Question 1

According to the Hendrich II Fall Risk Model,a patient with a risk score of 6 is considered to be at which of the following risk levels?&#10;A) No risk&#10;B) Low risk&#10;C) Medium risk&#10;D) High risk

Accepted Answer

According to the Hendrich II Fall Risk Model, a patient with a score of 6 is classified as high risk for falls.

Question 2

When teaching a parent about interventions for accidental poisoning,what instruction should be included regarding flushing a child's eye,in relation to the water temperature?&#10;A) Cold&#10;B) Lukewarm&#10;C) Room temperature&#10;D) Above room temperature

Accepted Answer

The nurse should teach the parent that an eye flush is to be done with water at room temperature.The water for an eye flush is not to be cold,lukewarm,or above room temperature.

Question 3

An older adult patient in a long-term care facility drops his burning cigarette in a garbage can and starts a fire.What is the most appropriate type of fire extinguisher for the nurse to use in this instance?

A) Type A
B) Type B
C) Type C
D) Type D

A

Accepted Answer

Type A fire extinguishers are designed for ordinary combustibles such as wood, paper, and cloth, which would be appropriate for a fire started by a burning cigarette in a garbage can.

Question 4

Which of the following assessment findings is most critical for a patient who is currently being restrained with mechanical wrist restraints?&#10;A) Angry, loud crying&#10;B) Urinary incontinence&#10;C) Reddened areas on wrists&#10;D) Hands cool to the touch

Accepted Answer

Hands that are cool to the touch may indicate that the restraints are too tight and could potentially cause tissue damage or compromise circulation. This finding requires immediate attention and adjustment of the restraints. While the other assessment findings may also require intervention, they are not as critical as compromised circulation.

Question 5

Which of the following is an age-related musculoskeletal change that predisposes the older adult to accidents?&#10;A) Increase in muscle function&#10;B) Increase in joint mobility&#10;C) Increase in nocturia&#10;D) Decrease in muscle strength

Accepted Answer

A decrease in muscle strength is an age-related musculoskeletal change that predisposes the older adult to accidents, as weaker muscles may lead to difficulty with balance and coordination, making falls more likely.

Question 6

The nurse recognizes which one of the following as the leading cause of death for persons between the ages of 1 and 34 years?&#10;A) Physical abuse&#10;B) Accidental injury&#10;C) Contagious diseases&#10;D) Falls

Accepted Answer

Accidental injury is the leading cause of death for persons between the ages of 1 and 34 years, due to factors such as motor vehicle accidents, drowning, and unintentional poisoning. While other listed options may contribute to deaths in this age group, they are not the leading cause.

Question 7

An ambulatory patient is admitted to the extended care facility with a diagnosis of Alzheimer's disease.In using a fall assessment tool,the nurse knows that which one of the following is the greatest indicator of risk for falls?

A) Confusion
B) Impaired judgement
C) Sensory deficit
D) History of falls

Accepted Answer

History of falls is the greatest indicator of risk for falls, as the patient is more likely to fall again if they have a history of falling. While confusion, impaired judgement, and sensory deficit can also contribute to falls, they do not have as strong of a correlation as a history of falls.

Question 8

The nurse has investigated safety hazards and recognizes that which of the following statements is accurate regarding safety needs?&#10;A) Bacterial contamination of foods is uncontrollable.&#10;B) Fire is the greatest cause of unintentional death.&#10;C) Carbon monoxide levels should be monitored in home settings.&#10;D) Temperature extremes seldom affect the safety of patients in acute care facilities.

Accepted Answer

Carbon monoxide poisoning is a preventable hazard that can occur in homes if fuel-burning appliances are improperly installed or vented. Fire is a significant cause of unintentional deaths, but it is not the greatest cause. Bacterial contamination can be controlled through proper food handling and preparation techniques. Temperature extremes can affect patients' safety in acute care facilities, especially vulnerable populations such as infants and the elderly.

Question 9

According to the Workplace Hazardous Materials Information System,what is the meaning of this symbol?  &#10;A) Compressed gas&#10;B) Corrosive material&#10;C) Oxidizing material&#10;D) Dangerously reactive material

Accepted Answer

The answer of According to the Workplace Hazardous Materials Information...

Question 10

A confused patient needs to have restraints applied to prevent him from pulling out his Foley catheter.Which of the following options can the nurse delegate to an unregulated care provider (UCP)?&#10;A) Applying restraints&#10;B) Obtaining a physician's order to restrain the patient&#10;C) Documenting the events that led to restraining the patient&#10;D) Evaluating the effectiveness of the restraints

Accepted Answer

Applying restraints can be delegated to an unregulated care provider (UCP) as it is a task that does not require nursing judgment or assessment. However, obtaining a physician's order, documenting the events, and evaluating the effectiveness of the restraints require nursing judgment and assessment and should be done by a licensed nurse.

Question 11

One of the most effective methods for limiting the transmission of pathogens is which of the following aseptic practices?&#10;A) Immunization&#10;B) Isolation&#10;C) Disinfection&#10;D) Handwashing

Accepted Answer

The answer of One of the most effective methods for...

Question 12

Injuries among older adults resulting from falls in the home are due to intrinsic and extrinsic factors.Which one of the following is an example of an extrinsic factor?&#10;A) Illness&#10;B) Drug therapy&#10;C) Environmental obstacles&#10;D) Alcohol use

Accepted Answer

The answer of Injuries among older adults resulting from falls...

Question 13

Some workers accidentally cause an electrical fire when installing a new piece of equipment in the intensive care unit.A patient is on a ventilator in the next room.What is the nurse's priority action?

A) Pull the fire alarm.
B) Attempt to extinguish the fire.
C) Call the physician to obtain orders to take the patient off the ventilator.
D) Use an Ambu-bag and remove the patient from the area.

Accepted Answer

The answer of Some workers accidentally cause an electrical fire...

Question 14

According to the Workplace Hazardous Materials Information System,what is the meaning of this symbol?  &#10;A) Compressed gas&#10;B) Corrosive material&#10;C) Oxidizing material&#10;D) Dangerously reactive material

Accepted Answer

The answer of According to the Workplace Hazardous Materials Information...

Question 15

Which of the following statements made by the parent of a child indicates that further teaching by the nurse about child safety is required?&#10;A) &#34;Now that my child is 2 years old, I can let her sit in the front seat of the car with me.&#34;&#10;B) &#34;I make sure that my child wears a helmet when he rides his bicycle.&#34;&#10;C) &#34;I have spoken to my child about safe sex practices.&#34;&#10;D) &#34;My child is taking swimming classes at the community centre.&#34;

Accepted Answer

The answer of Which of the following statements made by...

Question 16

On entering the patient's room,the nurse sees a fire burning in the garbage can next to the bed.The nurse removes the patient and calls to report the fire.Which of the following should be the nurse's next action?

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

Accepted Answer

The answer of On entering the patient's room,the nurse sees...

Question 17

A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of "Risk for injury related to decreased vision." Based on this assessment,the patient will benefit the most from which of the following actions?

A) Installing fluorescent lighting throughout the house
B) Evaluating the need to reposition furniture
C) Maintaining complete bed rest in a hospital bed with side rails
D) Applying physical restraints

Accepted Answer

The answer of A visiting nurse completes an assessment of...

Question 18

The nurse assesses that the patient may need a restraint and recognizes which one of the following?&#10;A) An order for a restraint may be implemented indefinitely until it is no longer required by the patient.&#10;B) Restraints may be ordered on an as-needed basis.&#10;C) No order or consent is necessary for restraints in long-term care facilities.&#10;D) Restraints are to be periodically removed to have the patient re-evaluated.

Accepted Answer

The answer of The nurse assesses that the patient may...

Question 19

A 1-year-old child is scheduled to receive an intravenous (IV)line.What is the most appropriate type of restraint to use for this patient to prevent removal of the IV line?&#10;A) Wrist restraint&#10;B) Jacket restraint&#10;C) Elbow restraint&#10;D) Mummy restraint

Accepted Answer

The answer of A 1-year-old child is scheduled to receive...

Question 20

The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 84-year-old independent female patient who lives alone and claims to drive only to church,the doctor's office,and for groceries.Which of the following suggestions has the greatest potential for affecting the patient's safety?

A) Take public transportation whenever it is available.
B) Plan all trips around church and doctor appointments.
C) Plan to drive for short trips and only during daylight hours.
D) Arrange for family and friends to drive the patient whenever possible.

Accepted Answer

The answer of The nurse is discussing measures to minimize...

Deck 36: Safety