ATI RN
Infection Control Quiz Questions and Answers Questions
Question 1 of 5
The charge nurse is preparing to admit a client with acute confusion secondary to UTI. The client has been known to be combative at times and tries frequently to get out of bed. Which of the following beds should the nurse assign to the client?
Correct Answer: D
Rationale: The correct answer is D: a bed near the nurses' station. This choice is the safest option for a client with acute confusion and combative behavior. Placing the client near the nurses' station allows for closer monitoring and quicker intervention if the client tries to get out of bed or becomes agitated. The proximity to the nursing staff can help prevent falls, ensure prompt assistance, and maintain a safe environment. Choice A: a bed distanced from the nursing station and other client rooms, is incorrect because it can lead to delayed response time and increased risk of falls or injury for the client. Choice B: a bed in a shared room with a client recovering from abdominal laparoscopy, is incorrect because the other client's condition may not be conducive to a safe environment for a combative client. Choice C: a bed near the elevators, is incorrect as it does not provide the necessary supervision and support for a client with acute confusion and combative behavior.
Question 2 of 5
A client is admitted to a cardiac care unit for chronic hypertension. The client has been struggling to take their medications appropriately and acute management was required to gain control of the client’s hypertension. The client had recently been having several high blood pressures in the morning and was prescribed amlodipine (Norvasc®) 5 mg PO daily. Prior to the first administration of the amlodipine (Norvasc), the client’s vitals read: heart rate 80, respiratory rate 10, 100%, and blood pressure 80/50. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Hold the amlodipine (Norvasc®) and notify the provider. The client's blood pressure of 80/50 is significantly low, indicating hypotension. Amlodipine is a calcium channel blocker that can further lower blood pressure. Therefore, administering amlodipine in this situation could worsen the hypotension and lead to potential complications such as dizziness, fainting, or even shock. By holding the medication and notifying the provider, the nurse ensures that the provider can assess the situation and determine the appropriate course of action, which may include adjusting the medication dosage or considering alternative treatments. This approach prioritizes patient safety and prevents harm. Summary of other choices: A: Administering the amlodipine could worsen the hypotension, leading to potential complications. B: Charting that the client refused the medication does not address the critical issue of the client's hypotension. D:
Question 3 of 5
The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Maintain airflow rate greater than 12 air exchanges/hr. In a protective environment, the primary goal is to reduce exposure to pathogens. Maintaining a high airflow rate helps to minimize the concentration of airborne contaminants. This action supports the concept of infection control by reducing the risk of transmission. Incorrect choices: A: Wearing an N95 respirator is more commonly associated with airborne precautions, not specific to protective environments. C: Negative-pressure airflow rooms are used for patients on airborne precautions, not necessarily in all protective environments. D: Opening drapes during the daytime does not directly impact the maintenance of a protective environment through airflow control.
Question 4 of 5
The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in airborne precautions, and one is in contact precautions. The nurse explains to the student different interventions for care. Which information will the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Dispose of supplies to prevent the spread of microorganisms. This is crucial in preventing the transmission of infections in patients under different precautions. Airborne precautions require proper disposal of contaminated supplies to prevent the spread of pathogens through the air. On the other hand, contact precautions necessitate proper disposal of supplies to prevent direct transmission through physical contact. Incorrect choices: B is incorrect because handwashing is essential but does not specifically address the differing needs of patients under different precautions. C is incorrect because consistency in nursing interventions may not be appropriate when different precautions are in place. D is incorrect as knowledge of the disease process is important but may not directly relate to preventing the spread of microorganisms through contaminated supplies.
Question 5 of 5
A client with an upper respiratory infection (common cold) tells the nurse, “I am so angry with the nurse practitioner because he would not give me any antibiotics.” What would be the most accurate response by the nurse?
Correct Answer: A
Rationale: Correct Answer: A - "Antibiotics have no effect on viruses." Rationale: 1. Antibiotics are ineffective against viral infections like the common cold. 2. Educating the client on this fact helps manage expectations and prevent unnecessary antibiotic use. 3. Option A provides accurate information and promotes appropriate antibiotic stewardship. Summary: B: Passing the responsibility to another healthcare provider does not address the client’s misunderstanding. C: Asking why the client thinks they need an antibiotic does not provide direct education about the ineffectiveness of antibiotics for viral infections. D: Agreeing with the client's request for antibiotics without providing accurate information reinforces misconceptions.