Safety and Infection Control

The nurse is reviewing the chart of the patient who is scheduled for a magnetic resonance imaging (MRI) scan of the brain. Which patient characteristic, if found in the patient’s chart, prompts the nurse to contact the provider about cancelling the test?

The nurse is reviewing the chart of the patient scheduled to undergo a magnetic resonance imaging scan (MRI) of the brain. Which disorder present in the patient’s history prompts the nurse to obtain more information from the patient?

How does exposure to lead cause damage in the developing child?

A nurse is caring for a patient with hemiplegia who has excess oral secretions. Which action best demonstrates safe and effective suctioning technique?

A man who has remediated water-damaged basements for over thirty years presents to an acute care clinic for ongoing breathing problems. He has never smoked, has never been exposed to asbestos, and is afebrile. The nurse knows the man is most likely suffering from what condition?

The nurse assesses the cuff pressure of the patient's tracheostomy. Which cuff pressure prompts the nurse to document the finding and proceed with the assessment?

The nurse planning care for the neonate with myelomeningocele plans interventions to ensure the child does not develop an allergy to which substance?

The nurse is supervising the student nurse preparing for the return of a neonate from surgery to repair a myelomeningocele. Which item, if brought into the room by the student nurse, does the nurse remove immediately?

The registered nurse is caring for a 48-year-old patient with a surgical wound infected with methicillin-resistant Staphylococcus aureus (MRSA) requiring q6h intravenous antibiotic infusions and dressing changes twice per shift. The patient with which diagnosis is most appropriate to be added to this nurse’s assignment?

The charge nurse is planning room assignments during an outbreak of Shiga toxin-producing Escherichia coli (STEC). Due to the influx of patients, only one private room is available. Which patient with STEC must be placed in this private room?

The nurse is preparing to perform open tracheostomy suctioning for a patient with methicillin-sensitive Staphylococcus aureus (MSSA) tracheitis. Which personal protective equipment does the nurse utilize for this procedure? Select all that apply.

Which personal protective equipment is most important for standard precautions?

The nurse performed a procedure for which a mask with face shield, shoe covers, and gloves were required. Place the actions of the nurse after the procedure in the correct order.

The patient has a wound that is infected with methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment does the nurse don prior to entering the patient’s room? Select all that apply.

The nurse is performing the initial assessment of the patient with human immunodeficiency virus (HIV). Which personal protective equipment does the nurse don during the assessment?

The charge nurse is making patient assignments for the unit, including one patient with disseminated varicella zoster virus infection. Which question is most important to ask the nurses when making assignments?

The patient with gastroenteritis is hospitalized for dehydration and stool culture reveals infection with Listeria monocytogenes. Which personal protective equipment does the nurse don prior to entering the room?

The patient presents to the emergency room complaining of fever, malaise, and nuchal rigidity. Which personal protective equipment does the nurse don prior to assessing the patient? Select all that apply.

The nurse learns in shift report the 1-year-old with respiratory distress due to parainfluenza virus has had increased nasal and oral secretions and has had increased coughing fits. Which personal protective equipment does the nurse don prior to caring for the patient? Select all that apply.

The neonate is diagnosed with congenital parvovirus. The nurse requests an order for which transmission prevention precaution?

The 6-month-old patient is admitted to the pediatric intensive care unit for treatment of a pertussis infection. The donning of which personal protective equipment by the unlicensed assistive personnel (UAP) entering this patient’s room would prompt the nurse to intervene and provide additional education?

The nurse observes the physician enter the room of a patient with pneumococcal pneumonia without donning personal protective equipment. Which response by the nurse is appropriate?

The nurse is providing discharge teaching to the patient admitted with anaphylaxis after blowing up a rubber balloon. Which foods, if selected by the patient as safe to eat, indicate a need for further teaching? Select all that apply.

The nurse is counseling the parents of an 8-month-old child born with myelomeningocele on appropriate baby foods to introduce to the child. Which foods, if selected by the parents, indicate teaching was effective? Select all that apply.

The nurse is assisting the provider in lancing the abscess of a patient whose medical history is notable for anaphylaxis after ingestion of oysters. The nurse enters the room as the provider begins swabbing the affected skin with povidone-iodine solution. Which response by the nurse is appropriate?

The nurse is preparing the patient for a magnetic resonance imaging (MRI) scan with intravenous contrast. Which question is most important for the nurse to ask the patient?

The bedridden patient has been admitted to the floor. When transferring the patient from the stretcher to the hospital bed, which action does the nurse perform first?

An emergency room nurse is caring for a patient admitted by ambulance after a motor vehicle collision. The patient was transported with a long spine board and rigid cervical collar. Thirty minutes after arrival, the patient has been log-rolled off the spine board, completed imaging studies of the spine, and is requesting removal of the cervical collar. Which is the nurse’s next action?

Which situations prompt the use of four-point restraints? Select all that apply.

The nurse is asked to help properly dispose of the patient’s soiled linens. Which question is most important for the nurse to ask?

The nurse is providing discharge teaching to a patient who will receive chemotherapy at home for cervical cancer. Which statement by the patient indicates a need for further teaching?

The nurse is caring for a patient diagnosed with measles. Which precautions does the nurse utilize during the patient’s care? Select all that apply.

Which parasite is the causative agent of malaria?

The patient being treated for a skin wound and cellulitis is in a semi-private room with another patient; the hospital is near capacity. The culture of the wound has grown methicillin-resistant staphylococcus aureus. Which action is most appropriate? 

The patient’s wound is producing copious amounts of exudate and the gauze dressing is saturated within two hours of placement. Which intervention does the nurse perform?

Which statement is true regarding single use items?

The nurse is creating fire safety flyers for the hospital. What does the E in RACE signify?

The nurse is creating fire safety flyers for the hospital. What does the R in RACE signify?

Which statements are true regarding the care of the 2-year-old with whooping cough? Select all that apply.

Which terms are used to describe Clostridium difficile colitis? Select all that apply.

The nurse is exiting the room after providing care for the patient diagnosed with tuberculosis. In which order does the nurse remove the personal protective equipment?

The nurse is auditing the use of personal protective equipment (PPE) on the unit. Which provider removes the PPE correctly?

The nurse intervenes if the provider attempts to remove which article of personal protective equipment first after contact with the patient with active tuberculosis?

The nurse is observing the student nurse in the care of the patient with a wound infected with methicillin-resistant Staphylococcus aureus. Prior to exiting the room, the student nurse removes the gloves and grasps the front of the gown to remove it. Which response by the nurse is most appropriate?

In which order does the nurse don personal protective equipment prior to caring for the pediatric patient suspected of having the chickenpox?

The infectious disease team is reviewing proper glove use with the nursing staff. Which statement indicates a need for further teaching?

The resident of a large, long-term care facility has reactivated tuberculosis and is infectious. Which action does the nurse take?

Which practice is appropriate for a surgical scrub prior to donning a sterile gown?

Which statement describes the nurse's legal responsibility in administering regular insulin to the mentally competent adult patient? 

The nurse is caring for the patient with a stage 2 pressure injury on the right heel. The wound is pink with minimal serous drainage and attached borders. Periwound skin is clean, dry, and intact. Which intervention is appropriate for this patient?