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Section 1: Safety and Infection Control (Questions 1-50)
1. A nurse is caring for a client who requires droplet precautions. Which of the
following actions should the nurse take?
A) Place the client in a negative pressure room
B) Wear an N95 respirator when entering the room
C) Wear a surgical mask when within 3 feet of the client
D) Keep the client's door closed at all times
Correct Answer: C
Rationale: Droplet precautions require a surgical mask when within 3 feet of
the client. Negative pressure rooms are for airborne precautions, and N95
respirators are for airborne or TB precautions. The door may remain open for
droplet precautions.
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,2. A client is on fall precautions. Which nursing intervention is most
appropriate?
A) Keep all four bed rails up at all times
B) Place the call light within reach
C) Restrain the client to prevent falls
D) Keep the bed in the highest position
Correct Answer: B
Rationale: Placing the call light within reach promotes client safety and
independence. Restraints are a last resort, and keeping all four rails up can be
considered a restraint. The bed should be in the lowest position to reduce
injury risk from falls.
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3. Which client would the nurse place on contact precautions?
A) Client with tuberculosis
B) Client with Clostridium difficile
C) Client with measles
D) Client with meningococcal meningitis
Correct Answer: B
Rationale: C. difficile requires contact precautions due to spore transmission
via contaminated surfaces. TB requires airborne precautions, measles
requires airborne, and meningococcal meningitis requires droplet
precautions.
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4. A nurse is preparing to administer medications. What is the priority action?
A) Check the client's diagnosis
B) Ask the client about allergies
C) Verify the client's identification using two identifiers
D) Review the medication side effects
Correct Answer: C
Rationale: The priority is verifying client identification using two identifiers
(e.g., name and date of birth) to ensure the right client receives the
medication. This is a critical safety measure that precedes other steps.
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5. A fire occurs in a client's room. What is the nurse's priority action?
A) Extinguish the fire using a fire extinguisher
B) Rescue the client from the room
C) Activate the fire alarm
D) Close all doors to contain the fire
Correct Answer: B
Rationale: The RACE protocol prioritizes Rescue (move clients to safety),
Alarm (activate), Contain (close doors), and Extinguish (use extinguisher).
Safety of the client is always the top priority.
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6. Which finding indicates a client is at risk for pressure injury?
A) Braden Scale score of 22
B) Braden Scale score of 16
C) Braden Scale score of 10
D) Braden Scale score of 24
Correct Answer: C
Rationale: A Braden Scale score of 10 indicates high risk (scores range 6-23;
lower scores = higher risk). Scores 18-23 indicate no risk, 15-17 mild risk, 13-
14 moderate risk, 10-12 high risk, and below 9 severe risk.
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7. A nurse is applying restraints to a client. Which action is appropriate?
A) Tie restraints to the bed frame
B) Tie restraints to the side rails
C) Secure restraints tightly to prevent movement
D) Apply restraints every 4 hours
Correct Answer: A
Rationale: Restraints should be tied to the bed frame (not side rails) to
prevent injury from bed movement. They should be secured with enough
slack for 1-2 fingers to fit between the restraint and the client, and should be
removed every 2 hours for assessment.