NCLEX: A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills…

Professional nursing practice (clinical transition) Management of Care

Case Study

A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills and simulation debriefing. Assessment data include the preceptor stops a medication pass because the student did not verify two identifiers. Which infection-prevention action is essential?

Question

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

Rationale

Correct answer: B. 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: Simulation debriefing