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2. Safe and Effective Care Environment: Safety and Infection Control

Safety and Infection Control: Protecting clients and staff from hazards and infections
10–16%

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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?

A

Atropine

B

Vitamin

C

N-Acetylcysteine

D

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?

A

1 micron

B

5 microns

C

10 microns

D

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?

A

Hyperthermia

B

Excessive weight gain

C

Poor sucking

D

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?

A

Is kept at room temperature

B

Contains a small amount of air

C

Is analyzed within 30 minutes

D

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?

A

Cluster of grapes

B

Target or bull’s-eye

C

Patch of hives

D

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?

A

Falls in the home

B

Bicycle accidents

C

Motor vehicle accidents

D

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

A respirator

B

A surgical mask

C

A face shield

D

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?

A

Only clients confirmed to have a bloodborne illness

B

Only clients with compromised immunity

C

Blood, body fluids, non intact skin, and mucous membranes from all clients

D

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?

A

0.1 ml of 1:10,000 solution subcutaneously (SQ)

B

0.3 mL of 1:1,000 solution intramuscularly (IM)

C

0.5 ml of 1: 10,000 solution intravenously (IV)

D

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?

A

After all contact is completed

B

Before donning clean gloves

C

Immediately upon contact

D

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?

A

Administering prophylactic antibiotics

B

Applying warm blankets

C

Using tepid water baths or hypothermia blankets

D

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?

A

Elderly clients undergoing hip replacement

B

Children with neural tube defects

C

Adults with a history of asthma

D

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?

A

Staphylococcus aureus

B

Clostridium difficile

C

E. coli

D

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?

A

Daily

B

Every

C

2 to 3 times a week or when wet or nonocclusive

D

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?

A

Bradycardia

B

Decreased pulse rate

C

Noisy respirations

D

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?

A

Type A

B

Type B

C

Type AB

D

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?

A

Hypersensitivity to donor antibodies

B

Antibodies to donor platelets

C

Bacterial contamination of products

D

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?

A

Immediately call the health care provider

B

Place the chest tube end on a sterile field

C

Immerse the end of the tube in 2 cm of sterile water

D

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?

A

Hypotension only

B

Hepatic toxicity

C

Aspiration during induction and recovery

D

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?

A

10 minutes

B

30 minutes

C

1 hour

D

2 hours

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