ATI RN
Nurses and Infection Control Questions
Question 1 of 5
A patient with a suspected renal tumor is being admitted for an intravenous pyelogram (IVP). The nurse discusses the procedure with the patient in addition to taking a full medical history. Which of these pieces of information reported in the patient’s history should the nurse report to the physician performing the IVP?
Correct Answer: A
Rationale: The correct answer is A: iodine allergy. This is crucial information to report because IVP involves the use of iodine-based contrast dye, which can trigger an allergic reaction in individuals with iodine allergies. Reporting this to the physician is essential to prevent a potential life-threatening reaction. Summary: - Choice A is correct as an iodine allergy is crucial information for a safe IVP. - Choice B (penicillin allergy) is not relevant to IVP. - Choice C (past history of kidney stones) may be important but not directly relevant to the IVP procedure. - Choice D (past history of appendectomy) is not directly related to the IVP procedure.
Question 2 of 5
There has been a mass casualty shooting at a nearby school. A nurse is working in the emergency department and is asked to triage clients as they arrive at the hospital. One of the clients arriving at the emergency department is in a wheelchair speaking to a nurse frantically while clutching his leg around a bloodied bandage and his foot is oddly angled. Based on this information, which of the following tag colors would the triage nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: yellow. This client is displaying signs of delayed care needed, as he is speaking and alert but has a serious injury requiring immediate medical attention. The client's frantic state and the bloodied bandage indicate a potentially severe injury. The oddly angled foot suggests a possible fracture or dislocation, requiring urgent care but not immediate life-saving interventions. Assigning a yellow tag ensures the client receives prompt treatment without overwhelming the resources needed for critically injured individuals. Incorrect options: A: Red tag is for clients with life-threatening injuries who require immediate attention. C: Black tag is for clients who are deceased or have injuries incompatible with survival. D: Green tag is for clients with minor injuries or who require minimal medical care.
Question 3 of 5
A charge nurse inspects empty rooms prior to deciding which rooms to assign clients. The nurse comes across an IV pole with a frayed electrical cord in one of the empty rooms. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. 1. Moving the IV pole to the dirty utility room ensures it is removed from patient care areas to prevent potential harm. 2. Placing a broken sign on the pole alerts staff to the issue. 3. This action follows safety protocols and prevents further use of the damaged equipment. Other choices are incorrect: A: Writing an incident report and leaving the pole in the room does not address the immediate safety concern. B: Placing the IV pole just outside the room with a trash bag is not a proper way to handle a safety hazard. D: Telling the staff nurse is not as effective as physically moving the pole to a designated area for broken equipment.
Question 4 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 5 of 5
A senior staff nurse observes a new graduate nurse prepare and administer medication for a client in their unit. The senior nurse notes that the graduate nurse bypassed the electronic medical record (EMR) medication scanning system and administered the medication directly to the client. Which action by the senior staff nurse is most appropriate?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A): 1. Instructing the new graduate nurse on the importance of compliance with the EMR scanning system is essential to ensure patient safety. 2. The EMR scanning system helps prevent medication errors by verifying the right patient, right medication, right dose, right route, and right time. 3. By bypassing the system, the new graduate nurse put the patient at risk of receiving the wrong medication or dose. 4. Education and reinforcement of protocols are crucial for the nurse to understand the significance of following proper procedures. 5. This approach focuses on correcting the behavior and preventing future errors, promoting a culture of safety. Summary of why other choices are incorrect: B. Continuing to observe without addressing the error may lead to potential harm to patients in the future. C. Reporting the nurse to upper management may be premature without first addressing the issue directly with the nurse. D. Charting that the medication was given without following the correct procedure does not address