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NCLEX Med-Surg Test Bank – Chapter 6: Infection Prevention and Control (Unit II) | 50 Questions + Rationales | Stromberg 5th Edition

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8. What is the most effective method to prevent the spread of healthcare-associated infections (HAIs)? A. Wearing sterile gloves for all patient contact B. Isolating all patients with fevers C. Hand hygiene before and after patient contact D. Disinfecting all patient belongings Answer: C Rationale: Proper hand hygiene is the single most effective measure to prevent the spread of HAIs. ________________________________________ 9. A nurse educator is teaching about surgical asepsis. Which statement by the student nurse indicates a need for further instruction? A. “I should keep sterile items above waist level.” B. “I can turn my back on a sterile field if I’m quick.” C. “I should avoid reaching over a sterile field.” D. “I must open the sterile package away from my body.” Answer: B Rationale: Turning your back on a sterile field compromises sterility. Sterile fields must always remain in direct view. ________________________________________ 10. The nurse is donning PPE for droplet precautions. Which of the following equipment is essential? A. N95 respirator B. Face shield only C. Surgical mask, gown, and gloves D. Double gloves and shoe covers Answer: C Rationale: Droplet precautions require a surgical mask, gloves, and gown to prevent transmission via large respiratory droplets. ________________________________________ 11. A nurse is providing education on standard precautions. Which of the following would require the use of gloves? A. Feeding a patient B. Taking vital signs C. Administering oral medication D. Providing oral care Answer: D Rationale: Gloves are necessary when there is potential contact with mucous membranes, as in oral care, even if no visible blood is present.

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NCLEX-Style Test Bank

Chapter 6: Infection Prevention and
Control
Unit II: Medical–Surgical Patient Care Problems
Based on: Medical-Surgical Nursing – Concepts and Practice
5th Edition by Holly K. Stromberg


✔ 50 Original NCLEX-Style Questions
✔ Detailed Rationales for Every Answer
✔ Based on 2025 NCLEX-PN® Test Plan
✔ Ideal for ATI, HESI, and Nursing School Prep


Released: 2025

, NCLEX Test Bank – Chapter 6: Infection Prevention and Control (Unit
II) | 50 Questions + Rationales | Stromberg 5th Edition
1. The nurse is explaining the chain of infection to a student. Which component must be
present for infection to spread?
A. Antibiotic therapy
B. Susceptible host
C. Normal flora
D. Inflammatory response

Answer: B
Rationale: All links in the chain must be present for infection to spread: infectious agent,
reservoir, portal of exit, mode of transmission, portal of entry, and a susceptible host.



2. A nurse is caring for a patient with Clostridium difficile (C. diff). What is the most
appropriate infection control measure?
A. Use of alcohol-based hand sanitizer
B. Contact precautions and handwashing with soap and water
C. Airborne precautions
D. Standard precautions only

Answer: B
Rationale: C. diff spores are not killed by alcohol-based sanitizers. Handwashing with soap and
water and contact precautions are required.



3. A nurse wears gloves when assisting with perineal care but does not wash hands after glove
removal. Which link in the chain of infection is this action most related to?
A. Mode of transmission
B. Infectious agent
C. Reservoir
D. Portal of entry

Answer: A
Rationale: Failure to wash hands facilitates the mode of transmission, allowing pathogens to
spread from one person to another.



4. What is the primary goal of standard precautions in nursing practice?
A. Prevent drug-resistant infections
B. Protect immunocompromised patients
C. Reduce the risk of transmission from blood and body fluids
D. Identify infected individuals early

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