MCQS WITH 100% VERIFIED ANSWERS & DETAILED RATIONALES /
GRADED A+
1. A nurse is assisting with conducting a home hazard assessment for a client who has dementia.
Which of the following findings indicates an understanding of home safety?
A. An extension cord is secured under a rug
B. A toaster is plugged in when not in use
C. The water heater is set to 55c (131f)
D. The edges of stairs are marked with brightly colored tape:
ANS: D. The edges of stairs are marked with brightly colored tape
Explanation: The nurse should instruct the client to mark edges of stairs with brightly colored tape to
alert the client of the steps and reduce the risk of fall.
2. A nurse is caring for a client who is experiencing a seizure. Which of the following actions
should the nurse take?
A. Record the time and length of the seizure
B. Restrain the clients extremes
C. Place the client in the prone position
D. Monitor the clients hemoglobin level:
ANS: A. Record the time and length of the seizure
Explanation: The nurse should monitor the length of time of the seizure to evaluate the type of seizure
and determine treatment required.
,3. 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)
A. -Place the client on round-the-clock surveillance
B. Remove objects from the room that the client could use to harm themselves
C. Search items brought into the clients room by visitors
D. Refrain from asking the client if they intend to harm themselves
E. Screen the client for suicidal ideations
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 clients room by visitors
Screen the client for suicidal ideations
4. 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 clients risk of developing a
healthcare associated infection?
A. Wipe down the clients bedside table with an antiseptic wipe.
B. Conduct informal audits of medical records to identify the number of healthcare associated
infections
C. Perform hand hygiene
D. Instruct the client on ways to reduce the risk for infection
ANS: C. Perform hand hygiene
According to evidence-based practice, hand hygiene among medical professionals, clients, and visitors
is the priority intervention to reduce the risk for the client to develop a healthcare-associated infection.
,5. A nurse is checking a clients allergy bracelet before administering a medication and finds the
client is allergic to that medication. The nurse does not administer the medication to the client.
This is an example of which of the following unexpected events?
A. Near miss event
B. Client safety event
C. Adverse event
D. Sentinel event
ANS: A. Near miss event
A near-miss event is an error that could have harmed the client which almost occurs, but was caught and
avoided. The nurse noted the client had an allergy to the medication prior to administering it, avoiding
harm to the client.
6. A nurse is preparing a poster about fire safety for a community health fair. The nurse should
include on the poster that which of the following components contains needed elects for fire to
occur? (SATA)
A. Carbon dioxide
B. Nitrogen
C. Cooking oil
D. Oxygen
E. Heat:
ANS: Cooking oil
Oxygen
Heat
, 7. 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 should
the nurse include? (SATA)
A. Influenza infection
B. Catheter associated urinary tract infection
C. Mycobacterium tuberculosis infection
D. Central line associated bloodstream infection
E. Surgical site infection
ANS: Catheter associated urinary tract infection
Central line associated bloodstream infection
Surgical site infection
8. A nurse is assisting with teaching a class about warning signs from a co-worker that might
indicate future workplace violence. Which of the following behaviors should the nurse include?
A. Legitimate absenteeism
B. Strict adherence to facility policies
C. Consistent adequate work performance
D. frequent reports of not being treated fairly:
ANS: D. frequent reports of not being treated fairly
The nurse should include that persistent complaining and voicing that they are not being treated fairly
is a warning sign for possible future workplace violence by a co-worker.