Practice quiz · by a Quizcard user
NCLEX-RN: Safety, Infection Control and Isolation Precautions — quiz
20 multiple-choice questions covering Standard Precautions, Transmission-Based Precautions, Contact Precautions, Droplet Precautions, Airborne Precautions. One answer each; you get a score at the end and the explanation for every question. No account needed.
Updated 2026-11-03. Keys 1–4 pick an answer, Enter moves on. Redo it any time, in order or shuffled.
The questions
Answers and explanations are shown after you finish.
- Standard Precautions
A nurse is preparing to care for a newly admitted patient with no known infections. Which set of precautions must the nurse apply to this patient, as with every patient in the facility?
- Airborne precautions
- Contact precautions
- Standard precautions
- Reverse isolation
- Transmission-Based Precautions
A nurse is reviewing isolation categories added on top of standard precautions based on how an organism spreads. Which three categories make up transmission-based precautions?
- Enhanced, barrier, and standard precautions
- Sterile, clean, and dirty technique
- Contact, droplet, and airborne precautions
- Universal, reverse, and protective isolation
- Contact Precautions
A nurse enters the room of a patient with a draining MRSA wound to help reposition the patient, with no risk of splashing. What PPE is the minimum required for this task?
- Gown and gloves
- N95 respirator and gown
- Surgical mask and gloves
- Gown, gloves, and goggles
- Contact Precautions
After removing gloves while caring for a patient with C. difficile diarrhea, which hand hygiene method should the nurse use?
- Either hand rub or soap and water
- Antiseptic foam
- Soap and water
- Alcohol-based hand rub
- Droplet Precautions
A nurse is caring for a patient with suspected bacterial meningitis on droplet precautions. Within what distance of the patient must the nurse wear a surgical mask?
- 10 feet
- 6 feet
- Any distance within the room
- 3 feet
- Droplet Precautions
A nurse must transport a patient on droplet precautions to the radiology department. What is required during transport?
- The client should be transported in a negative-pressure unit
- No special precautions are needed
- The client should wear a surgical mask
- The nurse should wear an N95 respirator
- Airborne Precautions
Which piece of PPE must be individually fit-tested to the nurse before being used to enter an airborne precautions room?
- Face shield
- Isolation gown
- N95 respirator
- Surgical mask
- Airborne Precautions
Which of the following illnesses is spread by small droplet nuclei that remain suspended in air, requiring airborne precautions?
- Influenza
- Pertussis
- MRSA wound infection
- Measles
- Airborne Precautions
A client with active tuberculosis develops a new draining MRSA wound infection. How should the nurse manage precautions for this client?
- Airborne precautions only, since TB is the more serious condition
- Droplet and contact precautions
- Contact precautions only, since the wound is now draining
- Both airborne and contact precautions simultaneously
- PPE Donning & Doffing
When a nurse exits an isolation room and removes PPE in sequence, which item should be removed last?
- Gloves
- Goggles or face shield
- Mask or respirator
- Gown
- PPE Donning & Doffing
Why does a nurse perform hand hygiene immediately after removing gloves, even before removing the rest of the PPE?
- It sanitizes the gloves for reuse later
- Alcohol rub kills pathogens remaining on the gown
- It is only required after the final piece of PPE is removed
- It minimizes transfer of contamination from the gloves to other PPE or surfaces
- Hand Hygiene
According to the WHO '5 Moments for Hand Hygiene,' hand hygiene is required before touching a patient, before an aseptic procedure, after a body fluid exposure risk, after touching a patient, and at which other time?
- After entering the patient care unit
- Before entering the building
- After completing documentation
- After touching the patient's surroundings
- Sharps Safety
A nurse experiences a needlestick injury from a used needle. What should the nurse do first?
- Report to the supervisor before doing anything else
- Squeeze the wound to force blood out
- Wash the area immediately with soap and water
- Apply an alcohol swab and continue the task
- Restraints
A client becomes combative and the nurse is considering applying restraints. What must be attempted first?
- Apply soft wrist restraints right away for safety
- Administer a sedating medication immediately
- Try least restrictive alternatives such as de-escalation first
- Obtain a PRN restraint order from the provider
- Restraints
In a true emergency where a client is an immediate danger, can a nurse apply restraints before obtaining a provider's order?
- No, a provider's order is always required before applying restraints
- Yes, but a time-limited provider order must be obtained within a short specified period
- No, only a psychiatrist may authorize emergency restraints
- Yes, and a provider's order is never required afterward
- Fire Safety
Using the RACE mnemonic during a hospital fire, what action should the nurse take first?
- Activate the fire alarm
- Rescue clients in immediate danger
- Confine the fire by closing doors
- Extinguish the fire with an extinguisher
- Fire Safety
During evacuation of clients in a hospital fire, which of the following should the nurse avoid using?
- Evacuation sleds
- Elevators
- Fire doors
- Stairwells
- Medication Safety
Before administering medication, a nurse must verify the right patient using two identifiers. Which combination is acceptable?
- Full name and date of birth
- First name and room number
- Diagnosis and allergy band
- Room number and bed number
- Error Reporting
After completing an incident report for a medication error, where should the nurse document that the report was filed?
- Nowhere in the medical record, since it is kept separate
- In the discharge summary
- In the nursing progress notes
- In the medication administration record
- NCLEX Client Needs Categories
On the NCLEX-RN test plan, which of the following is NOT one of the four major Client Needs categories?
- Infection Control Management
- Health Promotion and Maintenance
- Safe and Effective Care Environment
- Physiological Integrity
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