Question 1

Equipment-related accidents are risks in the health care agency.The nurse assesses for this risk when using

Accepted Answer

A)  Sequential compression devices. 
B)  A measuring device that measures urine. 
C)  Computer-based documentation. 
D)  A manual medication-dispensing device.

Question 2

A nurse is teaching a community group of school-aged parents about safety.The most important item to prioritize and explain is how to check the proper fit of

Accepted Answer

A)  a bicycle helmet. 
B)  swimming goggles. 
C)  soccer shin guards. 
D)  baseball sliding shorts.

Question 3

The nurse is completing an admission history on a new home health patient.The patient has been experiencing seizures as the result of a recent brain injury.The nurse diagnoses risk for injury with a goal of keeping the patient safe in the event of a seizure.Which interventions should the nurse utilize for this patient?

Accepted Answer

A)  Teach the family how to insert an oral airway during the seizure. 
B)  Assess the home for items that could harm the patient during a seizure. 
C)  Provide information on how to obtain a Medical Alert bracelet. 
D)  Teach the patient to communicate to the caregiver plans for bathing. 
E)  Discuss with family steps to take if the seizure does not discontinue.
F) Demonstrate how to restrain the patient in the event of a seizure.

Question 4

The nurse is caring for a group of medical-surgical patients.The unit has been notified of a fire on an adjacent wing of the hospital.The nurse quickly formulates a plan to keep the patients safe.Which of the following should the nurse implement?

Accepted Answer

A)  Close all doors. 
B)  Note evacuation routes. 
C)  Note oxygen shut-offs. 
D)  Await direction from the fire department. 
E)  Evacuate everyone from the building.
F) Review "Stop, drop, and roll" with the nursing staff.

Question 5

A patient has been admitted and placed on fall precautions.The nurse explains to the patient that interventions for the precautions include

Accepted Answer

A)  Encouraging visitors in the early evening. 
B)  Placing all four side rails in the "up" position. 
C)  Checking on the patient once a shift. 
D)  Placing a high risk for falls armband on the patient.

Question 6

The nurse is precepting a student nurse and is careful to check with the student all components of the medication process.The nurse explains to the student that most errors occur in

Accepted Answer

A)  Ordering and transcribing. 
B)  Dispensing and administering. 
C)  Dispensing and transcribing. 
D)  Ordering and administering.

Question 7

The nurse suspects the possibility of a bioterrorist attack.Which of the following factors is most likely related to this possibility?

Accepted Answer

A)  A rapid increase in patients presenting with fever or respiratory or gastrointestinal symptoms 
B)  Lower rates of symptoms among patients who spend time primarily indoors 
C)  Large number of rapidly fatal cases of patients with presenting symptoms 
D)  Shortage of personal protective equipment available from central supply 
E)  An increase in the number of staff calling in sick for their assigned shift
F) Patients with symptoms all coming from one location in the area

Question 8

The nurse identifies that a patient has received Mylanta (simethicone)instead of the prescribed Pepto-Bismol (bismuth subsalicylate)for the problem of indigestion.The nurse's next intervention is to

Accepted Answer

A)  Do nothing, no harm has occurred. 
B)  Assess and monitor the patient. 
C)  Notify the physician, treat and document. 
D)  Complete an incident report.

Question 9

During the admission assessment,the nurse assesses the patient for fall risk.Which of the following has the greatest potential to increase the patient's risk for falls?

Accepted Answer

A)  The patient is 59 years of age. 
B)  The patient walks 2 miles a day. 
C)  The patient takes Benadryl (diphenhydramine) for allergies. 
D)  The patient recently became widowed.

Question 10

The nurse is caring for an elderly patient admitted with nausea,vomiting,and diarrhea.Upon completing the health history,which priority concern would require collaboration with social services to address the patient's health care needs?

Accepted Answer

A)  The electricity was turned off 2 days ago. 
B)  The water comes from the county water supply. 
C)  A son and family recently moved into the home. 
D)  The home is not furnished with a microwave oven.

Question 11

The nurse is completing discharge education for the patient regarding home medications.Which patient behavior is an indication that the patient understands the directions regarding the antibiotic medication?

Accepted Answer

A)  The patient nods throughout the educational session. 
B)  The patient reads the medication prescription out loud. 
C)  The patient states, "I will finish the antibiotic in ten days." 
D)  The patient asks where to get the prescription filled.

Question 12

The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed.Immediately,the nurse assigns a nursing diagnosis of risk for injury with a goal for the patient to be safe.Which of the following actions should the nurse take first?

Accepted Answer

A)  Activate the alarm. 
B)  Extinguish the fire. 
C)  Remove the patient. 
D)  Confine the fire.

Question 13

A confused patient is restless and continues to try to remove his oxygen and urinary catheter.What is the priority nursing diagnosis and intervention to implement for this patient?

Accepted Answer

A)  Risk for injury: Prevent harm to patient, use restraints if alternatives fail. 
B)  Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter. 
C)  Disturbed body image: Encourage patient to express concerns about body. 
D)  Caregiver role strain: Identify resources to assist with care.

Question 14

Which of the following concepts are important to utilize when evaluating orders for restraints?

Accepted Answer

A)  Behaviors that necessitate the use of restraint are part of the nursing plan of care. 
B)  A physician's order is required for restraint and includes a face-to-face evaluation. 
C)  The physician's preference for the format of the order can override agency policy. 
D)  Orders are time limited. Restraints are not ordered prn (as needed). 
E)  It should be specified that restraints are to be removed periodically.
F) Restraint orders are time dated and signed by the physician.

Question 15

The nurse is teaching a group of older adults at an assisted-living facility about age-related physiological changes.Which question would be the most important to ask this group?

Accepted Answer

A)  "Are you able to hear the tornado sirens in your area?" 
B)  "Are you able to read your favorite book?" 
C)  "Are you able to remember the name of the person you just met?" 
D)  "Are you able to open a jar of pickles?"

Question 16

The nurse is instructing the student nurse regarding discharge teaching and medications.Which response by the student would indicate that learning has occurred?

Accepted Answer

A)  "I need to be precise when teaching a patient about Zyprexa (olanzapine) and Zyrtec (cetirizine)." 
B)  "The medications can be picked up at the pharmacy on the way out of the hospital." 
C)  "I need to be sure to give the patient leftover medications from the medication drawer." 
D)  "I need to remember to teach the patient to take all medications at the same time of the day."

Question 17

The emergency department has been notified of a potential bioterrorist attack.The nurse assigned to the department realizes that the most important task for safety in this situation is to

Accepted Answer

A)  Carry out the role and responsibilities of the nurse quickly and efficiently. 
B)  Cluster all patients with the same symptoms to a specific part of the department. 
C)  Determine the biologic agent and manage all patients using Standard Precautions. 
D)  Prepare for post-traumatic stress associated with this bioterrorist attack.

Question 18

A nurse is caring for an adult patient who has had a minor motor vehicle accident.The health history reveals that the patient is currently in the process of obtaining a divorce.Which of the following actions should the nurse take?

Accepted Answer

A)  Agree upon and make time for the patient to talk. 
B)  Use active listening skills and therapeutic touch as appropriate. 
C)  Teach stress reduction strategies. 
D)  Inform patient that stressed individuals are more likely to have accidents. 
E)  Agree to witness telephone conversations with separated husband.
F) Refer the patient to the nurse's church marriage counselor.

Question 19

The older patient presents to the emergency department after stepping in front of a car at a crosswalk.After the patient has been triaged,the nurse interviews the patient.Which of the following comments would require follow-up by the nurse?

Accepted Answer

A)  "I try to exercise, so I walk that block almost every day." 
B)  "I waited and stepped out when the traffic sign said go." 
C)  "The car was going too fast, the speed limit is 20." 
D)  "I was so surprised; I didn't see or hear the car coming."

Question 20

The nurse has placed a patient on high-risk alert for falls.Which of the following observations by the nurse would indicate that the patient has an understanding of this alert?

Accepted Answer

A)  The patient removes the high alert armband to bathe. 
B)  The patient wears the red nonslip footwear. 
C)  The call light is kept on the bedside table. 
D)  The patient insists on taking a "water" pill on home schedule in the evening.

Exam 27: Patient Safety