Infection NCLEX-like Critical Thinking Questions

A client with HIV is concerned about transmitting it to friends and family. Which of the following is true of HIV transmission?

Place doffing PPE in the correct sequence.

Place donning PPE in the correct sequence.

Put on X on the kind of isolation for each disease/organism

The nurse is caring for a client with general malaise, a severe cough, and runny nose.  Which of the following infection control precautions should the nurse take? Select all that apply.

The charge nurse is observing nurses for proper infection control actions.  Which of the following requires intervention by the charge nurse? Select all that apply.

The charge nurse is making room assignments.  The available rooms are : one private room and two double rooms.  What room assignments are safe and follow infection control protocols?

The nurse is assessing a client with an infected large abdominal wound.  Which of the following findings should the nurse NOT anticipate?

The nurse educates the family of a client who is on protective isolation since the client’s neutrophils are  Less than 500 cells/mm^3.  Which of the following statements indicates that the family has proper understanding of the isolation precautions?

The nurse is caring for a client with mumps.  Which of the following infection control precautions should the nurse implement?

A visitor enters the room of a client with tuberculosis and leaves the door open.  Which is the best response by the nurse?

The registered nurse is observing a nursing assistant change the linen of a client with Clostridium Difficile.  Accidentally, the nursing assistant soils one of side rails.  The nursing assistant wipes the side rail with a wet wash cloth.  What should be the registered nurse intervention?

Which of the following interventions should the nurse implement to prevent Catheter-Acquired Urinary Tract Infections (CAUTIs)?  Select all that apply.

The client is admitted for a potential respiratory tract infection.  The physician has ordered a sputum culture & sensitivity. What actions should the nursing implement? Select all that apply.

The nurse is screening a client for possible tuberculosis.  Which of the following questions should the nurse ask? Select all that apply.

Which of the following diseases is NOT a reportable disease?

The client is discharged after an open appendectomy. Which of the following statements by the client indicates an understanding of the discharge teaching?

Which of the following nurses should NOT care for a client with disseminated herpes zoster?

The nurse sticks herself with a needle contaminated with the blood of an HIV-positive client.  Which of the following should be include in the plan of action? Select all that apply.

The new graduate nurse is caring for a client with VRE in a sacral pressure sore.  Which statement by the new graduate nurse demonstrates knowledge of the infection precautions necessary for this client?

What is the most important teaching point to a family who is visiting a client on neutropenic precautions?

A mother with HIV gives birth to a baby girl.  Which of the following statements by the mother demonstrates that she understands her diagnosis and its implications? Select all that apply.

The nurse has provided education to a female client about syphillis.  Which of the following statements by the client requires follow up?

The nurse provides education to a client with Pelvic Inflammatory Disease. Which of the following statements by the client demonstrates that the client needs further teaching? 

The nurse is caring for a diabetic client with an open wound in the right toe that is positive for MRSA.  The physician orders antibiotic therapy and a wound culture.  Which of the following should the nurse implement?

A 45-year-old client is admitted with an Addisonian crisis due to non-compliance.  The client has a history of congestive heart failure.  The physician starts the client on IV hydrocortisone.  Which of the following factors places the client at the highest risk for developing sepsis?