ATI RN
Infection Control NCLEX Questions Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
An intubated client with acute delirium requires bilateral wrist restraints to prevent her from removing her endotracheal tube. The wrist restraints have been applied for several hours. The nurse understands that to continue monitoring the restraints, the nurse must perform which action?
Correct Answer: A
Rationale: The correct answer is A because it is essential to ensure proper circulation and prevent skin breakdown in the client's wrists due to prolonged restraint use. Removing and providing range of motion to each wrist every two hours allows for circulation to be assessed, skin integrity to be monitored, and prevents complications such as pressure ulcers. Choices B, C, and D are incorrect because removing both restraints at the same time can compromise the client's safety, checking the restraints every 4 hours may not be frequent enough to prevent skin breakdown, and providing range of motion every 6 hours is too infrequent and does not adequately address the need for monitoring and preventing complications.