NCLEX-RN Sample Question

Question

The nurse cares for a client diagnosed with meningococcal pneumonia. The nurse should intervene in which situation?

  • 1. Visitors wear masks when within 3 feet of the client.
  • 2. The unlicensed nursing personnel (UAP) wears goggles when emptying the urinary drainage bag.
  • 3. Client is in a private room.
  • 4. The LPN/LVN takes the blood pressure cuff from the client’s room to check vital signs on another client.

Answer

1. Visitors wear masks when within 3 feet of the client.

INCORRECT- Desired; droplet precautions; meningococcal infection spread by droplet transmission

2. The unlicensed nursing personnel (UAP) wears goggles when emptying the urinary drainage bag.

INCORRECT- Desired; eyewear worn when danger of splashing body fluids; standard precautions

3. Client is in a private room.

INCORRECT- Desired; in private room or in room with client with same diagnosis; droplet precautions

4. The LPN/LVN takes the blood pressure cuff from the client’s room to check vital signs on another client.

CORRECT- Not desired; dedicated equipment used for droplet precautions

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