ATI RN
Nurses and Infection Control Questions
Question 1 of 5
A charge nurse inspects empty rooms prior to deciding which rooms to assign clients. The nurse comes across an IV pole with a frayed electrical cord in one of the empty rooms. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. 1. Moving the IV pole to the dirty utility room ensures it is removed from patient care areas to prevent potential harm. 2. Placing a broken sign on the pole alerts staff to the issue. 3. This action follows safety protocols and prevents further use of the damaged equipment. Other choices are incorrect: A: Writing an incident report and leaving the pole in the room does not address the immediate safety concern. B: Placing the IV pole just outside the room with a trash bag is not a proper way to handle a safety hazard. D: Telling the staff nurse is not as effective as physically moving the pole to a designated area for broken equipment.
Question 2 of 5
A senior staff nurse observes a new graduate nurse prepare and administer medication for a client in their unit. The senior nurse notes that the graduate nurse bypassed the electronic medical record (EMR) medication scanning system and administered the medication directly to the client. Which action by the senior staff nurse is most appropriate?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A): 1. Instructing the new graduate nurse on the importance of compliance with the EMR scanning system is essential to ensure patient safety. 2. The EMR scanning system helps prevent medication errors by verifying the right patient, right medication, right dose, right route, and right time. 3. By bypassing the system, the new graduate nurse put the patient at risk of receiving the wrong medication or dose. 4. Education and reinforcement of protocols are crucial for the nurse to understand the significance of following proper procedures. 5. This approach focuses on correcting the behavior and preventing future errors, promoting a culture of safety. Summary of why other choices are incorrect: B. Continuing to observe without addressing the error may lead to potential harm to patients in the future. C. Reporting the nurse to upper management may be premature without first addressing the issue directly with the nurse. D. Charting that the medication was given without following the correct procedure does not address
Question 3 of 5
A nurse is the first responder to the scene of a multi-vehicle accident on the highway. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Ensure the safety of the scene. This is the priority nursing action because without ensuring scene safety, further harm could occur to both the nurse and the injured clients. By securing the scene, the nurse prevents additional accidents or injuries. This action also allows for a safer environment for providing medical care. Summary: A: Beginning immediate medical care is important, but safety of the scene should be ensured first. B: Blocking oncoming traffic may help prevent further accidents, but safety of the scene is the priority. C: Waiting for all ambulances is not ideal as immediate action is necessary to prevent further harm.
Question 4 of 5
The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D because laying the glove package on a clean flat surface above the waistline helps maintain sterility. Placing the package above waistline prevents contamination from any potential contact with the clothing. This step ensures that the gloves remain sterile and ready for use during the catheter insertion procedure. Explanation for why the other choices are incorrect: A: While putting on the first glove, touching only the outside surface of the glove is correct, but this step alone does not address maintaining sterility during the open gloving process. B: Slipping fingers underneath the second glove cuff with the gloved dominant hand is incorrect in the context of open gloving as it introduces the risk of contamination. C: Removing the outer glove package by tearing the package open is not recommended for open gloving as it can compromise the sterility of the gloves.
Question 5 of 5
A client who has had abdominal surgery develops an infection in the wound while still hospitalized. Which of the following agents is most likely the cause of the infection?
Correct Answer: B
Rationale: The correct answer is B: Bacteria. Bacteria are the most common cause of wound infections, especially in surgical wounds. They can easily enter the body during surgery and cause infections. Viruses typically do not cause wound infections, as they require living cells to replicate. Fungi are less common in wound infections and are usually associated with specific risk factors. Spores are not a common cause of wound infections, as they are usually dormant and require specific conditions to germinate. In summary, bacteria are the most likely cause of the infection in the client's wound due to their ability to easily enter the body during surgery and cause infections.