ATI RN
Infection Control Nursing Questions
Question 1 of 5
You are serving as the supervisory nurse for a home healthcare agency in the community. You are doing an admission assessment for a 76 year old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety?
Correct Answer: D
Rationale: Step 1: The correct answer is D because ensuring that smoke alarm batteries are replaced annually is crucial for home safety, especially for elderly individuals who may have decreased mobility or sensory perception. Step 2: Smoke alarms are essential for early detection of fires, which is crucial for elderly individuals who may have difficulty escaping quickly. Step 3: By replacing the batteries annually, the client demonstrates proactive measures to protect themselves and their spouse from potential fire hazards. Step 4: Choices A, B, and C are not indicators of needing education on home safety as they all reflect positive practices related to food storage, fall prevention, and food safety. Summary: Option D is the correct answer as it directly relates to fire safety, a critical aspect of home safety for elderly individuals. Options A, B, and C are not relevant to home safety education in this context.
Question 2 of 5
Which of the following is NOT an essential component of a restraint order?
Correct Answer: A
Rationale: Correct Answer: A - Informed consent for the restraint Rationale: Informed consent is not required for a restraint order as it involves restricting a person's freedom for their own safety or the safety of others. Consent may not be possible or appropriate in emergency situations. The other components are essential to ensure the restraint is necessary, safe, and specific to the situation. The reason for the restraint, the type of restraint to be used, and the client behaviors that necessitated the restraints help in ensuring the appropriate use of restraints.
Question 3 of 5
The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? (Select all that apply.)
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Providing perineal care to a patient with an indwelling urinary catheter is essential in preventing infections as it helps maintain proper hygiene and reduces the risk of urinary tract infections. 2. Proper perineal care also helps in preventing catheter-associated urinary tract infections (CAUTIs), which are common iatrogenic infections in healthcare settings. 3. This action aligns with evidence-based practice guidelines for reducing healthcare-acquired infections. Summary: - Choice A (Teaching correct handwashing): While important for overall infection control, this choice does not directly address reducing iatrogenic infections. - Choice B (Using correct procedures for IV care): While important for preventing bloodstream infections, it does not specifically target iatrogenic infections. - Choice D (Isolating a patient on antibiotics with loose stool): Isolation helps with preventing the spread of infectious diseases but does not directly address iatrogenic infections.
Question 4 of 5
The nurse assesses the following data from a patient with diabetes mellitus who is 4 days postoperative for repair of an abdominal aortic aneurysm. Which assessment finding is of greatest concern for the nurse?
Correct Answer: B
Rationale: The correct answer is B: Temperature 38.5o C (101.4o F). A postoperative patient with diabetes mellitus is at higher risk for infection due to impaired immune function. A temperature of 38.5o C indicates a possible infection, which is concerning postoperatively. High fever can indicate sepsis, a life-threatening condition. A: Vesicular breath sounds in the lung bases are normal lung sounds and not indicative of immediate concern in this scenario. C: Incisional pain rating of 6 out of 10 is expected postoperatively and can be managed with appropriate pain medication. D: Blood glucose of 164 mg/dL is slightly elevated but not the primary concern in this postoperative patient with diabetes mellitus.
Question 5 of 5
A nurse is working with a patient who has a contagious condition. In recalling the chain of infection, the nurse knows that an environment favorable for the growth and reproduction of an infectious agent is referred to as ____.
Correct Answer: C
Rationale: The correct answer is C: a reservoir. A reservoir is an environment where infectious agents can live and multiply. In this case, the contagious condition of the patient indicates that there is a source from which the infection is spreading. A reservoir can be a person, animal, plant, soil, or inanimate object. It provides a conducive environment for the infectious agent to survive and thrive. A: A vector refers to an organism that transmits an infectious agent to a host, like a mosquito transmitting malaria. B: A portal of entry is the route through which an infectious agent enters a host's body, like a cut in the skin. D: A susceptible host is an individual who is at risk of developing an infection, but it does not refer to the environment where the infectious agent grows and multiplies.