Deck 51: Safety

Question 1

When a nurse performs or observes nursing practices that are not safe, the nurse has a responsibility to report those actions. This principle ties the concept of safety to what other nursing concept?

A)Accountability
B)Advocacy
C)Assessment
D)Clinical Decision Making

Answer 1

Accountability

Question 2

A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls. Which response by the nurse is best?

A)"The nurses here are safe. The posters are directed at certain members of the healthcare team who have been making more mistakes than usual."
B)"You don't need to worry about posters on the wall. Our primary concern is getting you well."
C)"We never make mistakes here. We want the public to know that we have client safety goals here."
D)"There is a potential for errors in all healthcare settings. The posters remind the staff and the clients of the need to work together to prevent them."

Answer 2

"There is a potential for errors in all healthcare settings. The posters remind the staff and the clients of the need to work together to prevent them."

Question 3

A nurse is assessing the hospital environment in order to decrease the risk for client falls. Which intervention should the nurse implement to decrease the risk of client falls?

A)Encourage the client to wear diapers.
B)Read label directions.
C)Lower side rails on client beds.
D)Clean the environment of clutter.

Answer 3

Clean the environment of clutter.

Question 4

The nurse is conducting a class for a group of pregnant clients. Which topics should the nurse include when teaching this group about safety of the fetus?

A)Pedestrian accidents
B)Suffocation in the crib
C)Alcohol consumption
D)Drowning

Question 5

Several nurses are discussing the Joint Commission's 2016 National Patient Safety Goals during a staff meeting. Which element of performance should the nurses implement to meet the goal of identifying clients correctly?

A)Labeling all medications with the client's name
B)Consistently using two methods to identify the client
C)Asking the client's name before conducting assessments
D)Marking the intended surgical site on the client

Question 6

A client in the intensive care unit is combative and pulling at the endotracheal tube, which must remain in place. After exhausting all alternatives, the nurse applies soft restraints to protect the client's airway. Which action should the nurse take next?

A)Notify the primary healthcare provider.
B)Notify the family of the need for restraints.
C)Reassess the need for the restraints in 8 hours.
D)Document the application of restraints in the chart.

Question 7

Which practices support promotion of health safety? Select all that apply.

A)Exercise every day
B)Avoid driving when sleepy or tired
C)Eliminate all foods containing fat
D)Wear seat belts
E)Only see healthcare providers when sick

Question 8

A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

A)Keep a mindset for quality of safe practice
B)Post signs related to safety on the walls
C)Engage clients in their own safety
D)Be a safety advocate for others

Question 9

After completing an assessment, the nurse determines a client is at risk for safety issues. Which data supports the nurse's conclusion?

A)Lives with adult married daughter and family
B)Occasional dizziness with walking
C)Follows a vegetarian diet
D)Receives an annual ophthalmologic examination

Question 10

The nurse is assessing a 12-year-old male client. The client is within the normal range for height, weight, and body mass index (BMI)for his age. The client plans to play contact sports at school this year. He lives with his mother and attends after-school events when she is working late. What education should the nurse identify as a priority for this client to promote safety?

A)The importance of learning how to feel secure when he is at home alone
B)The importance of maintaining a normal weight and participating in physical activity
C)The importance of using safety equipment when playing contact sports
D)The importance of good hygiene practices and healthy diet

Question 11

The nurse is caring for a 43-year-old client. What education should the nurse implement to best address the overall health promotion needs of someone in this age group?

A)Teach the client about ergonomic aids for computer use
B)Teach the client about age-appropriate medical screenings
C)Tell the client to seek medical help for injuries
D)Encourage the client to not drive while distracted

Question 12

The nurse is caring for a 230-lb client who needs to be repositioned every 2 hours. While repositioning the client, the nurse injured a muscle in her back. To prevent the injury and ensure safety for both the nurse and client, what should the nurse have done differently in this situation?

A)She should have used proper lifting techniques.
B)She should have repositioned the client only if the client requested it.
C)She should have questioned the physician about the need to reposition the client.
D)She should have asked for help from another nurse.

Question 13

The nurse is caring for a client with a self-reported latex allergy. Which strategy can the nurse use to ensure the safety of this client?

A)Wear hypoallergenic gloves
B)Wear gloves with powder
C)Wash hands after taking gloves off
D)Keep beta adrenergic agonists on hand

Question 14

The nurse is conducting a home risk assessment for a family with toddler and preschool-age children. Which should the nurse identify as the priority safety hazard?

A)Safety plugs in electrical outlets
B)Medications on the kitchen counter
C)Lack of helmets next to bicycles
D)Child locks on the doors

Question 15

Reducing the risk of functional decline in older adults can help prevent which complication?

A)Pressure ulcers
B)Macular degeneration
C)Hyperglycemia
D)Hearing loss

Question 16

The home health nurse is talking with the parents outside the bathroom door while their 1-year-old twins are playing in the tub. Which client statement would require further safety teaching?

A)"Why don't we talk in the living room?"
B)"Let me get the children out of the tub so we can talk."
C)"I do not like to leave the children alone in the bathroom."
D)"I often bathe the children together."

Question 17

A nurse conducted a class on fall prevention for a group of older adult clients in the community. Which observation during a client home visit indicates that teaching on fall prevention was effective?

A)All meat is placed in the freezer.
B)The locks were changed on the doors.
C)Scatter rugs are placed in the kitchen.
D)A shower seat was placed in the shower.

Question 18

The staff nurses are discussing interventions to reduce the risk of infection for the client population. Which intervention is the most important to decrease client infection?

A)Practice appropriate hand hygiene.
B)Assess vital signs once daily.
C)Raise the temperature in the client's room.
D)Wear a mask for all client care.

Question 19

The nurse is providing care to a 12-year-old child with special needs and his caregiver. What strategies should the nurse help the caregiver teach the child to improve the child's safety?

A)Teach the child to schedule routine immunizations
B)Teach the child how to use a telephone to call for help
C)Teach the child to maintain airway with suctioning
D)Teach the child to avoid secondhand smoke exposure

Question 20

The nurse is developing a plan of care for a client who is at risk for falls. Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply.

A)Apply physical restraints if the client gets out of bed.
B)Assess the client's vision and make sure he is using any prescribed eyewear.
C)Use side rails on client beds.
D)Keep frequently used items within easy reach.
E)Provide slippers for the client to wear while ambulating.

Question 21

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital. In order to provide safe care to clients, the nurse should plan to develop which competency?

A)Creating a culture of trust within the hospital
B)Functioning as a member of the healthcare team
C)Promoting appropriate values that clients should adopt
D)Reporting families for bringing food to the client's room

Question 22

Which action by a nurse would require immediate intervention by another healthcare team member?

A)Recapping a needle using the scoop method.
B)Recapping a needle with the use of a hemostat.
C)Recapping a needle while holding the cap.
D)Disposing of a needle in the sharps container.

Question 23

The home healthcare nurse is traveling to a client's home for the first time. What observation would suggest a safety hazard for the nurse?

A)Neighbor walking a dog on a leash
B)Porch steps that are broken and rotting
C)Client medications on the kitchen counter
D)Absence of street lights in the neighborhood

Question 24

The nurse is caring for a 3-year-old child who is in the hospital for the first time. The child appears frightened and is clinging to her parents. What action can the nurse take to help the child feel more secure if the child needs to stay at the hospital without her parents?

A)Stay with the child when the parents go home
B)Have the parents bring comfort items from home to leave with the child
C)Keep dangerous medications and equipment out of the child's reach
D)Make sure the child wears proper identification at all times

Question 25

An experienced nurse has accepted a new position in the mental health unit after working in the medical-surgical floor for the past 4 years. What training would be beneficial for the nurse to refresh before starting her new position?

A)How to properly use respirators
B)How to prevent needlestick injuries
C)How to manage aggressive behaviors
D)How to safely lift and move clients

Question 26

A hospital has had higher than average reports of client handling and movement injuries. What could the nurse advocate for that could most help reduce the number of client handling injuries?

A)Keep the clients restricted to bed
B)Encourage clients to lose weight
C)Hire more nurses
D)Purchase lifting devices

Question 27

A client who is living independently but needs skilled nursing services may take advantage of what type of healthcare?

A)Long-term care
B)Home healthcare
C)Telehealth
D)Assisted living

Question 28

What nursing intervention is appropriate for a client with dry and cracked feet?

A)Provide slippers for the client to wear at all times
B)Soak the client's feet in water several times daily
C)Apply lotion to the client's feet after bathing
D)Massage the client's feet daily

Question 29

While reviewing safety precautions with the staff in a long-term care facility, which step should the nurse emphasize that helps to promote a safe environment for the clients?

A)Keep clutter out of the hallway and inside the client's room.
B)Provide dim lighting.
C)Turn off alarms to reduce noise.
D)Have the client wear shoes with rubber skid-resistant soles.

Question 30

A complaint about unsafe working conditions should be reported to which agency?

A)Occupational Safety and Health Administration
B)National Institute for Occupational Safety and Health
C)State board of nursing
D)American Nurses Association

Question 31

The nurse is providing care to a pregnant client who has type 2 diabetes mellitus. The client has asked about how the medications she is taking will affect her fetus. How should the nurse respond?

A)"The medications you are taking will not adversely affect your fetus. You should continue taking them as you did before your pregnancy."
B)"The medications you are taking have a risk of causing fetal defects. You should stop taking your medications while you are pregnant."
C)"The medications you are taking will not work as well when you are pregnant, so you should increase the dose of your medications."
D)"If you have any concerns about how your medication will affect your fetus, you should talk to your primary care physician."

Question 32

The nurse working in a healthcare setting is charged with inappropriate delegation after asking an unlicensed assistive personnel (UAP)to change the IV bag for a client. To which agency should this action be reported?

A)Board of nursing
B)Occupational Health Safety Network
C)Occupational Health and Safety Administration
D)Health Hazard Evaluation Program