ATI RN
Infection Control Nursing Questions
Question 1 of 5
A 45-year-old client presents to the ED following a grand mal seizure. In the triage report, the nurse learns that the client has epilepsy causing frequent seizures. Which precautions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Pad bed side rails. This precaution is important because during a seizure, the client may thrash about and could potentially injure themselves by hitting the bed rails. Padding the bed side rails can help prevent injuries. B: Placing a pillow under all extremities is not necessary and may not provide any significant benefit in preventing injuries during a seizure. C: Elevating the bed to a high position is not relevant to preventing injuries during a seizure and may not be practical in this situation. D: Ensuring oxygen access is important in general emergency care, but it is not specifically related to preventing injuries during a seizure.
Question 2 of 5
A nurse begins to prepare a client for surgery. The surgeon has not yet obtained informed consent with the client; however, the operating room team has asked that the client be ready to transport to the surgical suite within the hour. Which of the following actions would be the least appropriate?
Correct Answer: A
Rationale: The correct answer is A: Ask the client to remove her hearing aid. This is the least appropriate action because removing a hearing aid does not affect the client's safety during surgery. The rationale is that hearing aids do not pose a risk in the operating room and are not typically removed for surgery. Removing contact lenses and offering glasses (B) is important to prevent eye injury during surgery. Ensuring the client wears a wristband with identification details (C) is crucial for patient safety and proper identification. Asking a family member to collect and keep jewelry (D) is important to prevent loss or damage during surgery. In summary, the removal of a hearing aid is not necessary for surgery preparation, unlike the other choices which are crucial for patient safety and proper care during the surgical process.
Question 3 of 5
A nurse is teaching a client how to use a walker for the first time. Place the following steps in the appropriate order:
Correct Answer: A
Rationale: The correct order is A. Placing both hands on the handles first ensures proper grip and stability. This step is crucial for maintaining balance and control while using the walker. Steps B and D follow after establishing a stable grip to ensure proper weight distribution and prevent falls. Step C is last as moving the walker forward should only be done after securing a firm hold on the handles to avoid accidents.
Question 4 of 5
The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)
Correct Answer: B
Rationale: Step-by-step rationale: 1. Tuberculosis is an airborne disease, so negative-pressure airflow is needed to prevent the spread of infectious particles. 2. Negative-pressure rooms prevent contaminated air from escaping, reducing the risk of transmission. 3. Private room alone may not be sufficient to contain airborne pathogens. 4. Choice C includes standard precautions, not specific to tuberculosis. 5. N95 respirator is not necessary for routine care of tuberculosis patients. Summary: The correct answer is B because negative-pressure airflow in the room is essential to prevent the spread of tuberculosis. Other choices do not specifically address airborne precautions for this disease.
Question 5 of 5
A nurse caring for a client who has gas gangrene knows that this infection originated in which of the following reservoirs?
Correct Answer: C
Rationale: The correct answer is C: Soil. Gas gangrene is caused by Clostridium perfringens bacteria, which is commonly found in soil. The spores enter the body through contaminated wounds. Other people (A) are not the primary reservoir for this infection. While contaminated food (B) can lead to food poisoning, it is not the source of gas gangrene. Animals (D) can transmit certain infections, but they are not the reservoir for Clostridium perfringens that causes gas gangrene.