ANSWERS
A nurse is creating home instructions for a client who immunodeficiency. Which of the following
statements by the client indicates an understanding of the teaching? - CORRECT ANSWER✅✅"I will
avoid people who have just received an immunization"
A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE).
Which of the following types of precautions should the nurse plan to initiate? - CORRECT
ANSWER✅✅Contact
A nurse is preparing to teach about communicable diseases. During which of the following stages is the
period in which a disease is contagious? - CORRECT ANSWER✅✅Communicability period
A nurse is planning care for a client who has manifestations of Clostridium difficile (C. difficile) infection.
Which of the following actions should the nurse plan to take? - CORRECT ANSWER✅✅Place the client
on contact precautions
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes
an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the
following responses should the nurse make? - CORRECT ANSWER✅✅"This test will confirm if your child
had a recent streptococcal infection"
A nurse is assessing a client who is skeletal traction. Which of the following findings should the nurse
identify as an indication of infection at the pin sites? - CORRECT ANSWER✅✅Fever
A nurse is caring for a group of clients on a med-surg unit. Which of the following situations requires
that the nurse wear gloves? (Select all that apply_
-Emptying urine from an indwelling urine collection bag
-Providing oral care
-Changing an ostomy pouch
-Delivering a food tray to a client who has AIDS
-Placing oral medication tablets into a client's hand - CORRECT ANSWER✅✅-Emptying urine from an
indwelling urine collection bag
, -Providing oral care
-Changing an ostomy pouch
A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5%
(D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero) - CORRECT ANSWER✅✅125 mL/hr
A nurse is planning care for a client who requires airborne precautions. Which of the following actions
should the nurse take? - CORRECT ANSWER✅✅Wear an N95 respirator mask
A nurse is reviewing the medical record for a client who has a health care-associated infection (HAI). The
nurse should identify which of the following findings as a risk factor fir acquiring an HAI? - CORRECT
ANSWER✅✅The client is 71 years old
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? -
CORRECT ANSWER✅✅Apply 4 to 5 mL of liquid soap to the hands
A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of
antitubercular medications. Which of the following info should the nurse include in the teaching? -
CORRECT ANSWER✅✅A typical course of treatment involves 6 to 9 months of consistent med use
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an
abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions
should the nurse take> - CORRECT ANSWER✅✅Wear clean gloves
A nurse is caring for a client who has an infection. The nurse should use which of the following strategies
to prevent the transmission of the client's infection? - CORRECT ANSWER✅✅Performing hand hygiene
before, during, and after direct contact with the client
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client
who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride
(NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest