ATI RN
Nurses and Infection Control Questions
Question 1 of 5
A nurse is preparing to transfer a 32-year-old client with spastic quadriplegia from the client’s bed to her wheelchair. Which of the following actions should the nurse take during the transfer?
Correct Answer: B
Rationale: The correct answer is B. Facing the client helps maintain eye contact and communication. Planting feet shoulder-width apart provides a stable base of support. Bending the knees instead of the back reduces strain. Lifting the client with proper body mechanics minimizes the risk of injury to both the nurse and the client. This method ensures a safe and effective transfer. Choice A is incorrect because lifting the client from a lying to sitting position and pivoting can strain the nurse's back and may not be safe for the client. Choice C is incorrect as twisting while lifting can lead to back injury for the nurse and discomfort or injury for the client. Choice D is incorrect because cradling the client under her legs and arms may not provide adequate support and can lead to a risky transfer.
Question 2 of 5
A nurse is the first responder to the scene of a multi-vehicle accident on the highway. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Ensure the safety of the scene. This is the priority nursing action because without ensuring scene safety, further harm could occur to both the nurse and the injured clients. By securing the scene, the nurse prevents additional accidents or injuries. This action also allows for a safer environment for providing medical care. Summary: A: Beginning immediate medical care is important, but safety of the scene should be ensured first. B: Blocking oncoming traffic may help prevent further accidents, but safety of the scene is the priority. C: Waiting for all ambulances is not ideal as immediate action is necessary to prevent further harm.
Question 3 of 5
The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D because laying the glove package on a clean flat surface above the waistline helps maintain sterility. Placing the package above waistline prevents contamination from any potential contact with the clothing. This step ensures that the gloves remain sterile and ready for use during the catheter insertion procedure. Explanation for why the other choices are incorrect: A: While putting on the first glove, touching only the outside surface of the glove is correct, but this step alone does not address maintaining sterility during the open gloving process. B: Slipping fingers underneath the second glove cuff with the gloved dominant hand is incorrect in the context of open gloving as it introduces the risk of contamination. C: Removing the outer glove package by tearing the package open is not recommended for open gloving as it can compromise the sterility of the gloves.
Question 4 of 5
A client who has had abdominal surgery develops an infection in the wound while still hospitalized. Which of the following agents is most likely the cause of the infection?
Correct Answer: B
Rationale: The correct answer is B: Bacteria. Bacteria are the most common cause of wound infections, especially in surgical wounds. They can easily enter the body during surgery and cause infections. Viruses typically do not cause wound infections, as they require living cells to replicate. Fungi are less common in wound infections and are usually associated with specific risk factors. Spores are not a common cause of wound infections, as they are usually dormant and require specific conditions to germinate. In summary, bacteria are the most likely cause of the infection in the client's wound due to their ability to easily enter the body during surgery and cause infections.
Question 5 of 5
A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called “the kissing disease.” The nurse explains that the organisms causing this disease were transmitted by:
Correct Answer: A
Rationale: The correct answer is A: direct contact. Mononucleosis is commonly spread through the exchange of saliva, such as kissing or sharing utensils. Direct contact allows for the transmission of the infectious organisms directly from one person to another. Indirect contact (B) involves transmission through contaminated objects, which is not the primary mode of transmission for mononucleosis. Airborne route (C) is when pathogens are spread through the air, which is not typical for mononucleosis. Vectors (D) are organisms that can transmit disease but are not involved in the transmission of mononucleosis.