NCLEX: The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and pre-clini…

Professional nursing practice (clinical transition) Management of Care

Case Study

The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and pre-clinical preparation. Assessment data include the new graduate feels unsure about an order that conflicts with the allergy list. Which infection-prevention action is essential?

Question

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

Rationale

Correct answer: D. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.

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

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Foundational

Difficulty: Easy

Subtopic: Pre-clinical preparation