Question 1

When draining a client's ileostomy bag and changing the dressings, the nurse should use which of the following protective measures?

Accepted Answer

A) Sterile gloves, sterile mask, gown 
B) Double gloves, goggles, mask, gown 
C) Goggles, gown, booties and mask 
D) Sterile and clean gloves, mask, gown 
A) Sterile gloves, sterile mask, gown 
B) Double gloves, goggles, mask, gown 
C) Goggles, gown, booties and mask 
D) Sterile and clean gloves, mask, gown D

Question 2

A nurse is assigned in the triage area of the emergency department. The nurse is assigned to care for a three-year-old child complaining of severe abdominal pain. Further assessment shows abdominal distension, shortness of breath, and lethargy. What is the appropriate category for this child?

Accepted Answer

A) Red 
B) Green 
C) Yellow 
D) Black 
A) Red 
B) Green 
C) Yellow 
D) Black A

Question 3

A nurse is caring for a female client who sustained second- to third-degree burns. Reverse-protective isolation techniques are implemented. The nurse maintains reverse isolation by which of the following interventions?

Accepted Answer

A) Perform surgical handwashing before entering the client's room 
B) Place the client in a single room maintained under positive pressure 
C) Using sterile sheets 
D) Using a sterile-type mask on entering the room 
A) Perform surgical handwashing before entering the client's room 
B) Place the client in a single room maintained under positive pressure 
C) Using sterile sheets 
D) Using a sterile-type mask on entering the room B

Question 4

A nurse is enrolled in an orientation program regarding clients' rights, confidentiality, and ethical practices in nursing. Which of the following situations is an example of a breach of confidentiality?

Accepted Answer

A) Release of laboratory results to the client via an encrypted electronic email. 
B) Disclosing information for reimbursement of hospital payment. 
C) Disclosing the client's disease prognosis to the estranged spouse. 
D) Using a reference number to replace the client's name in the medical record. 
A) Release of laboratory results to the client via an encrypted electronic email. 
B) Disclosing information for reimbursement of hospital payment. 
C) Disclosing the client's disease prognosis to the estranged spouse. 
D) Using a reference number to replace the client's name in the medical record.

Question 5

A nurse is caring for a MRSA-colonized client. As the nurse develops the client's care plan, the nurse should take note of the following precautions except:

Accepted Answer

A) Use of dedicated-client equipment 
B) Removal of gloves and gown before leaving the client's room 
C) Considering routine waste from the client's room infectious 
D) Instruments used for dressing changes are not transferred to another client 
A) Use of dedicated-client equipment 
B) Removal of gloves and gown before leaving the client's room 
C) Considering routine waste from the client's room infectious 
D) Instruments used for dressing changes are not transferred to another client

When draining a client's ileostomy bag and changing the dressings, the nurse should use which of the following protective measures?

A nurse is assigned in the triage area of the emergency department. The nurse is assigned to care for a three-year-old child complaining of severe abdominal pain. Further assessment shows abdominal distension, shortness of breath, and lethargy. What is the appropriate category for this child?

A nurse is caring for a female client who sustained second- to third-degree burns. Reverse-protective isolation techniques are implemented. The nurse maintains reverse isolation by which of the following interventions?

A nurse is enrolled in an orientation program regarding clients' rights, confidentiality, and ethical practices in nursing. Which of the following situations is an example of a breach of confidentiality?

A nurse is caring for a MRSA-colonized client. As the nurse develops the client's care plan, the nurse should take note of the following precautions except:

Basic Care

Care Management

Gastrointestinal (Gi)

Reduction of Risk

Medical Assisting

Physical Care

Midwifery

Pyschosocial Care

Role of the Aide

Filters

Exam 5: Safety

When draining a client's ileostomy bag and changing the dressings, the nurse should use which of the following protective measures?

A nurse is assigned in the triage area of the emergency department. The nurse is assigned to care for a three-year-old child complaining of severe abdominal pain. Further assessment shows abdominal distension, shortness of breath, and lethargy. What is the appropriate category for this child?

A nurse is caring for a female client who sustained second- to third-degree burns. Reverse-protective isolation techniques are implemented. The nurse maintains reverse isolation by which of the following interventions?

A nurse is enrolled in an orientation program regarding clients' rights, confidentiality, and ethical practices in nursing. Which of the following situations is an example of a breach of confidentiality?

A nurse is caring for a MRSA-colonized client. As the nurse develops the client's care plan, the nurse should take note of the following precautions except:

Basic Care

Care Management

Gastrointestinal (Gi)

Reduction of Risk

Medical Assisting

Physical Care

Midwifery

Pyschosocial Care

Role of the Aide

Filters