ATI RN
Nurses and Infection Control Questions
Question 1 of 5
The following is/are contraindications to children receiving LAIV:
Correct Answer: B
Rationale: Salicylate therapy (e.g., aspirin) contraindicates LAIV due to Reye's syndrome risk, per Green Book.
Question 2 of 5
Which of the following is/are true? Pertussis vaccine should not be given to:
Correct Answer: A
Rationale: Anaphylaxis to a prior dose or components contraindicates pertussis vaccine, per Green Book.
Question 3 of 5
Your client has an allergy to both penicillin and latex. Which of these pathophysiological facts should you apply when you are providing to this client?
Correct Answer: A
Rationale: The correct answer is A. When a client has an allergy to both penicillin and latex, it is important to consider the risk of anaphylaxis from the sensitizing dose of penicillin. Anaphylaxis is a severe and potentially life-threatening allergic reaction that can occur upon exposure to an allergen. In this case, the client's history of allergies indicates a heightened risk for anaphylaxis with penicillin. This pathophysiological fact is crucial to consider when providing care to this client. Choices B, C, and D are incorrect because they do not directly address the specific risk associated with the client's allergy to both penicillin and latex. Choice B refers to distributive shock, which is not the primary concern in this scenario. Choices C and D provide statistics about the prevalence of allergies to penicillin and latex in the population, but these do not directly impact the care of a client with allergies to both substances.
Question 4 of 5
You are serving as the preceptor for a newly graduated nurse. As you observe the new nurse for their application of body mechanics principles into client care, you observe that the nurse spreads her legs apart during a transfer with a client. What should you do?
Correct Answer: C
Rationale: Step 1: Assess the Situation - Evaluate the nurse's competency in the application of body mechanics principles during the transfer. Step 2: Provide Feedback - If the nurse demonstrates correct technique (even if different from what you expect), validate their competency. Step 3: Encourage Open Communication - Discuss the nurse's rationale for spreading legs apart and provide constructive feedback if needed. Step 4: Support Learning - Offer additional guidance on the importance of proper body mechanics and collaborate on improvement strategies. Summary: - Choice C is correct as it emphasizes validating competency before providing feedback. - Choices A and B are incorrect as they immediately advise on specific techniques without assessing the nurse's current competency. - Choice D is incorrect as it focuses on ergonomics, which may not be the immediate issue observed.
Question 5 of 5
You have collected, aggregated and analyzed data which reflects the frequency of your staff returning medical equipment to the appropriate department because the staff members thought it was too unsafe to use. After the experts in the medical equipment inspect and test the equipment they report back to you, as the nurse manager, whether or not the equipment was indeed unsafe. This data indicates that 83% of the returns that were made by your staff were deemed safe and operable. What should you do?
Correct Answer: D
Rationale: The correct answer is D because planning an educational activity about determining what equipment to send for repairs will address the issue of staff returning equipment unnecessarily. By educating the staff on how to properly assess the safety and operability of equipment, you can reduce the number of unnecessary returns and ensure that resources are not wasted. This proactive approach promotes staff competency and accountability. Choice A is incorrect because it assumes the staff are intentionally wasting resources, which may not be the case. Choice B is not the most efficient solution as checking the equipment yourself does not address the root cause of the issue. Choice C is incorrect as ignoring the problem does not promote a culture of accountability or quality improvement.