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NCLEX RN· Safety and Infection Control · Safety and Infection Control NCLEX RN

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Medical management of a client with acute diverticulitis should include which treatment?

A. increased fiber in diet
B. administration of antibiotics
C. pain medication administration
D. liquid diet for 1-2 days

Expert Explanatory Rationale

Correct Answer: administration of antibiotics

Question 2 of 5

The nurse is caring for a client with an internal cervical radiation implant. When performing morning care, the nurse notes the implant lying on the bed. Which nursing action should be done first?

A. notify the health care provider
B. apply gloves and attempt to reinsert the implant
C. retrieve the implant with long-handled forceps and place into a lead container
D. don a lead apron and retrieve the implant with long-handled forceps and place into a lead container

Expert Explanatory Rationale

Correct Answer: retrieve the implant with long-handled forceps and place into a lead container

Question 3 of 5

A group of nurses are reviewing surgical asepsis. Which statement by one of the nurses requires further teaching on the topic?

A. Full-strength chlorhexidine will sterilize the skin.
B. The edges of a sterile field are considered unsterile.
C. If a sterile object touches an unsterile object, the sterile object is considered contaminated.
D. Sterile objects that are out of view or below waist level are considered unsterile.
E. Airborne microorganisms can contaminate sterile objects and make them unsterile.

Expert Explanatory Rationale

Correct Answer: Full-strength chlorhexidine will sterilize the skin.

Question 4 of 5

The nurse is preparing to administer an antihypertensive and an anticoagulant to a client. Which should the nurse do first before administering the medication?

A. verify the client's allergies
B. verify the client's name and room number
C. ask the client to state her name and date of birth
D. scan the client's wristband and medication barcode
E. verify the client's name, date of birth, and medical record number with the medication order

Expert Explanatory Rationale

Correct Answer: verify the client's allergies

Question 5 of 5

The nurse has given a client an injection and then notes that the sharps container is full. Which is the correct action by the nurse?

A. exchange the full container for a new one
B. place the syringe on top of the container so it will not roll off
C. force the syringe into the top of the container as well as it will fit
D. put the syringe into her pocket and dispose of it in another room

Expert Explanatory Rationale

Correct Answer: exchange the full container for a new one

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