Safety & Infection Control Precautions practice test: free NCLEX-PN questions

Sample Practice Questions for Safety & Infection Control Precautions

1. Question 1Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A nurse is caring for a client in droplet precautions. Which actions should the nurse take? (Select all that apply.)

   AWear a surgical mask when within 3 feet of the clientBWear an N95 respirator at all times in the roomCPlace the client in a negative-pressure roomDPerform hand hygiene before and after client contact
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   Correct Answer
   A. Wear a surgical mask when within 3 feet of the client

   Droplet precautions require a surgical mask when within 3 feet and hand hygiene before and after contact. Option B is incorrect because N95 respirators are reserved for airborne precautions. Option C is incorrect because negative-pressure rooms are for airborne precautions, not droplet Option A is incorrect because N95 respirators are reserved for airborne precautions, not droplet. Option C is incorrect because gown and gloves alone do not protect against droplet transmission..

2. Question 2Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A nurse accidentally sticks a finger on a used needle after drawing blood from a client. What should the nurse do first?

   AFile an incident report and continue working without washing the exposed site firstBWash the area, report to the supervisor, and follow exposure protocolCNotify the client's physician immediately about the stickDApply a bandage and return to the task at hand quickly
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   Correct Answer
   B. Wash the area, report to the supervisor, and follow exposure protocol

   The nurse should immediately wash the wound, report to the supervisor, and follow the facility's post-exposure protocol to minimize infection risk Option A is incorrect because filing a report is important but not the first action after exposure. Option C is incorrect because the nurse's own wound care takes priority over notifying the client's physician..

3. Question 3Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A nurse enters a client's room and notices a fire is smoldering in the oxygen tubing. What is the first action?

   APull the fire alarm to evacuate the floorBRemove the oxygen tubing and extinguish the fireCCall the fire departmentDClose the door to contain the fire
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   Correct Answer
   B. Remove the oxygen tubing and extinguish the fire

   The first step is to remove the oxygen source and extinguish the fire. RACE protocol begins with Rescue, which includes removing the ignition source Option A is incorrect because pulling the alarm should come after removing the oxygen source and extinguishing. Option C is incorrect because closing the door does not remove the ignition source..

4. Question 4Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A client with active tuberculosis is admitted to a medical-surgical unit. Which isolation precaution should be initiated?

   ADroplet precautions with a surgical mask and private roomBContact precautions with gown, gloves, and dedicated equipmentCAirborne precautions with a negative-pressure roomDStandard precautions only with routine hand hygiene practices
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   Correct Answer
   C. Airborne precautions with a negative-pressure room

   Tuberculosis requires airborne precautions, including a negative-pressure room and an N95 respirator, because the organism is transmitted via droplet nuclei Option A is incorrect because droplet precautions are insufficient for TB transmission. Option D is incorrect because standard precautions do not prevent airborne pathogen spread..

5. Question 5Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A nurse is caring for a client who requires restraints. Which documentation is essential?

   AThe type of restraint, time applied, and the client's responseBOnly that restraints were appliedCThe physician's order and nothing elseDThat the client was verbally notified of the restraint
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   Correct Answer
   A. The type of restraint, time applied, and the client's response

   Documentation must include the type of restraint, time of application, assessments of circulation and skin integrity, and the client's response Option A is incorrect because documenting only that restraints were applied is insufficient for legal compliance. Option C is incorrect because the physician's order alone does not satisfy documentation requirements..

6. Question 6Ref: Safe/Effective Care — Safety & Infection Control, 10-16%

   A nurse is teaching a client about safe sharps disposal at home. Which statements should the nurse include? (Select all that apply.)

   AUse a puncture-resistant container for used needlesBPlace sharps in a regular plastic bagCSeal the container when it is three-quarters fullDBreak needles before disposing them
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   Correct Answer
   A. Use a puncture-resistant container for used needles

   Sharps must go in puncture-resistant containers and sealed when three-quarters full to prevent needlestick injuries. Option B is incorrect because regular plastic bags do not prevent injuries from exposed needles. Option D is incorrect because breaking needles is dangerous and creates additional injury risk Option B is incorrect because wrapping needles in newspaper does not prevent needlestick injuries. Option D is incorrect because breaking needles creates an additional injury hazard..