Safety - Questions

A patient in isolation is experiencing signs of social deprivation. Which intervention by the nurse is appropriate? a. allow visitors to remove masks while in the patients room b. leave the door of the negative-pressure room open slightly c. remind the patient that the isolation is for his or her own benefit d. set specific times when the nurse will return to the patient's room

d

A type C fire extinguisher is required for which type of fire? a. paper b. cloth c. grease d. electrical

d

The LPN 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 home health is assessing a child for the risk of injury. 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

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 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 be ingests a poisonous substance that is not caustic."

d

The nursing instructor is discussing the chain of infection to a group of student nurses. What is the most important information about identifying the chain of infection for the health care provider? a. understanding of the chain of infection allows for tests to be preformed to assess resistance to communicable diseases b. recognition of the chain of infection provides information about which patients will most benefit from isolation precautions c. the need for antibiotic therapy can be determined by assessing the chain of infection d. points at which the infection can be stopped or prevented can be located by identifying the chain of infection

d

The student is reviewing sterile technique. When using the technique, the student nurse remembers to hold sterile objects in which location? a. close to shoulder level b. just below waist level c. over the patient's bed d. above waist level

d

What national organization provides guidelines to protect health care workers in their environment? a. National Institutions of Health b. National Alliance for Health Care Providers c. National League of Nurses d. Occupational Safety and Health Administration

d

What needs to be removed from a fire extinguisher before it can be activated? a. the nozzle b. the handle c. the inspection tag d. the pin

d

Which is a principle of surgical asepsis? a. any sterilized item is considered unsterile once it is allowed to fall below knee height b. sterile fields and sterilized items are no longer sterile if they contact a clean surface c. a person not wearing sterile garments can come no closer to a sterile field than 3 ft d. the front and back of a sterile gown being worn are considered sterile from shoulders to knees

b

The LPN 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

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? (SATA.) 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, d

A middle-aged client is admitted to the hospital with cellulitis of the right foot. Three days later, the patient develops bacterial pneumonia. How would the patient's bacterial pneumonia be classified? a. acute primary b. health care-associated c. interstitial d. mycoplasmic

b

A patient isolated for pulmonary tuberculosis is expressing anger at the nurse. What action by the nurse is most appropriate? (Select all that apply.) a. provide a dark, quiet room to calm the patient b. explain isolation procedures and provide meaningful stimulation c. reduce the level of precautions to keep the patient from becoming angry d. limit family and other caregiver visits to reduce the risk of spreading the infection e. talk with the patient about how they are feeling

b

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

The nurse is assisting the physician with an irrigation of a draining abdominal wound by preparing the sterile try. To maintain sterility of the tray, which action by the nurse is correct? a. use sterile forceps while reaching across it to move the contents around b. wear clean gloves to open and touch the contents of the tray c. allow the open tray to stand unattended for 20 minutes, then cover it with a towel d. put on sterile gloves before handling the contents of the tray

d

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 is caring for the patient in isolation and plans to wear latex gloves. Which is an important consideration? a. assess the patient and the patient's record for potential latex allergy b. vinyl gloves actually provide higher barrier protection that latex c. the cost of latex gloves is significantly higher than that of synthetic gloves d. latex gloves are so reliable as barriers that hand hygiene is not required

a

What does "universal carry" mean? a. how to remove a patient from the bed to the floor b. how to carry a patient as if he/she were an infant c. how to carry two patients at one time d. how to evacuate several patients in a short amount of time

a

Why should a hospital have a disaster plan? a. to be prepared in times of an emergent community situation with the possibility of a large number of casualties b. to be familiar with possible emergent situations that could affect a community c. to eliminate factors that could cause a community disaster d. to fulfill federal guidelines that pertain to hospitals

a

What is the most common problem that nurses need to address to ensure the safety of their patients? a. call light not in reach b. percentage of falls in the facility c. patients who are violent d. side rails not in the upright position

b

The nurse is speaking with a patient about the need to prevent infection. The nurse recognizes the patient understands proper hand hygiene when the patient makes what statement? a. "the water I wash my hands with should be as hot as I can tolerate to kill all of the germs on my skin." b. "if there isn't time to completely wash my hands, it will be alright to rinse them quickly in warm water." c. "after washing my hands with soap for at least 20 seconds, I will rinse them thoroughly under running water." d. "I will put soap into a basin of warm water, lather my hands for 15 seconds, and then rinse them in the basin."

c

What does "SRD" stand for? a. Safety Restraining Device b. Safety Reminder Device c. Secure Restraint Detector d. Sentry Radiation Detector

b

A young adult patient is admitted to a medical unit with the diagnosis of hepatitis A and placed in contact precautions. What is the primary goal of this action? a. to prevent transmission of infectious microorganisms b. to control the environment of the patient during hospitalization c. to protect the patient from infectious microorganisms d. to protect only the family from the transmission of the diease

a

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

What type of problem is a major concern for older adults? (Select all that apply.) a. driving b. hospitalizations c. accidental poisoning d. loneliness

a, b, c, d

When caring for the patient who requires the use of an SRD, what should be included in the patient's plan or care? (SATA.) 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, b, e

What type of sensitivity is often seen in health care environment? a. allergic reactions to disinfecting chemicals b. reactions to airborne diseases c. latex allergies d. vinyl allergies

c

The nurse has completed a sterile procedure and is preparing to remove the soiled gloves. Place the steps in the correct order: a. grasp the outer surface of the glove b. place the glove in the hand that is still gloved c. peel the second glove off, turn it inside out, and discard d. take fingers of bare hand and tuck inside reminding glove cuff

1. a 2. b 3. d 4. c

What are some safety considerations a nurse should contemplate when caring for an older adult? a. they are old and frail b. they are bitter and take a lot of medications c. their visual acuity is not good, and their reflexes are slow d. they are concerned about their finances and what this hospitalization will cost them

c

What does "RACE" stand for? a. Reaction Accordingly to a Care Environment b. Remove, Accelerant, Contain, and Eliminate c. Rescue, Alarm, Confine, Extinguish d. Rescue, Alert, Contain, and Eliminate

c

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, e

When the staff's knowledge of the fire safety precautions is assessed, which action indicates the need for further fire safety instruction? (SATA.) 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 evaded critically ill patients on the elevator during a fire drill

c, e

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 this type of 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

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

The nurse is performing a surgical hand scrub. During a surgical hand scrub, how are the hands to be held? a. above the elbows b. with the fingers pointing downward c. whichever way is convenient d. just below the waist

a

The nurse is preparing to open the outer sterile wrap of an indwelling catheter tray. Which flap of the wrap (in which direction) should be opened first? a. the flap that opens away from the nurse b. the flap that opens to the left c. the flap that opens to the right d. the flap that opens toward the nurse

a

The student nurse is preparing to don sterile gloves. What action by the student indicates understanding of the needed procedure? a. touch only the inside surface of the first glove while pulling it onto the hand b. place the fingers of the dominant hand into the outside cuff of the first glove c. let the cuff of the glove roll up over the hand as it is being pulled onto the hand d. begin the procedure by pulling the first glove upward and over the nondominant hand

a

To practice strict surgical asepsis, the nurse: a. adheres to principles of sterile technique b. performs routine environmental cleaning c. disinfects surfaces that come into contact with body fluids d. maintains proper hand hygiene before and after patient care

a

The nurse is planning care for several patients undergoing procedures. For which procedure will the nurse gather supplies to implement surgical asepsis? (Select all that apply.) a. inserting an IV line b. performing perineal care c. performing oral care d. obtaining a sputum specimen e. inserting an indwelling catheter

a, e

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 the use of the SRD d. evidence that the patient was assessed every 8 hours

b

The patient asks the nurse how his skin will be sterilized before his surgery. What is the best response by the nurse? a. "we will use alcohol to sterilize your skin" b. "it is not possible to sterilize your skin, but we will use an antimicrobial solution to eliminate most microorganisms" c. "there are a series of steps used in sterilizing your skin to prevent you from getting an infection" d. "we will use betadine solution to sterilize your skin"

b

The nurse is presenting an educational program on the CDC's hand hygiene recommendations for implementation in a hospital. Which statement by the nurse demonstrates an understanding of the CDC's recommendation? (Select all that apply.) a. health care providers will wear gloves at all times when providing patient care b. disinfecting hands after glove removal is not necessary according to the guidelines c. alcohol-based hand cleaner is effective on hands that are not visibly soiled wit blood and body fluids d. it is necessary to remove waterless alcohol-based hand cleaner with paper towels to remove pathogens from hands e. the nurse should use water and soap to wash hands after caring for a patient diagnosed with "Clostridium Difficile"

c

The nurse is working in a clinical medical area with a census of 15. Each patient has a different illness. When planning care, the nurse recognizes which as the most important action to provide protection to each patient from health care-associated infections? a. wearing a gown b. placing each patient in isolation c. hand hygiene d. wearing gloves

c

To remove the gloves, what action is required of the nurse? a. pull each finger from each of the gloves first, then roll the glove back over the hand b. remove the glove from the nondominant hand by reaching inside the glove and pulling it off c. removing one glove, then use the bare fingers to push the remaining glove off from inside the cuff d. hold both gloved hands under running water and roll the gloves down to keep microorganisms contained

c