RN Domain 2: Safety and Infection Control (Quiz 2) Welcome to your NCLEX-RN Practice Quizzes. Note: We designed Three (3) 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-RN Practice Quizzes right away. Best of Luck! 1. RN Safety and Infection Control,NCLEX-RN _________ are the most common cause of accidents in the home. A. Falls B. Burns C. Lacerations D. Abrasions None 2. RN Safety and Infection Control,NCLEX-RN An oncology nurse is with an adult client when a Code Pink (infant abduction) is called. What is the nurse's BEST action? A. Watch for someone with a large package B. Remain with the client; it's not a pediatric unit C. Check all empty rooms and closets at once D. Evacuate all visitors to the hospital lobby None 3. RN Safety and Infection Control,NCLEX-RN All of the following are signs of an infected wound EXCEPT A. loss of movement B. swelling at the site C. temperature over 101 °F D. blanching of the wound None 4. RN Safety and Infection Control,NCLEX-RN While preparing a client for dialysis, the nurse should assess the client's arteriovenous (AV) fistula by A. checking for discoloration B. palpating for vibration C. inspecting for leakage D. observing for swelling None 5. RN Safety and Infection Control,NCLEX-RN The nurse is providing discharge instructions to a client who was admitted with a diagnosis of acute pancreatitis. Which of the following statements by the client would indicate that the client understands how to prevent another episode? A. I will attend Alcoholics Anonymous meetings from now on B. I'll call the clinic if I get constipated C. I'll avoid eating uncooked vegetables D. I will only drink two beers every day None 6. RN Safety and Infection Control,NCLEX-RN After assisting a physician with insertion of a central line, what is the nurse's first priority? A. Label the dressing with the date and time of insertion B. Prepare the client for a chest x-ray C. Administer saline to check for patency D. Assess the insertion site for infection None 7. RN Safety and Infection Control,NCLEX-RN The caregiver of a 2-year-old calls the Poison Center to report that the child has swallowed a lithium "coin" battery. The caregiver is instructed to immediately go to the Emergency Department. What other instruction is indicated? A. Use a finger to induce vomiting B. Make the child drink a glass of milk C. Give the child 2 teaspoons of honey D. Administer syrup of ipecac None 8. RN Safety and Infection Control,NCLEX-RN A small plane carrying the football team from the local university crashed. Survivors are being transported to the hospital. Four team members died in the crash. Before the survivors reach the hospital, what should the nurse anticipate being asked to do? A. Call the hospital's volunteer office B. Call the nearest crisis response team C. Alert the local news stations D. Notify the university of the crash None 9. RN Safety and Infection Control,NCLEX-RN The pediatric nurse is caring for a 5-year-old boy with a diagnosis of a subdural hematoma, secondary to falling out of his top bunk bed. The nurse observes that he has a runny nose. What is the nurse's best action? A. Place him on his right side B. Test the discharge for glucose C. Help him gently blow his nose D. Call the neurologist immediately None 10. RN Safety and Infection Control,NCLEX-RN The health care provider (HCP) prescribed ambulation q.i.d. for a client who had undergone major abdominal surgery two days ago. The nurse assisted the client on the first postoperative day. Today, the nurse assigns the task to the unlicensed assistive personnel (UAP). Which of the following instructions to the UAP is CORRECT? A. Have the client stand for 2 minutes before ambulating B. Allow the client to dangle before he stands up C. Use a gait belt to support the client if he gets dizzy D. Stand the client up quickly to reduce incision pain None 11. RN Safety and Infection Control,NCLEX-RN A neighbor brings her 10-year-old son to your house because he has a nosebleed. After you sit him down, what is the most appropriate way to care for him? A. Tilt his head back and place an ice pack on his nose B. Wipe off the blood and administer saline nose drops C. Pack his nostrils with clean cotton balls or gauze D. Lean him forward and gently pinch above his nostrils None 12. RN Safety and Infection Control,NCLEX-RN When a nurse enters a client's room to administer medications, the nurse notices black smoke coming from the client's television. What should the nurse do FIRST? A. Smother the smoke with wet towels B. Remove the client from the room C. Activate the nearest fire alarm D. Use a fire extinguisher from the hall None 13. RN Safety and Infection Control,NCLEX-RN During a staff meeting, the supervisor reports on a recent infection control audit. Which finding indicates a need for staff training? A. A patient with active tuberculosis wears a mask when going to another department for testing B. A certified nursing assistant does not wear gloves when feeding an elderly patient C. A lab technician puts on a mask, gown, and gloves before entering the room of a patient on strict isolation D. A nurse with open lesions on her hands puts on gloves before giving direct patient care None 14. RN Safety and Infection Control,NCLEX-RN A home health nurse does an assessment of a client with mid-stage Alzheimer's disease who lives with his son and the son's family. Which of the nurse's observations should be addressed first? A. Stove burners are turned on remotely B. Extension cords are placed behind furniture C. Area rugs are in place, but secured to the floor D. The front door has a lock with a bolt None 15. RN Safety and Infection Control,NCLEX-RN A breastfeeding mother develops mastitis. The symptoms of mastitis include A. cracked nipples and complaints of soreness B. a fever of 99 °F and general malaise C. engorgement, pain, and reddened area D. refusal by the infant to take the mother's milk None 16. RN Safety and Infection Control,NCLEX-RN A client presents to the Emergency Department with complaints of a cough, hemoptysis, fever, fatigue, night sweats, and weight loss. The health care provider (HCP) suspects tuberculosis. What does the nurse anticipate will be the PRIORITY? A. Inform staff of the need to don a respirator mask B. Instruct the client on pulmonary hygiene C. Place client in a private, negative pressure room D. Notify the local public health department None 17. RN Safety and Infection Control,NCLEX-RN The health care provider (HCP) has prescribed meperidine 75 mg, atropine 0.4 mg, promethazine 50 mg IM for a pre-operative client. Before administering the injection, which action should the nurse take FIRST? A. Assist the client to the bathroom to void B. Place the call light in the client's hand C. Raise the side rails of the client's bed D. Instruct the client to remain in bed None 18. RN Safety and Infection Control,NCLEX-RN A nurse is caring for a client with a diagnosis of bacterial meningitis. When the nurse reviews the results of the lumbar puncture, which cerebrospinal fluid (CSF) finding will support the diagnosis? A. Decreased protein level B. Decreased WBC count C. Decreased glucose level D. Decreased opening pressure None 19. RN Safety and Infection Control,NCLEX-RN An employee is brought to the workplace clinic after sustaining a liquid chemical burn. What is the initial treatment for this injury? A. Irrigate the area with a neutralizing solution B. Flush the exposed area with cool water C. Apply medical-grade ointment to the burn D. Apply cotton wraps and wait for EMS None 20. RN Safety and Infection Control,NCLEX-RN Which is the first priority for a child who has returned to the unit after surgery to repair a cleft palate and lip? A. Ambulating every hour B. Managing pain C. Interacting with others D. Preventing infection None 21. RN Safety and Infection Control,NCLEX-RN A patient hospitalized with MRSA (methicillin-resistant staphylococcus aureus) is placed on contact precautions. Which of the following statements is true? A. The risk of transmission is high, so the patient should wear a mask B. MRSA requires frequent contact, so the door should remain open C. Transmission can be prevented by hand hygiene, gloves, and a gown D. The patient must be placed in a room with negative pressure None 22. RN Safety and Infection Control,NCLEX-RN A train derailed near your hospital. More than 25 people were injured and are being transported to the emergency department. Which of these patients should be assessed first? A. A 23-year-old who is unresponsive and has a high spinal cord injury B. A 36-year-old with a sucking chest wound C. A 78-year-old with a compound fracture of the left arm D. A 10-year-old with a severe leg laceration None 23. RN Safety and Infection Control,NCLEX-RN A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the following nursing measures should the nurse perform FIRST? A. Initiate respiratory isolation B. Document vital signs C. Assess neurologic status D. Institute seizure precautions None 24. RN Safety and Infection Control,NCLEX-RN When coming back from lunch, a nurse notices a male patient walking alone in the hall. The patient is wearing non-grip socks and the colored wristband that indicates a risk of falling. What is the first thing the nurse should do? A. Sit the patient in a chair and find the nurse aide B. Walk with the client back to his room and assist him to get into bed C. Tell the patient to keep walking to build strength D. Instruct the patient to walk only in his room None 25. RN Safety and Infection Control,NCLEX-RN For a low-risk child, blood test screening for lead poisoning should begin at what age? A. 12 months B. 18 months C. 24 months D. 6 months None 1 out of 25 Time is Up! Time's up
