Infection Control and Isolation test ATI

A nurse is caring for a client who has influenza. The client asks how they acquired the infectious agent. The nurse should inform the client that influenza is transmitted by which of the following modes? a. droplet b. indirect contact c. airborne d. direct contact

a. droplet

A nurse is performing a throat culture on a client. Which of the following actions should the nurse take? a. swab the back of the clients pharyngeal wall b. place the swab in a clean container after obtaining the culture c. insert the swab in the culture medium within 1 hours of obtaining the sample d. don sterile gloves to obtain the culture from the client

a. swab the back of the client's pharyngeal wall.

A nurse is assisting with teaching a newly licensed nurse about airborne infection isolation rooms (AIIR). Which of the following information should the nurse include? a. the door to the AIIR should remain closed b. clients who are on contact precautions require AIIR c. an AIIR has at least 4 air exchanges each hr. d. a mask is not needed to care for clients who are in an AIIR

a. the door to the AIIR should remain closed.

A nurse is assisting with implementing an infection control bundle for clients at risk for catheter-associated urinary tract infections (CAUTIs). Which of the following interventions should the nurse include in the bundle? a. try to use alternatives before inserting indwelling urinary catheters b. use clean technique for insertion of indwelling urinary catheters c. check client every 2 days to evaluate the need for indwelling catheters d. disconnect the system to obtain urine samples from indwelling urinary catheters

a. try to use alternatives before inserting indwelling urinary catheters

A nurse is caring for a client who states, "I am feeling so much better. My fever is gone, and I have a good appetite." The nurse should identify the client is likely in which of the following stages of infection? a. incubation b. convalescence c. acute infection d. prodromal

b. convalescence

A nurse is assisting with teaching a newly licensed nurse about infectious agents. The nurse should include in the teaching that pertussis is transmitted by which of the following modes of transmission? a. direct contact b. droplet c. airborne d. indirect contact

b. droplet

A nurse is assisting with teaching a newly licensed nurse about removing personal protective equipment (PPE). Which of the following items should the nurse instruct to remove first? a. mask b. gloves c. goggles d. face shield

b. gloves

A nurse is assisting with teaching a newly licensed nurse about needlestick injuries. Which of the following instructions should the nurse include? a. empty sharps containers when they become full b. report needlestick injuries to the nursing supervisor c. engage the safety device on a needle after documenting the medication administration d. recap needles after the medication administration

b. report needlestick injuries to the nursing supervisor.

A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. Which of the following hand hygiene methods should the nurse use? a. alcohol-based sanitizer b. soap and water c. iodine solution d. chlorhexidine solution

b. soap and water

A nurse is caring for a client who has acquired an infection from a visitor. The client is an example of which of the following links in the chain of infection? a. reservoir b. susceptible host c. portal of entry d. portal of exit

b. susceptible host

A nurse is supervising a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? a. washes their hands for 10 seconds b. turns off the faucet with a towel c. uses hot water to wash their hands d. holds their hands above their elbows while rinsing off the soap

b. turns off the faucet with a towel

A nurse is assisting with teaching a group of nurses on processes that can trigger an inflammatory response in the body. The nurse should include that which of the following is an infectious trigger? a. burn b. frostbite c. bacteria d. radiation

c. bacteria

A nurse is assisting in providing an in-service about infectious agents to a group of nurses. The nurse should include in the teaching that tuberculosis is transmitted by which of the following modes of transmission? a. airborne b. droplet c. direct contact d. indirect contact

a. airborne

A nurse is assisting with teaching a newly licensed nurse about surgical asepsis. Which of the following statements should the nurse make? a. "you can wear artificial fingernails if they are kept short" b. "leave rings on your fingers when performing surgical hand sepsis" c. "keep your fingernails less than half an inch in length" d. "remove nail polish on your fingernails if it is chipped"

d. "remove nail polish on your fingernails if it is chipped."

A nurse is caring for a client who is on contact precautions. Which of the following actions should the nurse take? a. wear an N95 respirator when caring for the client b. place the client in a private room c. place a mask on the client when they leave their room d. place the client in a negative airflow room

Place the client in a private room.

A nurse is assisting with teaching a newly licensed nurse about laboratory tests that can indicate generalized inflammation. The nurse should include which of the following laboratory tests? a. c-reactive protein b. troponin c. creatine kinase d. lactic acid

a. c-reactive protein

A nurse is setting up a sterile field to perform a dressing change on a client. Which of the following actions should the nurse take? a. open the first flap on the sterile package away from their body b. place objects on the sterile field at least 1.3cm (0.5in) from the edge c. unwrap both sides of the sterile package at the same time d. set up the sterile field next to a wall in the clients room

a. open the first flap on the sterile package away from their body.

A nurse is caring for a client who acquired an infection after touching a faucet that an infected person had touched. Which of the following links in the chain of infection does the faucet represent? a. reservoir b. susceptible host c. portal of entry d. portal of exit

a. reservoir

A nurse is admitting a client who has vancomycin-resistant enterococcus (VRE) of the urine. The nurse should place the client on which of the following precautions? a. protective b. contact c. droplet d. airborne

b. contact

A nurse is planning to admit a client who has respiratory syncytial virus (RSV). Which of the following precautions should the nurse plan to implement? a. protective b. contact c. standard d. airborne

b. contact

A nurse is assisting with teaching a newly licensed nurse about hand hygiene for surgical asepsis. Which of the following instructions should the nurse include? a. use a brush to scrub the surface of the hands b. rinse the solution from the hands before it dries c. apply chlorhexidine and ethanol to the hands d. leave jewelry on the hands when cleansing them

c. apply chlorhexidine and ethanol to the hands.

A nurse is assisting with teaching about personal protective equipment with a newly licensed nurse. Which of the following instructions should the nurse include? a. gowns can be reused on the same client b. masks should be removed after leaving a client's room c. gloves should be removed from the inside out d. eyeglasses can be used in place of goggles

c. gloves should be removed from the inside out.

A nurse in a clinic is caring for a client who reports generalized aches and fever for the past 12 hr. The nurse suspects the client has acquired an infection. Which of the following stages of infection is the client likely experiencing? a. incubation b. convalescence c. acute illness d. prodromal

d. prodromal

A nurse is wearing gloves while caring for a client. In which of the following situations should the nurse obtain a new pair of gloves? a. after donning a gown and before collecting vital signs on the client b. after removing food items off the clients tray and before removing soiled linens from the clients bed c. after helping the client stand up and before helping them brush their teeth d. after changing a dressing on the client and before documenting findings on a computer

d. after changing a dressing on the client and before documenting findings on a computer

A nurse is assisting with teaching a newly licensed nurse about infection control. The nurse should include in the teaching that which of the following types of precautions requires the use of an N95 mask? a. protective isolation b. contact c. droplet d. airborne

d. airborne