Module 6: Safety and Infection Control
Study Guide Exam And Actual Answers.
Which event would require a nurse to complete and file an incident report - Answer When a visitor
suddenly becomes weak and dizzy, the nurse checkers the visitor's BP and takes a visitor to the ED for tx
A nurse, charting the administration of meds to an assigned client at 9pm, notes that atenolol was
prescribed to be administered at 9am instead of 9pm. The nurse checks the client's VS, completes an
incident report and calls the HCP to report the error. The HCP 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 - Answer Telling the HCP that the error warrants the completion of an incident
Contact precautions are initiated for a client with MRSA infection. The nurse, providing instructions to a
UAP about caring for the client, tells the assistant - Answer To wear gloves and a gown when changing
the client's bed linen
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
- Answer Call the poison control center
A hurricane is forecast to make landfall in 48 hours and the staff of the END of an area hospital is advised
to prepare for casualties. Which action should the nurse manager who receives the phone call regarding
this warning take first - Answer Activating the agency disaster plan
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 SATA
a) I can use my electric razor while I'm using oxygen
b) I have to keep the O2 concentrator out of direct sunlight
c) I need to follow the O2 rx exactly
d) I have to tell everyone that they can't smoke or have an open flame within 10 feet of the O2
concentrator
e) I need to keep the O2 concentrator as close to the wall as possible or put it on the corner - Answer
b-d
,A nurse is providing instructions to a UAP who will be caring for a client in hand restraints. The nurse
instructs the UAP to release the restraints to permit muscle exercise - Answer q2h
A community health nurse working in a school setting is concerned b/c parents are not participating in
health activities designed to promote child safety. In this situation, the most appropriate initial action is -
Answer Determining the appropriateness of the planned health activity
The nurse administers a dose of ramipril 2.5mg to a client at 0900. While documenting administration of
the med, the nurse discovers that 1.25mg, not 2.5 mg, was the prescribed dose. The nurse assesses the
client, completes an incident report and notifies the physician and nursing supervisor of the error. What
statement does the nurse add to the client's record - Answer Ramipril 2.5mg was administered at 0900
A HHC nurse has been called to the home of an older post op CV client's son. The son tells the nurse,
"We're using a hospital bed here at home because my mother has fallen out of bed three times." which
observation by the nurse reflects an increased risk of this client's falling out of bed - Answer The
caregiver leaves both side rails down while the client is in bed
A community health nurse is providing information to local residents about the transmission of anthrax.
Through which body systems does the nurse tell the residents that anthrax can be contracted SATA
a) Immune
b) GI
c) GU
d) Lymphatic
e) Lungs
f) Skin - Answer b, e, f
A nurse is preparing a chemo infusion to be administered to a client with a dx of Hodgkin's disease.
Which precaution should the nurse take while working with thi IV infusion - Answer Wear gloves, a
mask and eye protection
A nurse is preparing a continuous IV infusion at the med cart. As the nurse goes to attach the IV tubing
port to the solution bag, the tubing drops, hitting the top of the med cart. Which action should the nurse
take to maintain asepsis - Answer Obtain new IV tubing
, A HHC nurse is visiting a client with TB. which action by the client tells the nurse that the client
understands the necessary respiratory precautions to be taken at home - Answer Disposing of
contaminated tissues in a container with a leak-proof bag
A HHC nurse teaches a client about home modifications to reduce the risk of falls. Which statements by
the client indicates a need for further teaching SATA
a) I need to remove my wall to wall carpeting
b) I need to use the staircase handrails when I go up the stairs
c) I need to use night lights
d) I should walk barefoot as much as possible so that I'll know about any wet spots on the floor
e) I need to get handrails put up in the bathroom - Answer a, d
A nurse caring for a client who is under airborne precautions notes that the client is scheduled for a
nuclear scan. Which action on the part of the nurse is appropriate - Answer Placing a surgical mask on
the client for transport and for contact with other individuals
A nurse employed in a physician's office hears a client in the waiting room call out, "Help! Fire!". The
nurse rushes to the waiting room and finds that the wastebasket is on fire. The nurse immediately -
Answer Removes the clients from the waiting room
A nurse enters the laundry room to empty a bag of dirty linen and discovers a fire in a laundry basket.
What action should the nurse take first - Answer Activating the fire alarm
The safety department is providing a yearly educational session on fire safety and the use of fire
extinguishers. A nurse is asked to demonstrate the use of a fire extinguisher after the session. The nurse
demonstrates appropriate use of the fire extinguisher by first - Answer Pulling the pin on the fire
extinguisher
A nurse provides instruction to a new UAP regarding the application of a restraint to a client. The nurse
watches as the UAP applies the restraint. What observation tells the nurse that the UAP is using correct
procedure - Answer The assistant applies the restraint so that the strap doesn't tighten when force is
applied against it
Study Guide Exam And Actual Answers.
Which event would require a nurse to complete and file an incident report - Answer When a visitor
suddenly becomes weak and dizzy, the nurse checkers the visitor's BP and takes a visitor to the ED for tx
A nurse, charting the administration of meds to an assigned client at 9pm, notes that atenolol was
prescribed to be administered at 9am instead of 9pm. The nurse checks the client's VS, completes an
incident report and calls the HCP to report the error. The HCP 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 - Answer Telling the HCP that the error warrants the completion of an incident
Contact precautions are initiated for a client with MRSA infection. The nurse, providing instructions to a
UAP about caring for the client, tells the assistant - Answer To wear gloves and a gown when changing
the client's bed linen
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
- Answer Call the poison control center
A hurricane is forecast to make landfall in 48 hours and the staff of the END of an area hospital is advised
to prepare for casualties. Which action should the nurse manager who receives the phone call regarding
this warning take first - Answer Activating the agency disaster plan
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 SATA
a) I can use my electric razor while I'm using oxygen
b) I have to keep the O2 concentrator out of direct sunlight
c) I need to follow the O2 rx exactly
d) I have to tell everyone that they can't smoke or have an open flame within 10 feet of the O2
concentrator
e) I need to keep the O2 concentrator as close to the wall as possible or put it on the corner - Answer
b-d
,A nurse is providing instructions to a UAP who will be caring for a client in hand restraints. The nurse
instructs the UAP to release the restraints to permit muscle exercise - Answer q2h
A community health nurse working in a school setting is concerned b/c parents are not participating in
health activities designed to promote child safety. In this situation, the most appropriate initial action is -
Answer Determining the appropriateness of the planned health activity
The nurse administers a dose of ramipril 2.5mg to a client at 0900. While documenting administration of
the med, the nurse discovers that 1.25mg, not 2.5 mg, was the prescribed dose. The nurse assesses the
client, completes an incident report and notifies the physician and nursing supervisor of the error. What
statement does the nurse add to the client's record - Answer Ramipril 2.5mg was administered at 0900
A HHC nurse has been called to the home of an older post op CV client's son. The son tells the nurse,
"We're using a hospital bed here at home because my mother has fallen out of bed three times." which
observation by the nurse reflects an increased risk of this client's falling out of bed - Answer The
caregiver leaves both side rails down while the client is in bed
A community health nurse is providing information to local residents about the transmission of anthrax.
Through which body systems does the nurse tell the residents that anthrax can be contracted SATA
a) Immune
b) GI
c) GU
d) Lymphatic
e) Lungs
f) Skin - Answer b, e, f
A nurse is preparing a chemo infusion to be administered to a client with a dx of Hodgkin's disease.
Which precaution should the nurse take while working with thi IV infusion - Answer Wear gloves, a
mask and eye protection
A nurse is preparing a continuous IV infusion at the med cart. As the nurse goes to attach the IV tubing
port to the solution bag, the tubing drops, hitting the top of the med cart. Which action should the nurse
take to maintain asepsis - Answer Obtain new IV tubing
, A HHC nurse is visiting a client with TB. which action by the client tells the nurse that the client
understands the necessary respiratory precautions to be taken at home - Answer Disposing of
contaminated tissues in a container with a leak-proof bag
A HHC nurse teaches a client about home modifications to reduce the risk of falls. Which statements by
the client indicates a need for further teaching SATA
a) I need to remove my wall to wall carpeting
b) I need to use the staircase handrails when I go up the stairs
c) I need to use night lights
d) I should walk barefoot as much as possible so that I'll know about any wet spots on the floor
e) I need to get handrails put up in the bathroom - Answer a, d
A nurse caring for a client who is under airborne precautions notes that the client is scheduled for a
nuclear scan. Which action on the part of the nurse is appropriate - Answer Placing a surgical mask on
the client for transport and for contact with other individuals
A nurse employed in a physician's office hears a client in the waiting room call out, "Help! Fire!". The
nurse rushes to the waiting room and finds that the wastebasket is on fire. The nurse immediately -
Answer Removes the clients from the waiting room
A nurse enters the laundry room to empty a bag of dirty linen and discovers a fire in a laundry basket.
What action should the nurse take first - Answer Activating the fire alarm
The safety department is providing a yearly educational session on fire safety and the use of fire
extinguishers. A nurse is asked to demonstrate the use of a fire extinguisher after the session. The nurse
demonstrates appropriate use of the fire extinguisher by first - Answer Pulling the pin on the fire
extinguisher
A nurse provides instruction to a new UAP regarding the application of a restraint to a client. The nurse
watches as the UAP applies the restraint. What observation tells the nurse that the UAP is using correct
procedure - Answer The assistant applies the restraint so that the strap doesn't tighten when force is
applied against it
