ATI RN
Infection Prevention and Control NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient receiving intravenous drug therapy via an infusion pump. The pump continues to sound an alarm and the nurse is unsure if it is administering the drug correctly. Which of these is the correct course of action for the nurse to follow?
Correct Answer: D
Rationale: The correct course of action for the nurse is D. First, discontinuing the infusion ensures patient safety. Next, replacing the pump with a functioning one guarantees proper drug administration. Restarting the infusion maintains therapy continuity. Labeling the broken pump allows for proper identification and handling of faulty equipment. Placing the broken pump in a designated area prevents its inadvertent reuse. Overall, this approach prioritizes patient safety, continuity of care, and proper equipment management.
Question 2 of 5
A severe storm with tornado warning is announced over a facility’s overhead speakers. Which of the following actions by the facility nurses is inappropriate?
Correct Answer: C
Rationale: The correct answer is C because opening curtains and blinds during a severe storm with a tornado warning can pose a risk to the safety of the clients and nurses. By opening the curtains, the nurses are exposing themselves and the clients to potential flying debris or broken glass from shattered windows due to the storm. This action goes against the basic safety protocol of seeking shelter in an interior room away from windows during severe weather. Reassigning clients to interior rooms (A), moving clients away from windows (B), and closing interior doors of the facility (D) are appropriate actions as they aim to minimize the risk of harm to the clients and nurses during the storm.
Question 3 of 5
A client presents to the emergency department delirious and combative. The client becomes a danger to himself and to the staff caring for him. Which of the following actions is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: Administer intramuscular sedative medication to the client. This option addresses the immediate safety concern by calming the delirious and combative client, preventing harm to themselves and others. Sedative medication can help manage the client's behavior and facilitate a safe environment for both the client and the staff. Rationale: 1. Removing objects (Option A) does not address the client's behavior and may not effectively manage the situation. 2. Applying wrist restraints (Option B) can lead to physical and psychological harm, should only be used as a last resort, and does not address the underlying cause of the behavior. 3. Recruiting staff to physically hold the client (Option C) is unsafe, may escalate the situation, and poses a risk of injury to both the client and staff.
Question 4 of 5
An emergency room charge nurse receives a call regarding a mass casualty event near the hospital and is asked to prepare as many beds as possible for incoming injured clients. Which of the following existing clients should the nurse prepare for discharge?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. The client post suture placement for a minor leg laceration is stable and does not require immediate medical attention. 2. Discharging this client would free up a bed for incoming injured clients from the mass casualty event. 3. This decision ensures that resources are prioritized for those in critical need during the emergency situation. Summary: A: Urinary tract infection requires ongoing treatment, not suitable for immediate discharge during a mass casualty event preparation. B: COPD with dyspnea may deteriorate rapidly, needing constant monitoring and care, not suitable for discharge. C: New onset heart palpitations could indicate a serious cardiac issue, necessitating further evaluation, not suitable for discharge.
Question 5 of 5
The circulating nurse in the operating room is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy. Which behaviors indicate to the nurse that the procedure by the surgical technologist is correct? (Select all that apply.)
Correct Answer: C
Rationale: The correct answer is C because slipping arms into arm holes simultaneously minimizes contamination risk. Choice A is incorrect because tying the back of the gown should be done by someone else to maintain sterility. Choice B is incorrect as touching the inside of the gown can introduce contamination. Choice D is incorrect as fingers should be extended gradually into the gloves to prevent tearing and contamination.