ATI RN
Nurses and Infection Control Questions
Question 1 of 5
There has been a mass casualty shooting at a nearby school. A nurse is working in the emergency department and is asked to triage clients as they arrive at the hospital. One of the clients arriving at the emergency department is in a wheelchair speaking to a nurse frantically while clutching his leg around a bloodied bandage and his foot is oddly angled. Based on this information, which of the following tag colors would the triage nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: yellow. This client is displaying signs of delayed care needed, as he is speaking and alert but has a serious injury requiring immediate medical attention. The client's frantic state and the bloodied bandage indicate a potentially severe injury. The oddly angled foot suggests a possible fracture or dislocation, requiring urgent care but not immediate life-saving interventions. Assigning a yellow tag ensures the client receives prompt treatment without overwhelming the resources needed for critically injured individuals. Incorrect options: A: Red tag is for clients with life-threatening injuries who require immediate attention. C: Black tag is for clients who are deceased or have injuries incompatible with survival. D: Green tag is for clients with minor injuries or who require minimal medical care.
Question 2 of 5
A nurse is preparing to transfer a 32-year-old client with spastic quadriplegia from the client’s bed to her wheelchair. Which of the following actions should the nurse take during the transfer?
Correct Answer: B
Rationale: The correct answer is B. Facing the client helps maintain eye contact and communication. Planting feet shoulder-width apart provides a stable base of support. Bending the knees instead of the back reduces strain. Lifting the client with proper body mechanics minimizes the risk of injury to both the nurse and the client. This method ensures a safe and effective transfer. Choice A is incorrect because lifting the client from a lying to sitting position and pivoting can strain the nurse's back and may not be safe for the client. Choice C is incorrect as twisting while lifting can lead to back injury for the nurse and discomfort or injury for the client. Choice D is incorrect because cradling the client under her legs and arms may not provide adequate support and can lead to a risky transfer.
Question 3 of 5
A senior staff nurse observes a new graduate nurse prepare and administer medication for a client in their unit. The senior nurse notes that the graduate nurse bypassed the electronic medical record (EMR) medication scanning system and administered the medication directly to the client. Which action by the senior staff nurse is most appropriate?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A): 1. Instructing the new graduate nurse on the importance of compliance with the EMR scanning system is essential to ensure patient safety. 2. The EMR scanning system helps prevent medication errors by verifying the right patient, right medication, right dose, right route, and right time. 3. By bypassing the system, the new graduate nurse put the patient at risk of receiving the wrong medication or dose. 4. Education and reinforcement of protocols are crucial for the nurse to understand the significance of following proper procedures. 5. This approach focuses on correcting the behavior and preventing future errors, promoting a culture of safety. Summary of why other choices are incorrect: B. Continuing to observe without addressing the error may lead to potential harm to patients in the future. C. Reporting the nurse to upper management may be premature without first addressing the issue directly with the nurse. D. Charting that the medication was given without following the correct procedure does not address
Question 4 of 5
A nurse is the first responder to the scene of a multi-vehicle accident on the highway. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Ensure the safety of the scene. This is the priority nursing action because without ensuring scene safety, further harm could occur to both the nurse and the injured clients. By securing the scene, the nurse prevents additional accidents or injuries. This action also allows for a safer environment for providing medical care. Summary: A: Beginning immediate medical care is important, but safety of the scene should be ensured first. B: Blocking oncoming traffic may help prevent further accidents, but safety of the scene is the priority. C: Waiting for all ambulances is not ideal as immediate action is necessary to prevent further harm.
Question 5 of 5
The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D because laying the glove package on a clean flat surface above the waistline helps maintain sterility. Placing the package above waistline prevents contamination from any potential contact with the clothing. This step ensures that the gloves remain sterile and ready for use during the catheter insertion procedure. Explanation for why the other choices are incorrect: A: While putting on the first glove, touching only the outside surface of the glove is correct, but this step alone does not address maintaining sterility during the open gloving process. B: Slipping fingers underneath the second glove cuff with the gloved dominant hand is incorrect in the context of open gloving as it introduces the risk of contamination. C: Removing the outer glove package by tearing the package open is not recommended for open gloving as it can compromise the sterility of the gloves.