UNIT 3 PROMOTING SAFETY
QUESTION 1
1.The nurse checks a restrained patient and notes cool fingers and delayed capillary refill.
What is the best action?
Reposition the restraint more tightly
Correct answer:
Loosen the restraint and reassess circulation
Document findings and continuing to monitor
Reassure the patient that this is expected
Feedback
Based on your answer
Circulation issues require immediate loosening and reassessment. Tightening or ignoring
signs can cause injury
Results for question 2.
Multiple Choice
The nurse enters a room and finds a confused patient climbing out of bed without nonskid
socks. What is the nurse's priority action?
Correct answer:
Place bed in lowest position and assist to chair
Ask the provider for a sedative
Turn o bed alarm
Apply wrist restraints
Feedback
Based on your answer
Ensuring immediate safety and preventing a fall is priority.
Results for question 3.
Multiple Choice
,A patient frequently forgets to use the call bell before ambulating. Which nursing
intervention is most e ective?
Keep the call light on the bedside table
Correct answer:
Move the patient closer to the nurses’ station
Leave the bed at its highest setting
Encourage the patient to ambulate alone for independence
Feedback
Based on your answer
Placing high-risk patients near the nurses’ station allows closer observation and faster
response
Results for question 4.
Multiple Choice
A patient with diabetes asks to use a heating pad for leg pain. What is the nurse’s best
response?
Incorrect answer:
Provide the heating pad and instruct to check skin every hour
Correct Answer:
Discourage heating pad use and suggest alternative comfort measures
Place the heating pad directly under the patient’s leg
Allow the patient to use the pad but on the highest setting
Discourage heating pad use and suggest alternative comfort measures
Results for question 5.
Multiple Choice
The nurse finds a patient with impaired mobility trying to get out of bed unassisted. The
patient is confused and restless. What is the priority nursing action?
Apply bilateral wrist restraints immediately
,Call security for assistance
Raise all side rails and leave the room
Correct answer:
Reorient the patient and stay with them
Feedback
Based on your answer
The priority is patient safety using least restrictive interventions. Staying with the patient
and reorienting them reduces fall risk without restraint use
Results for question 6.
Multiple Choice
Parents bring in a toddler who swallowed a cleaning product. What should the nurse
do first?
Give the child milk to dilute the poison
Apply oxygen as needed
Correct answer:
Identify the product and amount ingested
Induce vomiting immediately
Feedback
Based on your answer
Assessment comes first — identifying the poison determines safe treatment. Inducing
vomiting can cause further harm
Results for question 7.
Categorization
The nurse is working in a mass casualty triage for patients with multiple injuries. Assign the
correct tag to the correct patient.
Category Alert patient with a fractured arm
Correct answer:
, Yellow
Category Patient with severe respiratory distress and cyanosis
Correct answer:
Red
Category Unresponsive patient with no pulse
Correct answer:
Black
Category Patient with minor lacerations
Correct answer:
Green
Uncategorized answers
Correct answer:
White
Correct answer:
Blue
Results for question 8.
Multiple Choice
A patient presents to the ER with flu-like symptoms during a suspected bioterrorism event.
Which nursing action is most important?
Provide IV fluids and discharge after stable
Send the patient home with instructions to rest
Isolate the patient and use standard precautions
Correct answer:
Report symptoms to public health o icials immediately
Feedback
Based on your answer
QUESTION 1
1.The nurse checks a restrained patient and notes cool fingers and delayed capillary refill.
What is the best action?
Reposition the restraint more tightly
Correct answer:
Loosen the restraint and reassess circulation
Document findings and continuing to monitor
Reassure the patient that this is expected
Feedback
Based on your answer
Circulation issues require immediate loosening and reassessment. Tightening or ignoring
signs can cause injury
Results for question 2.
Multiple Choice
The nurse enters a room and finds a confused patient climbing out of bed without nonskid
socks. What is the nurse's priority action?
Correct answer:
Place bed in lowest position and assist to chair
Ask the provider for a sedative
Turn o bed alarm
Apply wrist restraints
Feedback
Based on your answer
Ensuring immediate safety and preventing a fall is priority.
Results for question 3.
Multiple Choice
,A patient frequently forgets to use the call bell before ambulating. Which nursing
intervention is most e ective?
Keep the call light on the bedside table
Correct answer:
Move the patient closer to the nurses’ station
Leave the bed at its highest setting
Encourage the patient to ambulate alone for independence
Feedback
Based on your answer
Placing high-risk patients near the nurses’ station allows closer observation and faster
response
Results for question 4.
Multiple Choice
A patient with diabetes asks to use a heating pad for leg pain. What is the nurse’s best
response?
Incorrect answer:
Provide the heating pad and instruct to check skin every hour
Correct Answer:
Discourage heating pad use and suggest alternative comfort measures
Place the heating pad directly under the patient’s leg
Allow the patient to use the pad but on the highest setting
Discourage heating pad use and suggest alternative comfort measures
Results for question 5.
Multiple Choice
The nurse finds a patient with impaired mobility trying to get out of bed unassisted. The
patient is confused and restless. What is the priority nursing action?
Apply bilateral wrist restraints immediately
,Call security for assistance
Raise all side rails and leave the room
Correct answer:
Reorient the patient and stay with them
Feedback
Based on your answer
The priority is patient safety using least restrictive interventions. Staying with the patient
and reorienting them reduces fall risk without restraint use
Results for question 6.
Multiple Choice
Parents bring in a toddler who swallowed a cleaning product. What should the nurse
do first?
Give the child milk to dilute the poison
Apply oxygen as needed
Correct answer:
Identify the product and amount ingested
Induce vomiting immediately
Feedback
Based on your answer
Assessment comes first — identifying the poison determines safe treatment. Inducing
vomiting can cause further harm
Results for question 7.
Categorization
The nurse is working in a mass casualty triage for patients with multiple injuries. Assign the
correct tag to the correct patient.
Category Alert patient with a fractured arm
Correct answer:
, Yellow
Category Patient with severe respiratory distress and cyanosis
Correct answer:
Red
Category Unresponsive patient with no pulse
Correct answer:
Black
Category Patient with minor lacerations
Correct answer:
Green
Uncategorized answers
Correct answer:
White
Correct answer:
Blue
Results for question 8.
Multiple Choice
A patient presents to the ER with flu-like symptoms during a suspected bioterrorism event.
Which nursing action is most important?
Provide IV fluids and discharge after stable
Send the patient home with instructions to rest
Isolate the patient and use standard precautions
Correct answer:
Report symptoms to public health o icials immediately
Feedback
Based on your answer
