ATI RN
Infection Prevention and Control NCLEX Questions Questions
Question 1 of 5
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client’s first transfer out of bed?
Correct Answer: B
Rationale: The correct answer is B: Use a mechanical lift. This is the safest option as it reduces the risk of injury to both the client and the caregiver. Step 1: Position the mechanical lift beside the bed. Step 2: Secure the client in the lift sling. Step 3: Activate the lift to raise the client. Step 4: Move the client to the chair. Using a slide board (A) may not provide enough support for a paralyzed client's first transfer. A gait belt (C) may not be sufficient for a paralyzed client and could lead to falls. Notifying the client's doctor (D) should not be the first step in a transfer situation.
Question 2 of 5
Select the basic sterile asepsis procedures that are accurate. Select all that apply:
Correct Answer: A
Rationale: The correct answer is A because sterile items should be placed exclusively on a sterile field to prevent contamination. Placing non-sterile items on the field would compromise its sterility. Option B is incorrect as the sterile field should be kept above waist level to minimize potential contamination. Option C is incorrect as coughing or sneezing over the sterile field can introduce pathogens. Option D is incorrect as the entire sterile field should be considered sterile, with no designated non-sterile border.
Question 3 of 5
A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but the nurse recognizes that this is a normal response to isolation. Which is the nurse’s best intervention?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Explanation of isolation procedures helps the patient understand the necessity of precautions. 2. Providing meaningful stimulation can alleviate boredom and feelings of isolation. 3. It promotes patient autonomy and empowerment. 4. It addresses the emotional needs of the patient. 5. It is essential in maintaining effective communication and trust with the patient. Incorrect Choices: A: Providing a dark, quiet room may worsen feelings of isolation and contribute to the patient's distress. B: Reducing precautions compromises infection control and risks spreading the disease. D: Limiting family visits may increase feelings of loneliness and isolation, negatively impacting the patient's emotional well-being.
Question 4 of 5
A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical wound and asks the nurse what this means. What is the nurse’s best response? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D because it accurately explains that a multidrug-resistant organism (MDRO) has developed resistance to broad-spectrum antibiotics, making it challenging to treat effectively. MDROs are resistant to multiple antibiotics due to genetic mutations. This response educates the patient on the severity of the situation and the need for alternative treatment strategies. A is incorrect as MDRO refers to resistance in one organism, not multiple organisms causing the infection. B is incorrect as it simplifies the issue to antibiotic strength rather than resistance. C is incorrect as it suggests using multiple antibiotics, which is not always the best approach for MDROs and may contribute to further resistance.
Question 5 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.