Question 1

A nurse would be MOST concerned about injury risk for clients in which age group?

Accepted Answer

A) newborn 
B) toddlers and preschoolers 
C) adolescents and young adults 
D) adults of middle or advanced age 
A) newborn 
B) toddlers and preschoolers 
C) adolescents and young adults 
D) adults of middle or advanced age B

Question 2

A nurse should instruct a client taking a tub bath to do which of the following FIRST if feeling weak or faint?

Accepted Answer

A) Add cooler water to the tub. 
B) Call the nurse. 
C) Pull the plug. 
D) Get out of the water as soon as possible. 
A) Add cooler water to the tub. 
B) Call the nurse. 
C) Pull the plug. 
D) Get out of the water as soon as possible. C

Question 3

To reduce an adult client's risk of falling,which of these actions should the nurse take?

Accepted Answer

A) Keep the bed locked in the upright position with the side rails up. 
B) Keep the lighting dim. 
C) Place the client's personal belongings and call light within easy reach. 
D) Remove walkers and wheelchairs from bedside. 
A) Keep the bed locked in the upright position with the side rails up. 
B) Keep the lighting dim. 
C) Place the client's personal belongings and call light within easy reach. 
D) Remove walkers and wheelchairs from bedside. C

Question 4

The nurse is caring for a client in restraints.Which of the following would the nurse ensure was included in the documentation for this client? (Select all that apply. )

Accepted Answer

A) type of restraint used 
B) client's response to the restraints 
C) assessment for the need of the restraint 
D) position of the bed 
E) client's age
F)notification of the family 
A) type of restraint used 
B) client's response to the restraints 
C) assessment for the need of the restraint 
D) position of the bed 
E) client's age
F)notification of the family

Question 5

Safety measures for young adults and adolescents focus primarily on:

Accepted Answer

A) preventing injury secondary to physical infirmity or effects of medications 
B) prevention of injury and education related to lifestyle choices and high-risk behaviors 
C) providing adult supervision of activities 
D) providing safety education related to stranger awareness 
A) preventing injury secondary to physical infirmity or effects of medications 
B) prevention of injury and education related to lifestyle choices and high-risk behaviors 
C) providing adult supervision of activities 
D) providing safety education related to stranger awareness

Question 6

In addition to a tub bath or shower,which of these aspects should a nurse make sure to include in a client's daily hygiene care?

Accepted Answer

A) brushing and flossing teeth 
B) shampooing 
C) lower limb massage 
D) cutting toenails 
A) brushing and flossing teeth 
B) shampooing 
C) lower limb massage 
D) cutting toenails

Question 7

Clients unaccustomed to the noise and activity of the hospital are at increased risk for:

Accepted Answer

A) client behavior accidents 
B) equipment accidents 
C) self-care deficits 
D) sensory overload 
A) client behavior accidents 
B) equipment accidents 
C) self-care deficits 
D) sensory overload

Question 8

An 82-year-old client who is recovering from a fractured pelvis requires a walker to move about the room.The client is also frequently disoriented,and the family has expressed displeasure that restraints are applied when the client is put to bed at night.Which of these responses by the nurse would be MOST therapeutic?

Accepted Answer

A) "Do you want the client to fall again?" 
B) "Restraints are a temporary measure to be used while the client heals." 
C) "Restraints are necessary to prevent the client from harm." 
D) "I can make arrangements for a family member to stay in the room with the client." 
A) "Do you want the client to fall again?" 
B) "Restraints are a temporary measure to be used while the client heals." 
C) "Restraints are necessary to prevent the client from harm." 
D) "I can make arrangements for a family member to stay in the room with the client."

Question 9

What is a nurse's highest priority when providing client care?

Accepted Answer

A) adhering to facility policy and procedure 
B) ensuring client confidentiality 
C) maintaining a safe environment 
D) providing clinically competent client care 
A) adhering to facility policy and procedure 
B) ensuring client confidentiality 
C) maintaining a safe environment 
D) providing clinically competent client care

Question 10

To extinguish a small fire that started when a cigarette was accidentally thrown into a waste can,which type of extinguisher should the nurse select?

Accepted Answer

A) class A 
B) class B 
C) class B or C 
D) class A,B,or C 
A) class A 
B) class B 
C) class B or C 
D) class A,B,or C

Question 11

Which of the following would pose a safety hazard in a hospital environment?

Accepted Answer

A) Side rails are raised for clients of all ages. 
B) An incontinent client has urinated on the floor. 
C) A dietary tray is left on a bedside table. 
D) The door to a client bathroom is open. 
A) Side rails are raised for clients of all ages. 
B) An incontinent client has urinated on the floor. 
C) A dietary tray is left on a bedside table. 
D) The door to a client bathroom is open.

Question 12

When discussing the use of crutches by a client,a nurse should include which of these safety measures?

Accepted Answer

A) Position the crutch tips to move with the stronger side while allowing the weaker side to rest. 
B) The axillary crutch should fit firmly under the arms to bear weight properly. 
C) Metal crutches provide greater stability than wooden crutches. 
D) The rubber tips should be inspected regularly and replaced if loose or worn. 
A) Position the crutch tips to move with the stronger side while allowing the weaker side to rest. 
B) The axillary crutch should fit firmly under the arms to bear weight properly. 
C) Metal crutches provide greater stability than wooden crutches. 
D) The rubber tips should be inspected regularly and replaced if loose or worn.

Question 13

Which of these nursing activities can protect the nurse from radiation exposure?

Accepted Answer

A) washing hands before applying gloves 
B) wearing fluid-repellant cover gowns 
C) covering the client with a lead apron 
D) reducing the amount of time spent in client contact 
A) washing hands before applying gloves 
B) wearing fluid-repellant cover gowns 
C) covering the client with a lead apron 
D) reducing the amount of time spent in client contact

Question 14

For a client who is unable to adequately perform personal daily care,which of these nursing diagnoses would be applied?

Accepted Answer

A) Infection,risk for 
B) Knowledge deficit 
C) Pain 
D) Self-care deficit 
A) Infection,risk for 
B) Knowledge deficit 
C) Pain 
D) Self-care deficit

Question 15

To reduce bathroom hazards,a nurse should teach a client to do which of the following?

Accepted Answer

A) Position throw rugs around tubs,showers,and sinks. 
B) Use hot water liberally. 
C) Install grab bars near the tub or shower. 
D) Keep extra toilet tissue within easy reach. 
A) Position throw rugs around tubs,showers,and sinks. 
B) Use hot water liberally. 
C) Install grab bars near the tub or shower. 
D) Keep extra toilet tissue within easy reach.

Question 16

The nurse is aware that which of the following factors influence hygiene practices? (Select all that apply. )

Accepted Answer

A) body image 
B) health status 
C) knowledge 
D) cultural practices 
E) personal preferences
F)risk for injury 
A) body image 
B) health status 
C) knowledge 
D) cultural practices 
E) personal preferences
F)risk for injury

Question 17

Which of these statements regarding the use of physical restraints is TRUE?

Accepted Answer

A) The need for a health care provider's order varies from state to state. 
B) Physical restraints are applied when chemical restraints are ineffective. 
C) The nurse's responsibility in meeting the client's basic needs increases. 
D) Restraints must be reevaluated during every shift for need and correct placement. 
A) The need for a health care provider's order varies from state to state. 
B) Physical restraints are applied when chemical restraints are ineffective. 
C) The nurse's responsibility in meeting the client's basic needs increases. 
D) Restraints must be reevaluated during every shift for need and correct placement.

Question 18

Before a nurse provides any client care,what is the BEST way for a nurse to identify a client?

Accepted Answer

A) asking the client to state name 
B) checking the name on the door of a private room or at the bedside if in a semiprivate room 
C) checking the name on the client identification band 
D) checking the name on the client identification band and asking client to state name 
A) asking the client to state name 
B) checking the name on the door of a private room or at the bedside if in a semiprivate room 
C) checking the name on the client identification band 
D) checking the name on the client identification band and asking client to state name

Question 19

Which type of bath requires a health care provider's order?

Accepted Answer

A) complete bed 
B) partial 
C) therapeutic 
D) tub 
A) complete bed 
B) partial 
C) therapeutic 
D) tub

Question 20

The use of restraints for a hospitalized client is indicated in which of these situations?

Accepted Answer

A) when close observation and supervision of the client cannot be provided by nursing personnel 
B) when all other interventions have been tried first 
C) when other disciplines prefer not to deal with the client's underlying problem 
D) when only jacket restraints are indicated 
A) when close observation and supervision of the client cannot be provided by nursing personnel 
B) when all other interventions have been tried first 
C) when other disciplines prefer not to deal with the client's underlying problem 
D) when only jacket restraints are indicated

Exam 20: Safety-Hygiene

A nurse would be MOST concerned about injury risk for clients in which age group?

A nurse should instruct a client taking a tub bath to do which of the following FIRST if feeling weak or faint?

To reduce an adult client's risk of falling,which of these actions should the nurse take?

The nurse is caring for a client in restraints.Which of the following would the nurse ensure was included in the documentation for this client? (Select all that apply. )

Safety measures for young adults and adolescents focus primarily on:

In addition to a tub bath or shower,which of these aspects should a nurse make sure to include in a client's daily hygiene care?

Clients unaccustomed to the noise and activity of the hospital are at increased risk for:

What is a nurse's highest priority when providing client care?

To extinguish a small fire that started when a cigarette was accidentally thrown into a waste can,which type of extinguisher should the nurse select?

Which of the following would pose a safety hazard in a hospital environment?

When discussing the use of crutches by a client,a nurse should include which of these safety measures?

Which of these nursing activities can protect the nurse from radiation exposure?

For a client who is unable to adequately perform personal daily care,which of these nursing diagnoses would be applied?

To reduce bathroom hazards,a nurse should teach a client to do which of the following?

The nurse is aware that which of the following factors influence hygiene practices? (Select all that apply. )

Which of these statements regarding the use of physical restraints is TRUE?

Before a nurse provides any client care,what is the BEST way for a nurse to identify a client?

Which type of bath requires a health care provider's order?

The use of restraints for a hospitalized client is indicated in which of these situations?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months

Common Problems: 1-18 Years