Safety and Infection Control

You are the nurse taking care of an elderly patient with a varicella (chickenpox) infection who has open lesions. Which of the following indicates that the nursing assistant understands the nurse’s instructions about the necessary precautions?

The nurse is caring for a patient with tuberculosis. Which personal protective equipment is appropriate?

Which individual is at the highest risk for hepatitis C infection?

The patient presents to the emergency department complaining of a fever, cough, and runny nose. Upon assessment, the nurse notes Koplik spots inside the client’s mouth; the client’s temperature is 102.5 °F (39.1 °C). Which infection control measures does the nurse institute?

The nurse is providing education to parents of young children regarding car seat safety. Which statement by the parent indicates the teaching was effective?

The nurse is assessing a neonate’s fit in the car seat for safety. The nurse notes the parent has placed the clip snugly against the infant’s chest at the level of the armpits; the nurse cannot pinch any slack at the shoulder straps. Which response by the nurse is appropriate?

The patient who recently immigrated to the United States from Bangladesh presents to the emergency department with cough with bloody sputum and fever. A chest x-ray shows patchy infiltrates in the upper right lobe. Which action does the nurse take first?

The nurse suffers a needlestick from a patient with human immunodeficiency virus (HIV). After washing the injury with soap and water, which action does the nurse take first?

Which is the appropriate intervention in caring for a patient who is blind and deaf?

Which action does the nurse take first when caring for a patient with meningococcal meningitis?

Which infection requires contact precautions?

Which patient involved in a mass casualty accident is treated at the scene first?

A patient is admitted with suspected tuberculosis. Which of the following is correct regarding the transmission-based precautions for this patient?

The nurse is called to assist with a combative patient. The patient has already injured another nurse, and the staff wants to physically restrain the patient for their safety. Which of the following is the most appropriate course of action?

The nurse notices a patient walking in the hall who has a wristband indicating he is a fall risk. Which action does the nurse take?

The nurse asks a patient to provide a urine sample for a urine culture. When the nurse returns 3 hours later, the patient says the urine sample has been sitting by the bed for the last 2 hours. Which action by the nurse is appropriate?

Which intervention does the nurse include in the care plan to ensure safety of a patient with vertigo?

The nurse experiences a needlestick injury when drawing blood from a patient with hepatitis C virus. Which action does the nurse take first?

The patient has consistently reported 8/10 pain levels despite large doses of morphine being supplied. The nurse brings the patient’s IV morphine dose to the room to administer it. The patient states, “That is way more medication than the nurse gave me all night.” The nurse verifies the dose and amount and finds it consistent with the order and the amount that has been removed from the Pyxis. Which action by the nurse is appropriate?

The nurse is caring for an HIV positive patient with disseminated herpes zoster. The nurse institutes which precautions for this patient?

The nurse is caring for an elderly patient with influenza. The nurse institutes which protective precautions for this patient?

The nurse is caring for a patient with a methicillin-resistant staphylococcal skin infection. Which of the following is the appropriate transmission-based precautions in the care of this patient?

The nurse is the charge nurse for the floor. During the shift, a patient is given triple the usual dose of his narcoleptic medication because the current pills were a different dosage than the nurse expected. There was no noticeable adverse effect on the patient from the increased dose and patient has no complaints about the error. Which of the following is the best course of action to take regarding this incident?

The nurse learns the patient has a Factor IX deficiency. Which intervention does the nurse include in the care plan to promote safety specifically for this patient?

A patient with which condition must be placed on airborne isolation precautions?

A patient admitted with influenza A requires which isolation precautions?

The nurse notes the physician has entered the room of a patient who is infected with methicillin-resistant staphylococcus aureus without proper personal protective equipment and begins assessing the patient. Which response by the nurse is most appropriate?

The patient with a long history of intravenous drug abuse presents to the emergency department with white lesions on both sides of the tongue that change appearance every couple of days. Despite fatigue and recent weight loss, the patient’s assessment is normal. Which type of precautions does the nurse use for this patient?

The nurse is preparing to draw blood from a patient who requires multiple laboratory tests. Which lab does the nurse draw first?

The nurse is assigned to care for a patient who has long-standing type 1 diabetes mellitus. Which of the following orders for subcutaneous insulin is most appropriate?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

A fire has started in one of the medical surgical units, and the staff has been instructed to perform a horizontal evacuation. Which action does the nurse take first?

The nurse is assigned to care for a 65-year-old male patient who is diagnosed with atrial fibrillation. The nurse realizes during the shift report that six hours ago she administered 0.6 mg of this patient’s antiarrhythmic medication instead of 6.0 mg. Which action does the nurse perform first?

The nurse is assigned to care for a patient with human immunodeficiency virus (HIV) with an infected boil that requires lancing. Which personal protective equipment does the nurse don? Select all that apply.

A nurse is assigned to care for a 45-year-old male who is admitted for alcohol withdrawal. On the second day of admission, the patient becomes disoriented and combative, and the provider places him in bilateral wrist restraints. Which physical exam finding is most important for this patient?

A nurse is assigned to care for a 28-year-old patient with seizures and neuropsychiatric symptoms secondary to cocaine abuse. The patient is combative and prone to hurting himself despite a 24-hour bedside sitter, so the provider writes for physical restraints. Which options are included in this order? Select all that apply.

The 29-year-old male patient admitted with schizophrenia has pulled out 4 IVs in the last 12 hours. Which intervention does the nurse include in this patient’s care plan?

The nurse is assessing a 55-year-old male in bilateral wrist and ankle restraints for violent behavior. The nurse notes that the patient’s toes have a 5 second capillary refill time. Which action by the nurse is most appropriate?

The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, “This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves.” Which response by the nurse is most appropriate?

The nurse is providing education to a patient with localized shingles. Which statement by the patient indicates the teaching was effective?

A fire develops in the nurses’ station kitchen. Which action does the nurse take first?

The nurse learns the patient has a plan to kill as many people as possible by stabbing or shooting them. Which intervention by the nurse is most important?

The off-duty nurse passes a car accident. Which statement is true regarding this situation?

Which statement by the unlicensed assistive personnel (UAP) indicates an understanding of the proper way to transfer patients?

The nurse holds the transfusion and contacts the blood bank if which anemic patient is sent B negative packed red blood cells for transfusion?

Which is an example of the mitigation phase of disaster planning?

The 8-year-old presents with a generalized rash. The patient's mother reports that some areas of the rash have developed into pimples that are oozing clear fluid. The nurse places this patient on which type of precaution(s)? Select all that apply.

The novice nurse is transferring a patient from the floor to the intensive care unit. Which statement, if made by the novice nurse, indicates a need for further teaching about SBAR (Situation, Background, Assessment, Recommendation) communication?

Which action by the intensive care unit (ICU) nurse is most appropriate following the resolution of an active shooter emergency in the emergency department?

Which statement by a patient with mumps indicates an understanding of the diagnosis?