safety nclex questions

safety nclex questions

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Students also studied Terms in this set (37) Science MedicineNursing Save Ch. 27 Patient Safety and quality (N...45 terms jennfasPreview CH 29 Infection Prevention and Con...16 terms jennfasPreview Prioritization NCLEX questions 28 terms madisoncastello Preview Safety Teacher Car a client brings several electronic devices to a nursing home. one of the devices has a two-pronged plug. which rationale should the nurse provide when explaining why an electrical device must have a three-pronged plug?

• controls stray electrical currents
• promotes efficient use of electricity
• shuts off the appliance if there is an electrical surge
• divides the electricity among the appliances in the

room

• controls stray electrical currents

a nurse is caring for a patient with parkinson's disease who is experiencing difficulty swallowing. for which major potential problem associated with dysphagia should the nurse assess the client?

• anorexia
• aspiration
• self-care deficit
• inadequate intake
• aspiration

a nurse is caring for a confused client. which should the nurse do to prevent this client from falling?

• encourage the client to use the corridor handrails
• place the client in a room near the nurses' station
• reinforce how to use the call bell
• maintain close supervision
• maintain close supervision

a school nurse is teaching children about fire safety procedures. which is the first thing they should be taught to do if their clothes catch on fire?

• yell for help
• roll on the ground
• take their clothes off
• pour water on their clothes
• roll on the ground

a primary health-care provider prescribes a vest restraint for a client. which should the nurse do first when applying this restraint?

• perform an inspection of the client's skin where the

restraint is to be placed

• ensure that the back of the vest is positioned on the

client's back

• permit four fingers to slide between the client and the

restraint

• secure the restraint to the bed frame using a slipknot
• perform an inspection of the client's skin where the restraint is to be placed

an unconscious client begins vomiting. in which position should the nurse place the client?

• supine
• side-lying
• orthopneic
• low-fowler
• side lying

a toaster is on fire in the pantry of a hospital unit. which should the nurse do first?

• activate the fire alarm
• unplug the toaster from the wall
• put out the fire with an extinguisher
• evacuate the clients from the room next to the kitchen
• activate the fire alarm

the risk management coordinator is preparing a program on the factors that contribute to falls in a hospital setting.which factor that most often contributes to falls should be included in this program?

• wet floors
• frequent seizures
• advanced age of clients
• misuse of equipment by nurses
• advanced age of clients

a nurse is assessing a client who is being admitted to the hospital. which is the most important information that indicates whether the client is at risk for physical injury?

• weakness experienced during a prior admission
• medication that increases intestinal motility
• two recent falls that occurred at home
• the need for corrective eyeglasses
• two recent falls that occurred at home

which should the nurse do to best prevent a client from falling?

• provide a cane
• keep walkways clear of obstacles
• assist the client with ambulation
• encourage the client to use hallway handrails
• assist the client with ambulation

which is the last step in making an occupied bed that the nurse should teach a nursing assistant?

• elevating the head of the bed to a semi-fowler position
• ensuring that the client is in a comfortable position
• lowering the height of the bed toward the floor
• raising both the upper side rails on the bed
• lowering the height of the bed toward the floor

a nurse is caring for a client with a nasogastric tube for gastric decompression. which nursing action takes priority?

• discontinuing the wall suction when providing nursing

care

• positioning the client in the semi-fowler position
• instilling the tube with 30 mL of air every 2 hours
• caring for the nares at least every 8 hours
• positioning the client in the semi-fowler position

a family member brings an electronic radio to a client in a long-term care facility. the client tells the nurse that an electric shock was felt while turning on the radio. which should the nurse do first?

• arrange for the maintenance department to examine

the radio

• disconnect the radio from the source of energy
• check the client's skin for electrical burns
• take the client's apical pulse
• take the client's apical pulse

a nurse educator is teaching a group of newly hired nursing assistants. which hospitalized client should they be taught is at the highest risk for injury?

• school-age child
• comatose teenager
• postmenopausal woman
• confused middle-age man
• confused middle-age man

a nurse in the nursing education department of a community hospital is planning an inservice education class about injury prevention. which factor that most commonly causes physical injuries in hospitalized clients should be included in the teaching plan?

• malfunctioning equipment
• failure to use restraints
• visitors
• falls
• falls

which is the priority nursing intervention to prevent client problems associated with latex allergies?

• use nonlatex gloves
• identify persons at risk
• keep a latex-safe supply cart available
• administer an antihistamine prophylactically
• identify persons at risk

which nursing intervention enhances an older adult's sensory perception and thereby helps prevent injury when walking from the bed to the bathroom?

• providing adequate lighting
• raising the itch of the voice
• holding onto the client's arm
• removing environmental hazards
• providing adequate lighting

a client has dysphagia. which nursing action takes priority when feeding this client?

• ensuring that dentures are in place
• medicating for pain before providing meals
• providing verbal cueing to swallow each bite
• checking the mouth for emptying between every bite

meals

• checking the mouth for emptying between every bite

a nurse is preparing a client for a physical examination.which is most important for the nurse to do in this situation?

• identify the positions contraindicated for the client

during the examination

• explore the client's attitude toward health-care

providers

• inquire about other professionals caring for the client
• ask when the client last had a physical examination
• identify the positions contraindicated for the client during the examination

a 3-year old child is admitted to the pediatric unit. which should the nurse do to maintain the safety of this preschool-age child?

• teach the child how to use the call bell
• put the child in a crib with high side rails
• ensure the child is under continuous supervision
• have the child stay in the playroom most of the day
• ensure the child is under continuous supervision

a nurse is caring for a client with dementia. which time of day is of most concern for the nurse when trying to protect this client from injury?

• afternoon
• morning
• evening
• night
• night