ATI RN
Infection Control Quiz Questions and Answers Questions
Question 1 of 5
A nurse is working in a nursing home when there is a fire in the kitchen and cafeteria area. Which of the following is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: Step 1: Ensure safety of patients: The first priority of the nurse is to ensure the safety and well-being of the patients in the nursing home. Step 2: Moving patients out of harm's way: Ensuring all patients are moved out of harm's way is crucial to prevent injuries or casualties. Step 3: Avoid direct involvement in firefighting: Nurses are not trained firefighters and should not directly engage in extinguishing fires. Step 4: Wait for firefighters: The nurse should focus on safe evacuation and wait for professional firefighters to handle the fire. Step 5: Prioritize patient safety over containing the fire: Patient safety is the primary concern, and containing the fire comes after ensuring everyone is safe. Summary: - Choice A is correct as it prioritizes patient safety. - Choice B is incorrect as nurses should not remove flammable materials or engage in firefighting. - Choice C is incorrect as immediate evacuation without ensuring safety could lead to chaos. - Choice D is incorrect as nurses
Question 2 of 5
A 17-year-old male presents to the emergency department after slipping outside of a pool and hitting his head. The client is alert and oriented but is determined to have a mild concussion. Which of the following instructions would be appropriate for the nurse to administer prior to discharge?
Correct Answer: C
Rationale: The correct answer is C: “Mild headaches are to be expected over the next week.” This is appropriate because mild headaches are a common symptom following a mild concussion. It is important for the patient to be aware of this so they don't become overly concerned. Choice A is incorrect because it is not necessary to avoid eating or drinking anything but water for 24 hours after a mild concussion. Choice B is incorrect because the patient should not be instructed to sleep supine with the head of the bed flat. It is recommended to elevate the head slightly to help reduce swelling. Choice D is incorrect because setting an alarm to wake up once every hour overnight is not necessary for a mild concussion. It is important for the patient to rest, but waking up every hour may disrupt sleep and hinder recovery.
Question 3 of 5
The charge nurse is preparing to admit a client with acute confusion secondary to UTI. The client has been known to be combative at times and tries frequently to get out of bed. Which of the following beds should the nurse assign to the client?
Correct Answer: D
Rationale: The correct answer is D: a bed near the nurses' station. This choice is the safest option for a client with acute confusion and combative behavior. Placing the client near the nurses' station allows for closer monitoring and quicker intervention if the client tries to get out of bed or becomes agitated. The proximity to the nursing staff can help prevent falls, ensure prompt assistance, and maintain a safe environment. Choice A: a bed distanced from the nursing station and other client rooms, is incorrect because it can lead to delayed response time and increased risk of falls or injury for the client. Choice B: a bed in a shared room with a client recovering from abdominal laparoscopy, is incorrect because the other client's condition may not be conducive to a safe environment for a combative client. Choice C: a bed near the elevators, is incorrect as it does not provide the necessary supervision and support for a client with acute confusion and combative behavior.
Question 4 of 5
A nurse is caring for a client receiving radiation for breast cancer. The client complains of redness and irritation at the radiation site. Which recommendation by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: “Avoid shaving over or near the radiation treatment site.” Shaving can further irritate the skin and increase the risk of infection at the radiation site. By avoiding shaving, the client can reduce the risk of skin damage and irritation. Incorrect choices: A: “Only bathe once a week to prevent drying out the skin.” - Infrequent bathing can lead to poor hygiene and does not address the specific issue of skin irritation from radiation. B: “Wear tight clothing against your skin.” - Tight clothing can exacerbate skin irritation by rubbing against the affected area. D: “Apply scented lotions to the radiation site to ease pain and irritation.” - Scented lotions can contain irritants that may worsen skin irritation and should be avoided near the radiation site.
Question 5 of 5
A client is admitted to a cardiac care unit for chronic hypertension. The client has been struggling to take their medications appropriately and acute management was required to gain control of the client’s hypertension. The client had recently been having several high blood pressures in the morning and was prescribed amlodipine (Norvasc®) 5 mg PO daily. Prior to the first administration of the amlodipine (Norvasc), the client’s vitals read: heart rate 80, respiratory rate 10, 100%, and blood pressure 80/50. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Hold the amlodipine (Norvasc®) and notify the provider. The client's blood pressure of 80/50 is significantly low, indicating hypotension. Amlodipine is a calcium channel blocker that can further lower blood pressure. Therefore, administering amlodipine in this situation could worsen the hypotension and lead to potential complications such as dizziness, fainting, or even shock. By holding the medication and notifying the provider, the nurse ensures that the provider can assess the situation and determine the appropriate course of action, which may include adjusting the medication dosage or considering alternative treatments. This approach prioritizes patient safety and prevents harm. Summary of other choices: A: Administering the amlodipine could worsen the hypotension, leading to potential complications. B: Charting that the client refused the medication does not address the critical issue of the client's hypotension. D: