NCSBN - National Council of State Boards of Nursing Safety and Infection Control Questions and Answers

Question 1

A nurse is preparing to enter the room of a client who has active pulmonary tuberculosis. Which of the following pieces of personal protective equipment (PPE) is essential for the nurse to wear?

Accepted Answer

N95 respirator

Answer

Tuberculosis (TB) is transmitted via airborne particles. Therefore, healthcare workers must wear an N95 respirator, which is designed to filter out these small particles, when entering the room of a client with active TB. A surgical mask is insufficient for airborne precautions.

Question 2

A nurse discovers a fire in a client's room. After rescuing the client, which of the following actions should the nurse take next?

Accepted Answer

Activate the fire alarm.

Answer

The RACE acronym is a standard protocol for fire safety in healthcare settings: Rescue, Alarm, Contain, Extinguish. After rescuing the immediate client in danger, the next critical step is to activate the alarm to alert other staff and the fire department.

Question 3

A nurse is caring for a client who is confused and has been pulling at their intravenous (IV) lines. The nurse has attempted reorientation and distraction techniques without success. Which of the following actions is appropriate when applying wrist restraints?

Accepted Answer

Attach the restraints to the bed frame using a quick-release knot.

Answer

Restraints must be attached to a part of the bed frame that moves with the client, not the side rails, to prevent injury if the rail is lowered. A quick-release knot must be used for easy removal in an emergency.

Question 4

A client is admitted with a diagnosis of influenza. Which of the following transmission-based precautions should the nurse initiate?

Accepted Answer

Droplet precautions

Answer

Influenza is transmitted through large respiratory droplets. Therefore, droplet precautions are required. This includes wearing a surgical mask when within 3 to 6 feet of the client and placing the client in a private room or cohorting with a client who has the same infection.

Question 5

Which of the following actions by the nurse demonstrates the most effective method for preventing the spread of infection among clients?

Accepted Answer

Performing consistent and thorough hand hygiene.

Answer

The single most effective way to prevent the transmission of infection is through proper and frequent hand hygiene. While other measures are important for specific situations, hand hygiene is a component of standard precautions applied to all patients.

NCSBN - National Council of State Boards of Nursing Practice Test

NCSBN - National Council of State Boards of Nursing Practice Test

NCSBN - National Council of State Boards of Nursing Safety and Infection Control Questions and Answers