Fundamentals 2020 RN Virtual ATI - Safety and Infection Control Quiz (answered & Elaborated)
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Vak
RN Virtual ATI (RNATI)
Instelling
Chamberlain College Of Nursing
Fundamentals 2020 RN Virtual ATI - Safety and Infection Control Quiz
A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care?
a. Clean disposable inner cannula with hydrogen peroxide.
b. Change tracheostomy ties when so...
fundamentals 2020 rn virtual ati safety and infection control quiz
rn virtual ati safety and infection control quiz
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Chamberlain College Of Nursing
RN Virtual ATI (RNATI)
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Fundamentals 2020 RN Virtual ATI -
Safety and Infection Control Quiz
A client has a new tracheostomy. Which of the following interventions should the
nurse include when performing tracheostomy care?
a. Clean disposable inner cannula with hydrogen peroxide.
b. Change tracheostomy ties when soiled.
c. Remove soiled dressing with sterile gloves.
d. Suction the tracheostomy before beginning care. - b. Change tracheostomy ties
when soiled.
CORRECT. Tracheostomy ties should be changed once a day or when soiled.
Secure new ties in place before removing old soiled ones to prevent accidental
decannulation. One or two fingers should be able to be placed between the tie tape
and the neck.
A client has fallen in the bathroom. Which of the following is the priority nursing
action?
a. Obtain the client's vital signs
b. Assess the client's level of consciousness
c. Assist the client back to bed
d. Notify the healthcare provider - b. Assess the client's level of consciousness
CORRECT. Safety first. Before proceeding with the assessment or taking vital
signs assess the level of consciousness. Complaints of pain, any joint or bone
deformity may provide evidence of fractures or dislocations. Inspection of the skin
will determine lacerations, contusions, or hematomas that may need to be treated.
After a report to the provider, additional x-rays or exams may be ordered.
A nurse is providing discharge education for a female client diagnosed with
Chlamydia. Which statement made by the client would indicate the need for further
instruction?
, a. "I will refrain from sexual intercourse until completion of antibiotics."
b. "Possible complications to monitor for include pelvic inflammatory disease."
c. "I will return to the clinic in one month for re-screening."
d. "Symptoms of reinfection may include yellow vaginal discharge." - c. "I will
return to the clinic in one month for re-screening."
CORRECT. No test for cure is required, but all women should be rescreened for
re-infections 3 to 12 months after treatment because of high risk for pelvic
inflammatory disease (PID). There is less evidence of the need for re-screening of
treated men, but it should be considered.
A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8
C (105.5 F). The provider has ordered a cooling blanket. Which intervention is
appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
a. Assess the client's skin for any reddened
b. Bathe the client to keep the skin damp
c. Report shivering by the client
d. Obtain a fan for the client's use - c. Report shivering by the client
CORRECT. The unlicensed assistive personnel should be taught to observe for and
report shivering during any form of external cooling. Shivering may indicate that
the client is being cooled too quickly.
A nurse is triaging clients following a mass casualty event. The nurse should place
a client who has sustained fatal injuries in which of the following triage categories?
a. Emergent Category (Class I)
b. Urgent Category (Class II)
c. Nonurgent Category (Class III)
d. Expectant Category (Class IV) - d. Expectant Category (Class IV)
CORRECT. Class IV (Expectant Category) is reserved for clients who are not
expected to live and will be allowed to die naturally. Comfort measures may be
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