Try Naxlex NCLEX-RN (Free-Trial)

An infection control nurse is assessing infection control precautions implemented by staff in a facility.

Select 2 client situations that require follow-up by the infection control nurse.

Client 1

Client 2

Client 3

Client 4

Client 5

Answer and Explanation

Correct Answer : A,D

Rationale:

Client 1 – Pertussis: The client is placed in a negative pressure room, which is incorrect for pertussis. Pertussis is transmitted via droplet precautions, not airborne precautions. The correct interventions include placing the client in a private room and having staff wear surgical masks within 3 feet of the client. Negative pressure rooms are reserved for airborne infections like tuberculosis. This situation requires follow-up.
Client 2 – Clostridium difficile: The client is in a private room and nurses are wearing gowns and gloves during direct care, which is appropriate. C. difficile requires contact precautions, so no follow-up is needed.
Client 3 – Herpes simplex: Standard precautions are usually sufficient for most herpes simplex infections unless there are open lesions, in which case contact precautions are appropriate. The precautions described (gown and gloves during direct care) are acceptable.
Client 4 – Mycobacterium tuberculosis: The client is placed in a positive airflow room, which is incorrect. TB is an airborne infection and requires a negative-pressure room with 6–12 air exchanges per hour. Staff wearing N95 respirators is correct, but the room type is incorrect, so follow-up is required.
Client 5 – Streptococcal pharyngitis: The client is placed in a private room and wears a surgical mask when transported, which aligns with droplet precautions. No follow-up is needed.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:
A. Restricting visitors is not necessary for streptococcal pharyngitis, as this infection is typically spread via droplets. Standard visitor precautions (masking and hand hygiene) are sufficient, rather than a total visitor ban.

B. Wearing a mask when within 1 meter (3.3 feet) of the client is appropriate for droplet precautions, which are indicated for streptococcal pharyngitis. The mask prevents inhalation of respiratory droplets that contain infectious bacteria. This action demonstrates correct adherence to infection control protocols.

C. Donning sterile gloves is unnecessary for routine oral care. Standard precautions using clean gloves are sufficient unless there is a risk of exposure to blood or body fluids requiring aseptic technique. Sterile gloves are reserved for invasive procedures or surgery.

D. Placing the client in a positive airflow room with 12 air exchanges per hour is part of airborne isolation for infections like tuberculosis. Streptococcal pharyngitis is not airborne, so this is not required.

A. Initiating access on a client who has dementia while he is sleeping B. Implementing a client's plan of care based upon nursing goals C. Obtaining an interpreter for a client who speaks a different language than the nurse D. Documenting a client's refusal to take a prescribed medication E. Providing written information to a client regarding palliative care

Correct Answer is ["C","D","E"]

Explanation

Rationale:
A. Initiating access while a client with dementia is sleeping is not an example of advocacy. It violates the client’s autonomy and may be unsafe or unethical. Client advocacy requires respecting the client’s rights and ensuring informed, voluntary participation.

B. Implementing a plan of care based on nursing goals does not necessarily represent advocacy unless it aligns with the client’s preferences and needs. Advocacy focuses on the client’s interests, not solely the nurse’s goals.

C. Obtaining an interpreter is an example of advocacy because it ensures the client can understand and participate in healthcare decisions, promoting autonomy and informed consent.

D. Documenting a client’s refusal of medication is a form of advocacy because it respects the client’s right to make decisions about their care and ensures their preferences are communicated to the healthcare team.

E. Providing written information about palliative care is advocacy because it empowers the client to make informed choices regarding end-of-life care, supporting autonomy and informed decision-making.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An infection control nurse is assessing infection control precautions implemented by staff in a facility. Select 2 client situations that require follow-up by the infection control nurse.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is evaluating a newly licensed nurse's understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client who has streptococcal pharyngitis?

Correct Answer is B

Explanation

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse enters a client's room and notices a small fire in the client's garbage can. After removing the client from the room, which of the following actions should the nurse take next?

A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy. The client speaks a different language than the nurse and is accompanied by their child. Which of the following actions should the nurse take?

A nurse is documenting and completing an incident report after a client falls out of bed. Which of the following actions should the nurse take when completing the documentation?

A nurse is planning care for a client who has lung cancer and who requests a do-not-resuscitate (DNR) prescription. Which of the following actions should the nurse take?

A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?

A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

An infection control nurse is assessing infection control precautions implemented by staff in a facility. Select 2 client situations that require follow-up by the infection control nurse.

An infection control nurse is assessing infection control precautions implemented by staff in a facility.

Select 2 client situations that require follow-up by the infection control nurse.