NCLEX-RN practice › Safety and Infection Control
NCLEX infection control: which clients need contact precautions (SATA)
Safety and Infection Control · Select all that apply · Clinical judgment step: Generate solutions
Client record
Admissions
| Client | Finding |
|---|---|
| A | Clostridioides difficile toxin positive, diarrhea |
| B | MRSA isolated from a draining wound |
| C | Pulmonary tuberculosis suspected, cough, night sweats |
| D | Scabies diagnosed by skin scraping |
| E | Influenza A positive |
| F | Norovirus, vomiting and diarrhea |
| G | Pertussis suspected in a 4-month-old |
| H | Carbapenem-resistant Enterobacterales in urine |
A charge nurse reviews admissions and laboratory results to place clients on the right precautions. Which clients require contact precautions? Select all that apply.
- A. Client A
- B. Client B
- C. Client F
- D. Client H
- E. Client D
- F. Client C
- G. Client G
- H. Client E
Show the answer and rationales
Answer: A, B, C, D, E
Contact precautions are for organisms spread by touch: C. difficile, MRSA, multidrug-resistant gram-negatives, scabies and norovirus. TB is airborne; influenza and pertussis are droplet.
- A. Correct. C. difficile requires contact precautions with soap-and-water hand hygiene.
- B. Correct. MRSA in a draining wound requires contact precautions.
- C. Correct. Norovirus spreads by contact with vomit and stool and contaminated surfaces.
- D. Correct. Multidrug-resistant gram-negative organisms require contact precautions.
- E. Correct. Scabies spreads by direct skin contact.
- F. Incorrect. Tuberculosis requires airborne precautions in a negative-pressure room.
- G. Incorrect. Pertussis requires droplet precautions.
- H. Incorrect. Influenza requires droplet precautions.
Scoring: select all that apply items on the Next Generation NCLEX use plus/minus scoring. You gain a point for each correct option you choose and lose a point for each incorrect one, with a minimum of zero. This item is worth 5 points.
Practise more NCLEX questions like this, free →
10 free questions a day, with rationales. Unlimited with a weekly or monthly pass.
More NCLEX practice questions
- NCLEX question: central line dressing change (SATA)
- NCLEX question: restraint safety and legal standards (SATA)
- NCLEX triage question: four clients in the emergency department
- NCLEX question: lithium toxicity after starting ibuprofen
- NCLEX mental health question: postpartum psychosis
All Safety and Infection Control questions → · NCLEX-RN practice hub →
NCLEX® and NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN). RecallMed is independent and is not affiliated with, or endorsed by, NCSBN or any board of nursing. All questions are original, written and reviewed for exam practice, and do not come from any NCLEX exam. They are not a substitute for your nursing education or clinical guidelines.