Safety and Infection Control: Protecting clients and staff from hazards and infections10–16%
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Question 1 of 20
1. The nurse is caring for a client admitted with acute acetaminophen (Tylenol) poisoning. Which of the following medications is the specific antidote for this type of poisoning?
Atropine
Vitamin
N-Acetylcysteine
Activated charcoal only
Question 2 of 20
2. The nurse is implementing droplet precautions for a client. Which of the following size thresholds (in microns) are the infectious droplets prevented from spreading when using this type of precaution?
1 micron
5 microns
10 microns
20 microns
Question 3 of 20
3. The nurse is assessing a newborn client for signs of infection. Which of the following symptoms is characteristic of neonatal sepsis?
Hyperthermia
Excessive weight gain
Poor sucking
Increased activity
Question 4 of 20
4. The nurse is collecting an arterial blood gas (ABG) sample from a client. Which of the following steps is essential to ensure the accuracy of the laboratory analysis?
Is kept at room temperature
Contains a small amount of air
Is analyzed within 30 minutes
Is free of air bubbles
Question 5 of 20
5. The nurse is assessing a client presenting with signs of Stage 1 Lyme disease. Which of the following phrases describes the hallmark rash associated with this stage?
Cluster of grapes
Target or bull’s-eye
Patch of hives
Linear stripe
Question 6 of 20
6. The nurse is providing safety education to parents of young children. Which of the following is identified as the major cause of accidental injury and death in children?
Falls in the home
Bicycle accidents
Motor vehicle accidents
Burns
Question 7 of 20
7. The nurse is preparing to transport a client with active pulmonary tuberculosis to the radiology department. Which of the following protective measures must the client wear during transport?
A respirator
A surgical mask
A face shield
A gown
Question 8 of 20
8. The nurse is implementing Standard Precautions in the care of all clients. Standard precautions are utilized for contact with which of the following?
Only clients confirmed to have a bloodborne illness
Only clients with compromised immunity
Blood, body fluids, non intact skin, and mucous membranes from all clients
Only secretions from the respiratory tract
Question 9 of 20
9. The nurse is administering emergency medication to a client experiencing anaphylaxis. Which of the following is the recommended dosage and route for epinephrine in this emergency?
0.1 ml of 1:10,000 solution subcutaneously (SQ)
0.3 mL of 1:1,000 solution intramuscularly (IM)
0.5 ml of 1: 10,000 solution intravenously (IV)
1.0 ml of 1:1,000 solution intravenously (IV)
Question 10 of 20
10. The nurse has accidentally been exposed to a client's bodily fluids during a procedure. In relation to the exposure, when should the nurse perform handwashing?
After all contact is completed
Before donning clean gloves
Immediately upon contact
Only if the skin is visibly soiled
Question 11 of 20
11. The nurse is caring for a child admitted with aspirin (salicylate) poisoning and a high fever. Which of the following interventions is critical for managing the hyperthermia associated with this poisoning?
Administering prophylactic antibiotics
Applying warm blankets
Using tepid water baths or hypothermia blankets
Giving fluids containing potassium
Question 12 of 20
12. The nurse is assessing clients for risk factors associated with latex allergy. Which of the following client populations is identified as high risk for developing a latex allergy?
Elderly clients undergoing hip replacement
Children with neural tube defects
Adults with a history of asthma
Clients with congenital heart anomalies
Question 13 of 20
13. The nurse is reviewing the causes of urinary tract infections leading to pyelonephritis (kidney inflammation). Which of the following microorganisms is the most frequent cause of this condition?
Staphylococcus aureus
Clostridium difficile
E. coli
Neisseria meningitidis
Question 14 of 20
14. The nurse is providing routine care for a peripherally inserted central catheter (PICC). Which of the following schedules indicates the correct frequency for changing the sterile dressing?
Daily
Every
2 to 3 times a week or when wet or nonocclusive
Once a week
Question 15 of 20
15. The nurse is caring for a client with a tracheostomy tube. Which of the following clinical findings indicates the primary need for the nurse to perform suctioning?
Bradycardia
Decreased pulse rate
Noisy respirations
Decreased restlessness
Question 16 of 20
16. The nurse is preparing for a blood transfusion. Which of the following blood groups can act as a donor for all other major blood groups?
Type A
Type B
Type AB
Type O
Question 17 of 20
17. The nurse observes signs of an acute intravascular hemolytic reaction during a blood transfusion. Which of the following is the underlying cause of this life-threatening reaction?
Hypersensitivity to donor antibodies
Antibodies to donor platelets
Bacterial contamination of products
Incompatibility
Question 18 of 20
18. The nurse is caring for a client with a chest tube that has accidentally disconnected from the drainage system. Which of the following is the initial nursing action to prevent a pneumothorax?
Immediately call the health care provider
Place the chest tube end on a sterile field
Immerse the end of the tube in 2 cm of sterile water
Clamp the chest tube securely
Question 19 of 20
19. The nurse is monitoring a client receiving general anesthesia via inhalation. Which of the following is a key potential complication associated with this type of anesthesia?
Hypotension only
Hepatic toxicity
Aspiration during induction and recovery
Delirium during induction only
Question 20 of 20
20. The nurse is assigned to care for a client receiving internal radiation therapy. Which of the following guidelines represents the maximum time the nurse should limit close contact with the client per shift?
10 minutes
30 minutes
1 hour
2 hours