VATI Safety and Infection Control Quiz.
A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care?
Select one:
a. 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.
b. Suction the tracheostomy before beginning care.
c. Clean disposable inner cannula with hydrogen peroxide.
d. Remove soiled dressing with sterile gloves.
A client has fallen in the bathroom. Which of the following is the priority nursing action?
Select one:
a. Obtain the client’s vital signs
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.
c. Notify the healthcare provider
d. Assist the client back to bed
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?
Select one:
a. “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.
b. “I will refrain from sexual intercourse until completion of antibiotics.”
c. “Possible complications to monitor for include pelvic inflammatory disease.”
d. “Symptoms of reinfection may include yellow vaginal discharge.”
, 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)?
Select one:
a. 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.
b. Bathe the client to keep the skin damp
c. Obtain a fan for the client’s use
d. Assess the client’s skin for any reddened
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?
Select one:
a. Emergent Category (Class I)
b. Urgent Category (Class II)
c. Nonurgent Category (Class III)
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 provided, but restorative care will
not. These clients are the lowest priority when a mass casualty has occurred.
A nurse is positioning a client for a urinary catheterization. Which of the following nursing
actions would be best in preventing musculoskeletal injuries during the procedure?
Select one:
a. Using the non-dominant hand to insert the catheter.
b. Positioning the client using a draw sheet.
c. Raising the bed to a comfortable height.
CORRECT. Working with the bed at a comfortable height is more ergonomically appropriate to
prevent back strain and possible injury, to prevent bending and/or twisting from the waist.
d. Narrowing the base of support.
A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care?
Select one:
a. 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.
b. Suction the tracheostomy before beginning care.
c. Clean disposable inner cannula with hydrogen peroxide.
d. Remove soiled dressing with sterile gloves.
A client has fallen in the bathroom. Which of the following is the priority nursing action?
Select one:
a. Obtain the client’s vital signs
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.
c. Notify the healthcare provider
d. Assist the client back to bed
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?
Select one:
a. “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.
b. “I will refrain from sexual intercourse until completion of antibiotics.”
c. “Possible complications to monitor for include pelvic inflammatory disease.”
d. “Symptoms of reinfection may include yellow vaginal discharge.”
, 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)?
Select one:
a. 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.
b. Bathe the client to keep the skin damp
c. Obtain a fan for the client’s use
d. Assess the client’s skin for any reddened
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?
Select one:
a. Emergent Category (Class I)
b. Urgent Category (Class II)
c. Nonurgent Category (Class III)
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 provided, but restorative care will
not. These clients are the lowest priority when a mass casualty has occurred.
A nurse is positioning a client for a urinary catheterization. Which of the following nursing
actions would be best in preventing musculoskeletal injuries during the procedure?
Select one:
a. Using the non-dominant hand to insert the catheter.
b. Positioning the client using a draw sheet.
c. Raising the bed to a comfortable height.
CORRECT. Working with the bed at a comfortable height is more ergonomically appropriate to
prevent back strain and possible injury, to prevent bending and/or twisting from the waist.
d. Narrowing the base of support.
