funds test 1 saftey questions and answers

The nurse enters a client's room and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. What is the next nursing action? 1. Call for help. 2. Extinguish the fire. 3. Activate the fire alarm. 4. Confine the fire by closing the room door

Answer: 3 Rationale: The order of priority in the event of a fire is to rescue the clients who are in immediate danger. The next step is to activate the fire alarm. The fire then is confined by closing all doors and, finally, the fire is extinguished. Test-Taking Strategy: Note the strategic word, next. Remember the mnemonic RACE to prioritize in the event of a fire. R is rescue clients in immediate danger, A is alarm (sound the alarm), C is confine the fire by closing all doors, and E is extinguish or evacuate.

.The nurse is preparing to initiate an intravenous (IV) line containing a high dose of potassium chloride using an IV infusion pump. While preparing to plug the pump cord into the wall, the nurse finds that no receptacle is available in the wall socket. The nurse should take which action? 1. Initiate the IV line without the use of a pump. 2. Contact the electrical maintenance department for assistance. 3. Plug in the pump cord in the available plug above the room sink. 4. Use an extension cord from the nurses' lounge for the pump plug.

Answer: 2 Rationale: Electrical equipment must be maintained in good working order and should be grounded; otherwise, it presents a physical hazard. An IV line that contains a dose of potassium chloride should be administered by an infusion pump. The nurse needs to use hospital resources for assistance. A regular extension cord should not be used because it poses a risk for fire. Use of electrical appliances near a sink also presents a hazard. Test-Taking Strategy: Note the subject, electrical safety. Recalling safety issues will direct you to the correct option. Contacting the maintenance department is the only correct option, since the other options are not considered safe practice when implementing electrical actions. In addition, since potassium chloride is in the IV solution, a pump must be used.

.The emergency department (ED) nurse receives a telephone call and is informed that a tornado has hit a local residential area and that numerous casualties have occurred. The victims will be brought to the ED. The nurse should take which initial action? 1. Prepare the triage rooms. 2. Activate the emergency response plan specific to the facility. 3. Obtain additional supplies from the central supply department. 4. Obtain additional nursing staff to assist in treating the casualties

Answer: 2 Rationale: In an external disaster (a disaster that occurs outside of the institution or agency), many victims may be brought to the ED for treatment. The initial nursing action must be to activate the emergency response plan specific to the facility. Once the emergency response plan is activated, the actions in the other options will occur. Test-Taking Strategy: Note the strategic word, initial, and determine the priority action. Note that the correct option is the umbrella option. The emergency response plan includes all of the other options.

The nurse working in the emergency department (ED) is assessing a client who recently returned from Nigeria and presented complaining of a fever at home, fatigue, muscle pain, and abdominal pain. Which action should the nurse take next? 1. Check the client's temperature. 2. Isolate the client in a private room. 3. Check a complete set of vital signs. 4. Contact the primary health care provider.

Answer: 2 Rationale: The nurse should suspect the potential for Ebola virus disease (EVD) because of the client's recent travel to Nigeria. The nurse needs to consider the symptoms that the client is reporting, and clients who meet the exposure criteria should be isolated in a private room before other treatment measures are taken. Exposure criteria include a fever reported at home or in the ED of 38.0° C (100.4° F) or headache, fatigue, weakness, muscle pain, vomiting, diarrhea, abdominal pain, or signs of bleeding. This client is reporting a fever and is showing other signs of EVD, and therefore should be isolated. After isolating the client, it would be acceptable to then collect further data and notify the primary health care provider and other state and local authorities of the client's signs and symptoms. Test-Taking Strategy: Note the strategic word, next. This indicates that some or all of the other options may be partially or totally correct, but the nurse needs to prioritize. Eliminate options 1 and 3 first because they are comparable or alike. Next note that the client recently traveled to Nigeria. Recall that isolation to prevent transmission of an infection is the immediate priority in the care of a client with suspected EVD.

The nurse obtains a prescription from a primary health care provider to restrain a client and instructs an assistive personnel (AP) to apply the safety device to the client. Which observation of unsafe application of the safety device would indicate that further instruction is required for the AP? 1. Placing a safety knot in the safety device straps 2. Safely securing the safety device straps to the side rails 3. Applying safety device straps that do not tighten when force is applied against them 4. Securing so that 2 fingers can slide easily between the safety device and the client's skin

Answer: 2 Rationale: The safety device straps are secured to the bed frame and never to the side rails to avoid accidental injury in the event that the side rails are released. A half-bow or safety knot or device with a quick release buckle should be used to apply a safety device because it does not tighten when force is applied against it and it allows quick and easy removal of the safety device in case of an emergency. The safety device should be secure, and 1 or 2 fingers should slide easily between the safety device and the client's skin. Test-Taking Strategy: Focus on the subject, the unsafe intervention. Also note the strategic words,further instruction is required.These words indicate a negative event query and the need to select the incorrect option. Read each option carefully. The words securing the safety device straps to the side rails in option 2 should direct your attention to this as an incorrect and unsafe action

The community health nurse is providing a teaching session about anthrax to members of the community and asks the participants about the methods of transmission. Which answers by the participants would indicate that teaching was effective? Select all that apply. 1. Bites from ticks or deer flies 2. Inhalation of bacterial spores 3. Through a cut or abrasion in the skin 4. Direct contact with an infected individual 5. Sexual contact with an infected individual 6. Ingestion of contaminated undercooked meat

Answer: 2, 3, 6 Rationale: Anthrax is caused by Bacillus anthracis and can be contracted through the digestive system or abrasions in the skin, or inhaled through the lungs. It cannot be spread from person to person, and it is not contracted via bites from ticks or deer flies. Test-Taking Strategy: Focus on the subject, routes of transmission of anthrax, and note the strategic word, effective. Knowledge regarding the methods of contracting anthrax is needed to answer this question. Remember that it is not spread by person-to-person contact or contracted via tick or deer fly bites.

A mother calls a neighbor who is a nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. The nurse would direct the mother to take which immediate action? 1. Induce vomiting. 2. Call an ambulance. 3. Call the Poison Control Center. . 4. Bring the child to the emergency department.

Answer: 3 Rationale: If a poisoning occurs, the Poison Control Center should be contacted immediately. Vomiting should not be induced if the victim is unconscious or if the substance ingested is a strong corrosive or petroleum product. Bringing the child to the emergency department or calling an ambulance would not be the initial action because this would delay treatment. The Poison Control Center may advise the mother to bring the child to the emergency department; if this is the case, the mother should call an ambulance. Test-Taking Strategy: Note the strategic word, immediate. Calling the Poison Control Center is the first action, since it will direct the mother on the next step to take based on the type of poisoning. The other options are unsafe or could cause a delay in treatment.

The nurse is reviewing a plan of care for a client with an internal radiation implant. Which intervention, if noted in the plan, indicates the need for revision of the plan? 1. Wearing gloves when emptying the client's bedpan 2. Keeping all linens in the room until the implant is removed 3. Wearing a lead apron when providing direct care to the client 4. Placing the client in a semiprivate room at the end of the hallway

Answer: 4 Rationale: A private room with a private bath is essential if a client has an internal radiation implant. This is necessary to prevent accidental exposure of other clients to radiation. The remaining options identify accurate interventions for a client with an internal radiation implant and protect the nurse from exposure. Test-Taking Strategy: Note the strategic words, indicates the need for revision. These words indicate a negative event query and the need to select the incorrect nursing intervention. Remember that the client with an internal radiation implant needs to be placed in a private room.

Contact precautions are initiated for a client with a health care-associated (nosocomial) infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The nurse prepares to provide colostomy care and should obtain which protective items to perform this procedure? 1. Gloves and gown 2. Gloves and goggles 3. Gloves, gown, and shoe protectors 4. Gloves, gown, goggles, and a mask or face shield

Answer: 4 Rationale: Splashes of body secretions can occur when providing colostomy care. Goggles and a mask or face shield are worn to protect the face and mucous membranes of the eyes during interventions that may produce splashes of blood, body fluids, secretions, or excretions. In addition, contact precautions require the use of gloves, and a gown should be worn if direct client contact is anticipated. Shoe protectors are not necessary. Test-Taking Strategy: Focus on the subject, protective items needed to perform colostomy care. Also, note the words contact precautions. Visualize care for this client to determine the necessary items required for self-protection. This will direct you to the correct option.

The nurse is giving report to an assistive personnel (AP) who will be caring for a client in hand restraints (safety devices). How frequently should the nurse instruct the AP to check the tightness of the restrained hands? 1. Every 2 hours 2. Every 3 hours 3. Every 4 hours 4. Every 30 minutes

Answer: 4 Rationale: The nurse should instruct the AP to check safety devices for tightness every 30 minutes. The neurovascular and circulatory status of the extremity should also be checked by the registered nurse every 30 minutes. In addition, the safety device should be removed at least every 2 hours to permit muscle exercise and to promote circulation. Agency guidelines regarding the use of safety devices should always be followed. Test-Taking Strategy: Focus on the subject, checking the tightness of a safety devices. In this situation, selecting the option that identifies the most frequent time frame is best.

The nurse is caring for a client with meningitis and implements which transmission-based precaution for this client? 1. Private room or cohort client 2. Personal respiratory protection device 3. Private room with negative airflow pressure 4. Mask worn by staff when the client needs to leave the room

Answer: 1 Rationale: Meningitis is transmitted by droplet infection. Precautions for this disease include a private room or cohort client and use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne disease such as tuberculosis. When appropriate, a mask must be worn by the client and not the staff when the client leaves the room. Test-Taking Strategy: Focus on the subject, the correct precaution needs for a client with meningitis. Recalling that meningitis is transmitted by droplets will direct you to the correct option.