ATI RN
Infection Control NCLEX Questions Questions
Question 1 of 5
The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):
Correct Answer: B
Rationale: The correct answer is B: System variance. This is because the lack of necessary supplies and equipment is a systemic issue related to the healthcare system's operations and resource management. It reflects a deviation from the standard processes and protocols in place for ensuring patient safety. A: Sentinel event refers to a serious adverse event that results in patient harm. C: Adverse effect typically refers to a negative outcome resulting from a specific treatment or intervention. D: Provider variance relates to variations in individual provider performance. Therefore, the lack of necessary supplies and equipment is best categorized as a system variance as it points to a broader issue within the healthcare system rather than individual actions or specific patient outcomes.
Question 2 of 5
A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate for this patient?
Correct Answer: B
Rationale: The correct answer is B: Droplet Precautions. Meningitis is commonly spread through respiratory droplets, making droplet precautions the most appropriate. It involves using a mask and eye protection when within 3 feet of the patient. Reverse isolation (A) is used to protect patients with weakened immune systems. Standard precautions (C) apply to all patients. Contact precautions (D) are used for diseases spread by direct contact.
Question 3 of 5
Put the following steps for removal of protective barriers after leaving an isolation room in order.
Correct Answer: A
Rationale: The correct answer is A because removing and disposing of gloves should be the first step after leaving an isolation room to prevent the spread of pathogens. Gloves are the most likely to be contaminated, so removing them first reduces the risk of transferring pathogens to other surfaces. Performing hand hygiene (B) should be the next step to further eliminate any pathogens on the hands. Removing eyewear or goggles (C) should follow to prevent contamination of the face and eyes. Finally, untying and removing the mask (D) should be the last step as it is the least likely to be contaminated compared to gloves and eyewear.
Question 4 of 5
A nurse is counseling an 87-year-old female patient and her daughter. The patient is obese, has multiple medical problems, including dementia, and takes numerous medications. The patient is preparing to move in with her daughter for full-time care. Which of the following is least important for the nurse to discuss with the patient and her daughter.
Correct Answer: D
Rationale: The correct answer is D: fire safety and prevention. The nurse should prioritize discussing fall prevention and safety, side effects of medications, and proper ergonomics for lifting/assisting due to the patient's age, medical conditions, and medications. Fall prevention is crucial for the elderly, especially with dementia. Understanding medication side effects is important for managing the patient's health. Proper ergonomics reduce the risk of injury during caregiving. Fire safety, while important, is less urgent compared to the other topics considering the patient's current health needs.
Question 5 of 5
A nurse is preparing a bag of chemotherapy agent for one of the patients. The nurse accidentally pierces a hole through the bag while attempting to spike it. A moderate amount of chemotherapy spills onto the ground. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Cordon off the area and notify housekeeping/facilities of the spill. This is the first action the nurse should take to ensure the safety of everyone in the area. By cordoning off the area, the nurse prevents others from being exposed to the spilled chemotherapy, which can be harmful. Notifying housekeeping/facilities is crucial as they are trained to handle hazardous spills properly. Calling the pharmacy to redose the chemotherapy (B) is not the priority at this moment as safety measures should be taken first. Continuing to prime chemotherapy tubing (C) or cleaning up the spill with wet paper towels (D) can potentially expose the nurse to the hazardous substance and should not be done before ensuring proper safety measures are in place.