NCLEX-RN: Infection Control
1. The community health nurse is providing a teaching session about anthrax to members of the
community and asks the participants about the methods of transmission. Which answers by the
participants would indicate that teaching was effective? Select all that apply.
 1. Bites from ticks or deer flies
2.Inhalation of bacterial spores
3.Through a cut or abrasion in the skin
4.Direct contact with an infected individual
5.Sexual contact with an infected individual
6.Ingestion of contaminated undercooked meat
ANSWER : 2, 3 & 6
Rationale: Anthrax is caused by Bacillus anthracis and can be contracted through the digestive system or
abrasions in the skin, or inhaled through the lungs.
2. A client with tuberculosis whose status is being monitored in an ambulatory care clinic asks the
nurse when it is permissible to return to work. What factor should the nurse include when
responding to the client?
1. Five blood cultures are negative.
2.Three sputum cultures are negative.
3.A blood culture and a chest x-ray are negative.
4.A sputum culture and a tuberculin skin test are negative.
ANSWER :2
Rationale: The client with tuberculosis must have sputum cultures performed every 2 to 4 weeks after initiation
of antituberculosis medication therapy. The client may return to work when the results of three sputum cultures
are negative because the client is considered noninfectious at that point.
3. The nurse is assisting a female client to collect a midstream urine specimen. How should the nurse
implement aseptic technique?
1. Cleansing the meatus with antiseptic pads using upward strokes
2.Letting go of the labia once this tissue is cleansed, to allow the client to urinate
3.Making sure that the fingers avoid touching the inside of the collection container