Question 1

What age group is most vulnerable to toxic fumes or asphyxiation?

Accepted Answer

Young children are most vulnerable to toxic fumes or asphyxiation because their respiratory and nervous systems are not fully developed, and they often lack the knowledge or ability to avoid dangerous situations.

Question 2

A client is very anxious and states, "I am so stressed." Why do these factors affect the client's safety?

Accepted Answer

Stress tends to narrow the attention span, which can make it more difficult for the client to process important information about their safety and surroundings. This can increase the risk of accidents or injuries.

Question 3

In what situation would the use of side rails not be considered a restraint?

Accepted Answer

If a client requests that side rails be up at night, it is not considered a restraint because it is their choice and preference. However, it is important to document their request and assess their safety and discomfort level with using side rails. Choices A, B, and C all suggest external factors that may contribute to the use of side rails as a restraint.

Question 4

Bioterrorism has become a commonly used term. What is the definition of bioterrorism?

Accepted Answer

Bioterrorism is the deliberate use of biological agents or germs to cause illness or death in people, animals, or plants. It involves the malicious release of viruses, bacteria, or other germs that can cause severe or deadly diseases like anthrax, smallpox, or Ebola. The purpose of bioterrorism is to create fear, panic, and disruption in society.

Question 5

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury?

Accepted Answer

Clients with diabetes and impaired sensation in their lower extremities should always test the temperature of bath water to prevent burns or injuries due to their inability to feel heat properly.

Question 6

An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse?

Accepted Answer

The nurse is a mandated reporter and is legally required to report any suspicions of child abuse or neglect to the proper authorities. It is not within the nurse's scope of practice to confront the caregivers or refer them to a home health nurse.

Question 7

A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit?

Accepted Answer

Orienting the client thoroughly upon admission can help reduce the risk of falls by making the client aware of their surroundings, including any potential hazards such as furniture or equipment. Providing a bedpan may reduce the risk of falls during transfers to the washroom, but may also increase the risk of pressure ulcers and decrease mobility. Administering pain medication sparingly may help reduce cognitive and musculoskeletal side effects, but pain management should not be compromised solely for fall prevention. Placing the client in a shared room may not necessarily reduce the risk of falls, as the other client's condition and behavior may also pose a risk.

Question 8

An adolescent has recently had a ring inserted into her navel. Which of the following is the greatest risk facing the adolescent as a result of this activity?

Accepted Answer

The greatest risk facing the adolescent with a navel ring is a local and/or systemic infection. The navel is a highly vascularized area, so improper piercing techniques or poor aftercare can lead to infection. In severe cases, an infection can even lead to sepsis or systemic shock. The other options, such as a scar, peer acceptance, or strained relationship with parents, may be potential outcomes but do not represent the greatest risk.

Question 9

The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which of the following topics for staff education is most likely to benefit the greatest number of residents?

Accepted Answer

Falls are a common problem among elderly residents in long-term care facilities, and fall prevention education for the staff can benefit a large number of residents. Preventing falls can reduce the risk of injury and improve the quality of life for residents. While safe medication administration, preventing wandering, and resuscitation are also important topics, fall prevention may be the most relevant to a large proportion of the residents in a long-term care facility.

Question 10

What statement by a client would indicate that a nurse had successfully implemented a educating/learning strategy to prevent injury in the home?

Accepted Answer

Removing throw rugs is a strategy to prevent falls and injuries in the home, indicating that the client has learned and implemented the education provided by the nurse. The other options do not reflect safe practices or strategies for injury prevention.

Question 11

In light of the failure of alternatives, a nurse has been forced to physically restrain an agitated client. Which of the following actions should the nurse perform when applying and maintaining the restraints?

Accepted Answer

Restraints should be tied to the bed frame, not the side rail, to prevent injury if the side rail is lowered.

Question 12

What safety device for children is mandated by law in all 50 states?

Accepted Answer

Infant car seats and carriers are mandated by law in all 50 states. They are required to provide optimal protection for infants and children in case of a car accident. Bumper pads, automatic hot water heater controls, and parental controls for internet access are not mandated by law in all 50 states.

Question 13

A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

Accepted Answer

The nurse should maintain the incident report according to agency policy, which may include submitting it to a supervisor or risk management team. It should not be placed in the client's medical record or taken home and kept locked up. It may be included with documentation of the error, but this is not the main purpose of the incident report.

Question 14

Nurses provide many interventions to prevent falls in health care settings. Which of the following would be an appropriate intervention to prevent falls?

Accepted Answer

Locking wheels on beds and wheelchairs can prevent them from accidentally rolling away, which can cause falls. Keeping the bed in a high position and side rails up at all times can also increase the risk of falls, as clients may try to climb over them to get out of bed. Using restraints on clients can lead to physical and psychological harm and should only be used as a last resort in extreme cases.

Question 15

Which of the following clients is most likely to face an increased risk of falls due to his or her medication regimen?

Accepted Answer

Benzodiazepines are known to increase the risk of falls in older adults due to their sedative and muscle-relaxant effects. The other medications mentioned do not typically increase the risk of falls.

Question 16

Which of the following people has the greatest risk for accidental injury?

Accepted Answer

The worker who operates industrial machines has the greatest risk for accidental injury because they are regularly exposed to potential hazards and machinery accidents can be severe. Infants, older adults, and athletes also face risks for accidental injury, but not to the same extent as those who work with machinery.

Question 17

A girl age 4 years has been admitted to the emergency department after accidently ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl's poisoning?

Accepted Answer

Activated charcoal is the most appropriate treatment for the immediate treatment of poisoning in children. It works by binding to the poison and preventing it from being absorbed into the bloodstream.

Question 18

A grade school nurse is addressing parents at a PTA meeting regarding car safety. Which of the following is a recommended safety guideline for this age group?

Accepted Answer

Booster seats are recommended for children until they are 4 feet 9 inches tall or at least 8 years of age to ensure the seat belt fits properly.

Question 19

Which of the following measures should nurses implement in a hospital setting in order to identify intimate partner violence (IPV)?

Accepted Answer

Routine screening of newly admitted clients is a widely recommended measure to identify intimate partner violence (IPV) in a hospital setting. The screening can involve asking questions about current or past experiences of abuse, assessing for physical injuries or signs of trauma, and assessing for emotional or psychological distress. This approach is supported by evidence that shows that screening can increase the identification and referral of IPV cases. While the other options may also be beneficial, they are either too focused on female clients only (C and D) or may not be feasible or necessary for all clients (B).

Question 20

A client arrives at the emergency department with nausea, hematemesis, fever, abdominal pain, and severe diarrhea. There is a suspicion the client has been exposed to the anthrax bacillus. What category of medications will be administered?

Accepted Answer

The symptoms described suggest gastrointestinal anthrax, which is treated with antimicrobial medications such as ciprofloxacin or doxycycline. Narcotics, antihistamines, and antacids would not be appropriate treatments for anthrax.

Quiz 26: Safety, Security, and Emergency Preparedness