Deck 26: Safety, Security, and Emergency Preparedness

Question 1

What age group is most vulnerable to toxic fumes or asphyxiation?

A) Young children
B) Adolescents
C) Toung adults
D) Middle adults

Answer 1

Young children

Question 2

A client is very anxious and states, "I am so stressed." Why do these factors affect the client's safety?

A) Stress increases retention of information
B) Stress affects interpersonal relationships
C) Stress increases concern about hazards
D) Stress tends to narrow the attention span

Answer 2

Stress tends to narrow the attention span

Question 3

In what situation would the use of side rails not be considered a restraint?

A) The nurse keeps them raised at all times.
B) The institution's policies mandate using side rails.
C) A visitor requests their use.
D) A client requests they be up at night.

Answer 3

A client requests they be up at night.

Question 4

Bioterrorism has become a commonly used term. What is the definition of bioterrorism?

A) A verbal threat by those wishing to harm specific individuals
B) A written threat calculated to produce terror in a family
C) The deliberate spread of pathogens into a community
D) A worldwide plan to produce illness and injury

Question 5

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury?

A) "Always test the temperature of bath water before stepping in."
B) "Take your insulin twice a day as we have discussed."
C) "Remember to follow your diet so you lose weight this month."
D) "Rub lotion on the skin of your legs and feet twice a day."

Question 6

An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse?

A) Nothing; the nurse has no control over the toddler's home.
B) Refer the caregivers of the toddler to a home health nurse.
C) Verbally confront the caregivers about the suspicions.
D) Report suspicions about the abuse to proper authorities.

Question 7

A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit?

A) Orient the client to the room and environment thoroughly upon admission.
B) Provide the client with a bedpan to reduce the need to transfer to a commode or washroom.
C) Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects.
D) Place the client in a shared room with a client who is stable and oriented.

Question 8

An adolescent has recently had a ring inserted into her navel. Which of the following is the greatest risk facing the adolescent as a result of this activity?

A) A scar over the navel
B) A local and/or systemic infection
C) A greater acceptance by peers
D) A strained relationship with parents

Question 9

The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which of the following topics for staff education is most likely to benefit the greatest number of residents?

A) Educating nurses on how to prevent falls
B) Reviewing safe medication administration
C) Educating nurses on how to prevent wandering by confused residents
D) Reviewing resuscitation for cardiac and respiratory arrest

Question 10

What statement by a client would indicate that a nurse had successfully implemented a educating/learning strategy to prevent injury in the home?

A) "I will turn off the outside lights and lock the doors every night."
B) "Do you think it would be best for me to buy a gun?"
C) "I am going to remove all those throw rugs on the floor."
D) "Well, I always let the boys play in the bathtub; they love it."

Question 11

In light of the failure of alternatives, a nurse has been forced to physically restrain an agitated client. Which of the following actions should the nurse perform when applying and maintaining the restraints?

A) Tie the client's hand restraint to the bed frame rather than the side rail.
B) Obtain a physician's order for the restraints within 24 hours.
C) Ensure the client is under continuous surveillance while restrained.
D) Choose a restraint device that best minimizes the client's mobility.

Question 12

What safety device for children is mandated by law in all 50 states?

A) Bumper pads in baby cribs
B) Infant car seats and carriers
C) Automatic hot water heater controls
D) Parental controls for Internet access

Question 13

A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

A) Place it in the client's medical record.
B) Take it home and keep it locked up.
C) Maintain it according to agency policy.
D) Include it with documentation of the error.

Question 14

Nurses provide many interventions to prevent falls in health care settings. Which of the following would be an appropriate intervention to prevent falls?

A) Keep bed in the high position.
B) Keep side rails up at all times.
C) Apply restraints to all confused clients.
D) Lock wheels on beds and wheelchairs.

Question 15

Which of the following clients is most likely to face an increased risk of falls due to his or her medication regimen?

A) A female client age 77 years who has received a benzodiazepine to minimize her anxiety
B) A male client age 79 years whose recent high blood pressure has required a PRN dose of an angiotensin-converting enzyme (ACE) inhibitor
C) A woman age 81 years who has required a blood transfusion to treat a gastrointestinal bleed
D) A man 90 years of age whose venous ulcer has required the administration of intravenous antibiotics

Question 16

Which of the following people has the greatest risk for accidental injury?

A) An infant just learning to crawl
B) An older adult who walks two miles a day
C) An athlete who exercises on a regular basis
D) A worker who operates industrial machines

Question 17

A girl age 4 years has been admitted to the emergency department after accidently ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl's poisoning?

A) Administration of activated charcoal
B) Inducing vomiting
C) Gastric lavage
D) Intravenous rehydration

Question 18

A grade school nurse is addressing parents at a PTA meeting regarding car safety. Which of the following is a recommended safety guideline for this age group?

A) All school-age children need to be secured in safety seats.
B) Booster seats should be used for children until they are 4 feet 9 inches tall or at least 8 years of age.
C) Children under 8 years old should ride in the back seat.
D) All school-age children need to be secured in lap seat belts.

Question 19

Which of the following measures should nurses implement in a hospital setting in order to identify intimate partner violence (IPV)?

A) Routine screening of newly admitted clients
B) Focused physical assessment for IPV for all new clients
C) Involvement of a social worker in the admission assessment of all new female clients
D) Review of the definition and legal repercussions of IPV with all new female clients

Question 20

A client arrives at the emergency department with nausea, hematemesis, fever, abdominal pain, and severe diarrhea. There is a suspicion the client has been exposed to the anthrax bacillus. What category of medications will be administered?

A) Antimicrobials
B) Narcotics
C) Antihistamines
D) Antacids

Question 21

When educating parents of preschoolers, what is most important to include in your presentation?

A) Use wrist guards with rollerblades
B) Teach preschoolers to tread water
C) Keep chemicals in a locked cabinet
D) Strict discipline with potty training

Question 22

A nurse specializes in caring for victims of domestic violence. Which of the following statements accurately describes domestic violence in the United States? (Select all that apply.)

A) Studies indicate that each year, more than 12 million adults in the United States are victims of intimate partner violence.
B) Intimate partner violence is domestic violence or battering between two people in a close relationship.
C) Many men who batter their spouses also batter their children.
D) There is no evidence linking childhood sexual abuse to adult physical symptoms or substance abuse.
E) Domestic violence is not seen in a cycle.

Question 23

A nurse enters a client's room and finds that the client has fallen on her way to the bathroom. Which of the following is a prudent nursing intervention for this client?

A) Briefly leave the client in order to call the primary physician to assess the client's condition.
B) Order x-rays or CT scans for the client, as needed.
C) Document the incident, assessment, and interventions in the client's medical record.
D) Do not file an event report unless the client is seriously injured in the fall.

Question 24

A nurse is caring for a stable toddler diagnosed with accidental poisoning, due to the ingestion of cleaning solution. What must be included in educating parents about how to protect a toddler from accidental poisoning?

A) Closely monitor the toddler's activity.
B) Label poisonous solutions.
C) Keep cleaning solutions locked up.
D) Do not leave the toddler alone.

Question 25

After a client falls out of bed, the nurse completes which of the following?

A) Safety event report (incident report)
B) Telephone call to hospital's attorney
C) Progress note stating event report was completed
D) Malpractice report

Question 26

A nurse is assessing a client who recently had a stroke. What is one area of assessment necessary to promote safety?

A) Neuromuscular
B) Respiratory
C) Gastrointestinal
D) Genitourinary

Question 27

The nurse knows that a health care facility should determine its disaster-preparedness plan for delivering care in the event of an emergency or disaster?

A) As soon as the disaster is announced publicly
B) When officially informed that a disaster has occurred
C) After the first disaster has been experienced
D) In advance of a possible emergency or disaster

Question 28

Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub?

A) Noncompliance
B) Risk for Suffocation
C) Risk for Falls
D) Risk for Imbalanced Body Temperature

Question 29

A physician orders restraints for a confused client who is at risk for injury by pulling out tubes necessary to sustain her life. Which of the following statements describes an accurate action to take when applying these restraints?

A) Apply restraints to the hands or wrists, never to the ankles.
B) Ensure that two fingers can be inserted between the restraint and the client's extremity.
C) Use a quick-release knot to tie the restraint to the side rail.
D) Remove the restraint at least every four hours, or according to agency policy.

Question 30

The nurse conducting a community emergency preparedness education class includes which of the following as an example of a natural disaster?

A) Toxic spill
B) Earthquake
C) War
D) Terrorist event

Question 31

Which of the following populations, based on their development stage, would benefit from strategies to prevent falls? Select all that apply.

A) Newborns
B) Toddlers
C) Adolescents
D) Adults
E) Older Adults

Question 32

A doctor orders restraints for an older adult client who is disoriented from the pain medication she is taking. Which of the following is an appropriate guideline for applying these restraints?

A) Chemical restraints should be tried before using physical restraints.
B) The restraints can be ordered by the nursing supervisor in emergency situations.
C) The client's vital signs must be assessed every hour.
D) Adults must be reassessed within 4 hours; children age 9 to 17 years within two hours; and children under 9 years within one hour.

Question 33

The facility risk management team is preparing an in-service to nursing staff members. The presentation will highlight risk factor increase related directly to the type of clientele on a nursing unit. The presenter will correctly explain that which of the following risks is increased for female nurses who work on an oncology care unit?

A) Back injuries
B) Bloodborne pathogens
C) Adverse reproduction
D) Neurologic disorders

Question 34

Prior to inserting a nasogastric tube, the nurse correctly verifies the client's identity through which of the following methods?

A) Ask the client: "Is your name___?"
B) Check the client's identification bracelet.
C) Verify the client's room number.
D) Call the client by his or her first name.

Question 35

The nurse is caring for a client who has prescribed extremity restraints. The nurse is required to document which of the following?

A) Alternative measures attempted before applying the restraints
B) A verbal order for renewal of the restraints every 48 hours
C) Detailed description of the restraint application process
D) Type of personal protective equipment (PPE) used by the nurse during restraint application