Safety Quiz

What is the use of a real time location system (RTLS) in a health-care agency? 1. It is used to locate client care equipment in a building. 2. It is used to send alerts from the client's bedside equipment. 3. It is used to consult the primary health-care provider at a different location. 4. It is used to alert the nurse if the client leaves the bed.

1. It is used to locate client care equipment in a building.

Which intervention by the nurse is most important before beginning a blood transfusion for a client? 1. Obtain a set of vital signs. 2. Assess the hemoglobin level. 3. Check the client's fluid intake. 4. Assess the skin turgor.

1. Obtain a set of vital signs.

Which type of mechanical aid would the nurse recommend for a client with good balance but weakened hands? 1. Single-ended cane with a half-circle handle 2. Single-ended cane with a straight handle 3. Multiprong cane 4. Crutches

2. Single-ended cane with a straight handle

Which medication helps to treat pruritus in a client who is on opioid therapy? 1. Naloxone (Narcan) 2. Naproxen (Aleve) 3. Buprenorphine (Buprenex) 4. Diphenhydramine (Benadryl)

4. Diphenhydramine (Benadryl)

While monitoring a client who is on chlorpromazine therapy, the nurse anticipates the presence of neuroleptic malignant syndrome. Which findings in the client enabled the nurse to make such a conclusion? Select all that apply. 1. Diaphoresis 2. Convulsions 3. Respiratory distress 4. Excess eye blinking 5. Bradycardia

1,2,3,5

Which statements are true for "The Privacy Rule" or Health Insurance Portability and Accountability Act (HIPAA) regulations? Select all that apply. 1. The rule requires health plans and primary health-care providers to obtain the client's consent before disclosing the health information. 2. The rule requires health plans and primary health-care providers to limit disclosure of information to the minimum. 3. The organization may lose its eligibility to practice health care if they are guilty of breaching their client's health information. 4. The individual states monitor compliance with the privacy rules. 5. The rules apply to electronic and written communication.

1,2,4

What are the important considerations when a central venous access device (CVAD) is prescribed for a client? Select all that apply. 1. The catheter must be inserted by a practitioner with specialized training. 2. The client's consent must be obtained for the procedure. 3. The practitioner must follow a clean technique during the procedure. 4. The placement of the catheter must be treated as a minor surgical procedure. 5. The position of the catheter must be confirmed by radiography.

1,2,4,5

Which incidents are identified as "never events"? Select all that apply. 1. Air embolism 2. Traumatic falls 3. Burns caused by alkali 4. Death caused by lightning 5. Severe pressure ulcers

1,2,5

While reviewing the blood reports of a Hispanic client, the nurse finds high amounts of lead. Which client's statement indicates the reason for this condition? 1. "I am using greta for colic." 2. "I am cooking whole poultry and thighs at 82°C." 3. "I am removing the outermost leaves of a head of lettuce." 4. "I am leaving cut produce at room temperature for a long time."

1. "I am using greta for colic."

The nurse is teaching self-medication administration guidelines to a client who has been prescribed ergotamine nasal spray. Which statement of the client indicates the need for further teaching? 1. "I should discard the ampule within 24 hours of opening it." 2. "I should prime the nasal sprayer before administering the first dose." 3. "I should avoid tilting the head after administering the medication." 4. "I should administer 1 spray in each nostril followed by an additional spray in each nostril after 15 minutes."

1. "I should discard the ampule within 24 hours of opening it."

The nurse is teaching a pregnant client about precautionary measures related to diet to prevent retinoic acid syndrome. Which statement should the nurse include in the teaching? 1. "Limit the intake of beef liver." 2. "Limit the intake of soft cheese." 3. "Limit the intake of canned light tuna." 4. "Limit the intake of undercooked meat."

1. "Limit the intake of beef liver.

Which instruction should be given to a client who is learning about quadriceps and gluteal drills? 1. "Tighten the thigh muscles while pushing downward with the knees." 2. "Hold the position for a count of 10 and then relax." 3. "Repeat the exercise 10 times per hour when awake." 4. "Hold your breath while exercising."

1. "Tighten the thigh muscles while pushing downward with the knees."

During which time period following discharge can insurance companies deny reimbursement to a client or charge penalties for readmission? 1. 30 days 2. 45 days 3. 90 days 4. 15 days

1. 30 days

Which action taken by the nurse when caring for a client who has signs indicating the onset of mild seizures needs correction? 1. Administering oxygen immediately 2. Helping the client into bed, lowering the head, and raising siderails 3. Moving hard or sharp objects away from the client 4. Loosening the client's clothing

1. Administering oxygen immediately

Which feature in software records details about the people who accessed information? 1. Audit trail 2. Barcode system 3. Password protection 4. Authorization feature

1. Audit trail

The nurse is teaching a group of parents of toddlers about safety. Which should the nurse instruct is the most common cause of a burn in this age population? 1. Burns by scalding liquid 2. Burns by spilling hot liquids 3. Burns by playing with matches 4. Burns by electrical means

1. Burns by scalding liquid

Which is the best system fora nurse to notify the facility administrators of a medication error? 1. Complete an incident report of the error. 2. Verify and identify the type of error. 3. Assess the client for vital signs and symptoms and document them in the client's electronic health record. 4. Document the medication in the chart without pointing out the error.

1. Complete an incident report of the error.

While assessing a client who is prescribed chlorpromazine, the nurse finds muscle spasms, twitching, and inability to move eyes. Which condition does the nurse expect in the client? 1. Dystonia 2. Akathisia 3. Parkinsonism 4. Tardive dyskinesia

1. Dystonia

What must be removed first as a procedural step for removing personal protective equipment (PPE)? 1. Gloves 2. Gown 3. Face mask 4. Hair covering

1. Gloves

Which effects does the nurse expect in a client who uses alcohol concurrently with chloral hydrate? Select all that apply. 1. Headache 2. CNS depression 3. Bradycardia 4. Hypertension 5. Flushing

1. Headache 2. CNS depression 3. Bradycardia 5. Flushing

The nurse is performing a blood transfusion for a client with a cardiovascular disorder. During the transfusion, the nurse observes flushing, wheezing, and urticaria in the client and stops the transfusion immediately and administers an antihistamine. What is the reason for this nursing intervention? The nurse is performing a blood transfusion for a client with a cardiovascular disorder. During the transfusion, the nurse observes flushing, wheezing, and urticaria in the client and stops the transfusion immediately and administers an antihistamine. What is the reason for this nursing intervention? 1. The client experienced an allergic reaction. 2. The client experienced a febrile reaction. 3. The client experienced a bacterial reaction. 4. The client experienced circulatory overload 2. The client experienced a febrile reaction. 3. The client experienced a bacterial reaction. 4. The client experienced circulatory overload

1. The client experienced an allergic reaction.

Why does the caregiver place a chair monitor under the buttocks of a client with paralysis? 1. To prevent the client from falling down 2. To prevent hypertension in the client 3. To prevent pressure ulcers in the client 4. To prevent respiratory depression in the client

1. To prevent the client from falling down

What intervention should the nurse implement while preparing the site for percutaneous central venous catheter placement? 1. Use 2% chlorhexidine gluconate in 70% alcohol applicators. 2. Scrub the area in circular motion moving outward. 3. Scrub the area with two applicators. 4. Blot the area dry after the scrub.

1. Use 2% chlorhexidine gluconate in 70% alcohol applicators.

Question 18. The nurse is caring for a client who has undergone a tracheostomy. While cleaning the stoma, the nurse observes crust around it. What should the nurse do in this situation? Select all that apply. 1. Cut the gauze to make a dressing for the tracheostomy site. 2. Apply firm pressure at the tracheostomy site. 3. Apply hydrogen peroxide to the crusts using a cotton swab. 4. Rinse the area with a swab soaked in normal saline. 5. Ask the client to hold his or her breath while cleaning.

2-5

Which factors, other than accidents, are responsible for posture problems in an individual? Select all that apply. 1. Weight loss 2. Workspace design 3. Positive self-image 4. Visual difficulties 5. Footwear design

2-5

What is the length of primary IV tubing? 1. 1 to 35 inches 2. 39 to 100 inches 3. 150 to 200 inches 4. 170 to 250 inches

2. 39 to 100 inches

A health-care facility has recruited a nursing informatics (NI) specialist. What is the qualification of an NI specialist? 1. A computer expert who trains nurses 2. An individual with a specialty practice in nursing informatics 3. A nurse educator with knowledge of computers 4. A nurse who uses the internet for research

2. An individual with a specialty practice in nursing informatics

The nurse is teaching measures to prevent fire hazards to a client who is planning to set up a temporary fireworks shop. Which class of fire extinguisher will the nurse suggest the client to place in his or her shop? 1. Class K 2. Class D 3. Class A 4. Class C

2. Class D

Which is the most common incident reported in hospitals and long-term care facilities? 1. Sexual harassment 2. Falls 3. Elder abuse 4. Alcoholism

2. Falls

Which measures provide a safe environment for preventing falls in health-care facilities? 1. Providing gait training 2. Keeping the bed in a lower position 3. Using assistive devices appropriately 4. Educating clients and family regarding fall prevention strategies

2. Keeping the bed in a lower position

A nurse is using the open method to don gloves. The flaps of the inner glove package are fully opened, keeping the glove cuffs closest to the nurse. The nurse then grasps the inner surface of a glove with the nondominant hand and lifts it away from the table. The dominant hand is slid into the glove, keeping the fingers above waist level and close to the body. What misstep has contaminated the glove? 1. Keeping the gloved fingers above waist level 2. Keeping the gloved fingers close to the body 3. Opening the flaps of the package completely 4. Opening the package keeping the cuffs closest to the body

2. Keeping the gloved fingers close to the body

A student nurse is assisting a registered nurse with the logrolling process of a client. Which action by the student nurse needs correction? 1. Lowering the head of the bed 2. Lowering the side rails on all sides of the bed 3. Raising the bed height to waist level 4. Using a transfer roller sheet to move the client

2. Lowering the side rails on all sides of the bed

Which device is most often used in home care to transfer a client from the bed to a chair? 1. Transfer board 2. Mechanical lift 3. Transfer belt 4. Scoot sheet

2. Mechanical lift

What type of syncope can be seen in the clients with hypoglycemia? 1. Cardiac syncope 2. Metabolic syncope 3. Vasovagal syncope 4. Psychogenic syncope

2. Metabolic syncope

The nurse is caring for a client who is to receive an epidural anesthesia in the operating room. What is the purpose of the "time-out" procedure in the operating room? 1. To indicate that the anesthetist is ready to begin the procedure 2. To indicate that the operative site, procedure, and client is correctly identified 3. To indicate that the operative equipment has been arranged for the procedure 4. To indicate that the procedure has been completed successfully

2. To indicate that the operative site, procedure, and client is correctly identified

A novice nurse is explaining the method of administering an intramuscular injection using the traditional method. Which procedural step below indicates a need for further teaching? 1. "The nurse must cleanse the injection site with an alcohol prep pad." 2. "The nurse should aspirate the needle to check for blood return." A novice nurse is explaining the method of administering an intramuscular injection using the traditional method. Which procedural step below indicates a need for further teaching? 1. "The nurse must cleanse the injection site with an alcohol prep pad." 2. "The nurse should aspirate the needle to check for blood return." 3. "The nurse should administer the injection in the dorsogluteal site." 4. "The nurse should inject the medication slowly." 4. "The nurse should inject the medication slowly."

3. "The nurse should administer the injection in the dorsogluteal site."

The nursing instructor is teaching students about the use of secondary IV administration sets. Which statement of the student nurse needs correction? 1. "The secondary IV administration sets help to administer medications at a very slow rate." 2. "The secondary infusion sets have a spiked end and a roller clamp." 3. "The secondary infusion sets have an extra infusion port." 4. "The secondary infusion sets help to administer medications intermittently."

3. "The secondary infusion sets have an extra infusion port."

What is the typical caseload for most transitional care nurses? 1. 5 to 8 cases 2. 10 to 12 cases 3. 15 to 20 cases 4. 25 to 30 cases

3. 15 to 20 cases

The nurse is recovering a client from general anesthesia. What is the nurse's priority concern during the first 4 hours? 1. Level of consciousness 2. Bleeding 3. Airway patency 4. Pain control

3. Airway patency

Which positioning devices, made of spongy rubber, prevent foot drop and external hip rotation in the client? 1. High-top sneakers 2. Foot cradles 3. Boots 4. Hip abduction pillows

3. Boots

The informatics standards of practice are aligned with the nursing process. What is the role of the informatics nurse in the planning and implementation phase? 1. Analysis and validation of data 2. Appraisal of skillful needs 3. Continuous quality improvement 4. Assess informatics solutions

3. Continuous quality improvement

Which step should the nurse take to prevent vasoconstriction and cramps for a client receiving continuous feedings through a gastrostomy tube? 1. Administer an antacid before initiating the feeding. 2. Use a closed system with a prefilled bottle and drip chamber. 3. Ensure that the feeding formula is at room temperature. 4. Pinch or clamp off the end of the feeding tube.

3. Ensure that the feeding formula is at room temperature.

Which part should the nurse wipe first while inserting a urinary catheter into a female client? 1. Inside near labium 2. Inside far labium 3. Far labium majora 4. Near labium majora

3. Far labium majora

Which evidence-based model of transitional care does the Society of Hospital Medicine lead? 1. The Transitional Care Model (TCM) 2. The Care Transitions Program 3. Project Better Outcomes for Older Adults Through Safe Transitions (BOOST) 4. The transforming care at the bedside model (TCAB)

3. Project Better Outcomes for Older Adults Through Safe Transitions (BOOST)

Which solvent is used for cleaning an artificial eye? 1. Alcohol 2. Disinfectant 3. Saline solution 4. Strong solvent

3. Saline solution

Which statement is true for a client with blood group A Rh+? 1. The client has A antibodies in the plasma. 2. The client has B antigens on the surface of the red blood cells (RBCs). 3. The client has Rh factor antigens in the blood. 4. The client can receive only Rh+ blood.

3. The client has Rh factor antigens in the blood.

Which medication effect can be enhanced by chlorpromazine? 1. Amphetamine 2. Bromocriptine 3. Valproic acid 4. Barbiturates

3. Valproic acid

When administering a diphtheria, tetanus, and pertussis vaccine, the nurse should instruct the parent of what possible side effect? 1. Erythema 2. Anorexia 3. Soreness at the injection site 4. Seizures

4 Seizures

Which biophysical profile (BPP) score indicates the need to conduct an immediate delivery in a pregnant client? 1. 8/10 2. 6/10 3. 4/10 4. 2/10

4. 2/10

What is the drop factor of microdrip tubing? 1. 10 gtt/mL 2. 15 gtt/mL 3. 20 gtt/mL 4. 60 gtt/mL

4. 60 gtt/mL

Which IV tubing drop factor is most commonly used in the pediatric setting? 1. 20 gtt/mL 2. 15 gtt/mL 3. 10 gtt/mL 4. 60 gtt/mL

4. 60 gtt/mL

Which action of the nurse after the completion of surgery would help prevent complications or further surgeries? 1. Opening clean surgical sutures for incision closure 2. Sending client tissue samples for lab evaluation 3. Monitoring the urinary catheter to check the urine output 4. Doing a second count of the surgical instruments

4. Doing a second count of the surgical instruments

Which act strives to ensure the confidentiality and security of client information in health records? 1. Freedom of Information Act 2. Affordable Care Act (ACA) 3. The American Recovery and Reinvestment Act 4. Health Insurance Portability and Accountability Act (HIPAA)

4. Health Insurance Portability and Accountability Act (HIPAA)

The nurse is administering red blood cells to a client through the transfusion process. Which action of the nurse prevents contamination during the transfusion of the red blood cells? 1. Adding warfarin to the red blood cells 2. Discarding the transfusion bag immediately after red blood cell transfusion 3. Infusing glucose solution simultaneously with the red blood cells through the same intravenous line 4. Initiating the transfusion of the red blood cells within 30 minutes of obtaining the sample from the blood bank

4. Initiating the transfusion of the red blood cells within 30 minutes of obtaining the sample from the blood bank

Which IV fluid treats dehydration? 1. Hetastarch 2. Dextran 70 3. 5% Albumin 4. Lactated Ringer's solution

4. Lactated Ringer's solution

How should the nurse remove the sutures that have been applied to close a client's wound? 1. Use clean scissors and forceps. 2. Cut the suture midway between the two ends. 3. Pull the suture through the underlying tissue. 4. Pull the suture in the direction of the knotted side.

4. Pull the suture in the direction of the knotted side.

The nurse is advocating for a pediatric client to be removed from the home due to medical abuse. Which assessment finding supports the nurse's intent? 1. Poor growth pattern 2. Developmental delays 3. Unattended medical needs 4. Recurrent condition unresponsive to therapy

4. Recurrent condition unresponsive to therapy

Who can insert a tunneled central venous catheter (CVC) for a client? 1. Registered nurse with specialized training 2. Physician assistant 3. Physician 4. Surgeon

4. Surgeon

Which adverse effect may be seen in a client who is prescribed chlorpromazine? 1. Hypertension 2. Hypothermia 3. Bradycardia 4. Tardive dyskinesia

4. Tardive dyskinesia

When is it possible for a client to receive autologous units of blood? 1. The client's blood group is AB. 2. The client's blood group is O. 3. The client's blood is crossmatched with the donor's blood. 4. The client has self-donated units of blood.

4. The client has self-donated units of blood.

The nurse is assisting a geriatric client to ambulate. Which supportive device should the nurse use to minimize the risk of falls? 1. Transfer roller 2. Transfer board 3. Scoot sheet 4. Transfer belt

4. Transfer belt

How many teaspoons of liquid is equivalent to 1 fl oz?

6

A client is at a health-care facility that has implemented the EHR system. The client expresses concerns about identity fraud. What should the nurse say to reassure the client? Select all that apply. 1. "The system is encrypted and password protected." 2. "Health Insurance Portability and Accountability Act (HIPAA) has strict guidelines for sharing client information." 3. "Health-care facilities are required to code data in a standard format so that it can be used for research." 4. "The system has a firewall that will prevent data theft." 5. "The client's health history will be shared only with the health-care providers who provide direct care for the client."

All of the above

What precautions should the nurse take to prevent needlestick injury? Select all that apply. 1. Avoid overfilling the sharp containers. 2. Avoid carrying syringes in uniform pocket. 3. Instruct the client to avoid sudden movement. 4. Place the sharps container away from the work area. 5. Dispose of the sharps after finishing the procedure.

All of the above

Who are the ad hoc members of the interprofessional care team (ICT) in the health-care setting? Select all that apply. 1. Social worker 2. Occupational therapist 3. Home care coordinator 4. Legal counsel 5. Palliative care coordinator

All of the above

The nurse is caring for a client who is to receive negative pressure wound therapy (NPWT) by the Chariker-Jeter method. Arrange the sequence of events in the order in which the nurse should implement them while applying a gauze dressing.

Measure the length of the fenestrated drain. Wrap the drain in moistened gauze. Place the drain in the wound base. Secure the drain with an ostomy paste. Apply liquid skin preparation to the periwound. Apply a transparent film beyond the wound margin. Attach filter tubing to the canister spout. Connect the tubing from the dressing to the evacuation tubing. Keep the clamps open on all the tubing. Turn on the power to initiate the therapy.

The nurse is preparing to insert a peripheral intravenous (IV) catheter in a client to initiate IV fluid administration. What is the sequence of steps that the nurse should follow?

Place the client in a comfortable position. Check the IV solution to ensure that the proper solution with the prescribed additives was obtained. Check the expiration date on the intravenous (IV) solution. Check the IV solution for discoloration or particulate matter. Label the IV solution container with the client's name, date, and initials. Place a linen-saver pad under the client's arm. Place the client's arm in a dependent position. Locate a vein and palpate before inserting the IV catheter. Insert the catheter by using an appropriate method.

The nurse and an unlicensed assistive personnel (UAP) are changing the soiled Velcro tracheostomy holder. Arrange the events in the order in which the procedure is implemented.

Stabilize the tracheostomy tube. Disengage the Velcro on both sides of the soiled holder. Discard the Velcro holder. Assist the client to flex the neck. Thread one end of the Velcro tracheostomy holder through the eyelet of the faceplate. Bring the holder around the back of the client's neck. Thread the other end of the tracheostomy holder through the empty eyelet of the faceplate. Insert a precut, sterile tracheostomy dressing under the faceplate. Dispose of used equipment.

Arrange the nursing interventions in the order in which they should be implemented if the client develops a transfusion reaction when blood is infused.

Stop the transfusion. Disconnect the administration set from the IV catheter. Monitor the vital signs. Maintain patency of the IV catheter. Notify the primary health-care provider. Send the remaining blood to the blood bank. Obtain the client's blood and urine specimens for analysis. Administer the prescribed medications.