RN Domain 2: Safety and Infection Control (Quiz 3) 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 3): Safety and Infection Control. (25 questions) Please click NEXTÂ to start your Free NCLEX-RN Practice Quizzes right away. Best of Luck! 1. RN Safety and Infection Control,NCLEX-RN An hour after a surgical procedure, a male client who received epidural anesthesia asks to get up to go to the bathroom. He still has an IV infusing, and he is being assessed every 15 minutes. What is the nurse's best response to maintain client safety? A. It would be better if you waited until the 15-minute assessments are complete B. Can you sit at the edge of the bed for a few minutes to see how you feel? C. Let's see how well you can stand and bear your weight. Then we'll decide D. Let me get the nursing aide to help you, since it's your first time getting up None 2. RN Safety and Infection Control,NCLEX-RN 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. Inhaling anthrax spores can be lethal B. Anthrax produces a neurotoxin that causes paralysis C. Anthrax can be treated with antibiotics D. Anthrax can be transmitted by eating contaminated meat None 3. RN Safety and Infection Control,NCLEX-RN A client with a foot ulcer is admitted to the medical unit with VancomycinResistant Staphylococcus Aureus (VRSA). Which task is appropriate to assign to an LPN/LVN? A. Plan a protein-rich het for the client B. Assess for further infection risks C. Obtain wound culture with aseptic technique D. Provide education on wound care None 4. RN Safety and Infection Control,NCLEX-RN A client comes to same-day surgery for a minor procedure. Which of the following is most important for verification of the client's identity? A. Admitting record B. Addressograph labels C. Driver's license D. Identification bracelet None 5. RN Safety and Infection Control,NCLEX-RN A female client arrives at the clinic with a cough and fever. All exam rooms are full, and other clients are waiting in the seating area. Which of the following actions is most appropriate? A. Tell the client that she will have to reschedule her appointment. B. Give the client a face mask and seat her in a separate area C. Provide the client with a face mask and seat her in the waiting area D. Ask the client to wait outside until texted to come to an exam room None 6. RN Safety and Infection Control,NCLEX-RN A nurse entered a client's room and found the client on the floor. The nurse is now completing an incident report. Which information should be documented in the report? A. The client did not follow directions B. The client climbed over the side rails C. The client was found on the floor D. The client clearly fell out of bed None 7. RN Safety and Infection Control,NCLEX-RN The Emergency Department nurse attends a training on treatment of clients who are contaminated with anthrax during a bioterrorism event. If a client presents to the ED with possible anthrax contamination, which action should the nurse take FIRST? A. Vaccinate the client and all ED staff on duty B. Initiate decontamination protocols C. Notify local, state, and national health officials D. Administer penicillin 500 mg IM stat None 8. RN Safety and Infection Control,NCLEX-RN According to the Joint Commission, what is the "fifth" vital sign? A. Pain B. Hearing C. Vision D. Balance None 9. RN Safety and Infection Control,NCLEX-RN A right-handed patient is groggy and confused after surgery. The patient keeps pulling at the IV inserted into his left arm. What is the least restrictive restraint to maintain the IV site? A. Bilateral soft wrist restraints B. Safety mitts for both hands C. Safety mitt for the right hand D. Right arm tie restraint None 10. RN Safety and Infection Control,NCLEX-RN When a client with a diagnosis of rheumatoid arthritis (RA) comes to the clinic for a routine check-up, the nurse observes several bruises on the client's arms and legs. The client tells the nurse, "I seem to get a bruise every time I bump into anything." The nurse will expect to see a decrease in which lab value? A. Hemoglobin B. Hematocrit C. Platelets D. White blood cells None 11. RN Safety and Infection Control,NCLEX-RN A nurse's neighbor calls in a panic to tell the nurse that her 2-year-old son has just eaten a detergent pod. What should the nurse tell the mother to do FIRST? A. Call Emergency Medical Services B. Induce vomiting with syrup of ipecac C. Call the Poison Control Center D. Go to the Emergency Department None 12. RN Safety and Infection Control,NCLEX-RN A client presents to the Emergency Department with a wound that has jagged and irregular edges. The nurse should document this injury as A. an avulsion B. a laceration C. a contusion D. an abrasion None 13. RN Safety and Infection Control,NCLEX-RN After an elderly home health client moved in with a family member, the nurse makes a routine visit and notes that the client has large, fresh bruises on the legs and arms. Which observation BEST indicates that the client is a victim of elder abuse? A. The family's home needs a thorough cleaning B. The reasons given for the client's bruises are inconsistent C. The client has to sleep on the living room sofa D. The client has recently lost significant weight None 14. RN Safety and Infection Control,NCLEX-RN In which of the following periods of infection is there susceptibility to developing a secondary infection? A. Decline B. Prodromal C. illness D. Incubation None 15. RN Safety and Infection Control,NCLEX-RN Which of the following is the leading cause of traumatic brain injury (TBI)? A. Struck by or against B. Motor vehicle accidents C. Gunshot wounds to the head D. Falls of any type None 16. RN Safety and Infection Control,NCLEX-RN After teaching a client who has had eye surgery how to avoid an infection, which statement by the client would indicate that the client needs further education? A. I'll wash my hands before putting in eye drops B. I'll put on protective eyewear when I'm outside C. I'll wear an eye patch for 3 days after my surgery D. I will maintain sterility of my eye medications None 17. RN Safety and Infection Control,NCLEX-RN Parents bring their 4-year-old son to the Emergency Department. They report that he seemed to be improving from an infection but has suddenly become much worse. The provider suspects sepsis. Which of the following is one of the first signs of pediatric sepsis? A. Flushed skin B. Diarrhea C. Bradycardia D. Confusion None 18. RN Safety and Infection Control,NCLEX-RN While clients at an assisted living facility are eating in the common dining area, the nurse sees a client grabbing his throat. What is the nurse's FIRST action? A. Help the client stand up straight B. Tell the client to open his mouth C. Ask the client if he is choking D. Immediately call for assistance None 19. RN Safety and Infection Control,NCLEX-RN The nurse is caring for a client on complete bed rest. Which of the following is the BEST intervention to prevent thrombophlebitis? A. Have the client dangle at the edge of the bed on every shift B. Perform leg exercises every 3-4 hours C. Massage the calves every 8 hours D. Limit fluid intake to 600 mL per day None 20. RN Safety and Infection Control,NCLEX-RN Before administering a client's daily dose of digoxin, which assessment is essential? A. Heart sounds B. Blood pressure C. Heart rate D. Lung sounds None 21. RN Safety and Infection Control,NCLEX-RN A client who is admitted to ICU with a diagnosis of septic shock requires invasive hemodynamic monitoring. Which of the following will the provider likely order for this client? A. Port-a-Cath B. PICC line C. Arteriovenous fistula D. Swan-Ganz catheter None 22. RN Safety and Infection Control,NCLEX-RN After having been hit by a car, a female patient is transported to the Emergency Department. A chest tube is placed in the right pleural space to re-expand her collapsed lung, using a closed-chest drainage system. What is the purpose of the system's water seal? A. To prevent fluid from entering the pleural space B. To prevent air from entering the pleural space C. To provide accurate chest drainage measurement D. To provide accurate respiratory measurement None 23. RN Safety and Infection Control,NCLEX-RN The charge nurse in a medical/surgical unit is making assignments for the team, including an LPN. Which of the following assignments is beyond the LPN's scope of practice? A. Providing tracheostomy care B. Inserting a nasogastric tube (NGT) C. Creating a nursing care plan D. Administering oral medications None 24. RN Safety and Infection Control,NCLEX-RN On her day off, a nurse meets friends for lunch. A customer at another table collapses with violent convulsions and rigid muscles before becoming unconscious. The nurse recognizes this seizure as A. absence B. tonic C. tonic-clonic D. myoclonic None 25. RN Safety and Infection Control,NCLEX-RN The nurse is caring for a client with a diagnosis of hepatitis C. What infection precautions are appropriate for this client? A. Contact precautions B. Droplet precautions C. Airborne precautions D. Standard precautions None 1 out of 25 Time is Up! Time's up