Deck 25: Safety

Question 1

The nurse knows that which patient has a teaching need based on statements by the patient's parents?

A) "My 6-month-old daughter only sleeps with me when she's ill."
B) "I do not put pillows in the bed with my 3-month-old son."
C) "I do not feed popcorn to my 2-year-old."
D) "I have discussed the risks of the 'choking game' with my 16-year-old."

Answer 1

"My 6-month-old daughter only sleeps with me when she's ill."

Question 2

The ER nurse is triaging a patient with suspected poisoning. Who should the nurse anticipate contacting first?

A) Family services
B) Radiology
C) Poison Control Center
D) Respiratory

Answer 2

Poison Control Center

Question 3

The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when exercise is attempted. The nurse is concerned that the patient's decrease in activity may lead to which outcome?

A) Orthostatic hypotension
B) Increase risk of heart disease
C) Loss of short-term memory
D) Worsening shortness of breath

Answer 3

Orthostatic hypotension

Question 4

The nurse recognizes that a patient is using a portable generator in the house as a power source. What source of poisoning does the nurse appropriately identify?

A) Lead
B) Carbon monoxide
C) Antifreeze
D) Pesticide

Question 5

The nurse displays an understanding of high-risk populations for MRSA when identifying which group as the lowest risk?

A) Prison inmates
B) College dorm residents
C) Team athletes
D) Food service workers

Question 6

The nurse is educating the patient about the proper disposal of medications in the home. Which statement by the patient indicates a good understanding of the information?

A) "Remove the label from the bottle and throw in the trash."
B) "Flush the medication down the disposal."
C) "Mix the medications with kitty litter, place the mixture in a jar, and put the jar in the trash."
D) "Dissolve the medication in water and pour down the drain."

Question 7

The nurse knows changes in which body system affect overall mobility increasing the propensity of falling?

A) Neurologic
B) Hepatic
C) Cardiopulmonary
D) Musculoskeletal

Question 8

The nurse is concerned about helping the patient find resources to obtain assistive equipment to be used in the home. Which team member should the nurse contact first?

A) Occupational therapist
B) Physical therapist
C) Health care provider
D) Social worker

Question 9

Which statement by the patient indicates to the nurse a teaching need regarding safety in the home?

A) "I will put a night-light in every room."
B) "I will not use an extension cord to plug in multiple items."
C) "I will wash my throw rugs in the bathroom regularly."
D) "I will keep all cleaning supplies out of reach of children."

Question 10

The nurse is educating parents about firearm safety. Which parent statement indicates to the nurse a need for further education?

A) "I should make sure I obtain the proper permits."
B) "It is okay to store firearms with ammunition loaded."
C) "I should store all firearms without ammunition."
D) "I should make sure all firearms have trigger locks in place."

Question 11

Which collaborative team member would be most effective in assisting the nurse to identify medication alternatives that are less likely to cause drowsiness and dizziness to reduce the risk of falls in the elderly patient?

A) Nursing case manager
B) Charge nurse
C) Physical therapist
D) Pharmacist

Question 12

The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client?

A) Orient the patient frequently.
B) Apply restraints.
C) Move the patient to a room close to the nurse's station.
D) Encourage the family to spend time with the patient.

Question 13

The nurse is ambulating a patient back from the bathroom when the patient begins to have a seizure. Which action should the nurse do first?

A) Lower the patient to the floor if standing.
B) Move sharp or hard objects away from the patient.
C) Turn the patient's head to the side to prevent aspiration.
D) Attempt to place a tongue blade to prevent choking.

Question 14

The patient has a nursing diagnosis of Risk for Falls. The nurse identifies which goal to be most important?

A) Patient will ambulate twice a day.
B) Patient will have no symptoms of infection.
C) Patient will perform activities of daily living.
D) Patient will have no injuries during hospital stay.

Question 15

The nurse knows that which assessment tool is not used to assess fall risk?

A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model

Question 16

The nurse manager is developing a training guide and identifies which organization that is the best for resources to help develop guidelines to prevent exposure to hazardous situations and decrease the risk of injury in the workplace?

A) OSHA (Occupational Safety and Health Administration)
B) CDC (Centers for Disease Control and Prevention)
C) QSEN (Quality and Safety Education for Nurses)
D) NIOSH (National Institute for Occupational Safety and Health)

Question 17

The nurse is teaching a student nurse about restraint use in patients. Which statement by the student nurse indicates a learning need regarding restraints?

A) "Having all four side rails up on the bed is considered a restraint."
B) "The use of restraints has been shown to decrease fall-related injuries."
C) "Death has been associated with the use of restraints."
D) "Medications administered to control behavior are considered a chemical restraint."

Question 18

The staff nurse knows that many health care facilities use the fire emergency response defined by which acronym?

A) RACE
B) PASS
C) PACE
D) QSEN

Question 19

The nursing instructor asks the student nurse to identify what Robert Wood Johnson Foundation funded project that focuses on nurses' increased attention to patient safety?

A) OSHA (Occupational Safety and Health Agency)
B) MSDS (material safety data sheets)
C) QSEN (Quality and Safety Education for Nurses)
D) ADA (Americans with Disability Act)

Question 20

The nurse recognizes conversations about safe sexual practices, including the consequences of unprotected sex such as pregnancy and sexually transmitted infections, are important to begin in what patient population?

A) Adults
B) School-aged children
C) Adolescents
D) Older adults

Question 21

The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health. Which statements by the patient indicate a good understanding of actions that can be taken to reduce stressors?

A) "I should change my job."
B) "I should plan some downtime."
C) "I should meet with a financial counselor."
D) "I should talk with my family about my situation."
E) "I should make my family go to counseling with me."

Question 22

The nurse is explaining the National Patient Safety Goals (NPSG) to the student nurse. Which answers indicate that the student has a good understanding of these goals?

A) The NPSG's focus on treating chronic infections quickly
B) The NPGS's focus on improving staff communication
C) The NPGS's focus on using medications safely
D) The NPGS's focus on identifying patients correctly

Question 23

The nurse is providing education to a community group on environmental safety. Which safety measures are effective in improving their environmental safety?

A) Use of night-lights throughout the home
B) Illumination of stairwells and pathways
C) Installation of motion-activated lighting on the exterior of the home
D) Application of wax to all floors to increase shine
E) Staying indoors when air pollution is high

Question 24

Which statement by the nurse correctly identifies the UAP role in patient restraint use?

A) "The UAP can perform initial assessment."
B) "The UAP can apply a restraint."
C) "The UAP can assist with applying and monitoring of a physical restraint."
D) "The UAP can contact the health care provider and request an order for restraints."

Question 25

The nurse knows which method to be an appropriate way to tie restraints?

A) Knot tied to the bed frame
B) Quick-release knot tied to the side rail
C) Bow tied to the bed rail
D) Quick-release ties attached to the bed frame