A 52-year-old woman with multiple myeloma and chronic anemia is recovering on a rehabilitation unit following a compression fracture. She uses continuous oxygen at 2 L/min via nasal cannula for exertional dyspnea and takes scheduled opioids for bone pain, which leave her drowsy and unsteady. During morning rounds, the LPN notices the client's visiting spouse is sitting in a chair near the bed lighting a cigarette while the oxygen concentrator continues to run. The client is drowsy but arousable and remains in bed. What should the LPN do first?

Ask the spouse to immediately extinguish the cigarette and remove it from the room.

Document the smoking incident in the chart and notify the charge nurse at end of shift.

Remind the spouse that smoking is not allowed but let him finish the cigarette outside afterward.

Give the client and spouse a general pamphlet on fall prevention in the home.

An LPN is caring for a 68-year-old woman in a long-term care facility who has a stage III sacral pressure ulcer and mild vascular dementia. This evening the client has become increasingly agitated, repeatedly pulling at her sacral dressing and attempting to climb over the bed rail unassisted, putting her at risk for falling and disrupting wound healing. She has not voided in over 6 hours and keeps calling out that she needs to "find the bathroom." There is no current provider order for a restraint. The LPN reorients the client and offers to help her to the bathroom, but the client continues trying to climb over the rail. Which nursing actions are appropriate at this time? Select all that apply.

Assist the client to the bathroom and reassess whether the agitation and rail-climbing behavior resolve.

Contact the provider to obtain a time-limited restraint order if the toileting and reorientation attempts do not reduce the fall risk.

Once a restraint is ordered and applied, check circulation, skin integrity, and elimination needs at the facility-specified timed intervals.

Apply a bilateral soft wrist restraint now and notify the provider afterward to obtain a written order.

Place a lap belt restraint immediately without first attempting toileting or further reorientation, since she is climbing the rail.

Apply the restraint and leave the client resting quietly, planning to check on her at the start of the next shift.

NCLEX-PN® Prep · Safety and Infection Prevention and Control

Safety and Infection Prevention and Control
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Standard precautions, transmission-based precautions, error prevention, restraints, and safe equipment use. The habits that keep clients safe show up all over the NCLEX-PN®.

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A 32-year-old woman on a medical-surgical unit is recovering from a laparoscopic appendectomy and has just been fitted with a knee brace for a mild ligament sprain sustained during a fall on the unit. Her chart lists an allergy to penicillin with a documented reaction of hives and lip swelling, and an allergy to latex with a documented reaction of contact urticaria. The postoperative order set includes intravenous ampicillin every 6 hours. The LPN notices the client's allergy identification band is missing from her wrist. Fifteen minutes after the first dose is infused, the client reports her throat feels tight and the LPN notes audible wheezing and a raised, red rash spreading across her chest. Which actions should the LPN take? Select all that apply.

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Vol. 01 · Coverage

What you'll practice

Safety and Infection Prevention and Control practice covers the areas the 2026 NCSBN PN Test Plan lists for this category, framed for the practical nurse role.

Accident, error, and injury prevention

Emergency response plans

Ergonomic principles

Handling hazardous and infectious materials

Home safety

Reporting incidents and events

Safe use of equipment

Standard precautions

Transmission-based precautions

Use of restraints and safety devices

Vol. 02 · The Method

How it works

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Jump into adaptive Safety and Infection Prevention and Control practice built for the practical nurse scope. Lily picks questions at the right difficulty for you.
Difficulty adjusts in real time based on your answers.
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Each rationale explains why the correct answer works and why the others don't.
You understand the reasoning, not just the answer.
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Track your mastery across the PN test plan. Lily highlights weak spots in Safety and Infection Prevention and Control and drills them harder until they stick.
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Vol. 03 · Questions

Common questions

What does Safety and Infection Control cover on the NCLEX-PN®?

Everything that keeps clients and staff safe: standard and transmission-based precautions, preventing errors and injuries, safe equipment use, restraints, and how to respond to incidents. The 2026 PN test plan names this category Safety and Infection Prevention and Control.

What safety topics trip students up most?

Precaution types are the classic trap. Knowing which conditions need droplet versus airborne versus contact precautions, and what protective equipment each requires, is heavily tested. Restraint rules and error reporting come up often too.

How does Study With Lily practice this category?

Questions are built for the practical nurse scope and aligned to the 2026 NCSBN PN Test Plan. Difficulty adapts to your answers, and every rationale explains why the safe option is safe and why the others are not.

Vol. 04 · Keep Going

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Safety and Infection Prevention and ControlNCLEX-PN® practice.

What you'll practice

How it works

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Common questions

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Safety and Infection Prevention and Control
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