PrepU Questions

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

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler? A. a canister containing medication that is released when the container is compressed B. a propeller-driven device that spins and suspends a finely powdered medication C. a device that forces liquid drug through a narrow channel using pressurized air D. a device that forces medication through a narrow channel with the help of inert gas

A

A school nurse is conducting a safety seminar with students in 6th grade. Which teaching point is most important? A. "Make sure that you have smoke detectors in your house and that they're in working order." B. "If your clothes should catch on fire, go to an open area as quickly as possible." C. "Make sure that your family's microwave oven was made after 1999; otherwise, it may be a fire risk." D. "A wood-burning fireplace is a major fire risk, and it shouldn't be used unless necessary."

A

The facility where the nurse works has changed from latex gloves to vinyl, powder-free gloves to protect clients with latex allergies. Which education will the nurse provide to the unlicensed assistive personnel (UAP) about this new type of glove? A. Gloves must be changed every 30 minutes to maintain barrier protection. B. No additional teaching about vinyl, powder-free gloves is necessary. C. This is a very expensive type of glove. D. Is proven to not cause contact dermatitis.

A

A 14-year-old boy is in the clinic for his well-child exam. When the client asks his mother if she has any questions for the practitioner, she states "He sleeps so much. I am worried about how lazy he is." What does the nurse know to be true about sleep in adolescents? A. Trying to balance too many activities can result in sleep deprivation. B. Increased sleep is the result of boredom. C. Adolescents require less sleep than adults; this is clearly an underlying medical concern. D. Increased sleep guarantees adolescents will behave in a safe manner.

A

A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure ulcer on his coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event." The nurse should recognize what implication of this CMS designation? A. The hospital must bear any costs incurred for treating the client's ulcer. B. The hospital will be fined by CMS because the client developed a pressure ulcer. C. CMS will bear the hospital's costs if the client chooses to sue the hospital. D. CMS may choose to divert clients to other health care facilities in the future.

A

A client who is receiving TPN is prescribed a 10% lipid emulsion to be given at 10 a.m. When administering the lipid emulsion, the nurse uses separate tubing attached below the filter of the main IV administration set. The nurse does so to prevent: A. Clogging of the TPN filter. B. Incompatibility with the TPN solution. C. Inadvertent hyperglycemia. D. Inaccurate rate of administration.

A

A client with a central venous catheter develops a catheter-related bloodstream infection (CRBSI). The nurse understands that this infection is most commonly due to: A. Colonization of the catheter tip from migration of skin organisms at the insertion site. B. Direct contamination of the catheter or hub. C. Catheter contamination from infection found in other areas of the body. D. Contamination of the infusion solution.

A

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

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle? A. Intradermal B. Subcutaneous C. Intramuscular D. Intravenous

A

A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which action should the nurse perform to prevent gastric reflux? A. Help the client into a Fowler's position. B. Check for drug allergies in the client's history. C. Add diluted medication to the syringe. D. Administer the medication over several minutes.

A

A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety? A. Obtain a three-prong grounded plug adapter. B. Use an extension cord to provide freedom of movement. C. Tape the electrical cord of the pump to the floor. D. Run the electrical cord of the pump under the carpet.

A

A nurse is preparing to administer a transfusion of packed red blood cells to a client. Which solution would the nurse expect to use to administer the transfusion? A. Normal saline B. Lactated Ringer's C. Dextrose 5% and water D. Dextrose 50%

A

The occupational health nurse is planning a safety in-service for a group of clerical workers. Which topic would be most beneficial? A. Principles of body alignment B. The use of protective clothing C. The use of ear plugs D. Appropriate storage of combustable cleaning solutions

A

Which action directly addresses one of the Joint Commission 2015 Hospital National Safety Goals? A. A hospital has set ambitious targets for reducing the incidence of catheter-related urinary tract infections. B. A long term care facility has put new measures in place to identify residents who may be aggressive. C. A nurse has committed to exceeding the required amount of continuing education required for license renewal. D. A public health agency has changed its policies so that two nurses are always present during a home visit.

A

Which safety tip could the nurse give to parents to help decrease the risk of the leading cause of injury or death in children 1 to 4 years of age? A. "Always provide close supervision for young children when they are in or around pools and bathtubs." B. "Never smoke in the bed in the house when young children are present." C. "Store medications in a locked area to prevent children from getting into them." D. "Never keep firearms in the home with young children."

A

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

The surgical nurse is preparing a client for surgery on the left leg. The client is awake, alert, and oriented. Who does the nurse identify that should mark the leg that will undergo the surgical procedure? (Select all that apply.) A. Nurse B. Surgeon C. Client D. Unlicensed assistive personnel E. Family member

A, B, & C

Which actions should the nurse perform to help prevent occupational safety hazards? Select all that apply. A. Use equipment only for the use for which it was intended. B. Only operate equipment the nurse is familiar with. C. Use 3-prong electric plugs whenever possible. D. Twist or bend electric cords to make sure the cords are not dragging on the floor. E. Clean all equipment with soap and water after use.

A, B, & C

The nurse is able to help promote safety and prevent injury by identifying which factors that have a direct impact on client safety? Select all that apply. A. Communication ability B. Community population C. Developmental level D. Mobility E. Type of health care facility

A, C, & D

The experienced nurse is teaching a new nurse about chemotherapy administration. What teaching will the experienced nurse include? A. Double-glove when administering these drugs. B. Chemotherapy agents are only toxic to the nurse if contact is made through skin. C. Pharmacists must be specifically trained to prepare chemotherapy agents. D. It is safe for pregnant nurses to administer chemotherapy. E. Central venous catheters (CVC) are often used to administer antineoplastic drugs.

A, C, & E

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication? A. Read and compare labels on the medication with the medical record. B. Review the client's medication, allergy, and medical history. C. Administer medication within 30 to 60 minutes of the scheduled time. D. Allow sufficient time to prepare the medication with minimal distraction.

B

A client is brought to the emergency department after inhaling a substance suspected to be anthrax from the contents of an envelope. What symptoms experienced by the client would the nurse correlate with this substance? A. Nausea, vomiting, and diarrhea B. Cough, dyspnea, and fatigue C. Abdominal pain and hematemesis D. Ulcerated skin lesions

B

A healthcare provider who just arrived on the unit gives a verbal order to the nurse regarding a non-emergent client situation. What is the nurse's appropriate response? A. Input the order into the computerized provider order system. B. Tactfully request the provider to input the order into the computerized provider order system. C. Refuse to implement the order and notify the nurse manager. D. Have another nurse witness and record the order into the medication administration record (MAR).

B

A nurse is administering medication to a client via a gastric tube and finds that the medicine enters the tube and then the tube becomes clogged. What is the appropriate intervention in this situation? A. Remove the tube and replace it with a new tube. B. Use a syringe to plunge the tube to try to dislodge the medication. C. Call the physician before instituting any corrective interventions. D. Wait the prescribed amount of time and attempt to administer the medication again before calling the physician.

B

A nurse needs to administer a prescribed dosage of oral medication to a client with influenza. Which action should the nurse perform when administering oral medication to the client? A. Prepare the exact dosage of medication in front of the client. B. Avoid administering medication prepared by another nurse. C. Bring the prescribed medication in a ceramic cup or glass container. D. Check the label of the medication container three times at the bedside.

B

The nurse is discussing car safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her? A. "Car seats are only recommended until children are 3 years old." B. "At the age of 6 your child should be using a booster seat." C. "Car seats are recommended until children are at least 10 years old." D. "Your child will be safe in the car using the provided shoulder harness and lap belts."

B

The nurse is preparing to administer an oral medication to a client with xerostomia. Which nursing action is appropriate? A. Call the provider to change the order to the intramuscular route. B. Offer a sip of water before administering medication. C. Refuse to give the medication due to safety reasons. D. Administer the medication as usual and document.

B

A nurse works for a facility that does not utilize modified safety injection equipment. How will the nurse prevent needlesticks? Select all that apply. A. Recap needle after use to avoid sticking others. B. Leave needle uncapped and dispose in closest biohazard container. C. Scoop the cap back onto a used needle with one hand without touching the cap. D. Ask the client to place the cap back onto a used needle. E. Refuse to administer medications until modified safety injection devices are ordered.

B & C

Which pharmacologic considerations should the nurse contemplate before administrating parental medications? (Select all that apply.) A. The drug will be filtered through the liver. B. The drug will not be filtered through the liver. C. The adverse effects of the drugs can be more pronounced. D. Older adults and children should be monitored closely for drug effects. E. This route of drug administration will be through the gastrointestinal tract.

B, C, & D

The nurse is caring for a client that is agitated and combative. What action can the nurse take other than the use of physical restraints? Select all that apply A. Medicate with benzodiazepines and sleeping agents. B. Reduce stimulation, noise, and light. C. Place all four side rails up D. Provide a safe environment E. Distract and redirect in a commanding voice. F. Use simple, clear explanations and directions. G. Use a large plant or piece of furniture as a barrier to limit wandering from designated area.

B, D, F, & G

A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What should the nurse do in this case? A. Inform the physician about the client's absence. B. Leave the medication on the client's bedside table. C. Return the medication to the medication cart or medication room E. Inform the head nurse about the client's absence.

C

A nurse was injured when a client with Alzheimer's 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 nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? A. The insulin pen is easily transported on the client. B. It is easier to learn how to use an insulin pen than a syringe and vial. C. Each unit of insulin is accompanied by a clicking sound in the pen. D. With an insulin pen, a large variety of insulin types are available.

C

The nurse is caring for an older adult client who sees several different health care providers and specialists. Which question will the nurse ask? A. "Why do you see so many different providers?" B. "Which provider seems to take the best care of you?" C. "Do you get all of your medications filled at the same pharmacy?" D. "How long have you been seeing a variety of providers?"

C

The nurse is assessing clients for risk factors in the workplace. Which clients would be at risk for injury due to the environment of the workplace? Select all that apply. A. Owner of a fitness center who teaches one yoga class a day B. Medical records technician who works in a doctor's office C. Worker who operates equipment in an automobile assembly plant D. Gardener who mows and places fertilizer on lawns E. Nursing assistant who lifts clients in a nursing home

C, D, & E

A 5-year-old is admitted to the ICU after a head trauma from a bike injury. The child is awake but confused, and continues to pull at IV tubing and catheter. When the provider orders a restraint, what options would be least restrictive? Select all that apply. A. Four-point soft restraints B. Isolation C. Administration of sedation D. Four side rails up E. Have a parent stay with the child

C,D, & E

During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. What is the nurse's best response? A. "Bunching your skin controls bleeding." B. "Bunching your skin steadies the syringe." C. "Bunching your skin ensures complete delivery of the insulin." D. "Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

D

The nurse is caring for a client with a latex allergy. When the dietary tray arrives, the nurse notes that it contains a hamburger with lettuce and tomato, baked potato, apple, chocolate chip cookie, and small serving of milk. What is the appropriate nursing action? A. Add butter and salt to the baked potato. B. Remove the chocolate chip cookie from the tray. C. Exchange the serving of milk for juice. D. Call Nutrition Services for a plain hamburger.

D

The nurse is preparing to administer insulin to an obese client. At what angle will the nurse plan to insert the needle into the client? A. 10-15 degrees B. 20-30 degrees C. 45 degrees D. 90 degrees

D

The nurse uses the QSEN competency of Informatics when planning care for clients. What is an example of the use of this skill? A. The nurse works collaboratively with a dietitian to devise a client meal plan. B. The nurse orients a visually impaired client to the hospital room. C. The nurse checks with the client for priorities when planning client care. D. The nurse researches new technological advances in the treatment of cancer.

D