Clinical judgment / Next Gen NCLEX case studies · practice question

An RN prioritizing care after a change in status is being evaluated for unfolding changes in a case study. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which infection-prevention action is essential?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026clinical-judgment-next-gen-nclex

Use sterile technique for all routine hygiene regardless of diagnosis.Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.Skip precautions if the client has no fever.Wear gloves only and skip hand hygiene when leaving the room.

Answer and explanation

Correct answer

B. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.

Why

Infection control matches the pathogen route: hand hygiene plus appropriate precautions for contact, droplet, or airborne transmission.

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An RN prioritizing care after a change in status is being evaluated for unfolding changes in a case study. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which infection-prevention action is essential?

Correct answer

Why

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