Chapter 27 PrepU Questions - Safety, Security, and Emergency Preparedness

A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply. A. Drowsiness B. Fever C. Headache D. Increased thirst F. Vomiting

A. Drowsiness C. Headache F. Vomiting

A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home? A. Most people who die in house fires die of smoke inhalation rather than burns. B. Most fatal home fires occur while people are cooking. C. About 10% of home fire deaths occur in a home without a smoke detector. D. Most home fires are caused by children playing with matches.

A. Most people who die in house fires die of smoke inhalation rather than burns.

The nurses on a critical care unit can utilize the safety strategy of redundancy by: A. having two nurses independently check the dosage of high-risk medications. B. ensuring the antidotes are readily available for certain high-risk medications. C. introducing equipment that makes it more difficult for a nurse to commit an error. D. introducing a brief waiting period between the time that a medication is ordered and the time that it is administered.

A. having two nurses independently check the dosage of high-risk medications.

Which statement by a client would indicate that a nurse had successfully implemented an educational strategy to prevent injury in the home? A. "I turn off the outside lights and lock the doors every night." B. "I place my phone next to my bed during the night for emergencies." C. "I have removed all throw rugs on the floor." D. "I have taken a CPR and first aid class."

C. "I have removed all throw rugs on the floor."

When educating parents about the safety of preschool-aged children, which is most important for the nurse to include in the presentation? A. Safety equipment should be used during sports activities to decrease fear. B. Weapons should be kept in a closet to prevent access by children. C. At home chemicals should be kept in a locked cabinet. D. Teach children to greet unfamiliar animals to make friends.

C. At home chemicals should be kept in a locked cabinet.

One of the leading causes of death in the United States is drowning. How can the nurse assist in lowering this statistic? A. Educate children in cardiopulmonary resuscitation. B. Begin swim lessons with toddlers. C. Implement drowning prevention strategies. D. Require fencing around all pools.

C. Implement drowning prevention strategies.

A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan? A. Lock all cabinets that contain cleaning supplies. B. Keep all pots and pans in lower cabinets. C. Give warm bottles of formula to the baby. D. Restrain the baby in a car seat.

D. Restrain the baby in a car seat.

A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls? A. Involve family members in the client's care. B. Allow the client to use the bathroom independently. C. Keep the client sedated with tranquilizers. D. Maintain a high bed position so the client will not attempt to get out unassisted.

A. Involve family members in the client's care.

The nurse on a medical-surgical unit notices smoke from a client's room. Upon entering, the nurse notes that the curtain in the room is on fire. What should be the nurse's first action? A. Remove the client from the room. B. Obtain the fire extinguisher. C. Activate the fire alarm. D. Close the client's door.

A. Remove the client from the room.

The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response? A. "Did you leave the household chemical in reach of your child?" B. "Is your child breathing at this time?" C. "You should not have left your child alone while you showered." D. "Induce vomiting and call 911 right away."

B. "Is your child breathing at this time?"

The nurse has just admitted a client with a latex allergy to the medical-surgical nursing floor. Which is the priority nursing intervention? A. Flag the room door. B. Apply an allergy-alert identification bracelet on the client. C. Notify the interdisciplinary health care team to use nonlatex equipment. D. Teach the client to wear a Medic-Alert bracelet.

B. Apply an allergy-alert identification bracelet on the client.

A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take? A. Evacuate the unit. B. Pull the fire alarm lever. C. Confine the fire. D. Extinguish the fire.

B. Pull the fire alarm lever.

The nurse has received a medication order over the telephone from a provider. What is the next appropriate nursing action? A. Prepare the medication for administration. B. Repeat or read back the order. C. Document the order in the electronic health record (EHR). D. Identify the client by last name and date of birth.

B. Repeat or read back the order.

The nurse is caring for an 80-year-old client who was admitted to the hospital in a confused and dehydrated state. After the client got out of bed and fell, restraints were applied. She began to fight and was rapidly becoming exhausted. She has black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this client? A. Sedate her with sleeping pills and leave the restraints on. B. Take the restraints off, stay with her, and talk gently to her. C. Leave the restraints on and talk with her, explaining that she must calm down. D. Talk with the client's family about taking her home because she is out of control.

B. Take the restraints off, stay with her, and talk gently to her.

An administrative assistant at a large factory visits the medical unit and tells the nurse she is having pain in the right wrist, numbness in the index finger, and decreased mobility of the right hand. The nurse suspects the client has: A. a fracture of the hand. B. carpal tunnel syndrome. C. a herniated cervical disc. D. an infection in the bone.

B. carpal tunnel syndrome.

A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety? A. "Your home needs to be a safe environment as older adults have a tendency to fall." B. "I think you should replace your small rugs with skid-resistant rugs on the floor." C. "I am concerned that the small rugs in your home can be a tripping hazard." D. "You need to remove the small rugs from your house or you will fall."

C. "I am concerned that the small rugs in your home can be a tripping hazard."

Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? A. Past experience B. Poor judgment C. Social pressure D. Normal rebellion

C. Social pressure

A nurse was injured when a client with Alzheimer disease struck the nurse on the side of the head during a transfer. The nurse has completed an incident report. Which statement about an incident report is most accurate? A. The report becomes a confidential part of the client's health record once it is reviewed by hospital administration. B. The incident report is reviewed by state agencies and the Occupational Safety and Health Administration rather than by hospital administration. C. The report provides a detailed and objective account of the circumstances before, during, and after the event. D. The client and the client's family will be required to sign the report, acknowledging that they read it before it was filed.

C. The report provides a detailed and objective account of the circumstances before, during, and after the event.

The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug use? A. 19-year-old male college student majoring in physics B. 25-year-old female who just accepted her first job C. 34-year-old male who does not use a seat belt D. 40-year-old female who is working two jobs

A. 19-year-old male college student majoring in physics

The nurse is reviewing a health care provider's orders in the electronic health record (EHR) and notices several abbreviations. What is the appropriate nursing action? A. Fix the abbreviations in the EHR. B. Confirm the abbreviations with another nurse. C. Administer medications as ordered. D. Contact the health care provider to clarify the orders.

D. Contact the health care provider to clarify the orders.

The nurse is admitting a client to a medical-surgical unit who states, "If someone brings balloons to me, I might have trouble breathing." What is the appropriate nursing action? A. Keep balloons on the opposite side of the client's room. B. Remind the client that oranges and spinach can cause a cross-reaction. C. Assure the client that balloons do not cause breathing difficulties. D. Replace common health care items with latex-free equipment.

D. Replace common health care items with latex-free equipment.

The nurse is teaching a nursing student about proper latex glove use. Which teaching will the nurse include? A. Use powdered gloves. B. Snap the gloves when applying them to ensure proper fit. C. Use hand cream or lotion after removing gloves to preserve skin integrity. D. Wash hands thoroughly after removing gloves with a pH-balanced soap.

D. Wash hands thoroughly after removing gloves with a pH-balanced soap.

A large health care organization has committed to promoting a just culture when adverse events and near misses take place. Which question will guide the organization's response when a nurse commits an error? A. "How did the nurse's actions contribute to this error?" B. "How have other organizations responded to nurses in events like this?" C. "Have the client and the family been informed about this?" D. "What is the organization's legal liability in this matter?"

A. "How did the nurse's actions contribute to this error?"

A nurse is performing safety assessments in a health care facility. Which statements reflect considerations a nurse should keep in mind when assessing a client for safety? Select all that apply. A. A person with a history of falls is likely to fall again. B. Some people are more at risk for accidents than others. C. Fires are responsible for most hospital incidents. D. Between 15% and 25% of falls result in fractures or soft tissue injury. E. A medication regimen that includes diuretics or analgesics places an individual at risk for falls. F. A nurse whose behavior is reasonable and prudent, and similar to what would be expected of another nurse in a similar circumstance, is still likely to be found liable if a client falls, especially if an injury results.

A. A person with a history of falls is likely to fall again. B. Some people are more at risk for accidents than others. E. A medication regimen that includes diuretics or analgesics places an individual at risk for falls.

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply. A. Client-centered care B. Teamwork and collaboration C. Establishment of clinical career ladders D. Revamping the licensing requirements for foreign-educated nurses E. Quality improvement (QI)

A. Client-centered care B. Teamwork and collaboration E. Quality improvement (QI)

When educating families on fire safety in the home, which information is important for the nurse to emphasize? A. Have a meeting place outside the home in case of fire. B. Account for all members and then exit together. C. Use extension cords to prevent shock. D. Keep a fire extinguisher in a closet.

A. Have a meeting place outside the home in case of fire.

A nurse follows the universal client compact principles for partnership when providing care for clients. Which nursing action reflects this philosophy? A. The nurse includes the client as a member of the health care team. B. The nurse confers with members of the health care team but does not ask for family input from the assigned advocate of the client. C. The nurse makes health care decisions for a client who is uncooperative. D. The nurse does not allow the client to review his or her own medical information.

A. The nurse includes the client as a member of the health care team.

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report? A. The nurse should record the incident in the client's medical record and fill out a safety event report separately. B. The nurse should include a note on the client's chart that mentions the report. C. The nurse should await results of the x-ray before filing the report. D. The nurse should make a copy of the safety event report and place it in the client's medical record.

A. The nurse should record the incident in the client's medical record and fill out a safety event report separately.

The nurse is on a radiologic emergency response team. There was a limited nuclear accident at a nearby laboratory. Employees at the laboratory who were exposed to the radiation are being transported to the hospital. What nursing actions would protect the clients and nurse? Select all that apply. A. Wear a radiation detection device. B. Don gear that would protect the nurse from radiation exposure. C. Decontaminate the clients in the showers of the clients' assigned hospital rooms. D. Ask the client how long he or she was exposed to radiation. E. Determine the client's distance from the radiation source at the time of exposure.

A. Wear a radiation detection device. B. Don gear that would protect the nurse from radiation exposure. D. Ask the client how long he or she was exposed to radiation. E. Determine the client's distance from the radiation source at the time of exposure.

A staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of a chemical restraint? A. a dose of an antipsychotic B. side rails C. a geriatric chair with a tray D. a dose of an analgesic

A. a dose of an antipsychotic

The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client? A. an 84-year-old male with four recent driving violations B. a 12-year-old male who sprained his wrist skateboarding C. a 42-year-old female who is a single mom with a sick child home from school D. a 16-year-old pregnant female who has morning sickness

A. an 84-year-old male with four recent driving violations

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to: A. experimentation with drugs and inhalants. B. the ingestion of substances in the home that contain lead. C. exposure to toxic fumes in the home. D. malfunction of a carbon monoxide monitor in the home.

A. experimentation with drugs and inhalants.

Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning? A. keeping medications in clearly labeled containers B. alternatives to chemical-based cleaning supplies C. hidden sources of lead in the household environment D. avoiding the use of alternative and complementary therapies

A. keeping medications in clearly labeled containers

The nurse is working at a local elementary school. A mother arrives to pick up her 6-year-old son and has her 2-year-old daughter in tow. Based on the nurse's developmental knowledge of toddlers, which behavior would most concern the nurse? A. the 2-year-old leaning against the screen of a window in a classroom B. the 2-year-old and 6-year-old each holding the mother's hand C. the 2-year-old helping mom to open the front door of the school D. the 6-year-old riding a bike on the playground with his friend

A. the 2-year-old leaning against the screen of a window in a classroom

What is the primary role of the nurse in the care of clients who experience domestic violence? A. Calling the police B. Identifying health education and counseling measures for the family C. Providing prompt recognition of the potential or actual threat to safety D. Serving as a witness in court

C. Providing prompt recognition of the potential or actual threat to safety