Week 2
If poison gets on the skin, remove clothing that was in contact with the poison, and rinse the patient's skin with water for at least minutes.
15
The use of side rails is considered a form of physical restraint. Use numbers only.
4
A fire prevention plan should include changing batteries in smoke alarms (detectors) at least every months. Use numbers only.
6
Educating patients about electrical cord safety is important in preventing what home safety hazards? A. Fires and falls B. Falls and outdoor safety hazards C. Chemical and carbon monoxide poisonings D. Fires and medication safety hazards
A
The nurse is caring for a 72-year-old female patient who is on bed rest following hip surgery for an injury sustained from a fall at home. The patient has a history of diabetes and ongoing dementia. She has an IV infusion, a nasogastric tube, and a urinary drainage catheter. According to the Morse Fall Scale, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. Scale not appropriate
A
The nurse is caring for a comatose patient with two intravenous (IV) access catheters and a urinary drainage catheter. What would be the patient's fall risk category using the Johns Hopkins Fall Assessment Tool? A. Low B. Moderate C. High D. Tool not appropriate
A
The nurse is caring for a confused 69-year-old male patient, who recently had a seizure at home and hit his head, sustaining a subdural hemorrhage. He has an IV infusion and is receiving Dilantin to prevent further seizures. The patient is to unable stand without assistance. According to the Hendrich II Fall Risk Model, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. Scale not appropriate
A
What is the main goal of the Quality and Safety Education for Nurses (QSEN) project? A. Prepare future nurses to advance quality and safety. B. Allocate resources for safety program implementation. C. Minimize the risk of harm to older adult patients by injury. D. Assist nurses to educate patients about safety concerns.
A
Which intervention should be included in a poisoning prevention plan? A. Properly dispose of expired medications. B. Pour chemicals into smaller containers for storage. C. Use non-childproof caps to allow access for geriatric patients. D. Take unused medication before newly prescribed medication.
A
Which is an example of a patient-centered care nursing skill, as defined by the QSEN project? A. Assess and treat pain and suffering in light of patient values, preferences, and expressed needs. B. Empower contributions of others who play a role in helping patients and families achieve health goals. C. Develop guidelines for clinical decision making regarding departure from established standards of care. D. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team.
A
Which nursing action prevents machine-related intravenous therapy flow rate errors? A. Inspecting for kinks in IV tubing. B. Checking to see if the alarms are correctly set. C. Seeking assistance if equipment is new or unfamiliar. D. Asking another nurse to double check all machine settings.
A
Which organization accredits hospitals while focusing on patient safety? A. The Joint Commission B. World Health Organization C. Center for Disease Control D. National Institute of Health
A
Many hospitals use the acronym RACE to describe emergency fire response. What does RACE stand for? A. Rescue, Advise, Comfort, Expedite B. Rescue, Alarm, Contain, Extinguish C. Restrain, Action, Continue, Emergency D. Resuscitate, Action, Control, Emergency
B
The nurse is caring for a 65-year-old male patient who was admitted with pancreatitis with no prior medical history. The patient keeps getting out of bed to go to the bathroom despite being repeatedly told to call for assistance. He has an IV infusion and nasogastric tube and is receiving opioids for pain. According to the Johns Hopkins Fall Assessment Tool, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. Tool not appropriate
B
The nurse is caring for an 85-year-old female patient who was admitted with constipation. The patient has a history of hypertension controlled with medications. She is alert and oriented, is receiving laxatives, has an IV infusion, and is ambulatory without assistance. According to the Johns Hopkins Fall Assessment Tool, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. Tool not appropriate
B
To assess the patient's risk of health issues related to home safety, what question should the nurse ask? A. Do you have any safety concerns? B. Have you ever had a seizure? C. Are you stressed out or tired? D. Do you require assistance bathing?
B
A nurse is about to administer medication to a patient, when there is an emergency on the unit that she must attend to. Which action made by the nurse indicates a need for further learning regarding medication administration? A. The nurse leaves the medication unattended at the patient's bedside. B. The nurse refuses to delegate the medication administration to another person. C. The nurse does not let her coworker administer the medication on her behalf. D. The nurse lets the patient know that she will be back to continue the medication later.
a
A nurse is assessing a 14-year-old female patient who admits to being sexually active. Which action made by the nurse promotes safe sex intervention for the teen? A. Discussing the need for and use of birth control. B. Asking the teen about her relationship with her partner. C. Talking about the link between sexual activity and school performance. D. Encouraging the teen to talk to her parents or caregivers about her sexual activity.
a
A nurse is teaching a patient about medication safety. Which statement would indicate a need for further teaching? A. "I sometimes store my medications in alternate containers." B. "I never share my medications with anyone including my family." C. "I know my medications are not good past the expiration date on the bottle." D. "I use childproof caps all the time even though they can be hard to get off."
a
A nurse is teaching a student nurse about The Joint Commission's National Patient Safety Goals. Which statement shows further teaching is needed? A. "Before administering medication, I will ask for the patient's name." B. "Prior to surgery, I will mark the patient's body where surgery is to be completed." C. "I will label all unlabeled medications in the medication supply area before a procedure." D. "Remind patients to bring their up-to-date medication list every time they visit their health care provider."
a
The nurse is asking the patient a series of questions about the patient's activities of daily living. The patient asks the nurse why that information is important. What is the nurse's best response? A. "The answers to these questions will help us determine if you need any assistance at home." B. "This information will help your provider determine if you need to be placed in a skilled nursing facility." C. "The questions are designed to get you to think about going home from the hospital." D. "We use this information to determine if you live in an unsafe environment."
a
The nurse is walking down the hall and witnesses a small child dumping his juice on the floor. The parent acknowledges the incident but does nothing to stop it. What is the appropriate nursing action to promote safety? A. Clean up the juice immediately. B. Call housekeeping to mop up the juice. C. Call security to deal with child's parent. D. Ask the parent to clean up the child's mess.
a
Which statement about physical restraints is supported by evidence? A. Staff education can reduce the need for patient restraints. B. It is acceptable to use a vest restraint on a patient with a chest tube. C. Wrist restraints are less harmful and restrictive than vest restraints. D. A practitioner's order must be obtained prior to the application of restraints.
a
A nurse is teaching a student nurse what The Joint Commission (TJC) might do while at a hospital renewing their accreditation. Which statements made by the student nurse demonstrates that the teaching has been effective? (Select all that apply.) A. "The surveyor may observe and talk to patients." B. "It is likely that the surveyor will interview the staff." C. "During an on-site survey, the surveyor will trace patient care." D. "A hospital's information and documentation is reviewed during accreditation." E. "The surveyor will provide a final accreditation decision at the closure of the on-site survey."
a, b, c, d
What are signs of teenage drug or alcohol use? (Select all that apply.) A. Stealing money B. Skipping classes C. Blood shot eyes D. Coming home late E. Using birth control
a, b, c, d
What should the nurse do to ensure accurate order interpretation? (Select all that apply.) A. Clarify orders that are lacking critical information. B. Understand the purpose of a medication prior to administration. C. Know the common dose of a medication prior to administration. D. Evaluate whether the amount of medication prescribed is safe for the patient. E. Use clinical judgment when delegating administration of a medication to another nurse.
a, b, c, d
The nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective? (Select all that apply.) A. "The QSEN project will continue to guide improvements and recommend safe practice." B. "The Joint Commission continues to re-evaluate and recommend new safety goals each year." C. "The National Center for Health Statistics continues to examine injury and report patterns so we can work toward prevention." D. "QSEN recommends hospitals install improved ventilation and water systems in health care settings." E. "The Joint Commission (TJC) recommends that acute care hospitals enact a no-lifting policy and provide patient lifting equipment."
a, b, c, e
A patient is on a large number of medications and the nurse is concerned about the patient's ability to manage all the medications at home. Which of the following questions should the nurse ask to assess the patient's potential safety risk? A. Do you take your medications consistently? B. Do any young children live in the home? C. Do you know how to take your medications? D. Do you know when to take your medications? E. Do you know why you take all these medications?
a, c, d, e
To assist with determining the patient's risk for injury and issues requiring further evaluation, the patient assessment should include which items? (Select all that apply.) A. Subjective data related to the patient's symptoms B. Patient's family history C. Focused assessment of the affected body systems. D. Patient's history of exposures to environmental hazards. E. Subjective data related to the patient's chief complaint
a, c, d, e
What is true regarding safety promotion? (Select all that apply.) A. Implementing community outreach programs that provide instruction about safety, aids the nurse in promoting safety. B. Nurses must protect their own safety first, then that of their patients. C. Nurses must use strategies to reduce the risk of harm to others. D. Valuing their role in preventing errors in the health care setting is important for nurses in promoting safety. E. Assisting the patient, the patient's family, and the community is important in promoting safety.
a, c, d, e
Which are examples of unintentional injuries? (Select all that apply.) A. Falls B. Suicide C. Drowning D. Homicide E. Fire-associated injuries
a, c, e
The nurse has an assignment today with a family who is very nervous about being in the hospital. Their father was admitted the previous evening with a stroke and serious deficits. The nurse has assessed the patient and began talking with the family. What are some interventions the nurse can anticipate during his care of this patient and family? (Select all that apply.) A. Education about the diagnosis of stroke B. Evaluation of the education given during care C. Neurological assessments as ordered by the health care provider D. Pain management, as needed by the patient, per health care provider order E. Performing range of motion and positioning the patient so he is comfortable
a, d, e
Which statements are true about unintentional and intentional injuries? (Select all that apply.) A. Accidents are also referred to as unintentional injuries. B. Unintentional injuries typically result from deliberate acts of violence. C. Unintentional injuries are the second leading cause of death in the United States. D. The risk factors for intentional injuries are better understood than those of unintentional injuries. E. Patterns of unintentional injuries are often predictable and preventable.
a, d, e
A nurse is teaching a nursing student about seizure precautions. When asked how to address a person having a seizure in the community, which response indicates that the nursing student understands the teaching? A. "I will go get professional medical help for the individual." B. "I will look for a medical ID bracelet with seizure instructions." C. "I will give other people standing around tasks to perform to help out." D. "I will wait for the person to recover from the seizure before calling for help."
b
A nurse is teaching parents about child safety in their home. Which action should the nurse take to demonstrate proper safety interventions? A. Turn all car seats rear-facing in the car. B. Cover electrical outlets inside the house. C. Keep firearms and bullets locked up together in a secure spot. D. Store household chemicals in containers that are clearly labeled.
b
A paraplegic patient is being prepared for discharge from a spinal cord rehabilitation unit. Which question is most important for the nurse to ask when performing a home safety assessment? A. Do you have a carbon monoxide detector? B. Do you have a plan to exit the home in case of an emergency? C. Where are your medications stored? D. Do you have a fire extinguisher?
b
The Institute of Medicine published To Err is Human more than a decade ago and we still use this document to guide our safety practices within the hospital setting. What performance standards has The Joint Commission developed from this? A. NCLEX Assessments B. National Patient Safety Goals C. Employer's Annual Performance Review D. Advanced Cardiac Life Support (ACLS)
b
The family of a patient who inadvertently ingested a poisonous substance states that if this happens again they will have the patient drink baking soda and water. What should the nurse say to the family? A. "That's a good idea as that works most of the time." B. "Call the Poison Control Center before giving any antidote." C. "Dial 911 if the patient is not feeling better within 20 minutes." D. "It is crucial to get the patient into fresh air as soon as possible."
b
The nurse enters a room and notices that the patient's bed is very high up off the ground, posing a safety risk. What step in the nursing process is this? A. Diagnosis B. Assessing C. Evaluation D. Intervention
b
The nurse is caring for a patient with a nasogastric tube who is also NPO. The practitioner places an order for a medication but fails to specify if the route is by mouth or by the nasogastric tube. Which action by the nurse is appropriate? A. Administer the medication orally. B. Call the practitioner to clarify the correct route. C. Call the pharmacist and ask which route is appropriate. D. Administer the medication via the patient's nasogastric tube.
b
What should a patient be instructed to do first if the carbon monoxide detector alarm sounds? A. Call 911. B. Evacuate the premises. C. Notify the gas company. D. Check the carbon monoxide detector.
b
Which intervention should be implemented to prevent falls in the hospital? A. Check on the patient frequently. B. Place patient near the nurse station. C. Make sure wheelchair brakes are locked. D. Keep the call light within the patient's reach.
b
Which interventions should be implemented to prevent falls in the home? (Select all that apply.) A. Keep a walker in the bedroom. B. Install handrails where needed. C. Repair uneven stairway surfaces. D. Place nightlights in poorly lit areas. E. Remove clutter from main walking areas.
b, c, d, e
Which parts of the nursing process provide the framework for patient safety goals? (Select all that apply.) A. Charting B. Assessing C. Evaluating D. Diagnosing E. Interventions
b, c, d, e
When should a nurse evaluate a patient's risk for falls? (Select all that apply.) A. After a patient falls B. On admission C. Every day D. Per provider orders E. With any change in the patient's condition
b, c, e
Which individuals are more likely to be involved in an intentional injury? (Select all that apply.) A. A young female with a history of falling B. An adolescent female with severe depression C. A young adult male with a history of violence D. An older adult male diagnosed with dementia E. A middle-aged female who is a known child abuser
b, c, e
An older adult stroke patient with limited mobility is being discharged to home. What interventions should be included in the home care plan for this patient? (Select all that apply.) A. Place a throw rug outside of the shower. B. Maintain walkways so they are free of debris. C. Keep a cellphone near the sink in case help is needed. D. Install handrails and grab bars around the tub and toilet. E. Store frequently used items away in closets and cabinets.
b, d
A student nurse is participating in fire safety drills at the hospital. Which action made by the nurse indicates a need for further teaching? A. The nurse closes the patient and fire doors immediately. B. The nurse disconnects patients on mechanical ventilation. C. The nurse transports ambulatory patients to a safe area via bed or stretcher. D. The nurse attempts to extinguish the fire after patients are removed from the area.
c
The nurse is concerned about the fire hazards associated with home oxygen therapy for a patient being discharged to home with oxygen. What education should be included when teaching this patient? A. Have a fire escape plan. B. Do not allow trash to accumulate. C. Do not start a fire in the fireplace. D. Ensure circuit breaker boxes work properly.
c
The nurse is teaching a student nurse how to properly apply wrist restraints. Which student action would indicate effective teaching? A. Securing the restrains with a square knot. B. Securing the restraints to the tops side rails. C. Securing the restraints with a quick release tie. D. Securing the restraints to the bottom side rails.
c
The practitioner has ordered a nasogastric feeding tube for a patient. The nurse knows that improper insertion places the patient at risk for what complication? A. Malnutrition B. Constipation C. Aspiration pneumonia D. Urinary tract infection
c
Which action should the nurse take first when discovering a fire in a patient's room? A. Extinguish the fire. B. Give patients an Ambu bag. C. Remove the patient from the immediate area. D. Practice the steps according to the acronym, PASS.
c
Which intervention for controlling the spread of infections in the health care setting is considered the most effective? A. Placing all patients in contact isolation. B. Donning personal protective equipment. C. Hand washing before and after patient contact. D. Knowing the correct procedures for insertion of therapeutic drains.
c
Which intervention should the nurse use as an alternative to patient restraints? A. Enhance environment stimuli such as lights. B. Avoid patient distractions such as the television. C. Cover drainage tubes and intravenous access devices. D. Limit visitors and the time they can spend with the patient.
c
Why was The National Center for Injury Prevention and Control established? (Select all that apply.) A. To increase HCAPS scores. B. To gain repeat business. C. To decrease the mortality rate. D. To reduce cost associated with injuries. E. To reduce the number of patients on disability.
c, d, e
A nurse is teaching a family about safety interventions for seizure patients. Which statement by a family member shows the need for further education? A. "Tight clothing must be loosened, especially around the neck." B. "Turning the person on their side prevents aspiration if vomiting occurs." C. "It is important to lay the person on the ground with a pillow under their head." D. "It is important to place something in the patient's mouth to prevent tongue swallowing."
d
A student nurse is learning about fire emergency response using the RACE acronym. When asked about the action steps for the "C", which response by the student nurse indicates understanding of RACE? A. "I will control the fire with an extinguisher." B. "I will continue to rescue patients from the building." C. "I will confirm that there is a fire and confine the fire." D. "I will contain the fire by closing doors and confining the fire."
d
An adolescent boy is brought to the ER after consuming a bottle of his mother's sleeping pills. A suicide note was left beside his bed. What type of injury is this? A. Accidental B. Unintentional C. Routine D. Intentional
d
How does QSEN ensure that nurses advance quality and safety in future health care settings? A. By opening new nursing schools B. By starting legislation to keep the project going C. By providing safety goals and hospital accreditation D. By preparing nurses with knowledge, skills, and a positive attitude
d
Quality and Safety Education for Nurses (QSEN) project is increasing emphasis for patient safety. In what way has it impacted actual initiatives and regulations? A. Implementing new job descriptions for safety nurses B. Requiring all newly licensed RN's to take a safety test C. Requiring newly licensed nurses to petition their senator for support on patient safety D. Using national resources for professional development to focus attention on safety in hospital settings
d
The nurse is caring for a postoperative patient who is confused and keeps attempting to get out of bed. What action should the nurse take first to protect the patient? A. Place a vest restraint on the patient. B. Apply bilateral wrist restraints on the patient. C. Notify the practitioner and obtain an order for restraints. D. Assess the patient for pain, hunger, or the need to use the toilet.
d
The nurse is caring for four patients on a medical unit. Which patient has developed a health care-associated infection? A. Patient who was admitted with pneumonia and placed on ventilator. B. Patient who was admitted with pancreatitis and an infected venous stasis ulcer. C. Patient who was admitted with a stroke and then developed constipation and a fecal impaction. D. Patient was admitted for surgery, had a urinary drainage catheter placed, and then developed a urinary tract infection.
d
Which intervention is included in strategies to prevent teenage vehicle crashes? A. Encouraging the teen to drive anytime. B. Restricting the car to three passengers. C. Requesting a restricted license for the teen. D. Having the teen participate in a safe driving course.
d
What is safety? (Select all that apply.) A. Resistance against attack B. Having no physical harm or injury C. Being comfortable in an environment D. Being free from psychological harm and injury E. Having the ability to speak and act without hindrance
B, C
What are the most appropriate ways that a nurse can promote safety for a patient? (Select all that apply.) A. Contact the social worker. B. Assess risk factors. C. Educate the patient. D. Examine environmental concerns. E. Contact The National Center for Health Statistics.
B, C, D
To assess the patient's risk of exposure to biohazards in the home, what question should the nurse ask? A. Do you have air conditioning? B. What recreational activities do you engage in? C. Is there adequate outside lighting? D. Do you or does anyone in the home use hypodermic needles?
D
Which is a patient-related fall risk hazard? A. Wound drain B. Floor surfaces C. Intravenous access D. Incontinence
D
Which is a preventative measure to ensure child safety? A. Store bullets with the firearm. B. Use helmets while riding in the car. C. Secure netting above a trampoline. D. Keep firearms locked in a secured location.
D
The nurse is caring for a 50-year-old male patient with a bowel obstruction. The patient has orders to be out of bed in a chair. He is alert and oriented with no prior medical history. The patient has an IV and nasogastric tube. According to the Morse Fall Scale, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. Scale not appropriate
C
The nurse is caring for a 68-year-old female patient who recently underwent colon surgery. The patient is awake and alert. She has a saline lock and is receiving oral pain medications. The patient is ambulatory and able to push up to get out of the chair easily. According to the Hendrich II Fall Risk Model, what is the patient's fall risk? A. High risk B. Moderate risk C. Low risk D. This scale is not appropriate for this patient
C
What action can the nurse take to prevent a medication error? A. Contact the pharmacist to calculate all drug dosages. B. Prepare all the medications and then distribute them to the appropriate nurse for administration. C. Question unfamiliar or unknown abbreviations and know standard medication abbreviations. D. Return to a patient's room to ensure all oral medications were ingested after leaving them at the bedside.
C
What question should the nurse ask to assess a patient's understanding of the risks related to poisonous substances? A. Do you have injuries that place you at risk for drowsiness? B. Do you know why you take your current set of medications? C. Are separate cutting surfaces used for cutting raw fish and meats? D. Do you have any safety concerns at home or work?
C
What should the nurse wear when working with patients with radioactive implants? A. Padded mitts B. Sterile gown and gloves C. Radiation-monitoring badge D. Personal protective equipment
C
Which national organization categorizes injuries as intentional or unintentional? A. The Joint Commission (TJC) B. Center for Disease Control (CDC) C. American Nursing Association (ANA) D. National Center for Health Statistics (NCHS)
D
A nurse is teaching a new nurse about the difference between the Johns Hopkins Fall Assessment Tool and the Morse Fall Scale. Which statement indicates the nurse understood the teaching? A. The Morse Fall Scale contains more items than the Johns Hopkins Fall Assessment Tool. B. The Morse Fall Scale solicits information on the patient's age and gender, while the Johns Hopkins Fall Assessment Tool does not. C. Neither tool solicits information regarding the patient's prior history with falling. D. The Johns Hopkins Fall Assessment Tool solicits information about the patient's medications and elimination issues, while the Morse Fall Scale does not.
D
The Get Up & Go Test is part of what fall risk assessment tool? A. The Johns Hopkins Fall Assessment Tool - Category 1 B. The Johns Hopkins Fall Assessment Tool - Category 2 C. The Morse Fall Scale D. The Hendrich II Fall Risk Model
D
