Safety & Infection Control NCLEX practice questions

A nurse is caring for a client with active TB. Which PPE should the nurse wear when entering the room?

1. A.Surgical mask and gloves
2. B.N95 respirator
3. C.Sterile gown and gloves
4. D.Standard precautions only

A client has an AV fistula in the left arm for hemodialysis. Which is correct?

1. A.Use the fistula arm for blood draws and BP
2. B.Avoid BP, blood draws, and IV access in fistula arm; assess thrill and bruit daily
3. C.Apply tight pressure to the fistula
4. D.Allow client to lie on the fistula arm

A nurse is caring for a client on droplet precautions. Which PPE must be worn?

1. A.Gloves only
2. B.Surgical mask + standard precautions; N95 not required
3. C.N95 respirator
4. D.Gown and gloves only

A client has clostridium difficile infection. Which hand hygiene method is required after caring for this client?

1. A.Alcohol-based hand rub only
2. B.Soap and water — alcohol does NOT kill C. difficile spores
3. C.Hand sanitizer
4. D.Wiping with paper towel

A nurse is providing care for a client with COVID-19 infection in a hospital. Which precautions are appropriate? Select 4.

1. A.Place on droplet and contact precautions; airborne for aerosol-generating procedures
2. B.Wear N95 respirator for aerosol-generating procedures (intubation, suctioning, BiPAP)
3. C.Use eye protection (face shield/goggles) and gown and gloves
4. D.Use a private room or cohort with COVID+ patients
5. E.Allow visitors freely without PPE
6. F.Standard precautions are sufficient

A 4-year-old presents with fever 39.5°C, drooling, tripod position, muffled voice, and refuses to lie down. Which actions are appropriate? Select 4.

1. A.Maintain a calm environment and avoid agitating the child
2. B.Do not attempt to visualize the throat with a tongue blade
3. C.Prepare for possible intubation with anesthesia/ENT present
4. D.Notify provider for emergency airway support
5. E.Place the child supine for examination
6. F.Allow the child to be alone to rest