Safety NCLEX Practice questions

Safety NCLEX Practice questions Leave the first rating Students also studied Terms in this set (40) Science MedicinePaediatrics Save Ch. 27 Patient Safety and quality (N...45 terms jennfasPreview safety nclex questions 37 terms laceyg113Preview Prioritization NCLEX questions 28 terms madisoncastello Preview

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97 terms K_K Which development-related safety issue should the nurse include when educating the parents of a 6-month-old infant?

1.Supervision when in the pool 2.Objects being placed in the mouth 3.Unsecured front-facing child car seats 4.Protection from playground-related injuries

Answer: 2

Rationales

Option 1:

Toddlers and preschool-age children are at higher risk for drowning and other outside related injuries. This is not applicable to infants who are unable to walk.

Option 2:

As infants begin to crawl and explore, infants may put many objects in the mouth, creating a choking hazard.

Option 3:

A 6-month-old infant would be in a rear-facing car seat, not a front-facing car seat.

Option 4:

Playground-related injuries are more likely to affect older children.

[Page reference: 668]

Which nursing interventions are important for the home health nurse to perform to promote safety when caring for elderly clients? Select All That Apply.

1.Removing throw rugs 2.Moving electrical cords 3.Changing positions slowly 4.Using visual and hearing aids 5.Taking pain medication prior to movement

Answers: 1, 2, 3, 4

Rationales

Option 1:

Throw rugs should be removed to prevent accidental slipping and falling.

Option 2:

The nurse should move electrical cords out of the way to prevent tripping.

Option 3:

Elderly clients should be instructed to change positions slowly to prevent dizziness from orthostatic blood pressure changes.

Option 4:

The nurse should instruct the client to use visual and hearing aids to be able to better detect safety issues.

Option 5:

Although pain medication may make it easier for an elderly client to walk due to arthritic changes, it can cause drowsiness and sedation, which can lead to falls.

[Page reference: 679]

Which instructions should the nurse give to the parents of a 5-month-old infant to prevent hazards? Select All That Apply.

1.Get rid of all pillows from the crib.

2.Remove any long ribbons hanging from items.

3.Eliminate the string holding the infant's pacifier.

4.Use gas ovens to keep the house warm for the infant during winter time.

5.Be careful when bathing the child as drownings are the leading cause of death in infants.

Answer: 1, 2, 3

Rationales

Option 1:

The nurse should instruct the parents to remove all pillows from the crib to prevent accidental suffocation.

Option 2:

Long ribbons on toys or window blind cords should be removed because these create a strangulation hazard.

Option 3:

The string that holds the infant's pacifier can become tangled around the neck.This can cause a strangulation hazard.

Option 4:

Gas ovens can emit carbon monoxide which can lead to death. The nurse would instead suggest carbon monoxide detectors.

Option 5:

Drownings are more prevalent in children from 1-18 years, not in infants.

[Page reference: 671]

Which factors lead to increased numbers of injuries in children and younger adults related to motor vehicle accidents? Select All That Apply.

1.Driver distraction 2.Poor driving patterns 3.Failure to use seat belts 4.Decreased reaction time 5.Improperly placed car seats

Answer: 1, 3, 5

Rationales

Option 1:

Driver distraction with mobile phones and texting has led to an increase in injuries to teenagers and younger adults.

Option 2:

Poor driving patterns are not typically a factor in injuries to children and young adults.

Option 3:

Failure to use seat belts is a major contributing factor to injuries in children and young adults.

Option 4:

Older adults have decreased reaction time. This is not an issue in younger adults.

Option 5:

Car seats placed in the front seat have led to injuries in infants and children when air bags are deployed.

[Page reference: 672]

The nurse is educating a group of clients about risks for food poisoning. Which statement made by a client indicates understanding?

1."I should not consume raw cookie dough." 2."It is fine to eat raw sushi in a restaurant." 3."I sometimes drink milk straight from the cow." 4."I can leave food out for three hours before consumption."

Answer: 1

Rationales

Option 1:

Raw cookie dough contains raw eggs which can lead to food poisoning. This statement indicates understanding.

Option 2:

Raw or undercooked foods can lead to foodborne illnesses or food poisoning.

Option 3:

Milk straight from the cow is unpasteurized and can cause foodborne illnesses.

Option 4:

The client should be instructed that food should not be left out for several hours as this can lead to foodborne illnesses.

[Page reference: 672]

A client informs the healthcare provider of increased fatigue upon return from a camping trip last weekend.For what should the nurse assess the client?

1.Skin for bug bites 2.Contact with lead paint 3.Ingestion of raw meats 4.Carbon monoxide exposure

Answer: 1

Rationales

Option 1:

The nurse should assess the client's skin for bug bites. The client reports feeling tired after returning from camping. Many vector-borne illnesses such may be passed on to hosts from bugs in outdoors settings.

Option 2:

Lead paint exposure is not applicable to a client who went camping.

Option 3:

The client did not report any ingestion of raw meat, which would cause food poisoning. Nausea and vomiting would be indicative of foodborne illness.

Option 4:

Carbon monoxide poisoning would cause fatigue, but it is unlikely to occur in outdoors open spaces.

[Page reference: 672]

Which safety precaution should the nurse take when preparing to administer an injection to a client?

1.Recapping the needle after administering the injection 2.Disposing of the needle immediately in the sharps container 3.Setting the needle aside after the injection until bleeding has stopped 4.Inserting the needle into a full sharps container for disposal

Answer: 2

Rationales

Option 1:

The nurse should never recap the needle after giving the injection. This can lead to use of contaminated needles.

Option 2:

The nurse should immediately dispose of the contaminated needle in the sharps container to prevent accidental injury.

Option 3:

The nurse should activate the safety mechanism prior to setting the needle aside if needed to care for bleeding.

Option 4:

The nurse should not overfill the sharps container as it can cause needles to stick out and accidentally stick someone.

[Page reference: 696]

The nurse is caring for a violent client. The nurse contacts the healthcare provider and receives an order for restraints. Which actions should the nurse include in the plan of care for this client? Select All That Apply.

1.Removing the restraints every two hours 2.Renewing the prescription every 24 hours 3.Administering medications as needed to restrain a client 4.Using the most restrictive restraint in the beginning 5.Obtaining standing orders for the use of restraints for a client

Answer: 1, 2

Rationales

Option 1:

The nurse should assess circulation and remove the restraints every two hours to maintain skin integrity and allow for toileting and meals.

Option 2:

The nurse and healthcare provider should reevaluate the need for restraints every 24 hours.

Option 3:

Medications such as sedatives and antipsychotics are considered chemical restraints. These should not be used without the healthcare provider's orders.

Option 4:

The nurse should incorporate the least restrictive restraint possible to start.

Option 5:

Standing orders are not acceptable for restraints.

[Page reference: 697]

The home health nurse is instructing the family of an elderly client about safety precautions that should be taken in the bathroom. Which information should the nurse provide? Select All That Apply.

1.Use raised toilet seats.

2.Set up grab bars in the shower.

3.Purchase a sturdy shower chair for the client.

4.Place a throw rug on the floor to dry wet feet.

5.Install a fixed shower head on the wall for the client.

Answer: 1, 2, 3

Rationales

Option 1:

Toilet seats that are too low can make it difficult for the client to sit down and get up, which can lead to injuries.

Option 2:

Grab bars in the shower provide support for the client.

Option 3:

A sturdy shower chair should be purchased to allow the client to sit if needed during a shower.

Option 4:

The nurse should not instruct the family to place a throw rug on the floor as this can slip and lead to falls.

Option 5:

The nurse would instruct the family to install a movable shower head to allow the client to sit down on a shower chair and still get the water at a comfortable angle.

[Page reference: 685]

The home health nurse is discussing fire safety with a family. The family asks about how to handle different types of fires. Which type of fire extinguisher is used to extinguish grease fires?

1.Class A 2.Class B 3.Class D 4.Class K

Answer: 4

Rationales

Option 1:

Class A fire extinguishers put out fires caused by paper and wood products.

Option 2:

Class B fire extinguishers extinguish fires from flammable liquids.

Option 3:

Class D fire extinguishers are not usually used in private homes; they extinguish fires caused by combustible metals.

Option 4:

Class K fire extinguishers put out grease fires.

[Page reference: 692]