Question 1

When applying a belt restraint to a patient, it is important for the nurse to:

Accepted Answer

A) apply the belt under the hospital gown. 
B) place the restraint around the abdomen. 
C) have the patient in a sitting position. 
D) apply the belt as tightly as possible. 
A) apply the belt under the hospital gown. 
B) place the restraint around the abdomen. 
C) have the patient in a sitting position. 
D) apply the belt as tightly as possible.

Question 2

Given the most common causes of hospital fires, which of the following choices are most appropriate in preventing patient injury?

Accepted Answer

A) Assure that all electrical devices are checked by engineering. 
B) Assist patients who smoke to a safe area to smoke. 
C) Prop fire doors open for easier patient access. 
D) Educate patients on the importance of smoking cessation. 
A) Assure that all electrical devices are checked by engineering. 
B) Assist patients who smoke to a safe area to smoke. 
C) Prop fire doors open for easier patient access. 
D) Educate patients on the importance of smoking cessation.

Question 3

Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply.)

Accepted Answer

A) Conduct hourly rounds. 
B) Provide the patient regular toileting. 
C) Assess the patient's comfort needs. 
D) Evaluate the effectiveness of pain medication. 
A) Conduct hourly rounds. 
B) Provide the patient regular toileting. 
C) Assess the patient's comfort needs. 
D) Evaluate the effectiveness of pain medication.

Question 4

Upon entering the patient's room, the nurse sees a fire burning in the trash can next to the bed.The nurse removes the patient and reports the fire.What is the nurse's next action?

Accepted Answer

A) Extinguish the fire. 
B) Remove all other patients from the unit. 
C) Close all doors of patient rooms. 
D) Move the trash can into the bathroom. 
A) Extinguish the fire. 
B) Remove all other patients from the unit. 
C) Close all doors of patient rooms. 
D) Move the trash can into the bathroom.

Question 5

What should the nurse do to promote patient understanding and security in the health care setting?

Accepted Answer

A) Restrain the patient as necessary. 
B) Explain all procedures to the patient. 
C) Allow the patient more time alone. 
D) Restrict activity as much as possible. 
A) Restrain the patient as necessary. 
B) Explain all procedures to the patient. 
C) Allow the patient more time alone. 
D) Restrict activity as much as possible.

Question 6

A patient is taking a medication that has the potential to cause orthostatic hypotension. Which of the following nursing interventions is appropriate for this patient?

Accepted Answer

A) Have the patient sit slowly and dangle. 
B) Refer the patient to physical therapy. 
C) Keep the side rails up at all times. 
D) Obtain a walker or a cane for patient use. 
A) Have the patient sit slowly and dangle. 
B) Refer the patient to physical therapy. 
C) Keep the side rails up at all times. 
D) Obtain a walker or a cane for patient use.

Question 7

When caring for a patient who has been restrained, how often will the nurse perform an assessment?

Accepted Answer

A) Every 15 minutes 
B) Every 30 minutes 
C) Every hour 
D) Every 2 hours 
A) Every 15 minutes 
B) Every 30 minutes 
C) Every hour 
D) Every 2 hours

Question 8

A patient is well known to the hospital staff from previous admissions and is prone to wandering at night.For patient safety, the physician writes an order for "belt restraint prn." What should the nurse do upon reviewing this order?

Accepted Answer

A) Apply a belt restraint on the patient as needed. 
B) Have the patient sign an "informed consent" form. 
C) Inform the physician that "prn" restraint orders are unacceptable. 
D) Obtain a signed "informed consent" from a family member. 
A) Apply a belt restraint on the patient as needed. 
B) Have the patient sign an "informed consent" form. 
C) Inform the physician that "prn" restraint orders are unacceptable. 
D) Obtain a signed "informed consent" from a family member.

Question 9

More than ____________ patients are injured in falls in inpatient settings annually in the United States.

Accepted Answer

one million
1 million
Patient falls are

Question 10

A safe health care environment is one in which: (Select all that apply.)

Accepted Answer

A) the patient's basic needs are met. 
B) physical hazards are reduced. 
C) transmission of microorganisms is reduced. 
D) sanitary measures are carried out. 
E) None of above. 
A) the patient's basic needs are met. 
B) physical hazards are reduced. 
C) transmission of microorganisms is reduced. 
D) sanitary measures are carried out. 
E) None of above.

Question 11

The patient is admitted to the hospital with orders for activity as tolerated.He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility.The nurse realizes that:

Accepted Answer

A) patients are not allowed to bring in an electric wheelchair. 
B) electrical equipment is banned from all hospitals. 
C) the charger needs to be checked by hospital engineers. 
D) electrical devices are not a cause for concern. 
A) patients are not allowed to bring in an electric wheelchair. 
B) electrical equipment is banned from all hospitals. 
C) the charger needs to be checked by hospital engineers. 
D) electrical devices are not a cause for concern.

Question 12

What should the nurse do to prevent a patient from aspirating during a seizure?

Accepted Answer

A) Insert an oral airway. 
B) Restrain the patient securely. 
C) Sit the patient upright. 
D) Turn the patient onto his/her side. 
A) Insert an oral airway. 
B) Restrain the patient securely. 
C) Sit the patient upright. 
D) Turn the patient onto his/her side.

Exam 13: Safety and Quality Improvement

When applying a belt restraint to a patient, it is important for the nurse to:

Given the most common causes of hospital fires, which of the following choices are most appropriate in preventing patient injury?

Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply.)

Upon entering the patient's room, the nurse sees a fire burning in the trash can next to the bed.The nurse removes the patient and reports the fire.What is the nurse's next action?

What should the nurse do to promote patient understanding and security in the health care setting?

A patient is taking a medication that has the potential to cause orthostatic hypotension. Which of the following nursing interventions is appropriate for this patient?

When caring for a patient who has been restrained, how often will the nurse perform an assessment?

A patient is well known to the hospital staff from previous admissions and is prone to wandering at night.For patient safety, the physician writes an order for "belt restraint prn." What should the nurse do upon reviewing this order?

More than ____________ patients are injured in falls in inpatient settings annually in the United States.

A safe health care environment is one in which: (Select all that apply.)

The patient is admitted to the hospital with orders for activity as tolerated.He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility.The nurse realizes that:

What should the nurse do to prevent a patient from aspirating during a seizure?

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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