A nurse is preparing to insert an IV catheter for a patient. As the nurse gathers supplies, a colleague accidentally brushes against the sterile field. What should the nurse do first? A. Proceed with the IV insertion using the supplies. B. Ask the colleague to step away from the area. C. Replace the contaminated supplies with sterile ones. D. Disinfect the area where the colleague brushed. E. Document the incident in the patient’s chart.
Rationale: Maintaining the sterility of supplies is crucial during invasive procedures. Once the sterile field is compromised, the priority is to replace the contaminated supplies to ensure the procedure can be conducted under aseptic conditions. Proceeding with the same supplies risks introducing pathogens into the patient’s bloodstream, while asking the colleague to step away or disinfecting the area doesn’t address the need for sterile supplies. Documenting the incident is important but doesn’t take precedence over ensuring asepsis.
Correct Answer: C. Replace the contaminated supplies with sterile ones.
60-Day NCLEX Challenge
NCLEX Questions Critical Thinking: Infection Control Symptoms
A nurse is preparing to perform a urinary catheter insertion for a patient. Which action by the nurse best demonstrates adherence to aseptic technique during this procedure? A. Cleansing the catheter tubing after insertion. B. Wearing clean gloves during the procedure. C. Placing the catheter on the patient’s bed briefly. D. Using sterile gloves and maintaining sterility during insertion. E. Washing hands before and after the procedure.
Rationale: Maintaining aseptic technique during a urinary catheter insertion involves using sterile gloves and ensuring the equipment and procedure remain sterile throughout. Cleansing the catheter tubing after insertion or wearing clean gloves may reduce contamination but doesn’t guarantee aseptic technique. Placing the catheter on the patient’s bed briefly introduces the risk of contamination. Handwashing is essential but doesn’t solely ensure aseptic technique during the procedure.
Correct Answer: D. Using sterile gloves and maintaining sterility during insertion
POP QUIZ
@qbankproacademy 4000+ Free NCLEX QUESTIONS. Go to QBankProAcademy.com FREE Qbank questions for NCLEX RN, PN, HESI Exit, Med Surg, AANP, ANCC, and HesiA2. Practice questions, quizzes, and listen to the Free Podcast. In this video, we review a question on INFECTION CONTROL in Nursing Care. Free nursing NCLEX 60-DAY CHALLENGE https://qbankpro.thinkific.com/courses/qbankpro-academy At QbankproAcademy.com our mission is to provide free QBanks, videos, and the most up to date test prep information for nurses. If you find our website helpful, please tell other aspiring nurses, nursing students, and professors. Please link to our site from your blogs, videos, and college websites, or share us on your favorite social media sites. Thank you for your support! nclex Nurses Nursing aanp qbank ancc hesi medsurg qbank
1000 Medical-Surgical Questions
NCLEX Review: Infection Control Treatments
A patient diagnosed with tuberculosis (TB) is admitted to the hospital. Which precautionary measure should the nurse implement to prevent the transmission of TB to other patients and healthcare workers? A. Placing the patient in a negative-pressure isolation room. B. Wearing a gown and gloves when providing care. C. Limiting staff contact with the patient. D. Administering prophylactic antibiotics to all healthcare workers. E. Using an N95 respirator mask when caring for the patient.
Rationale: Placing a patient with active TB in a negative-pressure isolation room helps prevent the spread of infectious droplets to other patients and healthcare workers by containing and filtering the air. While wearing a gown and gloves is necessary when providing direct care, it might not be sufficient to prevent airborne transmission. Limiting staff contact is helpful but doesn’t address airborne precautions. Administering prophylactic antibiotics isn’t a standard practice for preventing TB transmission. Using an N95 respirator mask is essential but doesn’t replace the need for isolation precautions in a negative-pressure room.
Correct Answer: D. Using sterile gloves and maintaining sterility during insertion
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NCLEX Focus Exploring Infection Control: Causes and Diagnosis
While performing wound care for a patient with a surgical incision, the nurse observes redness, swelling, and warmth around the wound site. The patient reports increased pain in the area. What action should the nurse prioritize? A. Continue with the planned wound care. B. Apply a warm compress to the wound. C. Notify the healthcare provider immediately. D. Administer over-the-counter pain medication. E. Document the findings in the patient’s chart.
Rationale: The symptoms described – redness, swelling, warmth, and increased pain – are indicative of possible infection at the wound site, necessitating prompt notification of the healthcare provider for further evaluation and intervention. Continuing with wound care without addressing the signs of infection could exacerbate the condition, while applying warmth or administering pain medication doesn’t address the potential infection directly. Documenting findings is important but doesn’t take precedence over immediate patient care.
Correct Answer: C. Notify the healthcare provider immediately.
1000 HESI Exit Questions
NCLEX Questions: Focus on Medications for Infection Control
A patient diagnosed with Clostridium difficile (C. diff) infection is admitted to the unit. What precautionary measures should the nurse take when caring for this patient? A. Wear gloves and a gown during direct patient contact. B. Use standard precautions only. C. Initiate airborne precautions. D. Ensure contact isolation and use an N95 mask. E. Wear a face shield and limit staff contact.
Rationale: Contact precautions, including wearing gloves and a gown during direct patient contact, are recommended for patients with C. diff to prevent the transmission of the spores, which can be present on surfaces and spread through contact. Standard precautions alone might not suffice to prevent C. diff transmission. Airborne precautions are not necessary for C. diff, and wearing an N95 mask or a face shield is not specifically indicated.
Correct Answer: A. Wear gloves and a gown during direct patient contact.
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Understanding Infection Control: NCLEX Priority Questions
A nurse is caring for a patient with an open wound. Which action by the nurse best demonstrates aseptic technique during wound care? A. Using clean gloves while cleaning the wound. B. Wiping the wound with an alcohol swab before dressing. C. Applying sterile gloves before touching the wound. D. Washing hands before and after dressing changes. E. Using sterile dressings from an opened package.
Rationale: Aseptic technique involves using sterile supplies to minimize the risk of introducing pathogens to open wounds. Using sterile gloves and dressing from an opened package reduces the risk of contamination. Clean gloves might not provide adequate protection against introducing pathogens, while wiping with an alcohol swab might not maintain sterility. Handwashing is essential but doesn’t guarantee aseptic technique during wound care.
Correct Answer: E. Using sterile dressings from an opened package.
4000 Free NCLEX Questions
Understanding Infection Control: Causes and Symptoms
A patient is on airborne precautions due to suspected tuberculosis (TB). What personal protective equipment (PPE) should the nurse utilize when entering the patient’s room? A. Surgical mask and gloves. B. Gown, gloves, and eye protection. C. N95 respirator mask, gown, and gloves. D. Face shield, gown, and gloves. E. Gloves only for any direct patient contact.
Correct Answer: C. N95 respirator mask, gown, and gloves.
Rationale: TB is transmitted through airborne droplets, necessitating the use of respiratory protection like an N95 mask, along with gown and gloves for full body protection. A surgical mask might not provide sufficient protection against airborne transmission. Eye protection and face shields are not specifically required for TB unless there’s a risk of splashes or sprays. Gloves alone don’t provide adequate respiratory protection in airborne precaution situations.
1000 ANCC Questions
NCLEX Practice Questions: Understanding Infection Control Causes and Symptoms
A nurse is preparing to perform a sterile dressing change for a patient with a surgical wound. While opening the sterile dressing pack, the nurse accidentally drops the sterile gauze onto the floor. What action should the nurse take? A. Pick up the gauze, rinse it with sterile water, and use it in the dressing change. B. Discard the dropped gauze and continue with the dressing change using the remaining sterile supplies. C. Use antiseptic solution to clean the dropped gauze before using it in the dressing change. D. Place the dropped gauze on a clean surface and continue the dressing change as planned. E. Open a new sterile gauze and continue with the dressing change.
Rationale: Dropping sterile equipment compromises its sterility and increases the risk of contamination. The priority is to maintain asepsis by using only uncontaminated supplies. Options A, C, and D involve using the dropped gauze, which is no longer sterile, potentially introducing pathogens to the wound. Option B, while considering using the rest of the sterile supplies, doesn’t address the need to replace the contaminated gauze. Correct Answer: E. Open a new sterile gauze and continue with the dressing change.
A nurse is providing education to a group of parents about preventing the spread of infections in children. What should the nurse include as a crucial aspect of infection control? A. Encouraging children to share personal items to build immunity. B. Using hand sanitizer instead of handwashing when water isn’t available. C. Teaching proper cough etiquette, such as coughing into elbows. D. Allowing sick children to play with healthy children to build resilience. E. Disinfecting toys and frequently touched surfaces regularly.
Rationale: Regular disinfection of toys and high-touch surfaces is essential in reducing the spread of infections among children. Sharing personal items may increase the risk of transmission. Handwashing is preferable over hand sanitizer when possible. Teaching proper cough etiquette is important but doesn’t cover overall infection control. Allowing sick children to interact with healthy ones can increase the risk of spreading infections. Correct Answer: E. Disinfecting toys and frequently touched surfaces regularly.
HOMEPAGE
A patient diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) is being discharged home. What instruction should the nurse provide to the patient and their family to prevent the spread of MRSA? A. Use regular soap for handwashing. B. Share towels and linens within the household. C. Clean surfaces with water alone. D. Avoid sharing personal items like razors or towels. E. Skip hand hygiene if hands aren’t visibly dirty.
Rationale: MRSA can spread through direct contact with contaminated items. Instructing the patient and family to avoid sharing personal items helps prevent the transmission of the bacteria. Using regular soap might not be sufficient; antibacterial soap is preferable. Sharing towels and linens increases the risk of transmission. Cleaning surfaces with water alone doesn’t effectively eliminate MRSA. Consistent hand hygiene, regardless of visible dirt, is crucial in infection control.
Correct Answer: D. Avoid sharing personal items like razors or towels.
