NUR 352 EXAM 2 FALL 2026/2027 SPANN ASU | COMPREHENSIVE
NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS
Describe nurse responsibilities for patient safety - ANS ✔✔-Use risk assessment tools
-Encourage clients to speak up
-Create a culture of checks and balances
-Communicate risk factors and plans of care to patients, family, and other staff
-Use protocols for responding to dangerous situations
-Adopt quality care priorities
-Know the facility's disaster plan
-Use current evidence to promote a culture of safety
-Identify and document incidents and responses according to facility's policy
-Know the location of safety data sheets and hazardous chemicals in the environment
-Use equipment only after adequate instruction and safety inspection
-Correct delegation
When is it okay to delegate? - ANS ✔✔-patient is stable
-task is within worker's job description
-you're able to teach and supervise
-and you've planned how to monitor
When is it not okay to delegate? - ANS ✔✔-thinking, complex assessment, and judgment are required
-there is an unpredictable outcome
-increased risk of harm
-creativity and problem solving are required
What are the steps of delegation? - ANS ✔✔(1) assess and plan, (2) communicate, (3) ensure
surveillance and supervision, (4) evaluate and give feedback
What are the 5 rights of delegation? - ANS ✔✔task, situation, worker, direction & communication, and
teaching, supervision, & evaluation
What is a sentinel event? - ANS ✔✔A critical unexpected adverse event that caused severe physical
harm to a patient including death and dismemberment, permanent injury, or severe, temporary injury
What is another name for a serious reportable event (SRE)? - ANS ✔✔"Never event"
Examples of an SRE - ANS ✔✔-surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
What has to be true in order for an event to be considered an SRE? - ANS ✔✔to be classified as "never
event" is has to be usually preventable, unambiguous (clearly identifiable and measurable), serious, and
, adverse, indicative of a problem in a healthcare facility safety systems, and/or important for public
credibility or accountability
What populations are at risk for falls? - ANS ✔✔Adults over 60 y/o, infants, clients receiving opioids,
clients with seizure conditions, etc.
What situations would cause the need to place a patient on a fall risk? - ANS ✔✔Recent fall, recent
surgery, development of disabling condition (i.e. dementia), visual impairment, unsteady gait
Describe some nursing interventions for fall risks - ANS ✔✔-Hourly rounding
-frequent fall/safety risk assessments
-home hazard assessment
-ensure bed is in lowest position
-appointment of fall safety champions
-movement alarms
-physical/virtual sitter monitoring
-provide cognitive/physical activities for client
-non-skid footwear
-lock wheels of bed
-clutter free environment
-adequate lighting
-call light/belongings in reach
-fall prevention education
-restraints
Describe risk factors for any population involving fall risks (physical, cognitive, environmental, etc.) - ANS
✔✔Physical disorders: stroke, amputation, recent surgery, MS, visual impairment, chronic pain,
malnutrition, weakness, unsteady gait
Cognitive: sleep disorders, impulsiveness, disorientation, depression
Environmental: room clutter, poor lighting, slippery floors
Other: certain medications with strong correlation with falls (antidepressants, antihypertensives,
opioids), staffing levels on unit, bathroom frequency
Describe physical restraints - ANS ✔✔appropriate only for a short term situation or procedure, uses
physical strength to restrain (ex. swaddle wrap for insertion of IV in pediatric client)
Describe mechanical restraints - ANS ✔✔physical device applied such as straps, mittens, jackets, vests,
belts, fabric around wrist or ankles typically tied to bed frame using quick release knot
Describe chemical restraints - ANS ✔✔administration of medications to reduce client
movement/behavior (ex. benzos)
Describe barrier restraints - ANS ✔✔limit movement within a setting (ex. bed enclosures, concave
mattresses, lapboards, cribs for pediatrics)
NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS
Describe nurse responsibilities for patient safety - ANS ✔✔-Use risk assessment tools
-Encourage clients to speak up
-Create a culture of checks and balances
-Communicate risk factors and plans of care to patients, family, and other staff
-Use protocols for responding to dangerous situations
-Adopt quality care priorities
-Know the facility's disaster plan
-Use current evidence to promote a culture of safety
-Identify and document incidents and responses according to facility's policy
-Know the location of safety data sheets and hazardous chemicals in the environment
-Use equipment only after adequate instruction and safety inspection
-Correct delegation
When is it okay to delegate? - ANS ✔✔-patient is stable
-task is within worker's job description
-you're able to teach and supervise
-and you've planned how to monitor
When is it not okay to delegate? - ANS ✔✔-thinking, complex assessment, and judgment are required
-there is an unpredictable outcome
-increased risk of harm
-creativity and problem solving are required
What are the steps of delegation? - ANS ✔✔(1) assess and plan, (2) communicate, (3) ensure
surveillance and supervision, (4) evaluate and give feedback
What are the 5 rights of delegation? - ANS ✔✔task, situation, worker, direction & communication, and
teaching, supervision, & evaluation
What is a sentinel event? - ANS ✔✔A critical unexpected adverse event that caused severe physical
harm to a patient including death and dismemberment, permanent injury, or severe, temporary injury
What is another name for a serious reportable event (SRE)? - ANS ✔✔"Never event"
Examples of an SRE - ANS ✔✔-surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
What has to be true in order for an event to be considered an SRE? - ANS ✔✔to be classified as "never
event" is has to be usually preventable, unambiguous (clearly identifiable and measurable), serious, and
, adverse, indicative of a problem in a healthcare facility safety systems, and/or important for public
credibility or accountability
What populations are at risk for falls? - ANS ✔✔Adults over 60 y/o, infants, clients receiving opioids,
clients with seizure conditions, etc.
What situations would cause the need to place a patient on a fall risk? - ANS ✔✔Recent fall, recent
surgery, development of disabling condition (i.e. dementia), visual impairment, unsteady gait
Describe some nursing interventions for fall risks - ANS ✔✔-Hourly rounding
-frequent fall/safety risk assessments
-home hazard assessment
-ensure bed is in lowest position
-appointment of fall safety champions
-movement alarms
-physical/virtual sitter monitoring
-provide cognitive/physical activities for client
-non-skid footwear
-lock wheels of bed
-clutter free environment
-adequate lighting
-call light/belongings in reach
-fall prevention education
-restraints
Describe risk factors for any population involving fall risks (physical, cognitive, environmental, etc.) - ANS
✔✔Physical disorders: stroke, amputation, recent surgery, MS, visual impairment, chronic pain,
malnutrition, weakness, unsteady gait
Cognitive: sleep disorders, impulsiveness, disorientation, depression
Environmental: room clutter, poor lighting, slippery floors
Other: certain medications with strong correlation with falls (antidepressants, antihypertensives,
opioids), staffing levels on unit, bathroom frequency
Describe physical restraints - ANS ✔✔appropriate only for a short term situation or procedure, uses
physical strength to restrain (ex. swaddle wrap for insertion of IV in pediatric client)
Describe mechanical restraints - ANS ✔✔physical device applied such as straps, mittens, jackets, vests,
belts, fabric around wrist or ankles typically tied to bed frame using quick release knot
Describe chemical restraints - ANS ✔✔administration of medications to reduce client
movement/behavior (ex. benzos)
Describe barrier restraints - ANS ✔✔limit movement within a setting (ex. bed enclosures, concave
mattresses, lapboards, cribs for pediatrics)
