PN Domain 2: Safety and Infection Control (Quiz 2) Welcome to your NCLEX-PN Practice Quizzes. Note: We designed Two (2) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 2 (Quiz 2): Safety and Infection Control. (25 questions) Please click NEXT to start your Free NCLEX-PN Practice Quizzes right away. Best of Luck! 1. PN Safety and Infection Control,NCLEX-PN The entire staff attends a mandatory inservice on the use of anthrax in bioterrorism. Which statement by a staff member indicates the need for further instruction? A. Anthrax produces a neurotoxin that causes paralysis B. Inhaling anthrax spores can be lethal C. Anthrax can be treated with antibiotics D. Anthrax can be transmitted by eating contaminated meat None 2. PN Safety and Infection Control,NCLEX-PN A nurse prepares to care for a newly admitted patient who recently had a cerebrovascular accident (CVA). For this patient, what is the best way to prevent an infection? A. Implement Universal Precautions at once B. Use a bedside commode instead of a bedpan C. Place a mask on the patient when they are ambulating D. Wear a gown and gloves when providing care None 3. PN Safety and Infection Control,NCLEX-PN While setting up to do a sterile dressing change, the nurse places sterile 4 x 4 gauze pads on the sterile field, but then the nurse accidentally touches the field with an ungloved hand. Which action should the nurse take? A. Fold over the area of the field that was touched and continue B. Put on fresh sterile gloves and replace the gauze pads C. Replace the gauze pads that were on top D. Discard the field and gauze pads and start over None 4. PN Safety and Infection Control,NCLEX-PN Which of the following is the second period or stage of the infection process? A. Incubation B. Decline C. Prodromal D. Illness None 5. PN Safety and Infection Control,NCLEX-PN The pediatric nurse is preparing to administer a medication to a 3-year-old patient. Besides checking the child's arm band, the nurse should also A. ask a parent to identify the child B. ask the parent to step out of the room C. ask the child to state their name D. ask the child to state their age None 6. PN Safety and Infection Control,NCLEX-PN As the nurse prepares to administer ampicillin 500 mg PO to a post-op patient, he checks the capsule in the patient's medication box. The dosage of the capsule is not labeled, but the nurse is familiar with the color and shape. The nurse should A. ask a second nurse to verify the medication is ampicillin B. contact the nursing supervisor to report the error C. give the patient the capsule to maintain the schedule and blood level D. call the pharmacy to bring properly labeled medication None 7. PN Safety and Infection Control,NCLEX-PN A client is being admitted to the unit with a diagnosis of rule-out Laennec's cirrhosis of the liver. During the initial assessment, the nurse observes that the client is constantly scratching their skin. The nurse knows that this pruritus is the result of A. a buildup of ascitic fluid B. elevated cholesterol levels C. reduced phagocyte activity D. accumulation of bile salts None 8. PN Safety and Infection Control,NCLEX-PN The nurse in the birthing and maternity unit is training new unlicensed assistive personnel (UAP) on standard precautions. Which of the following observations by the nurse would indicate the need for further instruction? A. The UAP disposes of needles in a designated sharps container B. The UAP uses sterile gloves to bathe a honate who is 4 hours old C. The UAP wears clean gloves to help the mother change her peri-pad D. The UAP places soiled sheets in a marked container for contaminated linens None 9. PN Safety and Infection Control,NCLEX-PN The nurse is explaining to a new Certified Nursing Assistant (CNA) the purposes of applying wrist or ankle restraints to clients. Which statement by the CNA indicates to the nurse that further training is needed? A. The restraints are necessary to limit arm or leg movement B. We put on the restraints to keep the clients in bed all night C. Restraints can prevent clients from harming themselves D. If we apply restraints, a client can't pull out their Foley catheter None 10. PN Safety and Infection Control,NCLEX-PN The nurse is assessing a patient who is recovering from a recent stroke. Which of these problems is the FIRST priority? A. Impaired mobility B. Impaired communication C. Risk of altered coping D. Risk of aspiration None 11. PN Safety and Infection Control,NCLEX-PN A newly admitted patient has an arteriovenous (AV) fistula for hemodialysis in the left arm. What should the nurse do to prevent injury to the fistula? A. Place a large sign above the patient's bed B. Instruct the patient to inform all staff C. Put an alert bracelet on the patient's left arm D. Make a note in the patient's health record None 12. PN Safety and Infection Control,NCLEX-PN The nurse checks a client’s chart for drug allergies before administering an injection of penicillin. The chart states "NKA." She attempts to verify this with the client before giving the injection. The client says that he had a rash after receiving another shot, but he can't recall the medication. What is the nurse's best action? A. Hold the penicillin and notify the physician who ordered the drug B. Contact the pharmacy to learn whether penicillin reactions include a rash C. Administer the penicillin injection and document the client's remark D. Notify the nursing supervisor of the error in the client's record None 13. PN Safety and Infection Control,NCLEX-PN Which of the following is an early symptom of gonorrhea in males? A. Urethral discharge B. Penile lesion C. Watery stools D. Erectile dysfunction None 14. PN Safety and Infection Control,NCLEX-PN During new employee orientation, the nurse provides information about exposure to bloodborne pathogens and the risk of human immunodeficiency virus (HIV) transmission. Which statement by the nurse is MOST important? A. Treatment for exposure may include antiretroviral medications B. Report any possible exposure of HIV-containing fluids immediately C. Transmission of HIV from clients to health care workers is rare D. HIV testing after exposure is done at specific intervals None 15. PN Safety and Infection Control,NCLEX-PN The nurse is teaching a client with a new prescription for warfarin 2.5 mg po bid. Which instruction to the client is correct? A. If you forget or skip a dose, just double up the next time B. Carry a medication alert card or wear a bracelet at all times C. For headaches, take aspirin instead of acetaminophen D. Be sure and use a straight-edge razor when you shave None 16. PN Safety and Infection Control,NCLEX-PN Which of the following crutch gaits is NOT appropriate for an elderly client? A. Swing-through B. Three-point C. Two-point D. Swing-to None 17. PN Safety and Infection Control,NCLEX-PN Which of the following vectors can transmit West Nile virus? A. Mosquito B. Tick C. Flea D. Black fly None 18. PN Safety and Infection Control,NCLEX-PN The home health nurse visits a client with a diagnosis of dementia. The family tells the nurse that the client has been wandering around the house every night, and he left the house two nights ago. Now they're worried it could happen again. What is the nurse's BEST response? A. It's clearly time for you to move your father into a nursing home B. He is displaying a common behavior called Sundowner's Syndrome C. What prevented your father from leaving the house before? D. I hope you're prepared for his condition to get worse None 19. PN Safety and Infection Control,NCLEX-PN Recently, there has been an increase in W Clostridium difficile in an inpatient medical unit. What is the best method of preventing further spread among patients? A. Administer prophylactic antibiotics B. Assign patients to private rooms C. Reinforce consistent hand hygiene D. Clean rooms with bleach every day None 20. PN Safety and Infection Control,NCLEX-PN The parent of a 2-year-old calls the pediatric clinic after discovering the child has ingested some lye-based cleaner. Which of the following is the nurse's correct recommendation? A. Induce vomiting with syrup of ipecac B. Give the child water to dilute the poison C. Begin cardiopulmonary resuscitation D. Take the child and substance to the ER None 21. PN Safety and Infection Control,NCLEX-PN A client with cataracts is considering laser surgery versus traditional surgery for lens replacement. Which statement by the nurse about laser cataract surgery is true? A. Corneal swelling is often reduced B. You won't need any pre-operative sedation C. Every insurance covers this laser surgery D. Laser surgery outcomes aren't as accurate None 22. PN Safety and Infection Control,NCLEX-PN The maximum cuff pressure for an endotracheal tube (ETT) is A. 35 mmHg B. 45 mmHg C. 25 mmHg D. 15 mmHg None 23. PN Safety and Infection Control,NCLEX-PN The nurse is assigning an unlicensed assistive personnel (UAP) to care for a client with a diagnosis of hepatitis A. In addition to stringent hand hygiene, what other infection transmission control action is the PRIORITY? A. Put on a disposable gown when changing the bed linens B. Wear a surgical mask and shield in case of a fluid splash C. Wear latex gloves when handling or emptying a bedpan D. Post a precaution sign on the client's door and above the bed None 24. PN Safety and Infection Control,NCLEX-PN When educating parents who intend to bottle-feed their baby, the nurse teaches them of the risks of propping the bottle. Besides choking, what other risk should the parents be aware of? A. Tonsillitis B. Sialadenitis C. Conjunctivitis D. Otitis media None 25. PN Safety and Infection Control,NCLEX-PN The nurse is providing education to a client who is starting on a prescription for acyclovir as the treatment for herpes simplex virus type 2 (HSV-2). Which of the following statements by the client shows an understanding of the medication? A. I’ll be sure to finish the entire acyclovir prescription so I can be cured B. I should expect my appetite to increase whenever I take acyclovir C. I'll need to keep taking acyclovir for five years to prevent more infections D. I'll start to take the acyclovir as soon as I feel any symptoms, like tingling None 1 out of 25 Time is Up! Time's up