ATI RN
Nurses and Infection Control Questions
Question 1 of 5
Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on Airborne Precautions for confirmed chickenpox/herpes zoster? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Disposable gown. When caring for a pediatric patient with chickenpox/herpes zoster on Airborne Precautions, the nurse should wear a disposable gown to prevent the transmission of infectious particles through contact. The other choices are incorrect as an N95 respirator mask and face shield/goggles are typically used for airborne infections that require respiratory protection, which is not necessary for chickenpox/herpes zoster. A disposable mask is not sufficient for airborne precautions; a gown provides better protection against contact transmission.
Question 2 of 5
A nurse in the emergency room is taking care of a 4-year-old patient who has a suspected case of impetigo. The nurse knows that which of the following precautions is most important to prevent the spread of this infection?
Correct Answer: D
Rationale: The correct answer is D: contact precautions. Impetigo is primarily spread through direct contact with the infected skin lesions. Therefore, the most important precaution to prevent the spread of impetigo is contact precautions, which involve wearing gloves and maintaining proper hand hygiene. Standard precautions (choice A) should always be followed in healthcare settings, but they do not specifically address the direct contact spread of impetigo. Droplet precautions (choice B) are used for infections transmitted through respiratory droplets, and airborne precautions (choice C) are for infections transmitted through the air. In the case of impetigo, the main mode of transmission is through direct contact with the skin lesions, making contact precautions the most appropriate choice.
Question 3 of 5
A patient with a suspected renal tumor is being admitted for an intravenous pyelogram (IVP). The nurse discusses the procedure with the patient in addition to taking a full medical history. Which of these pieces of information reported in the patient’s history should the nurse report to the physician performing the IVP?
Correct Answer: A
Rationale: The correct answer is A: iodine allergy. This is crucial information to report because IVP involves the use of iodine-based contrast dye, which can trigger an allergic reaction in individuals with iodine allergies. Reporting this to the physician is essential to prevent a potential life-threatening reaction. Summary: - Choice A is correct as an iodine allergy is crucial information for a safe IVP. - Choice B (penicillin allergy) is not relevant to IVP. - Choice C (past history of kidney stones) may be important but not directly relevant to the IVP procedure. - Choice D (past history of appendectomy) is not directly related to the IVP procedure.
Question 4 of 5
A nurse who works in an outpatient surgical center develops a new respiratory illness. She has atypical symptoms and is not responding to conventional therapies. Her work history includes spending considerable amounts of time in her facility’s central supply and equipment sterilization areas. Her treating physician suspects her illness is linked to a workplace exposure. Where is the best place for the nurse to obtain information regarding her potential workplace exposures?
Correct Answer: C
Rationale: The correct answer is C: the Safety Data Sheets/SDS at her facility. This is the best place for the nurse to obtain information regarding her potential workplace exposures because SDS provide detailed information about hazardous chemicals in the workplace, including health effects, protective measures, and exposure control. The nurse can review the SDS for the chemicals used in the central supply and equipment sterilization areas to identify any potential exposures that may be linked to her illness. Choice A (the equipment manufacturer’s service center and help desk) is incorrect because they may not have specific information on workplace exposures. Choice B (OSHA website) is incorrect because while OSHA provides general workplace safety guidelines, it may not have specific information on the nurse’s workplace exposures. Choice D (CDC’s reportable illness hotline) is incorrect because it is more focused on reporting and tracking infectious diseases, rather than identifying workplace exposures.
Question 5 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.