NCLEX Safety and Infection Control Flashcards

Question 1

Contact precautions examples?

Accepted Answer

C. diff, MRSA, VRE, scabies — gown and gloves.

Question 2

What is the most common cause of bronchiolitis in infants?

Accepted Answer

Respiratory syncytial virus (RSV).

Question 3

Restraint monitoring frequency?

Accepted Answer

Circulation/skin checks every 15–30 min; release q2h for ROM.

Question 4

Meningitis hallmark signs?

Accepted Answer

Nuchal rigidity, photophobia, positive Kernig/Brudzinski; droplet precautions.

Question 5

PASS for a fire extinguisher?

Accepted Answer

Pull, Aim (at the base), Squeeze, Sweep.

Question 6

Epiglottitis: never do what?

Accepted Answer

Examine the throat/use a tongue depressor (can fully obstruct the airway).

Question 7

Mnemonic for AIRBORNE precautions?

Accepted Answer

“My Chicken Hez TB” — Measles, Chickenpox (varicella), disseminated Herpes zoster, TB. All need an N95 respirator and a negative-pressure room.

Question 8

When is RhoGAM given to an Rh-negative mother?

Accepted Answer

At 28 weeks and within 72 hours after delivering an Rh-positive infant.

Question 9

Whooping cough (pertussis) precaution?

Accepted Answer

Droplet precautions; characteristic whoop on inspiration.

Question 10

Droplet precautions examples?

Accepted Answer

Influenza, pertussis, meningitis, mumps — private room + surgical mask.

Question 11

How do you check an AV fistula for patency?

Accepted Answer

Palpate for a thrill and auscultate for a bruit.

Question 12

C. diff hand hygiene?

Accepted Answer

Soap and water (alcohol doesn't kill spores).

Question 13

Airborne precautions diseases?

Accepted Answer

Measles, TB, Varicella (+ disseminated zoster). Negative-pressure room + N95.

Question 14

Restraint knot is tied to?

Accepted Answer

The bed FRAME with a quick-release knot, not the side rail.

Question 15

Fall-prevention basics?

Accepted Answer

Bed low, call light in reach, non-skid socks, clear path, hourly rounding.

Question 16

Standard precautions apply to?

Accepted Answer

ALL clients, all body fluids, regardless of diagnosis.

Question 17

C. diff precautions?

Accepted Answer

Contact precautions, SOAP & WATER (alcohol gel won't kill spores), bleach-cleaned room.

Question 18

Neutropenic precautions diet?

Accepted Answer

No raw/undercooked food, no fresh flowers/plants, avoid crowds.

Question 19

Airborne precautions diseases?

Accepted Answer

Measles, TB, Varicella — negative-pressure room + N95.

Question 20

PPE donning order?

Accepted Answer

Gown, mask, goggles, gloves.

Question 21

PPE doffing order?

Accepted Answer

Gloves, goggles, gown, mask.

Question 22

Most common cause of healthcare infections?

Accepted Answer

Poor hand hygiene.

Question 23

Why is heat or an enema contraindicated in suspected appendicitis?

Accepted Answer

It can cause the appendix to rupture.

Question 24

Febrile seizure care?

Accepted Answer

Protect from injury, side-lying, treat the fever; usually benign.

Question 25

During a seizure, do what?

Accepted Answer

Side-lying, protect the head, time it; never restrain or insert objects.

Question 26

Live vaccines are avoided in?

Accepted Answer

Pregnancy and immunocompromised clients.

Question 27

Neutropenic precautions key teaching?

Accepted Answer

Avoid crowds, raw/undercooked food, fresh flowers; strict hand hygiene.

Question 28

What vitamin is given in alcohol withdrawal to prevent Wernicke encephalopathy?

Accepted Answer

Thiamine (vitamin B1).

Question 29

Single most effective infection prevention?

Accepted Answer

Hand hygiene.

Question 30

Sterile field becomes contaminated if?

Accepted Answer

It's below the waist, out of sight, wet, or touched by non-sterile.

Question 31

Why wash hands with SOAP & WATER for C. diff?

Accepted Answer

C. difficile spores are NOT killed by alcohol-based hand rub. Use soap and water, plus contact precautions with gown and gloves.

Question 32

Why is aspirin avoided in children with viral illness?

Accepted Answer

Risk of Reye syndrome.

Question 33

SIDS prevention sleep position?

Accepted Answer

On the BACK, firm flat surface, no loose bedding.

Question 34

RACE fire response?

Accepted Answer

Rescue, Alarm, Confine, Extinguish/Evacuate.

Question 35

What type of isolation precaution is required for active tuberculosis?

Accepted Answer

Airborne precautions (negative-pressure room, N95 respirator).

Question 36

Fire safety: RACE and PASS?

Accepted Answer

RACE: Rescue, Alarm, Confine, Extinguish/Evacuate. PASS (extinguisher): Pull the pin, Aim at the base, Squeeze the handle, Sweep side to side. Rescue clients first.

Question 37

In suspected epiglottitis, what must the nurse never do?

Accepted Answer

Never inspect the throat or place anything in the child's mouth.

Question 38

Croup signature sound?

Accepted Answer

Barking/seal-like cough with stridor (usually viral, mild).

NCLEX Safety and Infection Control Flashcards

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