FON Chapter 10: Safety NCLEX/Elsevier Questions

The home health nurse is assessing a child for the risk of iniury. Which factor places a child at greatest risk for specific types of injuries? A. Gender of the child B. Overall health C. Educational level D. Developmental level

D. Developmental level

A nurse is working in a long-term care facility caring for older adults. What type of accident is most often experienced by an older adult? A. Asphyxiation B. Burns C. Poisoning D. Falls

D. Falls Due to physiologic changes that older adults experience, they are at risk for falls. Most falls occur when transferring to a bedside commode or to a wheelchair. The most common accident experienced by an older adult is related to the physiologic changes of aging, such as loss of vision and balance.

A type C fire extinguisher is required for which type of fire? A. Paper B. Cloth C. Grease D. Electrical

D. Electrical

During the 7 a.m. to 3 p.m. shift on the adult surgical unit, the code is announced for an external disaster emergency. Which event best represents situation? A. A school bus accident B. A bomb threat in the mail room C. A hostage-taking event in the emergency department D. An electrical fire in the maintenance department

A. A school bus accident

While reviewing fire safety, a type C fire extinguisher can only be used on which type of fire? A. Paper, wood, or cloth fire B. An electrical fire C. A fire caused by a flammable liquid D. Any type of fire

B. An electrical fire A type C fire extinguisher is used for electrical fires. A type B fire extinguisher is used for flammable liquid fires. A type A fire extinguisher is used on paper, wood, or cloth fires. An ABC fire extinguisher is used on any type of fire.

An adult patient is brought to the emergency department for treatment of an unintentional poisoning. What is the nurse's first action in caring for this patient? A. Induce vomiting. B. Assess the patient. C. Place the patient in an upright position. D. Notify the poison control center.

B. Assess the patient.

The nurse is documenting on a patient with an SRD. What information must the nurse include in this documentation? A. The nurse's feelings about having used the SRD. B. The specific type of SRD used and assessment of the patient. C. Confirmation of a prn order for use of the SRD. D. Evidence that the patient was assessed every 8 hours.

B. The specific type of SRD used and assessment of the patient.

The home health nurse is visiting an older adult patient and her husband. What safety concern is of the highest priority when the nurse is assessing this patient's home environment? A. Accidental poisoning B. Electrical shock C. Accidental falls D. Thermal burns

A. Accidental poisoning

When caring for the patient who requires the use of an SRD, what should be included in the patient's plan of care? (Select all that apply.) A. Monitor the skin for signs of impairment. B. Remove the SRD once every 2 hours. C. Secure the ends of the ties to the side rails. D. Ensure that the SRD is in place at all times. E. Reevaluate the need for the SRD frequently.

A. Monitor the skin for signs of impairment. B. Remove the SRD once every 2 hours. E. Reevaluate the need for the SRD frequently.

The LPN/LVN is reviewing the care plan of the patient who has an SRD applied for personal safety. Which is the highest priority goal for this patient? A. Patient will remain free of injury. B. Patient will allow SRDS to be used. C. Nurse will check SRD every 30 minutes. D. Use least restrictive form of SRD possible.

A. Patient will remain free of injury.

The nurse discovers smoke in a soiled utility room across the hall from a patient's room. What should the nurse's initial action be? A. Sound the fire alarm. B. Disconnect the oxygen supply. C. Use any extinguisher on the fire. D. Remove the patient from the area.

A. Sound the fire alarm.

The nurse is observing the UAP who is assisting a resident in a long-term care facility ambulate with a gait belt. Which action by the UAP indicates to the nurse that further instruction is necessary? (Select all that apply.) A. The UAP loosely fastens the gait belt around the patient's waist. B. The UAP places the gait belt on the resident before assisting the resident to a standing position. C. The UAP grasps the gait belt while assisting the resident out of bed. D. The UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair. E. The UAP explains to the resident that the gait belt is used to prevent injury to the resident and the UAP when assisting with ambulation.

A. The UAP loosely fastens the gait belt around the patient's waist. D. The UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair.

The LPN is caring for a patient who has a safety reminder device (SRD). What are the most appropriate points that need to be included in the documentation? (Select all that apply.) A. Presence of a family member or representative B. Duration of the use of the physical restraint C. Explanation given to the patient and family D. Reason for the physical restraint E. Type of safety reminder used

B. Duration of the use of the physical restraint C. Explanation given to the patient and family D. Reason for the physical restraint E. Type of safety reminder used Appropriate points to be included in documentation of a patient with an SRD include the type of restraint device, the reason for the physical restraint, an explanation given to the patient and family, the date and time of the patient's response to the treatment, duration of the use of the physical restraint, frequency of observation and patient's responses, safety (including release of the patient, exercise, and assessment of circulation and skin integrity), assessment for the continued need for the physical restraint, and patient outcomes. Although the patient's family needs to be informed of the use of restraints and the reasons for them, it is not required that a family member or representative be present.

A patient has a care plan with a patient problem of risk for injury. Which interventions would be most appropriate? (Select all that apply.) A. Allow patient to have reading materials and clothing lying about the room. B. Keep bed in low position except when care is given. C. Instruct in the use of a call bell and keep in reach at all times. D. Orient patient to the room and environment to provide familiarity. E. Assist the patient to the bathroom frequently.

B. Keep bed in low position except when care is given D. Orient patient to the room and environment to provide familiarity. E. Assist the patient to the bathroom frequently. Each of these interventions is necessary and appropriate to reduce the risk of injury.Allowing the patient to have reading materials and clothing lying about the room is inappropriate because the environment needs to be free of litter to reduce the risk of tripping and falling.

What is the first measure for the nurse to carry out in the event of a fire in the workplace? A. Use an appropriate fire extinguisher to put out the fire. B. Remove the people from the room with the fire. C. Turn the oxygen off near the fire. D. Notify the switchboard operator where the fire is located.

B. Remove the people from the room with the fire. Using the mnemonic RACE, the first priority would be to remove the people from the room with the fire. Using the mnemonic RACE, turning off oxygen near the fire, notifying the switchboard operator, or putting out the fire with an extinguisher would not be your first priorities.

The LPN is reinforcing discharge teaching with parents of a small child regarding poisoning. Which statement by the parents would indicate the need for further teaching? A. "At the pharmacy, we will ask for child-proof lids on all prescriptions." B. "We're going to install child-resistant latches on all cupboard doors." C. "We have some empty food containers that we can use for storing anything dangerous." D. "We're going to move all the plants out of reach or outside."

C. "We have some empty food containers that we can use for storing anything dangerous." Toxic substances should never be stored in food containers, but in their original containers that are labeled. In a food container, the substance may be thought of as food.The other statements indicate appropriate courses of action for preventing future poisonings.

When the staff's knowledge of the fire safety precautions is assessed, which action indicates the need for further fire safety instruction? (Select all that apply.) A. Fire exits and corridors are kept clear. B. A No Smoking sign is posted when oxygen is in use. C. A heating pad cord is taped when a frayed area is noted. D. Facility smoking policies are a part of the admission procedure for patients. E. An UAP evacuated critically ill patients on the elevator during a fire drill.

C. A heating pad cord is taped when a frayed area is noted. E. An UAP evacuated critically ill patients on the elevator during a fire drill.

The nurse is caring for a patient on a ventilator and reads the order "restrain prn." The nurse considers which factor when caring for this patient? (Select all that apply.) A. SRDS often decrease anxiety because the patient feels safer. B. All older adult patients need some type of SRD at night. C. Allow as much freedom of movement as possible when applying SRDS. D. When using soft SRDS to prevent pulling of the ventilator tubing, tie them to the side rail. E. Ensure that the nurse's two fingers can be inserted between the SRD and the patient's skin.

C. Allow as much freedom of movement as possible when applying SRDS. E. Ensure that the nurse's two fingers can be inserted between the SRD and the patient's skin.

A patient has had a wrist safety reminder device on for the last 2 hours. What is the nurse's highest priority intervention? A. Loosen the safety reminder device, but do not remove them until ordered. B. Make sure the safety reminder devices are fastened securely. C. Remove the safety reminder device and assess circulation and skin integrity. D. Assess the patient's orientation for improvements.

C. Remove the safety reminder device and assess circulation and skin integrity. When physical safety reminder devices are being used on a patient, it is important to remove them at least every 2 hours and assess the area for proper circulation and for any impairment in skin integrity. The others are not appropriate interventions for a patient who has been in restraints for 2 hours

The nurse is providing home poison control instruction to the parent of a 2-year-old boy. Which statement by the parent indicates the need for further teaching? A. "I will call the national poison control center if my child ingests a poisonous substance." B. "I will call 911 immediately if my child ingests medication that is not intended for him." C. "Child safety caps on household cleaner can still be opened by some children. D. "I will give my child syrup of ipecac if he ingests poisonous substance that is not caustic."

D. "I will give my child syrup of ipecac if he ingests poisonous substance that is not caustic."

Which newly admitted patient would be at the greatest risk for an injury? A. A patient who wears corrective lenses B. An 80-year-old patient C. A patient who has arthritis D. A patient who has a history of falls

D. A patient who has a history of falls All these patients are at risk, but the patient who has a history of falls is at the highest risk to sustain an injury; possibly from another fall.

A newly admitted patient appears to be disoriented and the nurse is considering using a safety reminder device (SRD). What is the nurse's next intervention for this patient? A. Alert the staff about the patient's confusion. B. Place the safety device on the patient's consent. C. Discuss the matter with the family. D. Obtain a health care provider's order.

D. Obtain a health care provider's order. Most facilities have specific policies regarding the use of a safety reminder device and require a specific health care provider's order to implement this intervention. The family and staff need to be informed of the use of a restraint. Although the family needs to be informed of the use of restraints, their consent is not required. The patient's consent is not required for use of restraints in this circumstance. Although the staff needs to be informed of the use of restraints for a patient, their consent is not required.

Which mnemonic is used most often to set priorities in case of a fire? A. OSHA B. ABC C. CDC D. RACE

D. RACE The priorities are: Rescue and remove all patients; Activate the alarm; Confine the fire by closing doors and window; Extinguish the fire using an extinguisher (RACE). CDC stands for Centers for Disease Control and Prevention. OSHA stands for Occupational Safety and Health Administration. ABC stands for Airway, Breathing, Circulation in performing CPR.

The occupational health nurse learns of a mercury spill that occurred in the factory in which she is employed. Which action by the nurse is correct? A. The nurse cleans the mercury spill with alcohol and ordinary cleaning cloths. B. The nurse closes all windows and doors to prevent the mercury spill from spreading out of the area. C. The nurse instructs the housekeeping staff to vacuum up the spill. D. The nurse evacuates the area and contacts trained personnel to clean up the spill.

D. The nurse evacuates the area and contacts trained personnel to clean up the spill.

The LPN/LVN is reviewing the admission information of a patient. Which information is of most concern to the nurse that this patient is at high risk for falling? A. The patient has diabetes. B. The patient had a stroke 3 years ago with no complications. C. The patient becomes disoriented in the evening hours. D. The patient wears eyeglasses and a hearing aid.

D. The patient wears eyeglasses and a hearing aid.