ATI RN
Infection Prevention and Control NCLEX Questions Questions
Question 1 of 5
A nurse on the medical/surgical floor is caring for an elderly, postoperative patient with dementia who is in restraints because she refuses to stay in bed or keep her IVs in. The nurse knows that she will have to provide range of motion exercises and ask if the patient needs to use the restroom how often?
Correct Answer: B
Rationale: The correct answer is B: every 2 hours. For elderly patients in restraints, it is crucial to prevent complications like pressure ulcers, muscle atrophy, and urinary retention. Providing range of motion exercises every 2 hours helps maintain joint mobility and prevent contractures. Asking the patient about restroom needs every 2 hours ensures timely toileting to prevent urinary retention and related issues. Option A (every 6 hours) is too infrequent and increases the risk of complications. Option C (every 8 hours) and Option D (every 4 hours) are also not as optimal as they do not provide the necessary frequency required for the patient's care.
Question 2 of 5
Select the appropriate personal protective equipment (PPE) that will be applied prior to entering the room of a patient with influenza.
Correct Answer: B
Rationale: The correct answer is B: mask. Prior to entering the room of a patient with influenza, wearing a mask is crucial to prevent the spread of respiratory droplets containing the virus. Masks provide a barrier to protect the wearer from inhaling infectious particles. Gloves (A) are important for direct contact with the patient or contaminated surfaces. Gowns (C) are used to protect clothing from contamination. Goggles (D) are typically not required for influenza as the primary mode of transmission is through respiratory droplets, not through contact with infected fluids.
Question 3 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 4 of 5
A client with a history of falls and hearing deficit resides in an assistive care facility. He is preparing for his discharge home. The home health nurse reviews fall prevention strategies with the client as he prepares to transition home. Which statement by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D. Placing rugs at doorways and stairs can increase the risk of falls as they can become tripping hazards. Step-by-step rationale: 1. Rugs can easily slide or bunch up, causing a trip hazard. 2. Doorways and stairs are high-traffic areas where falls are more likely. 3. The client should avoid using rugs in these areas to prevent falls. Summary: A, B, and C are incorrect because they all promote safe practices for fall prevention, such as marking spills, avoiding climbing on step stools, and wearing hearing aids for increased awareness.
Question 5 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.