practice set questions safety

9. The nurse knows that which patient has a teaching need based on statements by the patient's parents? a. "My 6-month-old daughter only sleeps with me when she's ill." b. "I do not put pillows in the bed with my 3-month-old son." c. "I do not feed popcorn to my 2-year-old." d. "I have discussed the risks of the 'choking game' with my 16-year-old."

a. "My 6-month-old daughter only sleeps with me when she's ill." b. "I do not put pillows in the bed with my 3-month-old son." c. "I do not feed popcorn to my 2-year-old." d. "I have discussed the risks of the 'choking game' with my 16-year-old." ANS: a. "My 6-month-old daughter only sleeps with me when she's ill."

4. The nurse recognizes conversations about safe sexual practices, including the consequences of unprotected sex such as pregnancy and sexually transmitted infections, are important to begin in what patient population? a. Adults b. School-aged children c. Adolescents d. Older adults

a. Adults b. School-aged children c. Adolescents d. Older adults ANS: c. Adolescents

7. When teaching a parent about interventions for accidental poisoning, what instruction should be included regarding flushing a child's eye, in relation to the water temperature? a. Cold b. Lukewarm c. Room temperature d. Above room temperature

a. Cold b. Lukewarm c. Room temperature d. Above room temperature ANS: c. Room temperature

4. An ambulatory patient is admitted to the extended care facility with a diagnosis of Alzheimer's disease. In the Hendrich II Fall Risk Model, what is the most significant indicator of risk for falls? a. Confusion/disorientation/impulsivity b. Dizziness/vertigo c. Symptomatic depression d. Altered elimination

a. Confusion/disorientation/impulsivity b. Dizziness/vertigo c. Symptomatic depression d. Altered elimination ANS: a. Confusion/disorientation/impulsivity

17. The ER nurse is triaging a patient with suspected poisoning. Who should the nurse anticipate contacting first? a. Family services b. Radiology c. Poison Control Center d. Respiratory

a. Family services b. Radiology c. Poison Control Center d. Respiratory ANS: c. Poison Control Center

10. The nurse is teaching a student nurse about restraint use in patients. Which statement by the student nurse indicates a learning need regarding restraints? a. "Having all four side rails up on the bed is considered a restraint." b. "The use of restraints has been shown to decrease fall-related injuries." c. "Death has been associated with the use of restraints." d. "Medications administered to control behavior are considered a chemical restraint."

a. "Having all four side rails up on the bed is considered a restraint." b. "The use of restraints has been shown to decrease fall-related injuries." c. "Death has been associated with the use of restraints." d. "Medications administered to control behavior are considered a chemical restraint." ANS: b. "The use of restraints has been shown to decrease fall-related injuries."

2. The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health. Which statements by the patient indicate a good understanding of actions that can be taken to reduce stressors? (Select all that apply.) a. "I should change my job." b. "I should plan some downtime." c. "I should meet with a financial counselor." d. "I should talk with my family about my situation." e. "I should make my family go to counseling with me."

a. "I should change my job." b. "I should plan some downtime." c. "I should meet with a financial counselor." d. "I should talk with my family about my situation." e. "I should make my family go to counseling with me." ANS: b. "I should plan some downtime." c. "I should meet with a financial counselor." d. "I should talk with my family about my situation."

6. The nurse is educating parents about firearm safety. Which parent statement indicates to the nurse a need for further education? a. "I should make sure I obtain the proper permits." b. "It is okay to store firearms with ammunition loaded." c. "I should store all firearms without ammunition." d. "I should make sure all firearms have trigger locks in place."

a. "I should make sure I obtain the proper permits." b. "It is okay to store firearms with ammunition loaded." c. "I should store all firearms without ammunition." d. "I should make sure all firearms have trigger locks in place." ANS: b. "It is okay to store firearms with ammunition loaded."

20. An older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been examined in triage, the nurse interviews the patient. Which of the following comments would necessitate follow-up by the nurse? a. "I try to exercise, so I walk that block almost every day." b. "I waited and stepped out when the traffic sign said go." c. "The car was going too fast; the speed limit is 20." d. "I was so surprised; I didn't see or hear the car coming."

a. "I try to exercise, so I walk that block almost every day." b. "I waited and stepped out when the traffic sign said go." c. "The car was going too fast; the speed limit is 20." d. "I was so surprised; I didn't see or hear the car coming." ANS: d. "I was so surprised; I didn't see or hear the car coming."

16. Which statement by the patient indicates to the nurse a teaching need regarding safety in the home? a. "I will put a night-light in every room." b. "I will not use an extension cord to plug in multiple items." c. "I will wash my throw rugs in the bathroom regularly." d. "I will keep all cleaning supplies out of reach of children"

a. "I will put a night-light in every room." b. "I will not use an extension cord to plug in multiple items." c. "I will wash my throw rugs in the bathroom regularly." d. "I will keep all cleaning supplies out of reach of children" ANS: c. "I will wash my throw rugs in the bathroom regularly."

1. A home health nurse is performing a home assessment for safety. Which of the following comments by the patient would indicate a need for further education? a. "I will schedule an appointment with a chimney inspector next week." b. "Daylight savings is the time to change batteries on the carbon monoxide detector." c. "If I feel dizzy when using the heater, I need to have it inspected." d. "If I'm cooking for only myself, I don't need to wash my hands."

a. "I will schedule an appointment with a chimney inspector next week." b. "Daylight savings is the time to change batteries on the carbon monoxide detector." c. "If I feel dizzy when using the heater, I need to have it inspected." d. "If I'm cooking for only myself, I don't need to wash my hands." ANS: d. "If I'm cooking for only myself, I don't need to wash my hands."

11. The nurse discussed threats to adult safety with a college group. Which of the following statements would indicate understanding of the topic? a. "Our campus is safe; we leave our dorms unlocked all the time." b. "As long as I have only two drinks, I can still be the designated driver." c. "I am young, so I can work nights and go to school with 2 hours' sleep." d. "I guess smoking even at parties is not good for my body."

a. "Our campus is safe; we leave our dorms unlocked all the time." b. "As long as I have only two drinks, I can still be the designated driver." c. "I am young, so I can work nights and go to school with 2 hours' sleep." d. "I guess smoking even at parties is not good for my body." ANS: d. "I guess smoking even at parties is not good for my body."

8. The nurse is educating the patient about the proper disposal of medications in the home. Which statement by the patient indicates a good understanding of the information? a. "Remove the label from the bottle and throw in the trash." b. "Flush the medication down the disposal." c. "Mix the medications with kitty litter, place the mixture in a jar, and put the jar in the trash." d. "Dissolve the medication in water and pour down the drain."

a. "Remove the label from the bottle and throw in the trash." b. "Flush the medication down the disposal." c. "Mix the medications with kitty litter, place the mixture in a jar, and put the jar in the trash." d. "Dissolve the medication in water and pour down the drain." ANS: c. "Mix the medications with kitty litter, place the mixture in a jar, and put the jar in the trash."

22. Which statement by the nurse correctly identifies the UAP role in patient restraint use? a. "The UAP can perform initial assessment." b. "The UAP can apply a restraint." c. "The UAP can assist with applying and monitoring of a physical restraint." d. "The UAP can contact the health care provider and request an order for restraints."

a. "The UAP can perform initial assessment." b. "The UAP can apply a restraint." c. "The UAP can assist with applying and monitoring of a physical restraint." d. "The UAP can contact the health care provider and request an order for restraints." ANS: c. "The UAP can assist with applying and monitoring of a physical restraint."

9. A nurse is teaching a community group of school-aged parents about safety. The most important item to prioritize and explain is how to check the proper fit of which one of the following? a. A bicycle helmet. b. Swimming goggles. c. Soccer shin guards. d. Baseball sliding shorts.

a. A bicycle helmet. b. Swimming goggles. c. Soccer shin guards. d. Baseball sliding shorts. ANS: a. A bicycle helmet

A 1-year-old child is scheduled to receive an intravenous (IV) line. The most appropriate type of restraint to use for this patient to prevent removal of the IV line is which of the following? a. A wrist restraint. b. A jacket restraint. c. An elbow restraint. d. A mummy restraint.

a. A wrist restraint. b. A jacket restraint. c. An elbow restraint. d. A mummy restraint. ANS: d. A mummy restraint.

10. The nurse is presenting an educational session on safety for parents of adolescents. The nurse should include which of the following teaching points? a. Adolescents need unsupervised time with friends two to three times a week. b. Parents and friends should teach adolescents how to drive. c. Adolescents need information about the effects of beer on the liver. d. Adolescents need to be reminded to use seatbelts on long trips.

a. Adolescents need unsupervised time with friends two to three times a week. b. Parents and friends should teach adolescents how to drive. c. Adolescents need information about the effects of beer on the liver. d. Adolescents need to be reminded to use seatbelts on long trips. ANS: c. Adolescents need information about the effects of beer on the liver.

28. The nurse determines that the patient may need a restraint and recognizes which one of the following? a. An order for a restraint may be implemented indefinitely until it is no longer required by the patient. b. Restraints may be ordered on an as-needed basis. c. No order or consent is necessary for restraints in long-term care facilities. d. Restraints are to be periodically removed so that the patient can be re-evaluated.

a. An order for a restraint may be implemented indefinitely until it is no longer required by the patient. b. Restraints may be ordered on an as-needed basis. c. No order or consent is necessary for restraints in long-term care facilities. d. Restraints are to be periodically removed so that the patient can be re-evaluated. ANS: d. Restraints are to be periodically removed so that the patient can be re-evaluated.

24. Which of the following assessment findings is most critical for a patient who is currently being restrained with mechanical wrist restraints? a. Angry, loud crying. b. Urinary incontinence. c. Reddened areas on wrists. d. Hands cool to the touch.

a. Angry, loud crying. b. Urinary incontinence. c. Reddened areas on wrists. d. Hands cool to the touch. ANS: d. Hands cool to the touch.

18. A confused patient needs to have restraints applied to prevent him from pulling out his Foley catheter. Which of the following options can the nurse delegate to an unregulated care provider (UCP)? a. Applying restraints. b. Obtaining a physician's order to restrain the patient. c. Documenting the events that led to restraining the patient. d. Evaluating the effectiveness of the restraints

a. Applying restraints. b. Obtaining a physician's order to restrain the patient. c. Documenting the events that led to restraining the patient. d. Evaluating the effectiveness of the restraints ANS: a. Applying restraints.

27. The nurse has been called to a hospital room where a patient is using a hair dryer from home. The patient received an electrical shock from the dryer and is now unconscious and is not breathing. What is the best next step? a. Ask the family to leave the room. b. Check for a pulse. c. Begin chest compressions. d. Defibrillate the patient.

a. Ask the family to leave the room. b. Check for a pulse. c. Begin chest compressions. d. Defibrillate the patient. ANS: b. Check for a pulse.

17. A patient with an intravenous infusion requests a new gown after bathing. Which of the following actions is most appropriate? a. Disconnect the intravenous tubing, thread the end through the sleeve of the old gown and through the sleeve of the new gown, and reconnect. b. Thread the intravenous bag and tubing through the sleeve of the old gown and through the sleeve of the new gown without disconnecting. c. Inform the patient that a new gown is not an option while receiving an intravenous infusion in the hospital. d. Call the charge nurse for assistance because linen use is monitored and this is not a common procedure.

a. Disconnect the intravenous tubing, thread the end through the sleeve of the old gown and through the sleeve of the new gown, and reconnect. b. Thread the intravenous bag and tubing through the sleeve of the old gown and through the sleeve of the new gown without disconnecting. c. Inform the patient that a new gown is not an option while receiving an intravenous infusion in the hospital. d. Call the charge nurse for assistance because linen use is monitored and this is not a common procedure. ANS: b. Thread the intravenous bag and tubing through the sleeve of the old gown and through the sleeve of the new gown without disconnecting

14. The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous infusion. The nurse begins to develop a plan to care for the patient. Which nursing intervention should take priority? a. Gather restraint supplies. b. Try alternatives to restraint. c. Assess the patient. d. Call the physician for a restraint order.

a. Gather restraint supplies. b. Try alternatives to restraint. c. Assess the patient. d. Call the physician for a restraint order. ANS: c. assess the patient

12. The nurse knows that which assessment tool is not used to assess fall risk? a. Glasgow Falls Scale b. Johns Hopkins Hospital Fall Assessment Tool c. Morse Fall Scale d. Hendrich II Fall Risk Model

a. Glasgow Falls Scale b. Johns Hopkins Hospital Fall Assessment Tool c. Morse Fall Scale d. Hendrich II Fall Risk Model ANS: a. Glasgow Falls Scale

25. The nurse is providing information regarding safety and accidental poisoning to a grandmother who will be taking custody of a 1-year-old grandchild. Which of the following comments would indicate that the grandmother needs further instruction? a. If I think my grandchild has come in contact with a poison, I will call my local poison control centre." b. "Never induce vomiting if my grandchild drinks bleach." c. "I should call 9-1-1 if my grandchild loses consciousness." d. "If my grandchild eats a plant, I should provide syrup of ipecac."

a. If I think my grandchild has come in contact with a poison, I will call my local poison control centre." b. "Never induce vomiting if my grandchild drinks bleach." c. "I should call 9-1-1 if my grandchild loses consciousness." d. "If my grandchild eats a plant, I should provide syrup of ipecac." ANS: d. "If my grandchild eats a plant, I should provide syrup of ipecac."

21. An age-related musculoskeletal change that predisposes the older person to accidents is which of the following? a. Increase in muscle function. b. Increase in joint mobility. c. Increase in nocturia. d. Decrease in muscle strength.

a. Increase in muscle function. b. Increase in joint mobility. c. Increase in nocturia. d. Decrease in muscle strength. ANS: d. Decrease in muscle strength.

20. A nurse has conducted a timed "get up and go" test to assess an older adult's risk for a fall. The patient completes the test in 30 seconds. Based on the finding, what will the nurse do? A) Continue with the plan of care for this fully mobile patient. B) Document the time of the test and observe the patient. C) Develop a care plan for Impaired Physical Mobility. D) Maintain the patient on bedrest to prevent falling.

A) Continue with the plan of care for this fully mobile patient. B) Document the time of the test and observe the patient. C) Develop a care plan for Impaired Physical Mobility. D) Maintain the patient on bedrest to prevent falling. ANS: C) Develop a care plan for Impaired Physical Mobility.

1. What generalization can be made about safety in patient care? A) Healthcare providers exclude safety as a patient need. B) Although safety is a basic human need, it is provided by self-care. C) Safety is an important need, but not as important as self-actualization. D) Safety is a paramount concern underlying all nursing care.

A) Healthcare providers exclude safety as a patient need. B) Although safety is a basic human need, it is provided by self-care. C) Safety is an important need, but not as important as self-actualization. D) Safety is a paramount concern underlying all nursing care. ANS: D) Safety is a paramount concern underlying all nursing care.

2. A nurse making a home visit for a patient living in a high-crime area observes that the apartment building does not have outside lighting. Why is this an important assessment? A) It will make the patient less able to go to social gatherings. B) Assessment includes risk factors in the home. C) Although important, this assessment is irrelevant to care. D) Nurses in home healthcare are not concerned with safety

A) It will make the patient less able to go to social gatherings. B) Assessment includes risk factors in the home. C) Although important, this assessment is irrelevant to care. D) Nurses in home healthcare are not concerned with safety ANS: B) Assessment includes risk factors in the home.

19. Nurses provide many interventions to prevent falls in healthcare settings. Which of the following would be an appropriate fall-prevention intervention? A) Keep bed in the high position. B) Keep side rails up at all times. C) Apply restraints to all confused patients. D) Lock wheels on beds and wheelchairs.

A) Keep bed in the high position. B) Keep side rails up at all times. C) Apply restraints to all confused patients. D) Lock wheels on beds and wheelchairs. ANS: D) Lock wheels on beds and wheelchairs.

17. A nurse is teaching parents about Internet safety for their children. Which of the following are recommended guidelines for Internet use? Select all that apply. A) Keep identifying information posted on the Web sites. B) Use filtering software to block objectionable information. C) Investigate any public chat rooms used by the children. D) Emphasize that everything read online is usually true. E) Be alert for downloaded files with suffixes that indicate images or pictures. F) Consider locating the computer in a central location in the house.

A) Keep identifying information posted on the Web sites. B) Use filtering software to block objectionable information. C) Investigate any public chat rooms used by the children. D) Emphasize that everything read online is usually true. E) Be alert for downloaded files with suffixes that indicate images or pictures. F) Consider locating the computer in a central location in the house. ANS: B) Use filtering software to block objectionable information. E) Be alert for downloaded files with suffixes that indicate images or pictures. F) Consider locating the computer in a central location in the house.

9. Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub? A) Noncompliance B) Risk for Suffocation C) Risk for Falls D) Risk for Imbalanced Body Temperature

A) Noncompliance B) Risk for Suffocation C) Risk for Falls D) Risk for Imbalanced Body Temperature ANS: B) Risk for Suffocation

14. An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse? A) Nothing; the nurse has no control over the toddler's home. B) Refer the caregivers of the toddler to a home health nurse. C) Verbally confront the caregivers about the suspicions. D) Report suspicions about the abuse to proper authorities

A) Nothing; the nurse has no control over the toddler's home. B) Refer the caregivers of the toddler to a home health nurse. C) Verbally confront the caregivers about the suspicions. D) Report suspicions about the abuse to proper authorities ANS: D) Report suspicions about the abuse to proper authorities

23. A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out? A) Place it in the patient's medical record. B) Take it home and keep it locked up. C) Maintain it according to agency policy. D) Include it with documentation of the error.

A) Place it in the patient's medical record. B) Take it home and keep it locked up. C) Maintain it according to agency policy. D) Include it with documentation of the error. ANS: C) Maintain it according to agency policy.

10. A confused elderly woman who keeps attempting to remove tubes from her surgical incision is placed in wrist restraints. Which of the following diagnoses would be appropriate for this patient? A) Risk for Contamination B) Risk for Trauma C) Risk for Falls D) Risk for Disuse Syndrome

A) Risk for Contamination B) Risk for Trauma C) Risk for Falls D) Risk for Disuse Syndrome ANS:D) Risk for Disuse Syndrome

18. A nurse specializes in caring for victims of domestic violence. Which of the following statements accurately describes domestic violence in the United States? Select all that apply. A) Studies indicate that each year, more than 2,000,000 adults in the United States are victims of intimate partner violence. B) Intimate partner violence is domestic violence or battering between two people who are married. C) More than 85% of those abused in intimate partner violence are women. D) Many men who batter their spouses also batter their children. E) There is no evidence linking childhood sexual abuse to adult physical symptoms or substance abuse. F) Nurses are advised to suggest other resources for the victims of violence instead of providing their own counseling.

A) Studies indicate that each year, more than 2,000,000 adults in the United States are victims of intimate partner violence. B) Intimate partner violence is domestic violence or battering between two people who are married. C) More than 85% of those abused in intimate partner violence are women. D) Many men who batter their spouses also batter their children. E) There is no evidence linking childhood sexual abuse to adult physical symptoms or substance abuse. F) Nurses are advised to suggest other resources for the victims of violence instead of providing their own counseling. ANS: A) Studies indicate that each year, more than 2,000,000 adults in the United States are victims of intimate partner violence.C) More than 85% of those abused in intimate partner violence are women. D) Many men who batter their spouses also batter their children.

24. In what situation would the use of side rails not be considered a restraint? A) The nurse keeps them raised at all times. B) The institution's policies mandate using side rails. C) A visitor requests their use. D) A patient requests they be up at night.

A) The nurse keeps them raised at all times. B) The institution's policies mandate using side rails. C) A visitor requests their use. D) A patient requests they be up at night. ANS: D) A patient requests they be up at night.

22. The nurse is following the Joint Commission's national patient safety goals when giving medications. Based on these goals, how can the nurse improve the accuracy of patient identification? A) Use two patient identifiers (neither to be the room number). B) Use two patient identifiers (one may be the room number). C) Check the patient's armband three times. D) Say to the patient "are you Mrs. Jones?"

A) Use two patient identifiers (neither to be the room number). B) Use two patient identifiers (one may be the room number). C) Check the patient's armband three times. D) Say to the patient "are you Mrs. Jones?" ANS: A) Use two patient identifiers (neither to be the room number).

16. An adolescent has recently had a ring inserted into her navel. What is the adolescent at risk for developing? A) a scar over the navel B) a local and/or systemic infection C) a greater acceptance by peers D) a strained relationship with parents

A) a scar over the navel B) a local and/or systemic infection C) a greater acceptance by peers D) a strained relationship with parents ANS: B) a local and/or systemic infection

25. Bioterrorism has become a commonly used term. What is the definition of bioterrorism? A) a verbal threat by those wishing to harm specific individuals B) a written threat calculated to produce terror in a family C) the deliberate spread of pathogens into a community D) a worldwide plan to produce illness and injury

A) a verbal threat by those wishing to harm specific individuals B) a written threat calculated to produce terror in a family C) the deliberate spread of pathogens into a community D) a worldwide plan to produce illness and injury ANS: C) the deliberate spread of pathogens into a community

12. A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus? A) alcohol consumption and smoking B) infant hygiene and feeding C) the stages of labor with possible complications D) the role of the father in proper prenatal care

A) alcohol consumption and smoking B) infant hygiene and feeding C) the stages of labor with possible complications D) the role of the father in proper prenatal care ANS: A) alcohol consumption and smoking

7. Which of the following people is at greater risk for accidental injury? A) an infant just learning to crawl B) an older adult who walks 2 miles a day C) an athlete who exercises on a regular basis D) a worker who operates industrial machines

A) an infant just learning to crawl B) an older adult who walks 2 miles a day C) an athlete who exercises on a regular basis D) a worker who operates industrial machines ANS: D) a worker who operates industrial machines

26. A patient arrives at the Emergency Department with nausea, hematemesis, fever, abdominal pain, and severe diarrhea. There is a suspicion the patient has been exposed to the anthrax bacillus. What category of medications will be administered? A) antimicrobials B) narcotics C) antihistamines D) antacids

A) antimicrobials B) narcotics C) antihistamines D) antacids ANS: A) antimicrobials

29. When should a healthcare facility determine how to deliver care if an emergency or disaster occurs? A) as soon as the disaster is announced publicly B) when it is officially informed that a disaster has occurred C) after the first disaster has been experienced D) in advance of a possible emergency or disaster

A) as soon as the disaster is announced publicly B) when it is officially informed that a disaster has occurred C) after the first disaster has been experienced D) in advance of a possible emergency or disaster ANS: D) in advance of a possible emergency or disaster

13. What safety device for children is mandated by law in all 50 states? A) bumper pads in baby cribs B) infant car seats and carriers C) automatic hot water heater controls D) parental controls for Internet access

A) bumper pads in baby cribs B) infant car seats and carriers C) automatic hot water heater controls D) parental controls for Internet access ANS: B) infant car seats and carriers

27. If an individual has smallpox, how would it most likely be spread? A) fecal-oral route B) direct contact C) contaminated items D) by birds

A) fecal-oral route B) direct contact C) contaminated items D) by birds ANS: B) direct contact

21. An elderly woman in a long-term care facility has fallen and sustained several injuries. Which of her injuries would be the most serious fall-related injury? A) fractured hip B) fractured ulna C) lacerated lip D) thigh contusion

A) fractured hip B) fractured ulna C) lacerated lip D) thigh contusion ANS: A) fractured hip

11. Which set of terms best describes first-aid care? A) long-term, chronic illness B) professional, hospital C) immediate, temporary D) skilled, complex

A) long-term, chronic illness B) professional, hospital C) immediate, temporary D) skilled, complex ANS: C) immediate, temporary

5. A nurse is assessing a patient who recently had a stroke. What is one area of assessment necessary to promote safety? A) skin integrity B) neuromuscular status C) hygiene D) abdominal integrity

A) skin integrity B) neuromuscular status C) hygiene D) abdominal integrity ANS:B) neuromuscular status

4. A patient is very anxious and states, "I am so stressed." Why do these factors affect the patient's safety? A) stress increases retention of information B) stress affects interpersonal relationships C) stress increases concern about hazards D) stress tends to narrow the attention span

A) stress increases retention of information B) stress affects interpersonal relationships C) stress increases concern about hazards D) stress tends to narrow the attention span ANS: D) stress tends to narrow the attention span

28. Which of the following is an example of a natural disaster? A) toxic spill B) war C) terrorist event D) earthquake

A) toxic spill B) war C) terrorist event D) earthquake ANS: D) earthquake

8. What age group is most vulnerable to toxic fumes or asphyxiation? A) young children B) adolescents C) young adults D) middle adults

A) young children B) adolescents C) young adults D) middle adults ANS: A) young children

6. A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision. On the basis of this assessment, the patient will benefit the most from which of the following actions? a. Installing fluorescent lighting throughout the house b. Evaluating the need to reposition furniture c. Maintaining complete bed rest in a hospital bed with side rails d. Applying physical restraints

a. Installing fluorescent lighting throughout the house b. Evaluating the need to reposition furniture c. Maintaining complete bed rest in a hospital bed with side rails d. Applying physical restraints ANS: b. Evaluating the need to reposition furniture

15. Equipment-related accidents are risks in the health care agency. The nurse assesses for this risk when using which of the following? a. Intravenous (IV) pumps. b. A device that measures urine. c. Computer-based documentation. d. A manual medication-dispensing device.

a. Intravenous (IV) pumps. b. A device that measures urine. c. Computer-based documentation. d. A manual medication-dispensing device. ANS: a. Intravenous (IV) pumps

21. The nurse knows which method to be an appropriate way to tie restraints? a. Knot tied to the bed frame b. Quick-release knot tied to the side rail c. Bow tied to the bed rail d. Quick-release ties attached to the bed frame

a. Knot tied to the bed frame b. Quick-release knot tied to the side rail c. Bow tied to the bed rail d. Quick-release ties attached to the bed frame ANS: d. Quick-release ties attached to the bed frame

7. The nurse recognizes that a patient is using a portable generator in the house as a power source. What source of poisoning does the nurse appropriately identify? a. Lead b. Carbon monoxide c. Antifreeze d. Pesticide

a. Lead b. Carbon monoxide c. Antifreeze d. Pesticide ANS: b. carbon monoxide

8. The nurse knows that children in late infancy and toddlerhood are at risk for injury from which of the following? a. Learning to walk. b. Trying to pull up on furniture. c. Being dropped by a caregiver. d. Growing ability to explore and oral activity.

a. Learning to walk. b. Trying to pull up on furniture. c. Being dropped by a caregiver. d. Growing ability to explore and oral activity. ANS: d. Growing ability to explore and oral activity.

19. The nurse is ambulating a patient back from the bathroom when the patient begins to have a seizure. Which action should the nurse do first? a. Lower the patient to the floor if standing. b. Move sharp or hard objects away from the patient. c. Turn the patient's head to the side to prevent aspiration. d. Attempt to place a tongue blade to prevent choking.

a. Lower the patient to the floor if standing. b. Move sharp or hard objects away from the patient. c. Turn the patient's head to the side to prevent aspiration. d. Attempt to place a tongue blade to prevent choking. ANS: a. Lower the patient to the floor if standing.

2. The nurse knows changes in which body system affect overall mobility increasing the propensity of falling? a. Neurologic b. Hepatic c. Cardiopulmonary d. Musculoskeletal

a. Neurologic b. Hepatic c. Cardiopulmonary d. Musculoskeletal ANS: d. Musculoskeletal

19. According to the Hendrich II Fall Risk Model, a patient with a risk score of 6 is considered to be at which risk level? a. No risk. b. Low risk. c. Medium risk. d. High risk.

a. No risk. b. Low risk. c. Medium risk. d. High risk. ANS: D. high risk

14. Which collaborative team member would be most effective in assisting the nurse to identify medication alternatives that are less likely to cause drowsiness and dizziness to reduce the risk of falls in the elderly patient? a. Nursing case manager b. Charge nurse c. Physical therapist d. Pharmacist

a. Nursing case manager b. Charge nurse c. Physical therapist d. Pharmacist ANS: d. pharmacist

5. The nurse manager is developing a training guide and identifies which organization that is the best for resources to help develop guidelines to prevent exposure to hazardous situations and decrease the risk of injury in the workplace? a. OSHA (Occupational Safety and Health Administration) b. CDC (Centers for Disease Control and Prevention) c. QSEN (Quality and Safety Education for Nurses) d. NIOSH (National Institute for Occupational Safety and Health)

a. OSHA (Occupational Safety and Health Administration) b. CDC (Centers for Disease Control and Prevention) c. QSEN (Quality and Safety Education for Nurses) d. NIOSH (National Institute for Occupational Safety and Health) ANS: a. OSHA (Occupational Safety and Health Administration)

1. The nursing instructor asks the student nurse to identify what Robert Wood Johnson Foundation funded project that focuses on nurses' increased attention to patient safety? a. OSHA (Occupational Safety and Health Agency) b. MSDS (material safety data sheets) c. QSEN (Quality and Safety Education for Nurses) d. ADA (Americans with Disability Act)

a. OSHA (Occupational Safety and Health Agency) b. MSDS (material safety data sheets) c. QSEN (Quality and Safety Education for Nurses) d. ADA (Americans with Disability Act) ANS: c. QSEN (Quality and Safety Education for Nurses)

15. The nurse is concerned about helping the patient find resources to obtain assistive equipment to be used in the home. Which team member should the nurse contact first? a. Occupational therapist b. Physical therapist c. Health care provider d. Social worker

a. Occupational therapist b. Physical therapist c. Health care provider d. Social worker ANS: d. Social worker

20. The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client? a. Orient the patient frequently. b. Apply restraints. c. Move the patient to a room close to the nurse's station. d. Encourage the family to spend time with the patient

a. Orient the patient frequently. b. Apply restraints. c. Move the patient to a room close to the nurse's station. d. Encourage the family to spend time with the patient ANS: b. Apply restraints.

3. The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when exercise is attempted. The nurse is concerned that the patient's decrease in activity may lead to which outcome? a. Orthostatic hypotension b. Increase risk of heart disease c. Loss of short-term memory d. Worsening shortness of breath

a. Orthostatic hypotension b. Increase risk of heart disease c. Loss of short-term memory d. Worsening shortness of breath ANS: a. Orthostatic hypotension b. Increase risk of heart disease

13. The patient has a nursing diagnosis of Risk for Falls. The nurse identifies which goal to be most important? a. Patient will ambulate twice a day. b. Patient will have no symptoms of infection. c. Patient will perform activities of daily living. d. Patient will have no injuries during hospital stay.

a. Patient will ambulate twice a day. b. Patient will have no symptoms of infection. c. Patient will perform activities of daily living. d. Patient will have no injuries during hospital stay. ANS: d. Patient will have no injuries during hospital stay.

26. An elderly patient presents to the hospital with a history of falls, confusion, and stroke. The nurse determines that the patient is at high risk for falls. Which of the following interventions is most appropriate for the nurse to take? a. Place the patient in restraints. b. Lock beds and wheelchairs when transferring. c. Place a bath mat outside the tub. d. Silence fall alert alarm upon request of family

a. Place the patient in restraints. b. Lock beds and wheelchairs when transferring. c. Place a bath mat outside the tub. d. Silence fall alert alarm upon request of family ANS: b. Lock beds and wheelchairs when transferring.

11. The nurse displays an understanding of high-risk populations for MRSA when identifying which group as the lowest risk? a. Prison inmates b. College dorm residents c. Team athletes d. Food service workers

a. Prison inmates b. College dorm residents c. Team athletes d. Food service workers ANS: d. Food service workers

18. The staff nurse knows that many health care facilities use the fire emergency response defined by which acronym? a. RACE b. PASS c. PACE d. QSEN

a. RACE b. PASS c. PACE d. QSEN ANS: a. RACE

3. A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 34.9°C (94.8°F), blood pressure 100/56, apical pulse 56, respiratory rate 12. Which of the vital signs should be addressed immediately? a. Respiratory rate b. Temperature c. Apical pulse d. Blood pressure

a. Respiratory rate b. Temperature c. Apical pulse d. Blood pressure ANS: b. Temperature

23. A confused patient is restless and continues to try to remove his oxygen and urinary catheter. What are the priority nursing diagnosis and intervention to implement for this patient? a. Risk for injury: Prevent harm to patient, and use restraints if alternatives fail. b. Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter. c. Disturbed body image: Encourage patient to express concerns about body. d. Caregiver role strain: Identify resources to assist with care.

a. Risk for injury: Prevent harm to patient, and use restraints if alternatives fail. b. Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter. c. Disturbed body image: Encourage patient to express concerns about body. d. Caregiver role strain: Identify resources to assist with care. ANS: a. Risk for injury: Prevent harm to patient, and use restraints if alternatives fail.

22. The patient is confused, is trying to get out of bed, and is pulling at the IV infusion tubing. These data would help to support which nursing diagnosis? a. Risk for poisoning. b. Knowledge deficit. c. Impaired home maintenance. d. Risk for injury

a. Risk for poisoning. b. Knowledge deficit. c. Impaired home maintenance. d. Risk for injury ANS: d. Risk for injury

16. The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 84-year-old independent female patient who lives alone and says she drives only to church, to the doctor's office, and for groceries. What change has the greatest potential for affecting the patient's safety? a. Taking public transportation whenever it is available. b. Planning all trips around church and doctor appointments. c. Planning to drive for short trips and only during daylight hours. d. Arranging for family and friends to drive the patient whenever possible.

a. Taking public transportation whenever it is available. b. Planning all trips around church and doctor appointments. c. Planning to drive for short trips and only during daylight hours. d. Arranging for family and friends to drive the patient whenever possible. ANS: c. Planning to drive for short trips and only during daylight hours.

1. The nurse is explaining the National Patient Safety Goals (NPSG) to the student nurse. Which answers indicate that the student has a good understanding of these goals? (Select all that apply.) a. The NPSG's focus on treating chronic infections quickly b. The NPGS's focus on improving staff communication c. The NPGS's focus on using medications safely d. The NPGS's focus on identifying patients correctly

a. The NPSG's focus on treating chronic infections quickly b. The NPGS's focus on improving staff communication c. The NPGS's focus on using medications safely d. The NPGS's focus on identifying patients correctly ANS: b. The NPGS's focus on improving staff communication c. The NPGS's focus on using medications safely d. The NPGS's focus on identifying patients correctly

2. The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon completing the health history, which priority concern would require collaboration with social services to address the patient's health care needs? a. The electricity was turned off 2 days ago. b. The water comes from the county water supply. c. A son and family recently moved into the home. d. The home is not furnished with a microwave oven.

a. The electricity was turned off 2 days ago. b. The water comes from the county water supply. c. A son and family recently moved into the home. d. The home is not furnished with a microwave oven. ANS: a. The electricity was turned off 2 days ago.

13. The nurse is discussing with a patient's physician the need for restraint. The nurse indicates that alternatives have been utilized. What behaviours would indicate that the alternatives are working? a. The patient continues to get up from the chair at the nurses' station. b. The patient apologizes for being "such a bother." c. The patient folds three washcloths over and over. d. The sitter leaves the patient alone to go to lunch.

a. The patient continues to get up from the chair at the nurses' station. b. The patient apologizes for being "such a bother." c. The patient folds three washcloths over and over. d. The sitter leaves the patient alone to go to lunch. ANS: c. The patient folds three washcloths over and over.

12. The nurse is caring for a hospitalized patient. Which of the following behaviours alerts the nurse to consider the need for restraint? a. The patient refuses to call for help to go to the bathroom. b. The patient continues to remove the nasogastric tube. c. The patient gets confused regarding the time at night. d. The patient does not sleep and continues to ask for items.

a. The patient refuses to call for help to go to the bathroom. b. The patient continues to remove the nasogastric tube. c. The patient gets confused regarding the time at night. d. The patient does not sleep and continues to ask for items. ANS: b. The patient continues to remove the nasogastric tube.

29. The student nurse is caring for a patient in restraints. The nursing instructor has asked the student to document information about the restraints in the medical record. Which following piece of information that the student wishes to include would prompt the nursing instructor to provide further direction to the student? a. The patient states that her gown is soiled and needs changing. b. Attempts to distract the patient with television are unsuccessful. c. The patient has been placed in bilateral wrist restraints at 0815 hours. d. Released from restraints, active range-of-motion exercises complete.

a. The patient states that her gown is soiled and needs changing. b. Attempts to distract the patient with television are unsuccessful. c. The patient has been placed in bilateral wrist restraints at 0815 hours. d. Released from restraints, active range-of-motion exercises complete. ANS: a. The patient states that her gown is soiled and needs changing.

3. The nurse is providing education to a community group on environmental safety. Which safety measures are effective in improving their environmental safety? (Select all that apply.) a. Use of night-lights throughout the home b. Illumination of stairwells and pathways c. Installation of motion-activated lighting on the exterior of the home d. Application of wax to all floors to increase shine e. Staying indoors when air pollution is high

a. Use of night-lights throughout the home b. Illumination of stairwells and pathways c. Installation of motion-activated lighting on the exterior of the home d. Application of wax to all floors to increase shine e. Staying indoors when air pollution is high ANS: a. Use of night-lights throughout the home b. Illumination of stairwells and pathways c. Installation of motion-activated lighting on the exterior of the home e. Staying indoors when air pollution is high

6. A patient with type 1 diabetes has impaired sensation in her lower extremities. What teaching would be necessary to reduce her risk of injury? A) "Always test the temperature of bath water before stepping in." B) "Take your insulin twice a day as we have discussed." C) "Remember to follow your diet so you lose weight this month." D) "Rub lotion on the skin of your legs and feet twice a day."

A) "Always test the temperature of bath water before stepping in." B) "Take your insulin twice a day as we have discussed." C) "Remember to follow your diet so you lose weight this month." D) "Rub lotion on the skin of your legs and feet twice a day." ANS: A) "Always test the temperature of bath water before stepping in."

30. What statement by a patient would indicate that a nurse had successfully implemented a teaching/learning strategy to prevent injury in the home? A) "I will turn off the outside lights and lock the doors every night." B) "Do you think it would be best for me to buy a gun?" C) "I am going to remove all those throw rugs on the floor." D) "Well, I always let the boys play in the bathtub; they love it."

A) "I will turn off the outside lights and lock the doors every night." B) "Do you think it would be best for me to buy a gun?" C) "I am going to remove all those throw rugs on the floor." D) "Well, I always let the boys play in the bathtub; they love it." ANS: C) "I am going to remove all those throw rugs on the floor."

3. Which of the following are examples of developmental risk factors? Select all that apply. A) A toddler is allowed to crawl in a house that has not been childproofed. B) A machinist works in an environment that exposes him to loud noises. C) A sales executive worries that he won't make his yearly sales quota. D) An elderly woman in a long-term healthcare facility is at high risk for falls. E) A 42-year-old woman is unable to move her left side following a stroke. F) A teenager has difficulty ambulating following multiple fractures from a MVA

A) A toddler is allowed to crawl in a house that has not been childproofed. B) A machinist works in an environment that exposes him to loud noises. C) A sales executive worries that he won't make his yearly sales quota. D) An elderly woman in a long-term healthcare facility is at high risk for falls. E) A 42-year-old woman is unable to move her left side following a stroke. F) A teenager has difficulty ambulating following multiple fractures from a MVA ANS: A) A toddler is allowed to crawl in a house that has not been childproofed. D) An elderly woman in a long-term healthcare facility is at high risk for falls.

15. A grade school nurse is addressing parents at a PTA meeting regarding car safety. Which of the following is a recommended safety guideline for this age group? A) All school-aged children need to be secured in safety seats. B) Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age. C) Children under 8 years old should ride in the back seat. D) All school-aged children need to be secured in lap seat belts.

A) All school-aged children need to be secured in safety seats. B) Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age. C) Children under 8 years old should ride in the back seat. D) All school-aged children need to be secured in lap seat belts. ANS: B) Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age.