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Exam (elaborations)

NR 505 CHAPTER 27; Exam 1 Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED

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NR 505 CHAPTER 27; Exam 1 Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED!!! 1. A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take? - ANSWER Pull the fire alarm lever. 2. Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? - ANSWER Social pressure 3. A near miss has taken place on a medical unit in which a client nearly received a unit of packed red blood cells of an incompatible blood type. In the follow up to this event, which action should be prioritized? - ANSWER identifying systemic factors on the unit that may have contributed to the event 4. A nurse is preparing to implement an order for the use of restraints to ensure a client's safety. Which statement accurately describes a guideline to follow? - ANSWER Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others. 5. The nurse has completed a comprehensive assessment of a client who has been admitted to the hospital experiencing acute withdrawal from alcohol. What nursing diagnosis would provide the clearest justification for the use of physical restraints during this client's care? - ANSWER Risk for Injury Related to Agitation 6. Which statement should the nurse include in the education plan regarding safety issues for a group of adult clients? - ANSWER In most age groups, motor vehicle accidents are major causes of death. 7. A nurse is teaching parents about Internet safety for children. Which actions are recommended guidelines for Internet use? Select all that apply. - ANSWER Use filtering software to block objectionable information. Investigate any public chat rooms used by the children. Be alert for downloaded files with suffixes that indicate images or pictures. 8. The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail, the health care provider orders chemical restraints. Which treatment does the nurse anticipate? - ANSWER administration of an antipsychotic agent to alter the client's behavior 9. The poison control nurse receives a call from the parent of a 2 year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response? - ANSWER "Is your child breathing at this time?" 10. The nurse is discussing car safety with the mother of a 6 year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her? - ANSWER "At the age of 6 your child should be using a booster seat." 11. The nurse is teaching the caregiver of an adolescent child about safety. Which teaching will the nurse include? - ANSWER Peer pressure causes children of this age to take risks. 12. A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation? - ANSWER Rescue anyone who is in immediate danger. 13. A client has presented to the emergency department after splashing a chemical in the eyes. When managing the injury, what should be included in the plan of care? - ANSWER Flush the eyes with water for 10 minutes. 14. A confused client is pulling at the IV line. When considering alternatives to restraints, which nursing intervention would be used first? - ANSWER Conceal IV tubing with gauze wrap 15. The nurse is making the initial assessment of a client following a surgical procedure with sedation. Place in order the nurse's assessment actions. Use all options. - ANSWER airway, breathing, and circulation level of consciousness and orientation intravenous access and IV fluid wounds and tubes items within the client's reach 16. A nurse is educating parents of preschoolers on appropriate safety measures for this age group. What might be a focus of the education plan? - ANSWER Childproofing the house 17. Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for a 9-month-old infant? - ANSWER "We place our baby in a rear-facing car seat in the back seat of the car." 18. The nurse is conducting a community education program on bike helmet safety. The nurse determines additional information is needed when a participant states: - ANSWER "I should be able to fit two fingers between my chin and the chin strap." 19. A program has been introduced at a hospital with the goal of improving client safety. The nurses participating in the program should recognize what event as posing the most significant threat to a client's safety? - ANSWER administering medications to the client 20. The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address? - ANSWER A hair dryer is placed next to the sink. 21. A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies? - ANSWER New systems are introduced to increase communication between nurses and the members of other health disciplines. 22. The nurse is teaching unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective. - ANSWER "I will rescue clients from harm before doing anything else."

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NR 505 CHAPTER 27; Exam 1 Complete
Key Questions with 100% Correct
Solutions||UPDATED 2025/2026 A+
GRADED!!!
1. A nurse responds to the call bell and finds another nurse
evacuating the client from the room, which has caught fire. Which
action should the nurse take? - ANSWER ✓ Pull the fire alarm
lever.

2. Which reason best explains why adolescents behave in an unsafe
manner despite knowledge of a particular activity's risk? -
ANSWER ✓ Social pressure

3. A near miss has taken place on a medical unit in which a client
nearly received a unit of packed red blood cells of an incompatible
blood type. In the follow up to this event, which action should be
prioritized? - ANSWER ✓ identifying systemic factors on the unit
that may have contributed to the event

4. A nurse is preparing to implement an order for the use of restraints
to ensure a client's safety. Which statement accurately describes a
guideline to follow? - ANSWER ✓ Time-limit the use of restraints
and release the client from the restraint as soon as he or she is no
longer a risk to self or others.

5. The nurse has completed a comprehensive assessment of a client
who has been admitted to the hospital experiencing acute
withdrawal from alcohol. What nursing diagnosis would provide
the clearest justification for the use of physical restraints during

, this client's care? - ANSWER ✓ Risk for Injury Related to
Agitation

6. Which statement should the nurse include in the education plan
regarding safety issues for a group of adult clients? - ANSWER ✓
In most age groups, motor vehicle accidents are major causes of
death.

7. A nurse is teaching parents about Internet safety for children.
Which actions are recommended guidelines for Internet use? Select
all that apply. - ANSWER ✓ Use filtering software to block
objectionable information.
Investigate any public chat rooms used by the children.
Be alert for downloaded files with suffixes that indicate images or
pictures.

8. The nurse is caring for a client who has been repetitively pulling at
IV lines and the urinary catheter. After other methods of diverting
the client's behaviors fail, the health care provider orders chemical
restraints. Which treatment does the nurse anticipate? - ANSWER
✓ administration of an antipsychotic agent to alter the client's
behavior

9. The poison control nurse receives a call from the parent of a 2-
year-old child. The parent states, "I just took a quick shower, and
when I finished, I walked into the kitchen and found my child with
an open bottle of household cleaner." What is the poison control
nurse's appropriate response? - ANSWER ✓ "Is your child
breathing at this time?"

10. The nurse is discussing car safety with the mother of a 6-
year-old child. The child's mother questions the need for the use of
special car seats for her child. What information can be provided to

, her? - ANSWER ✓ "At the age of 6 your child should be using a
booster seat."

11. The nurse is teaching the caregiver of an adolescent child
about safety. Which teaching will the nurse include? - ANSWER
✓ Peer pressure causes children of this age to take risks.

12. A nurse smells smoke and subsequently discovers a fire in a
garbage can in a common area on the hospital unit. What is the
nurse's priority action in this situation? - ANSWER ✓ Rescue
anyone who is in immediate danger.

13. A client has presented to the emergency department after
splashing a chemical in the eyes. When managing the injury, what
should be included in the plan of care? - ANSWER ✓ Flush the
eyes with water for 10 minutes.

14. A confused client is pulling at the IV line. When considering
alternatives to restraints, which nursing intervention would be used
first? - ANSWER ✓ Conceal IV tubing with gauze wrap

15. The nurse is making the initial assessment of a client
following a surgical procedure with sedation. Place in order the
nurse's assessment actions. Use all options. - ANSWER ✓ airway,
breathing, and circulation level of consciousness and orientation
intravenous access and IV fluid wounds and tubes items within the
client's reach

16. A nurse is educating parents of preschoolers on appropriate
safety measures for this age group. What might be a focus of the
education plan? - ANSWER ✓ Childproofing the house

17. Which statement indicates that a family understands the
teaching that has been provided by the nurse related to car seat

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