ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
A nurse is counseling an 87-year-old female patient and her daughter. The patient is obese, has multiple medical problems, including dementia, and takes numerous medications. The patient is preparing to move in with her daughter for full-time care. Which of the following is least important for the nurse to discuss with the patient and her daughter.
Correct Answer: D
Rationale: The correct answer is D: fire safety and prevention. The nurse should prioritize discussing fall prevention and safety, side effects of medications, and proper ergonomics for lifting/assisting due to the patient's age, medical conditions, and medications. Fall prevention is crucial for the elderly, especially with dementia. Understanding medication side effects is important for managing the patient's health. Proper ergonomics reduce the risk of injury during caregiving. Fire safety, while important, is less urgent compared to the other topics considering the patient's current health needs.
Question 2 of 5
A nurse working in a hospital setting is checking on her patients and notes that one of them has slid down in the bed. The patient states that he is uncomfortable, but that he is unable to reposition himself on his own. The nurse knows that in order to help him and avoid injury to herself, she needs to ____.
Correct Answer: D
Rationale: The correct answer is D: ask the patient to wait a moment while she finds another nurse to assist her in repositioning him. This is the best choice as it prioritizes patient safety and prevents risk of injury to both the patient and the nurse. Here's the rationale: 1. Moving a patient alone can lead to injury due to the weight and awkward positioning. 2. Standing behind and lifting primarily using legs (B) can still strain the nurse's back. 3. Asking the patient to push himself up (C) may cause further discomfort or injury. 4. Quickly moving the patient by bending from the waist (A) can lead to back strain. Collaborating with another nurse ensures proper body mechanics and reduces the risk of harm to both parties.
Question 3 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 4 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 5 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.