ATI RN
Infection Control Quiz Questions and Answers Questions
Question 1 of 5
A 17-year-old male presents to the emergency department after slipping outside of a pool and hitting his head. The client is alert and oriented but is determined to have a mild concussion. Which of the following instructions would be appropriate for the nurse to administer prior to discharge?
Correct Answer: C
Rationale: The correct answer is C: “Mild headaches are to be expected over the next week.” This is appropriate because mild headaches are a common symptom following a mild concussion. It is important for the patient to be aware of this so they don't become overly concerned. Choice A is incorrect because it is not necessary to avoid eating or drinking anything but water for 24 hours after a mild concussion. Choice B is incorrect because the patient should not be instructed to sleep supine with the head of the bed flat. It is recommended to elevate the head slightly to help reduce swelling. Choice D is incorrect because setting an alarm to wake up once every hour overnight is not necessary for a mild concussion. It is important for the patient to rest, but waking up every hour may disrupt sleep and hinder recovery.
Question 2 of 5
A nurse is caring for a client receiving radiation for breast cancer. The client complains of redness and irritation at the radiation site. Which recommendation by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: “Avoid shaving over or near the radiation treatment site.” Shaving can further irritate the skin and increase the risk of infection at the radiation site. By avoiding shaving, the client can reduce the risk of skin damage and irritation. Incorrect choices: A: “Only bathe once a week to prevent drying out the skin.” - Infrequent bathing can lead to poor hygiene and does not address the specific issue of skin irritation from radiation. B: “Wear tight clothing against your skin.” - Tight clothing can exacerbate skin irritation by rubbing against the affected area. D: “Apply scented lotions to the radiation site to ease pain and irritation.” - Scented lotions can contain irritants that may worsen skin irritation and should be avoided near the radiation site.
Question 3 of 5
A client is admitted to a cardiac care unit for chronic hypertension. The client has been struggling to take their medications appropriately and acute management was required to gain control of the client’s hypertension. The client had recently been having several high blood pressures in the morning and was prescribed amlodipine (Norvasc®) 5 mg PO daily. Prior to the first administration of the amlodipine (Norvasc), the client’s vitals read: heart rate 80, respiratory rate 10, 100%, and blood pressure 80/50. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Hold the amlodipine (Norvasc®) and notify the provider. The client's blood pressure of 80/50 is significantly low, indicating hypotension. Amlodipine is a calcium channel blocker that can further lower blood pressure. Therefore, administering amlodipine in this situation could worsen the hypotension and lead to potential complications such as dizziness, fainting, or even shock. By holding the medication and notifying the provider, the nurse ensures that the provider can assess the situation and determine the appropriate course of action, which may include adjusting the medication dosage or considering alternative treatments. This approach prioritizes patient safety and prevents harm. Summary of other choices: A: Administering the amlodipine could worsen the hypotension, leading to potential complications. B: Charting that the client refused the medication does not address the critical issue of the client's hypotension. D:
Question 4 of 5
The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Maintain airflow rate greater than 12 air exchanges/hr. In a protective environment, the primary goal is to reduce exposure to pathogens. Maintaining a high airflow rate helps to minimize the concentration of airborne contaminants. This action supports the concept of infection control by reducing the risk of transmission. Incorrect choices: A: Wearing an N95 respirator is more commonly associated with airborne precautions, not specific to protective environments. C: Negative-pressure airflow rooms are used for patients on airborne precautions, not necessarily in all protective environments. D: Opening drapes during the daytime does not directly impact the maintenance of a protective environment through airflow control.
Question 5 of 5
The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in airborne precautions, and one is in contact precautions. The nurse explains to the student different interventions for care. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Dispose of supplies to prevent the spread of microorganisms. This is crucial in preventing the transmission of infections in patients under different precautions. Airborne precautions require proper disposal of contaminated supplies to prevent the spread of pathogens through the air. On the other hand, contact precautions necessitate proper disposal of supplies to prevent direct transmission through physical contact. Incorrect choices: B is incorrect because handwashing is essential but does not specifically address the differing needs of patients under different precautions. C is incorrect because consistency in nursing interventions may not be appropriate when different precautions are in place. D is incorrect as knowledge of the disease process is important but may not directly relate to preventing the spread of microorganisms through contaminated supplies.