SAFETY AND INFECTION CONTROL (6)
EXAM 2024/2025
Which of the following events would require a nurse to complete and
file an incident report? - Precise Answer ✔✔When a visitor suddenly
becomes weak and dizzy, the nurse checks the visitor's blood pressure
and takes the visitor to the emergency department for treatment.
A nurse, charting the administration of medications to an assigned client
at 9 pm, notes that atenolol (Tenormin) was prescribed to be
administered at 9 am instead of 9 pm. The nurse checks the client's vital
signs, completes an incident report, and calls the physician to report the
error. The physician tells the nurse that an incident report is not needed
but instructs her to monitor the client during the night for hypotension.
What action should the nurse take? - Precise Answer ✔✔C Telling the
physician that the error warrants the completion of an incident report
Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse, providing
instructions to a nursing assistant about caring for the client, tells the
assistant: - Precise Answer ✔✔To wear gloves and a gown when
changing the client's bed linen.
Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated.
,wrist restraints.
Which of the following observations by the nurse indicates that the
nursing assistant is using the restraints safely and correctly? Select all
that apply. - Precise Answer ✔✔The restraints are being released every
2 hours.
A safety knot has been used to secure the restraints.
The call light has been placed within reach of the client.
A triage nurse in an emergency department (ED) is attending to the
victims of a train crash. All victims are alert. Which of these clients does
the nurse assign to the emergent category? Select all that apply. - Precise
Answer ✔✔A victim with respiratory distress
A victim with partial amputation of the foot
A victim with a forehead laceration that is not bleeding
A nurse is preparing to clean up a blood spill on the client's bedside table
that occurred when a blood tube containing a specimen from the client
broke. What steps should the nurse take to clean up the blood spill?
Select all that apply. - Precise Answer ✔✔Using tongs to collect any
broken glass
,Wearing gloves for the cleanup procedure
Disinfecting the area of the blood spill with a dilute bleach solution
A nurse, preparing a sterile field on which to perform a dressing change,
places the sterile drape on the overbed table. Which of these actions on
the part of the nurse indicate correct understanding of the principles of
aseptic technique? Select all that apply. - Precise Answer
✔✔Positioning the sterile field so that it remains in full view.
Picking up a pair of sterile scissors from the sterile field with a sterile
gloved hand.
Pouring sterile wound cleansing solution into a sterile cup before
donning sterile gloves.
In which of the following situations would the nurse use this type of
restraint (mitten restraint)? Select all that apply. - Precise Answer ✔✔To
prevent dislodgment of an intravenous line,
To prevent the use of the hands while allowing free arm movement
The mother of a 3-year-old calls a neighbor who is a nurse and reports
that her child just drank some window cleaner that had been stored in a
cabinet. The nurse should instruct the mother to immediately: - Precise
Answer ✔✔Call a poison control center
, A home care nurse is visiting an older client who has been recovering
from a mild brain attack (stroke) affecting her left side. The client lives
alone but receives regular assistance from her daughter and son, who
both live within 10 miles. Which of the following actions should the
nurse take to assess the client's safety risk? Select all that apply. -
Precise Answer ✔✔Assessing the client's visual acuity
Observing the client's gait and posture
Evaluating the client's muscle strength
Looking for any hazards in the home environment
A hospitalized client, experiencing confusion, is at risk of falling
because she continually tries to climb out of bed. Which of these safety
devices that the nurse might suggest is the least restrictive? - Precise
Answer ✔✔Ambularm
A home health nurse has instructed a client about safety measures during
the use of an oxygen concentrator in the home. Which statement by the
client indicates to the nurse that the client has understood the directions?
Select all that apply. - Precise Answer ✔✔"I need to follow the oxygen
prescription exactly."
"I have to keep the oxygen concentrator out of direct sunlight."
EXAM 2024/2025
Which of the following events would require a nurse to complete and
file an incident report? - Precise Answer ✔✔When a visitor suddenly
becomes weak and dizzy, the nurse checks the visitor's blood pressure
and takes the visitor to the emergency department for treatment.
A nurse, charting the administration of medications to an assigned client
at 9 pm, notes that atenolol (Tenormin) was prescribed to be
administered at 9 am instead of 9 pm. The nurse checks the client's vital
signs, completes an incident report, and calls the physician to report the
error. The physician tells the nurse that an incident report is not needed
but instructs her to monitor the client during the night for hypotension.
What action should the nurse take? - Precise Answer ✔✔C Telling the
physician that the error warrants the completion of an incident report
Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse, providing
instructions to a nursing assistant about caring for the client, tells the
assistant: - Precise Answer ✔✔To wear gloves and a gown when
changing the client's bed linen.
Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated.
,wrist restraints.
Which of the following observations by the nurse indicates that the
nursing assistant is using the restraints safely and correctly? Select all
that apply. - Precise Answer ✔✔The restraints are being released every
2 hours.
A safety knot has been used to secure the restraints.
The call light has been placed within reach of the client.
A triage nurse in an emergency department (ED) is attending to the
victims of a train crash. All victims are alert. Which of these clients does
the nurse assign to the emergent category? Select all that apply. - Precise
Answer ✔✔A victim with respiratory distress
A victim with partial amputation of the foot
A victim with a forehead laceration that is not bleeding
A nurse is preparing to clean up a blood spill on the client's bedside table
that occurred when a blood tube containing a specimen from the client
broke. What steps should the nurse take to clean up the blood spill?
Select all that apply. - Precise Answer ✔✔Using tongs to collect any
broken glass
,Wearing gloves for the cleanup procedure
Disinfecting the area of the blood spill with a dilute bleach solution
A nurse, preparing a sterile field on which to perform a dressing change,
places the sterile drape on the overbed table. Which of these actions on
the part of the nurse indicate correct understanding of the principles of
aseptic technique? Select all that apply. - Precise Answer
✔✔Positioning the sterile field so that it remains in full view.
Picking up a pair of sterile scissors from the sterile field with a sterile
gloved hand.
Pouring sterile wound cleansing solution into a sterile cup before
donning sterile gloves.
In which of the following situations would the nurse use this type of
restraint (mitten restraint)? Select all that apply. - Precise Answer ✔✔To
prevent dislodgment of an intravenous line,
To prevent the use of the hands while allowing free arm movement
The mother of a 3-year-old calls a neighbor who is a nurse and reports
that her child just drank some window cleaner that had been stored in a
cabinet. The nurse should instruct the mother to immediately: - Precise
Answer ✔✔Call a poison control center
, A home care nurse is visiting an older client who has been recovering
from a mild brain attack (stroke) affecting her left side. The client lives
alone but receives regular assistance from her daughter and son, who
both live within 10 miles. Which of the following actions should the
nurse take to assess the client's safety risk? Select all that apply. -
Precise Answer ✔✔Assessing the client's visual acuity
Observing the client's gait and posture
Evaluating the client's muscle strength
Looking for any hazards in the home environment
A hospitalized client, experiencing confusion, is at risk of falling
because she continually tries to climb out of bed. Which of these safety
devices that the nurse might suggest is the least restrictive? - Precise
Answer ✔✔Ambularm
A home health nurse has instructed a client about safety measures during
the use of an oxygen concentrator in the home. Which statement by the
client indicates to the nurse that the client has understood the directions?
Select all that apply. - Precise Answer ✔✔"I need to follow the oxygen
prescription exactly."
"I have to keep the oxygen concentrator out of direct sunlight."
