health care provider
• Reevaluate the temperature and white blood cell

count in 4 hours

• Check to see what solution was used for skin prep in

surgery B The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session?

• smoke from tobacco products clings to your clothing

and hair

• smoking affects the cilia lining the upper airways to the

lungs.

• Smoking can affect the color of the patient's finger

nails.

• Smoking tobacco products can be very expensive

B

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?

• "When was the last time you visited your primary health

care provider?"

• "Has this condition affected your eating habits in any

way?"

• "What medications are you currently taking?"
• "Are you able to sleep at night?"

C The nurse is caring for a school-aged child who has injured the right leg after a bicycle accident. Which signs and symptoms will the nurse assess for to determine if the child is experiencing a localized inflammatory response?

• Malaise, anorexia, enlarged lymph nodes, and

increased white blood cells

• Chest pain, shortness of breath, and nausea and

vomiting

• Dizziness and disorientation to time, date, and place
• Edema, redness, tenderness, and loss of function

D Which intervention utilized by the nurse will indicate the ability to recognize a localized inflammatory response?

• Vigorous range-of-motion exercises
• Turn cough deep breathe
• Orient to date, time, and place
• Rest, ice, and elevation

D The nurse is caring for a group of medical-surgical patients. Which patient is most at risk for developing an infection ?

• A patient who is in observation for chest pain
• A patient who has been admitted with dehydration
• A patient who is recovering from a right total hip

surgery

• A patient who has been admitted for stabilization of

heart problems C The nurse is caring for a patient diagnosed with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

• Review the procedure with the patient
• Position the patient comfortably
• Maintain surgical aseptic technique
• Gather available supplies

C

The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding. The nurse teaches the patient about rest, exercise, and eating properly and how to utilize deep breathing and visualization. What is the primary rationale for the nurse's actions related to the teaching?

• Topics taught are standard information taught during

health care visits

• The patient requested this information to teach the

extended family members

• Stress for long periods of time can lead to exhaustion

and decrease resistance to infection

• These techniqes will help the patient manage the pain

and loss of personal belongings C The nurse is caring for a patient who is susceptible to infection. Which instruction will the nurse include in an educational session to decrease the risk of infection?

• Teaching the patient about fall prevention
• Teaching the patient to take a temperature
• Teaching the patient to select nutritious foods
• Teaching the patient about the effects of alcohol

C A diabetic patient presents to the clinic for a a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which action will the nurse take to prevent the spread of infection?

• Position the patient comfortably on the stretcher
• Explain the procedure for dressing change to the

patient

• Review the medication list that the patient brought

from home

• Don gloves and other appropriate personal protective

equipment D A patient presents with pneumonia. Which priority intervention should be included in the plan of care for this patient?

• Observe the patient for decreased activity tolerance
• Assume the patient is in pain and treat accordingly
• Provide the patient ice chips as requested
• Maintain the room temp at 65 degrees F

A The nurse is caring for a patient in an intensive care unit who needs a bath. Which priority action will the nurse take to decrease the potential for a health care- associated infection?

• Use local anesthetic on reddened areas
• Use nonallergenic tape on dressings
• Use a chlorhexidine wash
• Use filtered water

C