Nursing 130 - Practice Test 2 Questions and Correct Answers

C The nurse's first action after discovering an electrical fire in a patient's room is to: a. Activate the fire alarm b. Confine the fire by closing all doors and windows. c. Remove all patients in immediate danger. d. Extinguish the fire by using the nearest fire extinguisher. C The parent calls the pediatrician's office frantic about the bottle of cleaner that her 2-year-old son drank. Which of the following is the most important instruction the nurse gives to this parent? a. Give the child milk. b. Give the child syrup of ipecac. c. Call the poison control center. d. Take the child to the emergency department. D The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability. On the basis of the patient's data, which one of the following nursing diagnoses indicates an understanding of the assessment findings? a. Activity to intolerance b. Impaired bed mobility c. Acute pain d. Risk for falls D A couple is with their adolescent daughter for a school physical and state they are worried about all the safety risks affecting this age. What is the greatest risk for injury for an adolescent? a. Home accidents b. Physiological changes of aging c. Poisoning and child abduction d. Automobile accidents, suicide, and substance abuse B F G The nurse found a 68-year-old female patient wandering in the hall. The patient says she is looking for the bathroom. Which interventions are appropriate to ensure the safety of the patient? (Select all that apply) a. Insert a urinary catheter. b. Leave a night light on in the bathroom. c. Ask the physician to order a restraint. d. Keep the bed in low position with upper and lower side rails up. e. Assign a staff member to stay with the patient. f. Provide scheduled toileting during the night shift. g. Keep the pathway from the bed to the bathroom clear. C D F The family of a patient who is confused and ambulatory insists that all four side rails be up when the patient is alone. What is the best action to take in this situation? (Select 3) a. Contact the nursing supervisor. b. Restrict the family's visiting privileges. c. Ask the family to stay with the patient if possible. d. Inform the family of the risks associated with side-rail use. e. Thank the family for being conscientious and put the four rails up. f. Discuss alternatives with the family that are appropriate for this patient.