Medical, Pharmaceutical & Health Sciences
NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Patient Safety And Quality
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Question 1
Free
Multiple Choice
A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up?
Choose correct answer/s
"Every December is the time to change batteries on the carbon monoxide detector."
"I will schedule an appointment with a chimney inspector next week."
"If I feel dizzy when using the heater, I need to have it inspected."
"When it is cold outside in the winter, I will use a nonvented furnace."
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Question 2
Free
Multiple Choice
The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. The nurse completes the health history. Which priority concern will require collaboration with social services to address the patient's health care needs?
Choose correct answer/s
The electricity was turned off 3 days ago.
The water comes from the county water supply.
A son and family recently moved into the home.
This home is not furnished with a microwave oven.
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Question 3
Free
Multiple Choice
The patient has been diagnosed with a respiratory illness and reports shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. At which temperature range will the nurse set the thermostat?
Choose correct answer/s
60° to 64° F
65° to 75° F
15° to 17° C
25° to 28° C
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Question 4
Free
Multiple Choice
A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital sign should the nurse address immediately?
Choose correct answer/s
Respiratory rate
Temperature
Apical pulse
Blood pressure
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Question 5
Free
Multiple Choice
A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
Choose correct answer/s
Wash hands
Wash wound
Wear gloves
Wear eye protection
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Question 6
Multiple Choice
The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event?
Choose correct answer/s
No blood incompatibility occurs with a blood transfusion.
A surgical sponge is left in the patient's incision.
Pulmonary embolism after lung surgery
Stage II pressure ulcer
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Question 7
Multiple Choice
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
Choose correct answer/s
Do nothing, no harm has occurred.
Notify the health care provider.
Complete an incident report.
Assess the patient.
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Question 8
Multiple Choice
When making rounds the nurse observes a purple wristband on a patient's wrist. How will the nurse interpret this finding?
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The patient is allergic to certain medications or foods.
The patient has do not resuscitate preferences.
The patient has a high risk for falls.
The patient is at risk for seizures.
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Question 9
Multiple Choice
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
Choose correct answer/s
55 years old
20/20 vision
Urinary continence
Orthostatic hypotension
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Question 10
Multiple Choice
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
Choose correct answer/s
Young infant
Toddler
Preschooler
Adolescent
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Question 11
Multiple Choice
A nurse is teaching a community group of school-aged parents about safety. Which safety item is most important for the nurse to include in the teaching session?
Choose correct answer/s
Proper fit of a bicycle helmet
Proper fit of soccer shin guards
Proper fit of swimming goggles
Proper fit of baseball sliding shorts
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Question 12
Multiple Choice
The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
Choose correct answer/s
Increased aggressiveness and blood spots on clothing may indicate substance abuse.
Increased aggressiveness is an environmental clue that may indicate an adolescent is abusing.
Adolescents need information about the effects of uncoordination on accidents.
Adolescents need to be reminded to use seat belts primarily on long trips.
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Question 13
Multiple Choice
The nurse is discussing about threats to adult safety with a college group. Which statement by a group member indicates understanding of the topic?
Choose correct answer/s
"Smoking even at parties is not good for my body."
"Our campus is safe; we leave our dorms unlocked all the time."
"As long as I have only two drinks, I can still be the designated driver."
"I am young, so I can work nights and go to school with 2 hours' sleep."
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Question 14
Multiple Choice
The nurse is teaching a group of older adults at an assisted-living facility about age-related physiological changes affecting safety. Which question would be most important for the nurse to ask this group?
Choose correct answer/s
"Are you able to hear the tornado sirens in your area?"
"Are you able to read your favorite book?"
"Are you able to taste spices like before?"
"Are you able to open a jar of pickles?"
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Question 15
Multiple Choice
The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
Choose correct answer/s
The patient refuses to call for help to go to the bathroom.
The patient continues to remove the nasogastric tube.
The patient gets confused regarding the time at night.
The patient does not sleep and continues to ask for items.
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Question 16
Multiple Choice
The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
Choose correct answer/s
The patient continues to get up from the chair at the nurses' station.
The patient gets restless when the sitter leaves for lunch.
The patient folds three washcloths over and over.
The patient apologizes for being "such a bother."
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Question 17
Multiple Choice
The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?
Choose correct answer/s
Assess the patient.
Gather restraint supplies.
Try alternatives to restraint.
Call the health care provider for a restraint order.
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Question 18
Multiple Choice
The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring?
Choose correct answer/s
Tile floors, cold food, scratchy linen, and noisy alarms
Dirty floors, hallways blocked, medication room locked, and alarms set
Carpeted floors, ice machine empty, unlocked supply cabinet, and call light in reach
Wet floors unmarked, patient pinching fingers in door, failure to use lift for patient, and alarms not functioning properly
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Question 19
Multiple Choice
Which activity will cause the nurse to monitor for equipment-related accidents?
Choose correct answer/s
Uses a patient-controlled analgesic pump
Uses a computer-based documentation record
Uses a measuring device that measures urine
Uses a manual medication-dispensing device
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Question 20
Multiple Choice
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
Choose correct answer/s
Check on the patient once a shift.
Encourage visitors in the early evening.
Place all four side rails in the "up" position.
Keep the patient on fall risk until discharge.
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