ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
A nurse is assisting a mother and her newborn to the car after a well child examination at the primary care office. The nurse notes that the newborn in the car seat carrier has the chest clip overriding his belly button and the straps are not snug against his chest. Which action by the nurse is appropriate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Adjusting the chest clip: The chest clip should be at armpit level, not over the belly button, to prevent the newborn from sliding out in case of a crash. 2. Tightening the car seat straps: Straps should be snug against the chest to secure the newborn properly. 3. Assisting the mother: Educating the mother on proper car seat safety is crucial for the newborn's well-being. Summary: - Choice B: Incorrect. The configuration described is unsafe for the newborn. - Choice C: Incorrect. Adjusting without the mother's knowledge is not appropriate; education is key. - Choice D: Incorrect. Moving the chest clip to armpit level is necessary for safety.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is aware that an antiviral medication is most effective when given during which phase of the infectious process?
Correct Answer: A
Rationale: The correct answer is A: Prodromal stage. During this phase, the virus is multiplying rapidly, and symptoms are just starting to appear. Administering antiviral medication at this stage can help reduce viral replication and prevent the infection from progressing further. In contrast, the other options are not ideal for antiviral treatment: B (Incubation period) is when the virus is replicating but symptoms are not yet present, C (Full stage of illness) is when symptoms are most severe and the virus has already caused significant damage, and D (Convalescent period) is when the body is recovering and the virus is being cleared naturally.