ATI RN
Infection Control NCLEX Questions Questions
Question 1 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.
Question 2 of 5
The nurse is aware that an antiviral medication is most effective when given during which phase of the infectious process?
Correct Answer: A
Rationale: The correct answer is A: Prodromal stage. During this phase, the virus is multiplying rapidly, and symptoms are just starting to appear. Administering antiviral medication at this stage can help reduce viral replication and prevent the infection from progressing further. In contrast, the other options are not ideal for antiviral treatment: B (Incubation period) is when the virus is replicating but symptoms are not yet present, C (Full stage of illness) is when symptoms are most severe and the virus has already caused significant damage, and D (Convalescent period) is when the body is recovering and the virus is being cleared naturally.
Question 3 of 5
A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate?
Correct Answer: A
Rationale: The correct answer is A: A reservoir. In this scenario, the woman testing positive for HIV antibody but having no symptoms indicates that she is a reservoir of the virus. A reservoir is a place where infectious agents (in this case, HIV) can persist and reproduce without causing symptoms in the carrier. Other choices are incorrect because the woman is not actively transmitting the virus (infectious agent), the virus is not exiting her body (portal of exit), and she is not being newly infected (portal of entry).
Question 4 of 5
Which of the following questions asked by the nurse when taking a client’s health history would collect data about infection control?
Correct Answer: D
Rationale: The correct answer is D because asking when the client completed their immunizations collects data about their vaccination status, which is crucial for infection control. This information helps assess the client's immunity against preventable diseases and identifies potential gaps in immunization coverage. Option A focuses on dietary habits, B on sleep patterns, and C on family medical history, none of which directly relate to infection control.
Question 5 of 5
A nurse is educating adolescents on how to prevent infections. What statement by one of the adolescents indicates that more education is needed?
Correct Answer: B
Rationale: The correct answer is B because not wearing a condom during sex poses a significant risk for contracting sexually transmitted infections (STIs). Therefore, the adolescent lacks understanding of the importance of safe sex practices in preventing infections. Choice A demonstrates good hand hygiene, choice C shows healthy lifestyle habits that can boost immunity, and choice D indicates proper management of infections. By choosing B, the adolescent shows a gap in knowledge regarding safe sexual practices, highlighting the need for further education on preventing STIs.