ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
A nurse inadvertently administers the wrong dose of antibiotic to a patient recovering from surgery. Which of these is the correct course of action for the nurse when documenting this in the patient’s medical record?
Correct Answer: A
Rationale: The correct course of action is Answer A: The nurse should create an incident report and record the facts of the incident in the medical record, but does not have to include an actual copy of the incident report or reference its existence. 1. Creating an incident report is crucial for documenting errors to ensure transparency and learning opportunities within the healthcare system. 2. Recording the facts of the incident in the medical record helps in tracking the error, ensuring proper follow-up, and providing necessary information for future care of the patient. 3. Not including an actual copy of the incident report or referencing its existence helps maintain confidentiality and prevents unnecessary alarm or distress to the patient or other healthcare providers. Incorrect choices: B: Including a copy of the incident report in the patient’s medical record may breach confidentiality and is not necessary for routine documentation. C: Involving the patient in deciding on the incident report is not standard practice and may not always be appropriate in such situations. D: Failing to document the incident properly
Question 2 of 5
A nurse walking through a hospital unit notices flames coming out of a microwave in a kitchen station across from several client rooms. Which action should the nurse take first?
Correct Answer: C
Rationale: Step 1: Ensure safety of clients nearest the fire - This is the first priority to prevent harm. Step 2: Alert others for assistance. Step 3: Follow facility's fire safety protocol. Step 4: Evacuate if necessary. Summary: A: Extinguishing the fire may put the nurse and clients at risk without proper training. B: Containing the fire alone does not ensure client safety. D: Pulling the fire alarm is important but ensuring client safety comes first.
Question 3 of 5
After preparing a sterile field, which of the following statements are true?
Correct Answer: D
Rationale: The correct answer is D because opened sterile instruments on the sterile field are considered sterile. This is because sterile instruments are only placed on the sterile field after they have been properly sterilized and packaged. Placing them on the sterile field ensures that they remain free from contamination. It is crucial to maintain the sterility of instruments to prevent infection during procedures. Choices A, B, and C are incorrect: A: The outer 1 inch of the sterile field should be considered sterile to prevent contamination. B: After applying sterile gloves, hands should be kept above the waistline to maintain sterility. C: Walking in and out of the room can introduce contaminants to the sterile field, compromising its sterility.
Question 4 of 5
An intubated client with acute delirium requires bilateral wrist restraints to prevent her from removing her endotracheal tube. The wrist restraints have been applied for several hours. The nurse understands that to continue monitoring the restraints, the nurse must perform which action?
Correct Answer: A
Rationale: The correct answer is A because it is essential to ensure proper circulation and prevent skin breakdown in the client's wrists due to prolonged restraint use. Removing and providing range of motion to each wrist every two hours allows for circulation to be assessed, skin integrity to be monitored, and prevents complications such as pressure ulcers. Choices B, C, and D are incorrect because removing both restraints at the same time can compromise the client's safety, checking the restraints every 4 hours may not be frequent enough to prevent skin breakdown, and providing range of motion every 6 hours is too infrequent and does not adequately address the need for monitoring and preventing complications.
Question 5 of 5
The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because asking the patient to explain the risk for infection in their home assesses their understanding and awareness of potential infection sources. This information helps the nurse to identify specific risks and provide appropriate education. Choice B is incorrect as it focuses on travel history which may not directly relate to the patient's risk of infection at home. Choice C is incorrect as handwashing demonstration assesses the patient's knowledge of hygiene practices but does not directly determine their risk of infection. Choice D is incorrect as it evaluates the patient's knowledge of infection signs and symptoms but does not assess their risk factors.