Ch. 27 Patient Safety and quality NCLEX questions

Ch. 27 Patient Safety and quality (NCLEX questions) 4.6 (32 reviews) Students also studied Terms in this set (45) The University of Texas Rio Grande ValleyNURS 3303 Save safety nclex questions 37 terms laceyg113Preview NCLEX Questions-Ethical and Legal ...13 terms Katrina_Beaver Preview Prioritization NCLEX questions 28 terms madisoncastello Preview Medica 60 terms Spi In regards to safety, which of the following statements in most accurate?A.Bacterial contamination of foods is uncontrollable.B.Fire is the greatest cause of unintentional death.C.Temperature extremes seldom affect the safety of clients in acute care facilities.D.Carbon dioxide levels should be monitored in home settings.

• Carbon dioxide levels should be monitored in home settings

A 76-year-old client lives alone at home. Which of the following is the highest priority question for his home health nurse to ask regarding his safety?A."Do you use softglow light bulbs in your front room lamps?" B."At what temperature is your thermostat set?" C."Why don't you consider selling your two-story home and buying a house without stairs?" D."Do any of your medications cause you to be physically unsteady?"

• "Do any of your medications cause you to be physically unsteady?"

Which of the following questions has the highest priority for the nurse when talking with parents about the safety of a 4-year-old?A."Can you talk to the parents of your child's friend to find out why they are getting in fights?" B."Would the families in your neighborhood share your concern about reporting strangers when they see them?" C."Do you have the kitchen cleaning supplies locked in the cupboard?" D."Does your child have the appropriate protective equipment for the games he plays?"

• "Do you have the kitchen cleaning supplies locked in the cupboard?"

The best overall rule for avoiding accidents with

equipment in the hospital is for the nurse to:

A.Always lock wheels on movable equipment B.Never operate equipment without prior instruction C.Always unplug equipment when moving the client D.Never use equipment without a person to assist you

• Never operate equipment without prior instruction

A 4-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to use for this client to

prevent removal of the IV line would be a(n):

A.Wrist restraint B.Jacket restraint C.Elbow restraint D.Mummy restraint

• Elbow restraint

A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past.Which of the following is the most appropriate nursing intervention?A.A loose abdominal restraint should be placed on the client during sleeping hours.B.The caregivers should check the client frequently during the night.C.A radio should be left playing at the bedside to assist in reality orientation.D.Reassign the client to a room that is close to the nursing station.

• The caregivers should check the client frequently during the night.

The workmen cause an electrical fire when installing a new piece of equipment in the intensive care unit. A client is on a ventilator in the next room. The first action the

nurse should take is to:

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

• Use an Ambu bag and remove the client from the area

A frantic grandmother calls the emergency room to report that her grandson took some of her medicine and that she is unable to arouse him. The nurse should instruct

her to:

A.Induce vomiting with syrup of ipecac B.Provide fluids to dilute the toxin C.Hyperextend his head D.Bring the medicine bottle to the hospital

• Bring the medicine bottle to the hospital

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

• "Now that my child is 2 years old I can let her sit in the front seat of the car with

me." he nurse assesses that the client may need a restraint and

recognizes that:

A.An order for a restraint may be implemented indefinitely until it is no longer required by the client.B.Restraints may be ordered on a prn basis.C.No order or consent is necessary for restraints in long term care facilities.D.Restraints are to be periodically removed to have the client re-evaluated.

• Restraints are to be periodically removed to have the client re-evaluated.

What are the "Basic needs"? (Select all that apply)

• Water
• Oxygen
• Nutrition
• Shelter
• Temperature
• Oxygen
• Nutrition
• Temperature

Which of these is not an example of a physical hazard?(Select all that apply).

• Motor Vehicle Accidents
• Allergies
• Poison
• Falls
• Fire
• Communicable diseases
• Depression
• Security
• Pollution
• Terrorism
• Allergies
• Depression

What does Safety in health care settings not provide?

• Reduces the incidence of illness and injury
• Solves domestic problems the patient will have when

they go home.

• Prevents extended length of treatment/stay
• Improves or maintains functional status
• Increases client's sense of well-being
• Solves domestic problems the patient will have when they go home.

QSEN, developed to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes necessary to continuously improve quality and safety stands for what?

• Quality & Security for Every Nurse
• Qualtiy & Standards Evaluating Nurses
• Quality & Satisfactory Education Nursing

D) Quality and Safety Education for Nurses: developed

D) Quality and Safety Education for Nurses: developed

Select all that apply to Carbon monoxide.

• Comes only from automobile exhaust.
• Colorless and odorless gas
• Low concentration cause N/V, h/a, dizziness
• Low concentrations are not noticable in adults
• High concentrations cause death after 1-3 mins
• Colorless and odorless gas
• Low concentration cause N/V, h/a, dizziness
• High concentrations cause death after 1-3 mins

Select all that apply to "Temperature".

A) Normal range: 65° F - 75° F

B) Hyperthermia: febrile/ low core temperature

C) Hyperthermia: febrile/ high core temperature

D) Hypothermia: core body temp falls below 95° F

E) Hypothermia: core body temp rises above 95° F

C) Hyperthermia: febrile/ high core temperature

D) Hypothermia: core body temp falls below 95° F

Health care agency injuries are the 8th leading cause of death in the USA. Which of the below are not a risk to patients in a health care agency? (Select all that apply)

• Medical errors
• Loneliness & Depression
• Chemical use
• Sexually transmitted diseases
• Falls
• Procedure-related accidents (administration errors, IV

therapy, improper use of external devices, or improper performance of procedures

• Patient privacy violations
• Equipment-related accidents
• Loneliness & Depression
• Sexually transmitted diseases
• Patient privacy violations

Medical errors...

• Only happen to new nurses
• Are the reason malpractice insurance is needed
• Are primarily data entry errors
• Account for 60% of all errors
• Account for 60% of all errors