Safety and Infection Control Exam |74 Questions
Solved 100% Correct| Answers Already Verified
Which behaviors from a client with dementia would prompt nursing intervention? -
ANSWER attempting to hit others
The nurse is caring for a preschooler. Which technique will the nurse apply as most effective
in preventing hospital-acquired infections in this population? - ANSWER hand washing
A client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic
behavior. The client is unkempt, has lost approximately 9 lb (4 kg), has been sleeping poorly,
and exhibits hyperactivity. The client loudly denies the need for hospitalization. What priority
intervention will the nurse apply? - ANSWER decreasing environmental stimulation
A nurse is preparing a client for magnetic resonance imaging (MRI) scan to confirm or rule out
a spinal cord lesion. Which action would pose a threat to the client during the procedure? -
ANSWER The client wears a watch and wedding band.
A client has a surgical wound with a drain. When cleaning around the drain, the nurse
should wipe in which direction? - ANSWER In a circle, from the center outward
A client comes to the clinic reporting a sore throat and fever. To obtain a throat culture, the
nurse asks the client to tilt his head back, open his mouth, and close his eyes. To best obtain
the specimen, which action does the nurse take next? - ANSWER Swab the tonsillar areas from
side to side, avoiding contact with the tongue, cheeks, and teeth.
, A client is transferred to the locked psychiatric unit from the emergency department after
attempting suicide by taking 200 acetaminophen tablets. Now the client is awake and alert but
refuses to speak with the nurse. In this situation, the nurse's first priority is to: - ANSWER
ensure safety by initiating suicide precautions.
The nurse is performing wound care on a client. Which task indicates surgical asepsis? -
ANSWER Preparing sterile surgical instruments for the physician to debride the wound
A client receives a sealed radiation implant to treat cervical cancer. When caring for this client,
the nurse should: - ANSWER maintain the client on complete bed rest with bathroom privileges
only.
An 8-year-old child is brought to the clinic with watery eyes and clear nasal drainage that
has lasted more than 10 days, without fever. The nurse observes that the child has dark
circles under the eyes and a crease above the tip of the nose. Which intervention should be
the nurse's priority? - ANSWER Collect data about potential environmental allergy triggers.
A client with an indwelling catheter asked the nurse to remove the catheter. Which first
intervention is best when removing an indwelling catheter? - ANSWER Deflate the balloon
before removing the catheter.
The nurse is caring for a client on an oncology unit who is refusing further chemotherapy
treatment after the rationale for the treatment has been clearly explained. What is the nurse's
best action? - ANSWER Support the client's decision and hold all treatments.
A client reports slipping on a throw rug while going to the bathroom at night. Which
data should be gathered for prevention of further falls? - ANSWER home safety
A health care provider and nurse are discussing treatment options with a client diagnosed with
severe ulcerative colitis symptoms. Which potential complication requires frequent
assessment? - ANSWER bowel perforation
Solved 100% Correct| Answers Already Verified
Which behaviors from a client with dementia would prompt nursing intervention? -
ANSWER attempting to hit others
The nurse is caring for a preschooler. Which technique will the nurse apply as most effective
in preventing hospital-acquired infections in this population? - ANSWER hand washing
A client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic
behavior. The client is unkempt, has lost approximately 9 lb (4 kg), has been sleeping poorly,
and exhibits hyperactivity. The client loudly denies the need for hospitalization. What priority
intervention will the nurse apply? - ANSWER decreasing environmental stimulation
A nurse is preparing a client for magnetic resonance imaging (MRI) scan to confirm or rule out
a spinal cord lesion. Which action would pose a threat to the client during the procedure? -
ANSWER The client wears a watch and wedding band.
A client has a surgical wound with a drain. When cleaning around the drain, the nurse
should wipe in which direction? - ANSWER In a circle, from the center outward
A client comes to the clinic reporting a sore throat and fever. To obtain a throat culture, the
nurse asks the client to tilt his head back, open his mouth, and close his eyes. To best obtain
the specimen, which action does the nurse take next? - ANSWER Swab the tonsillar areas from
side to side, avoiding contact with the tongue, cheeks, and teeth.
, A client is transferred to the locked psychiatric unit from the emergency department after
attempting suicide by taking 200 acetaminophen tablets. Now the client is awake and alert but
refuses to speak with the nurse. In this situation, the nurse's first priority is to: - ANSWER
ensure safety by initiating suicide precautions.
The nurse is performing wound care on a client. Which task indicates surgical asepsis? -
ANSWER Preparing sterile surgical instruments for the physician to debride the wound
A client receives a sealed radiation implant to treat cervical cancer. When caring for this client,
the nurse should: - ANSWER maintain the client on complete bed rest with bathroom privileges
only.
An 8-year-old child is brought to the clinic with watery eyes and clear nasal drainage that
has lasted more than 10 days, without fever. The nurse observes that the child has dark
circles under the eyes and a crease above the tip of the nose. Which intervention should be
the nurse's priority? - ANSWER Collect data about potential environmental allergy triggers.
A client with an indwelling catheter asked the nurse to remove the catheter. Which first
intervention is best when removing an indwelling catheter? - ANSWER Deflate the balloon
before removing the catheter.
The nurse is caring for a client on an oncology unit who is refusing further chemotherapy
treatment after the rationale for the treatment has been clearly explained. What is the nurse's
best action? - ANSWER Support the client's decision and hold all treatments.
A client reports slipping on a throw rug while going to the bathroom at night. Which
data should be gathered for prevention of further falls? - ANSWER home safety
A health care provider and nurse are discussing treatment options with a client diagnosed with
severe ulcerative colitis symptoms. Which potential complication requires frequent
assessment? - ANSWER bowel perforation
