1.

A child is admitted to the pediatric unit with a diagnosis of suspected meningococca

l meningitis. Which of the following nursing measures should the nurse do FIRST?

A. Institute seizure precautions

B. Assess neurologic status
C. Place in respiratory isolation
D. Assess vital signs

2. A client is diagnosed with methicillin-resistant staphylococcus aureus pneumonia. W

hat type of isolation is MOST appropriate for this client?

A. Reverse isolation
B. Respiratory isolation
C. Standard precautions
D. Contact isolation

3. Several clients are admitted to an adult medical unit. The nurse would ensure airbor
ne precautions for a client with which of the following medical conditions?

A. A diagnosis of AIDS and cytomegalovirus

B. A positive PPD with an abnormal chest x-ray
C. A tentative diagnosis of viral pneumonia
D. Advanced carcinoma of the lung

4. Which of the following is the FIRST priority in preventing infections when providing
care for a client?

A. Handwashing
B. Wearing gloves
C. Using a barrier between client’s furniture and nurse’s bag
D. Wearing gowns and goggles
5. An adult woman is admitted to an isolation unit in the hospital after tuberculosis wa
s detected during a pre-employment physical. Although frightened about her diagnos
is, she is anxious to cooperate with the therapeutic regimen. The teaching plan include
s information regarding the most common means of transmitting the tubercle bacillus
from one individual to another. Which contamination is usually responsible?

A. Hands.
B. Droplet nuclei.
C. Milk products.
D. Eating utensils.

6. A 2-year-old is to be admitted in the pediatric unit. He is diagnosed with febrile seiz

ures. In preparing for his admission, which of the following is the most important nursi
ng action?

A. Order a stat admission CBC.

B. Place a urine collection bag and specimen cup at the bedside.
C. Place a cooling mattress on his bed.
D. Pad the side rails of his bed.

7. A young adult is being treated for second and third-degree burns over 25% of his b
ody and is now ready for discharge. The nurse evaluates his understanding of dischar
ge instructions relating to wound care and is satisfied that he is prepared for home car
e when he makes which statement?

a. “I will need to take sponge baths at home to avoid exposing the wounds to unsteril
e bath water.”
b. “If any healed areas break open I should first cover them with a sterile dressing and
then report it.”
c. “I must wear my Jobst elastic garment all day and can only remove it when I’m goin
g to bed.”
d. “I can expect occasional periods of low-grade fever and can take Tylenol every 4 ho
urs.”

8. An eighty five year old man was admitted for surgery for benign prostatic hypertrop
hy. Preoperatively he was alert, oriented, cooperative, and knowledgeable about his s
urgery. Several hours after surgery, the evening nurse found him acutely confused, agi
tated, and trying to climb over the protective side rails on his bed. The most appropria
te nursing intervention that will calm an agitated client is:

A. limit visits by staff.

B. encourage family phone calls.
C. position in a bright, busy area.
D. speak soothingly and provide quiet music.

9. Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse know
s the client understands the procedure when she makes which of the following remark
s the night before the procedure?

A. She says to her husband, “Please bring me a hamburger and french fries tomorrow
when you come. I hate hospital food.”
B. “I told my daughter who is pregnant to either come to see me tonight or wait until I
go home from the hospital.”
C. “I understand it will be several weeks before all the radiation leaves my body.”
D. “I brought several craft projects to do while the radium is inserted.”

10. The nurse in charge is evaluating the infection control procedures on the unit. Whi
ch finding indicates a break in technique and the need for education of staff?

A. The nurse aide is not wearing gloves when feeding an elderly client.
B. A client with active tuberculosis is asked to wear a mask when he leaves his room to
go to another department for testing.
C. A nurse with open, weeping lesions of the hands puts on gloves before giving direc
t client care.
D. The nurse puts on a mask, a gown, and gloves before entering the room of a client
on strict isolation.

11. The charge nurse observes a new staff nurse who is changing a dressing on a surgi
cal wound. After carefully washing her hands the nurse dons sterile gloves to remove t
he old dressing. After removing the dirty dressing, the nurse removes the gloves and
dons a new pair of sterile gloves in preparation for cleaning and redressing the wound
. The most appropriate action for the charge nurse is to:

A. interrupt the procedure to inform the staff nurse that sterile gloves are not needed
to remove the old dressing.
B. congratulate the nurse on the use of good technique.
C. discuss dressing change technique with the nurse at a later date.
D. interrupt the procedure to inform the nurse of the need to wash her hands after re
moval of the dirty dressing and gloves.

12. Nurse Jane is visiting a client at home and is assessing him for risk of a fall. The mo
st important factor to consider in this assessment is:

A. Correct illumination of the environment.

B. amount of regular exercise.
C. the resting pulse rate.
D. status of salt intake.

13. Mrs. Jones will have to change the dressing on her injured right leg twice a day. Th
e dressing will be a sterile dressing, using 4 X 4s, normal saline irrigant, and abdomina
l pads. Which statement best indicates that Mrs. Jones understands the importance of
maintaining asepsis?

A. “If I drop the 4 X 4s on the floor, I can use them as long as they are not soiled.”
B. “If I drop the 4 X 4s on the floor, I can use them if I rinse them with sterile normal sa
line.”
C. “If I question the sterility of any dressing material, I should not use it.”
D. “I should put on my sterile gloves, then open the bottle of saline to soak the 4 X 4s.
”

14. A client has been placed in blood and body fluid isolation. The nurse is instructing
auxiliary personnel in the correct procedures. Which statement by the nursing assistan
t indicates the best understanding of the correct protocol for blood and body fluid iso
lation?

A. Masks should be worn with all client contact.

B. Gloves should be worn for contact with nonintact skin, mucous membranes, or soile
d items.
C. Isolation gowns are not needed.
D. A private room is always indicated.

15. The nurse is evaluating whether nonprofessional staff understand how to prevent t
ransmission of HIV. Which of the following behaviors indicates correct application of u
niversal precautions?

A. A lab technician rests his hand on the desk to steady it while recapping the needle
after drawing blood.
B. An aide wears gloves to feed a helpless client.
C. An assistant puts on a mask and protective eye wear before assisting the nurse to s
uction a tracheostomy.
D. A pregnant worker refuses to care for a client known to have AIDS.

16. Jayson, 1 year old child has a staph skin infection. Her brother has also developed t
he same infection. Which behavior by the children is most likely to have caused the tra
nsmission of the organism?
A. Bathing together.
B. Coughing on each other.
C. Sharing pacifiers.
D. Eating off the same plate.

17. Jessie, a young man with newly diagnosed acquired immune deficiency syndrome (
AIDS) is being discharged from the hospital. The nurse knows that teaching regarding
prevention of AIDS transmission has been effective when the client:

A. verbalizes the role of sexual activity in spread of the disorder.

B. states he will make arrangements to drop his college classes.
C. acknowledges the need to avoid all contact sports.
D. says he will avoid close contact with his three-year-old niece.

18. Which question is least useful in the assessment of a client with AIDS?

A. Are you a drug user?

B. Do you have many sex partners?
C. What is your method of birth control?
D. How old were you when you became sexually active?

19. Mrs. Parker, a 70-year-old woman with severe macular degeneration, is admitted t
o the hospital the day before scheduled surgery. The nurse’s preoperative goals for M
rs. M. would include:

A. independently ambulating around the unit.

B. reading the routine preoperative education materials.
C. maneuvering safely after orientation to the room.
D. using a bedpan for elimination needs.

20. A child is undergoing remission induction therapy to treat leukemia. Allopurinol is

included in the regimen. The main reason for administering allopurinol as part of the c
lient’s chemotherapy regimen is to:
A. Prevent metabolic breakdown of xanthine to uric acid
B. Prevent uric acid from precipitating in the ureters
C. Enhance the production of uric acid to ensure adequate excretion of urine
D. Ensure that the chemotherapy doesn’t adversely affect the bone marrow

1. The parents of a child, age 6, who will begin school in the fall ask the nurse for antici
patory guidance. The nurse should explain that a child of this age:

A. Still depends on the parents

B. Rebels against scheduled activities
C. Is highly sensitive to criticism
D. Loves to tattle

2. While preparing to discharge an 8-month-old infant who is recovering from gastroe

nteritis and dehydration, the nurse teaches the parents about their infant’s dietary and
fluid requirements. The nurse should include which other topic in the teaching sessio
n?

A. Nursery schools
B. Toilet Training
C. Safety guidelines
D. Preparation for surgery

3. Nurse Betina should begin screening for lead poisoning when a child reaches which
age?

A. 6 months
B. 12 months
C. 18 months
D. 24 months
4. When caring for an 11-month-old infant with dehydration and metabolic acidosis, th
e nurse expects to see which of the following?

A. A reduced white blood cell count

B. A decreased platelet count
C. Shallow respirations
D. Tachypnea

5. After the nurse provides dietary restrictions to the parents of a child with celiac dise
ase, which statement by the parents indicates effective teaching?

A. “Well follow these instructions until our child’s symptoms disappear.”

B. “Our child must maintain these dietary restrictions until adulthood.”
C. “Our child must maintain these dietary restrictions lifelong.”
D. “We’ll follow these instructions until our child has completely grown and developed
.”

6. A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When
palpating the toddler’s fontanels, what should the nurse expects to find?

A. Closed anterior fontanel and open posterior fontanel

B. Open anterior and fontanel and closed posterior fontanel
C. Closed anterior and posterior fontanels
D. Open anterior and posterior fontanels

7. Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The
nurse should monitor this client’s fluid intake because fluid overload may cause:

A. Cerebral edema
B. Dehydration
C. Heart failure
D. Hypovolemic shock
8. An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing
action is most appropriate for this infant?

A. Encouraging the infant to hold a bottle

B. Keeping the infant on bed rest to conserve energy
C. Rotating caregivers to provide more stimulation
D. Maintaining a consistent, structured environment

9. The mother of Gian, a preschooler with spina bifida tells the nurse that her daughte
r sneezes and gets a rash when playing with brightly colored balloons, and that she re
cently had an allergic reaction after eating kiwifruit and bananas. The nurse would sus
pect that the child may have an allergy to:

A. Bananas
B. Latex
C. Kiwifruit
D. Color dyes

10. Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor
eater. What’s the nurse’s best recommendation for helping the mother increase her ch
ild’s nutritional intake?

A. Allow the child to feed herself

B. Use specially designed dishes for children – for example, a plate with the child’s fav
orite cartoon character
C. Only serve the child’s favorite foods
D. Allow the child to eat at a small table and chair by herself

11. Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. li
ne to a school-age child. What’s the smallest amount of glucose that’s considered safe
and not caustic to small veins, while also providing adequate TPN?
A. 5% glucose
B. 10% glucose
C. 15% glucose
D. 17% glucose

12. David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which f
indings best indicates that the child is free from pain?

A. Decreased appetite
B. Increased heart rate
C. Decreased urine output
D. Increased interest in play

13. When planning care for a 8-year-old boy with Down syndrome, the nurse should:

A. Plan interventions according to the developmental level of a 7-year-old child becau

se that’s the child’s age
B. Plan interventions according to the developmental levels of a 5-year-old because th
e child will have developmental delays
C. Assess the child’s current developmental level and plan care accordingly
D. Direct all teaching to the parents because the child can’t understand

14. Nurse Vincent is teaching the parents of a school-age child. Which teaching topic s
hould take priority?

A. Prevent accidents
B. Keeping a night light on to allay fears
C. Explaining normalcy of fears about body integrity
D. Encouraging the child to dress without help
15. The nurse is finishing her shift on the pediatric unit. Because her shift is ending, whi
ch intervention takes top priority?

A. Changing the linens on the clients’ beds

B. Restocking the bedside supplies needed for a dressing change on the upcoming shi
ft
C. Documenting the care provided during her shift
D. Emptying the trash cans in the assigned client room

16. Nurse Harry is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the
nurse should:

A. Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm)

B. Deliver 12 breaths/minute
C. Perform only two-person CPR
D. Use the heel of one hand for sternal compressions

17. A 4-month-old with meningococcal meningitis has just been admitted to the pedia
tric unit. Which nursing intervention has the highest priority?

A. Instituting droplet precautions

B. Administering acetaminophen (Tylenol)
C. Obtaining history information from the parents
D. Orienting the parents to the pediatric unit

18. Shane tells the nurse that she wants to begin toilet training her 22-month-old child
. The most important factor for the nurse to stress to the mother is:

A. Developmental readiness of the child

B. Consistency in approach
C. The mother’s positive attitude
D. Developmental level of the child’s peers
19. An infant who has been in foster care since birth requires a blood transfusion. Who
is authorized to give written, informed consent for the procedure?

A. The foster mother

B. The social worker who placed the infant in the foster home
C. The registered nurse caring for the infant
D. The nurse-manager

20. A child is undergoing remission induction therapy to treat leukemia. Allopurinol is

included in the regimen. The main reason for administering allopurinol as part of the c
lient’s chemotherapy regimen is to:

A. Prevent metabolic breakdown of xanthine to uric acid

B. Prevent uric acid from precipitating in the ureters
C. Enhance the production of uric acid to ensure adequate excretion of urine
D. Ensure that the chemotherapy doesn’t adversely affect the bone marrow

21. A 10-year-old client contracted severe acute respiratory syndrome (SARS) when tra
veling abroad with her parents. The nurse knows she must put on personal protective
equipment to protect herself while providing care. Based on the mode of SARS transm
ission, which personal protective should the nurse wear?

A. Gloves
B. Gown and gloves
C. Gown, gloves, and mask
D. Gown, gloves, mask, and eye goggles or eye shield

22. A tuberculosis intradermal skin test to detect tuberculosis infection is given to a hi

gh-risk adolescent. How long after the test is administered should the result be evalua
ted?
A. Immediately
B. Within 24 hours
C. In 48 to 72 hours
D. After 5 days

23. Nurse Oliver s teaching a mother who plans to discontinue breast-feeding after 5
months. The nurse should advise her to include which foods in her infant’s diet?

A. Iron-rich formula and baby food

B. Whole milk and baby food
C. Skim milk and baby food
D. Iron-rich formula only

24. Gracie, the mother of a 3-month-old infant calls the clinic and states that her child
has a diaper rash. What should the nurse advice?

A. “Switch to cloth diapers until the rash is gone”

B. “Use baby wipes with each diaper change.”
C. “Leave the diaper off while the infant sleeps.”
D. “Offer extra fluids to the infant until the rash improves.”

25. Nurse Kelly is teaching the parents of a young child how to handle poisoning. If th
e child ingests poison, what should the parents do first?

A. Administer ipecac syrup

B. Call an ambulance immediately
C. Call the poison control center
D. Punish the child for being bad

26. A child has third-degree burns of the hands, face, and chest. Which nursing diagn
osis takes priority?
A. Ineffective airway clearance related to edema
B. Disturbed body image related to physical appearance
C. Impaired urinary elimination related to fluid loss
D. Risk for infection related to epidermal disruption

27. A 3-year-old child is receiving dextrose 5% in water and half-normal saline solutio
n at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake?

A. Worsening dyspnea
B. Gastric distension
C. Nausea and vomiting
D. Temperature of 102°F (38.9° C)

28. Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for
a severe asthma exacerbation?

A. Oxygen saturation of 95%

B. Mild work of breathing
C. Absence of intercostals or substernal retractions
D. History of steroid-dependent asthma

29. Nurse Mariane is caring for an infant with spina bifida. Which technique is most im
portant in recognizing possible hydrocephalus?

A. Measuring head circumference

B. Obtaining skull X-ray
C. Performing a lumbar puncture
D. Magnetic resonance imaging (MRI)

30. An adolescent who sustained a tibia fracture in a motor vehicle accident has a cast
. What should the nurse do to help relieve the itching?
A. Apply cool air under the cast with a blow-dryer
B. Use sterile applicators to scratch the itch
C. Apply cool water under the cast
D. Apply hydrocortisone cream under the cast using sterile applicator.
1. While working in a pediatric clinic, you receive a telephone call from the parent of a
10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has chick
enpox. Which of these actions will you anticipate taking next?

A. Teach the parents regarding contact and airborne precaution.

B. Administer varicella-zoster immune globulin to the client.
C. Prepare the client for admission to a private room in the hospital.
D. Educate the parent about the correct use of acyclovir (Zovirax).

2. Which action will you take to most effectively reduce the incidence of hospital-asso
ciated urinary tract infections?

A. Teach assistive personnel how to provide good perineal hygiene.

B. Ensure that clients have enough adequate fluid intake.
C. Limit the use of indwelling foley catheter (IFC).
D. Perform dipstick urinalysis for clients with risk factors for UTI.

3. You are caring for a client who has been admitted to the hospital with a leg ulcer th
at is infected with vancomycin-resistant S. aureus (VRSA). Which of these nursing actio
ns can you delegate to an LPN/LVN?

A. Obtain wound cultures during dressing changes.

B. Plan ways to improve the client’s oral protein intake.
C. Assess risk for further skin breakdown.
D. Educate the client about home care of the leg ulcer.

4. You are the pediatric unit charge nurse today and is working with a new RN. Which
action by the new RN requires the most immediate action on your part?
A. The new RN tells the nursing assistant to use an N95 respirator mask when caring f
or a child who has pertussis.
B. The new RN places a child who has chemotherapy-induced neutropenia into a neg
ative-pressure room.
C. The new RN admits a new client with respiratory syncytial virus (RSV) infection to a r
oom with another child who has RSV.
D. The new RN wears goggles to change linens of a client who has diarrhea caused by
C. difficile.

5. A client comes to the outpatient clinic where you work complaining of abdominal p
ain, diarrhea, shortness of breath and epistaxis. Which of the following actions would y
ou take first?

A. Ask the client about any recent travel to Asia or the Middle East.
B. Screening clients for upper respiratory tract symptoms.
C. Determine whether the client has had recommended immunizations.
D. Call an ambulance to take the client immediately to the hospital.

6. A client who has recently traveled to China comes to the emergency department (E
D) with increasing shortness of breath and is strongly suspected of having a severe ac
ute respiratory syndrome (SARS). Which of these prescribed actions will you take first?

A. Place the client on contact and airborne precautions.

B. Obtain blood, urine, and sputum for cultures.
C. Administer methylprednisolone (Solu-Medrol) 1 gram/IV.
D. Infuse normal saline at 100ml/hr.

7. Four clients with infections arrive at the emergency department with some existing i
nfection, however, only one private room is available. Which of the following client is t
he most appropriate to assign to the private room?
A. A client with toxic shock syndrome and a temperature of 102.4°F (39.1°C).
B. A client with diarrhea caused by C. difficile.
C. A client with a wound infected with VRE.
D. A client with a cough who may have Koch disease.

8. You are caring for four clients who are receiving IV infusions of normal saline. Whic
h client is at highest risk for bloodstream infections?

A. A client who has a midline IV catheter in the left antecubital fossa.

B. A client with a peripherally inserted central catheter (PICC) line in the right upper ar
m.
C. A client with an implanted port in the right subclavian vein.
D. A client who has nontunneled central line in the left internal jugular vein.

9. A client who has frequent watery stools and a possible Clostridium difficile infection
is hospitalized with dehydration. Which nursing action should the charge nurse deleg
ated to an LPN/LVN?

A. Explaining the purpose of ordered stool cultures to the client and family.
B. Administering the ordered metronidazole (Flagyl) 500 mg PO to the client.
C. Reviewing the client’s medical history for any risk factors for diarrhea.
D. Performing ongoing assessments to determine the client’s hydration.

10. You are a school nurse. Which action will you take to have the most impact on the
incidence of infectious disease in the school?

A. Ensure that students are immunized according to national guidelines.

B. Provide written information about infection control to all patients.
C. Make soap and water readily available in the classrooms.
D. Teach students how to cover their mouths when coughing.
11. You are caring for a newly admitted client with increasing dyspnea and dehydration
who has possible avian influenza (bird flu). Which of these prescribed actions will you
implement first?

A. Administer the first dose of oseltamivir (Tamiflu).

B. Obtain blood and sputum specimens for testing.
C. Provide oxygen using a non-rebreather mask.
D. Infuse 5% dextrose in water at 75ml/hr.

12. A hospitalized 88-year-old client who has been receiving antibiotics for 10 days tell
s you that he is having frequent watery stools. Which action will you take first?

A. Place the client on contact precaution.

B. Instruct the client about correct handwashing.
C. Obtain stool specimens for culture.
D. Notify the physician about the loose stools.

13. Which of the following information about a client who has meningococcal meningi
tis has the best indicator that you can discontinue droplet precautions?

A. Cough is productive of clear, nonpurulent mucus.

B. Pupils are equal and reactive to light.
C. Temperature is lower than 100°F (37.8°C).
D. Appropriate antibiotics have been given for 24 hours.

14. You are the charge nurse on the pediatric unit when a pediatrician calls wanting to
admit a child with rubeola (measles). Which of these factors is of most concern in det
ermining whether to admit the child to your unit?

A. There are several children receiving chemotherapy on the unit.

B. The infection control nurse liaison is not on the unit today.
C. The unit is not staffed with the usual number of RNs.
D. No negative-airflow rooms are available on the unit.

15. A client who states that he may have been contaminated by anthrax arrives at the
ED. The following actions are part of the ED protocol for possible anthrax exposure or
infection. Which action will you take first?

A. Escort the client to a decontamination room.

B. Assess the client for signs of infection.
C. Notify hospital security personnel about the client.
D. Administer ciprofloxacin (Cipro) 250 mg PO.

16. A client has been diagnosed with disseminated herpes zoster. Which personal prot
ective equipment (PPE) will you need to put on when preparing to assess the client? S
elect all that apply

A. Goggles.
B. Gown.
C. Gloves.
D. Shoe covers.
E. N95 respirator.
F. Surgical face mask.

17. As the infection control nurse in an acute care hospital, which action will you take t
o most effectively reduce the incidence of health-care-associated infections?

A. Screen all newly admitted clients for colonization or infection with MRSA.
B. Develop policies that automatically start antibiotic therapy for clients colonized by
multi-drug resistant organisms.
C. Ensure that dispensers for alcohol-based hand rubs are readily available in all client
care areas of the hospital.
D. Require nursing staff to don gowns to change wound dressings for all clients.
18. You are preparing to leave the room after performing oral suctioning on a client w
ho is on contact and airborne precautions. In which order will you perform the followi
ng actions?

1. Take off the gown.

2. Remove N95 respirator.
3. Perform hand hygiene.
4. Take off goggles.
5. Remove gloves.
A. 5, 4, 1, 2, 3
B. 4, 5, 2, 1, 3
C. 1, 2, 4, 5, 3
D. 2, 4, 2, 1, 3

19. You are preparing to change the linens on the bed of a client who has a draining s
acral wound infected by MRSA. Which PPE items will you plan to use. Select all that ap
ply

A. Gloves.
B. N95 respirator.
C. Surgical Mask.
D. Googles.
E. Gown.

20. You are preparing to care for a 6-year-old who has just undergone allogeneic ste
m cell transplantation and will need protective environmental isolation. Which nursing
tasks will you delegate to a nursing assistant? Select all that apply.

A. Posting the precautions for protective isolation o the door of the client’s room.
B. Stocking the client’s room with the needed PPE items.
C. Talking to the family members about the reasons for the isolation.
D. Reminding visitors to wear a respirator mask, gloves, and gown.
E. Teaching the client to perform thorough hand washing after using the bathroom.

21. A 29-year-old client is diagnosed with scarlet fever. Which of the following is the m
ost appropriate type of isolation for this client?

A. Airborne.
B. Contact.
C. Droplet.
D. Standard.

22. A newly admitted client with streptococcal pharyngitis (tonsillitis) has been placed
on droplet precaution. Which of the following statements indicates the best understan
ding for this type of isolation?

A. The client can be placed in a room with another client with measles (rubeola).
B. A special mask (N95) should be worn when working with the client.
C. Must maintain a spatial distance of 3 feet.
D. Gloves should be only worn when giving direct care.

23. Malcolm is a newly assigned as a triage nurse, on his first day of work, the followin
g clients arrive at the ED. Which among the client require the most rapid action to pro
tect other clients in the ED from infection?

A. A travel blogger who needs tuberculosis testing after an exposure to a person with
TB during his trip.
B. An elderly woman who has a history of a methicillin-resistant Staphylococcus aureu
s (MRSA) leg wound infection.
C. A pregnant woman with a blister-like rash on the face and is possibly having varicell
a.
D. An infant with a runny nose and whose older brother has pertussis.
24. A client with a vancomycin-resistant enterococcus (VRE) infection is admitted to th
e medical unit. Which action can be delegated to a nursing assistant who is assisting w
ith the client’s care?

A. Implement contact precautions when handling the client.

B. Educate the client and family members on ways to prevent transmission of VRE.
C. Monitor the results of the laboratory culture and sensitivity test.
D. Collaborate with other departments when the client is transported for ordered test.

25. Which of the following infection control activity should be delegated to an experie
nced nursing assistant?

A. Asking clients about the duration of antibiotic therapy.

B. Demonstrating correct handwashing techniques to client and family.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms.