ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate for this patient?
Correct Answer: B
Rationale: The correct answer is B: Droplet Precautions. Meningitis is commonly spread through respiratory droplets, making droplet precautions the most appropriate. It involves using a mask and eye protection when within 3 feet of the patient. Reverse isolation (A) is used to protect patients with weakened immune systems. Standard precautions (C) apply to all patients. Contact precautions (D) are used for diseases spread by direct contact.
Question 2 of 5
A nurse is counseling an 87-year-old female patient and her daughter. The patient is obese, has multiple medical problems, including dementia, and takes numerous medications. The patient is preparing to move in with her daughter for full-time care. Which of the following is least important for the nurse to discuss with the patient and her daughter.
Correct Answer: D
Rationale: The correct answer is D: fire safety and prevention. The nurse should prioritize discussing fall prevention and safety, side effects of medications, and proper ergonomics for lifting/assisting due to the patient's age, medical conditions, and medications. Fall prevention is crucial for the elderly, especially with dementia. Understanding medication side effects is important for managing the patient's health. Proper ergonomics reduce the risk of injury during caregiving. Fire safety, while important, is less urgent compared to the other topics considering the patient's current health needs.
Question 3 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 4 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 5 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