ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
A nurse is preparing a bag of chemotherapy agent for one of the patients. The nurse accidentally pierces a hole through the bag while attempting to spike it. A moderate amount of chemotherapy spills onto the ground. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Cordon off the area and notify housekeeping/facilities of the spill. This is the first action the nurse should take to ensure the safety of everyone in the area. By cordoning off the area, the nurse prevents others from being exposed to the spilled chemotherapy, which can be harmful. Notifying housekeeping/facilities is crucial as they are trained to handle hazardous spills properly. Calling the pharmacy to redose the chemotherapy (B) is not the priority at this moment as safety measures should be taken first. Continuing to prime chemotherapy tubing (C) or cleaning up the spill with wet paper towels (D) can potentially expose the nurse to the hazardous substance and should not be done before ensuring proper safety measures are in place.
Question 2 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 3 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 4 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 5 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.