ATI RN
Infection Control Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Of all possible nursing interventions to break the chain of infection, which is the most effective?
Correct Answer: C
Rationale: The correct answer is C: Practicing hand hygiene. Hand hygiene is the most effective nursing intervention to break the chain of infection because it helps prevent the transmission of pathogens from person to person. By washing hands regularly, nurses can reduce the risk of spreading infections to patients and themselves. Administering medications (A) is important for treatment but does not directly prevent the transmission of infections. Providing good skin care (B) is essential for overall health but may not specifically target infection prevention. Wearing gloves at all times (D) is crucial in certain situations but does not replace the importance of hand hygiene in breaking the chain of infection.
Question 5 of 5
A nurse has seen several clients at a community health center. Which of the clients would be most at risk for developing an infection?
Correct Answer: A
Rationale: The correct answer is A: An older adult with several chronic illnesses. This client is most at risk for developing an infection due to a weakened immune system associated with aging and chronic illnesses, making them more vulnerable to infections. Older adults often have decreased immune function, making them more susceptible to infections. Additionally, chronic illnesses can further compromise the immune system. Summary of other choices: B: An infant who has just received first immunizations - While infants may experience mild side effects from immunizations, they are not at increased risk for developing infections. C: An adolescent who had a basketball physical - Adolescents are generally healthy and active, and having a physical exam does not increase their risk of developing an infection. D: A middle-aged adult with joint pain and stiffness - Joint pain and stiffness do not directly increase the risk of developing an infection unless there are underlying conditions compromising the immune system.