A small fire is discovered in the client's room by a nurse. Which of the following should the nurse
do after transporting the patient to safety? - ANS-Set off the fire alarm. A client with dementia is
having a home hazard assessment assisted by a nurse. Which of the following findings
indicates an understanding of home safety? - ANS-The edges of stairs are marked with brightly
colored tape.
A nurse is assisting with emergency care of a client who has been exposed to a chemical toxin.
The nurse should do which of the following: ANS—Rinse the client's skin with water. A nurse is
assisting with teaching a class about events that require an occurrence report. Which of the
following events should the nurse include? - ANS-A client's visitor falls in the hallway.
A client develops an unexpected reaction to a medication.
Dentures worn by a client are lost. A nurse is assisting with teaching a class about
evidence-based protocols established by the CDC to prevent healthcare-associated infections
(HAIs). Which of the following infections ought to be included by the nurse? Select all that
apply. - ANS: urinary tract infection caused by a catheter Infection of the bloodstream brought
on by a central line Surgical site infection
A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse should
include that which of the following is a hospital acquired-injury? Select all that apply. -
ANS-Blood transfusion incompatibility
Surgery at the wrong site Ineffective insulin usage
A nurse is assisting with teaching a class about warning signs from a co-worker that might
indicate future workplace violence. The nurse should include which of the following behaviors: -
ANS-Frequent complaints about not being treated fairly A newly licensed nurse is receiving
assistance in teaching electrical safety from a nurse. Which of the following actions by the newly
licensed nurse indicates an understanding of the teaching? - ANS-The nurse holds onto the
plug to unplug a client's electronic blood pressure machine.
A nurse is assisting with teaching a newly licensed nurse about using a lift device to transfer a
client. Which of the nurse's actions demonstrates comprehension of the instruction? Select all
that apply. - ANS-Locks the brakes on the client's bed
Checks the maximum weight of the lift before using it
checks for safety before lifting the client A nurse is caring for a client who has a prescription for
wrist restraints. The nurse should do which of the following: - ANS-With each vital sign check,
remove the restraints. A nurse is caring for a client who has an indwelling urinary catheter in
place. Which of the following actions is the priority for the nurse to take to reduce the client's
risk of developing a healthcare-associated infection? - ANS-Perform hand hygiene.
A nurse is caring for a client who is at risk for suicide. Which of the following actions should the
nurse take? Select all that apply. - ANS-Place the client on round-the-clock surveillance.
Remove objects from the room that the client could use to harm themselves.
Search items brought into the client's room by visitors.
Screen the client for suicidal ideation.