In today`s scenario it is very important for the nurses to have knowledge about the infection and safety control measures. Here are the some safety and infection control question which will help to assess the knowledge of nurses working in clinical field as well as who are preparing for examination like NClex, Aiims Norcet , Dsssb, pgimer and various railways examination and GMCH Staff Nurse
Safety and infection control Questions
1. A client cannot understand how syphilis was contracted because there has been no sexual activity for several days. As a part of teaching , the nurse explain that the incubation period for syphilis is about ?
A) 72 Hour
B) 1 Week
C) 2 to 6 Weeks
D) 4 months
Answer is C
Rational : Although incubation period is 2 – 6 weeks but clinical symptoms may appear as 9 day or as long 4 month after exposure
2. An elderly patient with influenza is admitted and there are no private rooms available . Which of the following rooms would be appropriate to assign the patient ?
A) A double room with another pt with same diagnosis
B) A four bed room with 3 other patient with orthopedic surgery
C) A double room with elderly patient with chickenpox
D) A double room with a patient admitted with impetigo
Answer is A
Rational : The staff and visitors should be told to stay 3 feet away
4. A nurse is evaluating the progress of a client`s SLE. The diagnostic findings of importance for evaluation is ?
A) Increased scrum complement fixation
B) The level of LE cell formation
C) Overall bone marrow proliferation
D) Absence of ANA antibodies
Answer is B
Rational : An increased level of LE cells formation correlates with progress of SLE
5. When a client receives vaccination , the nurse understands that immunity developed is called ?
A) Autoimmunity
B) Natural active immunity
C) Acquired passive immunity
D) Acquired active immunity
Answer is D
Rational : Natural active immunity develops when client contracts and has the disease and develops antibodies. Passive acquired immunity is when antibodies or antitoxin is administered
6. When a client is exposed to an antigen through illness or vaccination , the immune system develops ?
A) Macrophages
B) Eosinophil
C) Erythrocytes
D) Antibodies
Answer is D
Rational : The immune system develops antibodies in response to foreign antigen
7. A nurse is assigned to provide care for a patient with AIDS. The infection control guidelines specify that a gown should be worn when nurse?
A) Enters the room to provide patient care
B) Administer IV medications
C) Perform a dressing change
D) Administer an IM injection
Answer is C
Rational : When there is risk of body fluid contacts , gown should be worn
8. A client aged 40 yrs with H/o allergy to bees is brought to emergency room for a bee sting. The client is having trouble breathing .The nurse is aware that client can expire from ?
A) Ischemia
B) Asphyxia
C) Lactic acidosis
D) Antihistaminemia
Answer is B
9. When a client body fails to defend itself from invading microorganisms, the condition is called ?
A) Anaphylaxis
B) Immunodeficiency
C) Phagocytosis
D) Autoimmunity
Answer is B
10. A mother asks a nurse how the DTP injection works. The nurse in formulating a response recalls that in active immunity :
A) lipid agents are formed by the body against antigens
B) Protein antigens are formed in blood to fight invading antibodies
C) Protein substance are formed by the body to destroy antigen
D) Blood antigen are added by phagocytosis
Answer is B
11. The most common nosocomial infection is
A) Urinary tract infection
B) Infectious diarrhea ( c. difficile)
C) Pneumonia
D) Blood stream infection
Answer is B
Rational :The most common nosocomial infection is C. difficile diarrhea
12. The type of transmission based precaution is
A) Droplet
B) Respiratory
C) Blood
D) Body fluids
Answer is A
Rational : Droplet is a type of transmission based precaution
13. The term condylomata acuminata refers to :
A) Scabies
B) Herpes Zoster
C) Venereal warts
D) Cancer of epididymis
Answer is C
14. A patient Is diagnosed as having gonorrhea. The nurse expects the physician to order
A) Colistin
B) Penicillin
C) Actinomycin
D) Chloramphenicon
Answer is B
Rational : Penicillin is effective against Neisseria gonorrhea . penicillin inhibits synthesis of bacterial cell wall .
15. Some patient with malaria suffers Blackwater fever, therefore the nurse should observe a patient with chronic malaria for
A) Diarrhea
B) Dark red urine
C) Low grade fever
D) Coffee groung emesis
Answer is B
Rational : In chronic malaria caused by plasmodium falciparum can suffer hemoglobinuria, intravascular hemolysis and renal failure a result of destruction of RBC.
16 . A patient is experiencing itching , erythema and raised lesion. The nurse knows that these sign and symptoms are characteristic of hypersensitivity type
A) Anaphylactic
B) Delayed type
C) Immune complex
D) Cytotoxic
Answer is B
17 . For a infection to occur , 6 steps or link must be present. Which of the following is not considered a link ?
A) Infectious agent
B) Reservoir
C) Portal of entry
D) Droplet transmission
Answer is D
18 . A patient has an anaphylactic reaction after receiving penicillin . It indicates that the patient has
A) An acquired atopic sensitization
B) Passive immunity to penicillin allergen
C) Antibodies to penicillin acquired after earlier use of drug
D) Developed potent bivalent antibodies
Answer is C
INFECTION CONTROL NCLEX QUESTION
19 . The is reviewing physical examination and laboratory tests of pt with malaria. The nurse understand that an important physical finding in malaria is
A) Leukocytosis
B) Erythrocytosis
C) Splenomegaly
D) Elevated ESR
Answer is C
Rational : The spleen enlarges from sloughing of RBC .
20 . A Patient has impaired immune system .The nurse knows that the protein involved in immunity is
A) Albumin
B) Globulin
C) Thrombin
D) Hemoglobin
Answer is B
Rational : The gamma globulin fraction in the plasma is the fraction that inludes antibodies.
21 . Acute salpingitis is most commonly result of
A) Syphilis
B) Abortion
C) Gonorrhea
D) Hydatidiform mole
Answer is C
Rational : Frequently gonorrhea is an ascending infection and affects the fallopian tube.
22 .A nurse accidentally has had a needle stick in her finger a she pulled out an IM needle from the muscle . The first action is to
A) Report the accident to charge nurse
B) Scrub the area vigorously with soap and water for 5 min
C) Clean area with povidine iodine solution
D) Irrigate the wound with sterile water
Answer is B
23 . The nurse is caring for a patient with HIV positive . A primary responsibility of the nurse is to explain the patient can prevent
A) Aids
B) Social isolation
C) Other infections
D) Kaposi`s sarcoma
Answer is C
24 . A substance that is released aroung the site of inflammation is called
A) Plasmin
B) Histamine
C) Kinin
D) Leukocytes
Answer is B
Rational : Histamine is released which causes increased vascular permeability.
25 .Trichomal infection one of the sexually transmitted disease is caused by
A) Yeast
B) Fungus
C) Protozoan
D) spirochetes
Answer is C