REAL FINAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS WTH DEE EXPLANATIONS/ NUR 205 FINAL EXAM
QS & AS (NEW
What statement by a client would indicate that a nurse had successfully implemented a
educating/learning strategy to prevent injury in the home?
A) "I will turn off the outside lights and lock the doors every night."
B) "Do you think it would be best for me to buy a gun?"
C) "I am going to remove all those throw rugs on the floor."
D) "Well, I always let the boys play in the bathtub; they love it." - answer-C
Nurses must evaluate the effectiveness of their interventions to promote safety and prevent injury. If
the expected client outcomes have been met and evaluative criteria satisfied, the client should be
able to correctly identify real and potential unsafe environmental situations, and implement safety
measures in the environment.
A nurse is caring for a stable toddler diagnosed with accidental poisoning, due to the ingestion of
cleaning solution. What must be included in educating parents about how to protect a toddler from
accidental poisoning?
A) Closely monitor the toddler's activity.
B) Label poisonous solutions.
C) Keep cleaning solutions locked up.
D) Do not leave the toddler alone. - answer-C
The parents should keep cleaning solutions locked up to protect the toddler from accidental
poisoning. Accidental poisonings usually occur among toddlers and commonly involve substances
located in bathrooms or kitchens. Labeling poisonous substances may not help as toddlers are
unable to read. Not leaving the child alone and closely monitoring the child are important, but not
feasible all the time.
When educating parents of preschoolers, what is most important to include in your presentation?
A) Use wrist guards with rollerblades
B) Teach preschoolers to tread water
C) Keep chemicals in a locked cabinet
D) Strict discipline with potty training - answer-C
,Increasing mobility, lack of life experience and judgment, and immature musculoskeletal and
neurologic systems lead to potentially hazardous encounters for toddlers and preschoolers.
The facility risk management team is preparing an in-service to nursing staff members. The
presentation will highlight risk factor increase related directly to the type of clientele on a nursing
unit. The presenter will correctly explain that which of the following risks is increased for female
nurses who work on an oncology care unit?
A) Back injuries
B) Bloodborne pathogens
C) Adverse reproduction
D) Neurologic disorders - answer-C
Common risks in health care facilities are exposure to bloodborne pathogens from stick injuries via
used needles, back injuries caused by heavy lifting, and potential adverse reproductive outcomes as
a result of overexposure to antineoplastic medications. On oncology divisions, the nurse is
continually exposed to antineoplastic agents.
The nurse is caring for a client who has prescribed extremity restraints. The nurse is required to
document which of the following?
A) Alternative measures attempted before applying the restraints
B) A verbal order for renewal of the restraints every 48 hours
C) Detailed description of the restraint application process
D) Type of personal protective equipment (PPE) used by the nurse during restraint application -
answer-A
This is not typically documented.
A nurse enters a client's room and finds that the client has fallen on her way to the bathroom. Which
of the following is a prudent nursing intervention for this client?
A) Briefly leave the client in order to call the primary physician to assess the client's condition.
B) Order x-rays or CT scans for the client, as needed.
C) Document the incident, assessment, and interventions in the client's medical record.
D) Do not file an event report unless the client is seriously injured in the fall. - answer-C
The nurse is responsible for documenting the incident in the client's record. Assess the patient
immediately and provide appropriate care and interventions based on client status, and ensure
,prompt follow-through for any physician orders for diagnostic tests. An event report should be filed
in the case of a fall, as per facility policy.
A doctor orders restraints for an older adult client who is disoriented from the pain medication she is
taking. Which of the following is an appropriate guideline for applying these restraints?
A) Chemical restraints should be tried before using physical restraints.
B) The restraints can be ordered by the nursing supervisor in emergency situations.
C) The client's vital signs must be assessed every hour.
D) Adults must be reassessed within 4 hours; children age 9 to 17 years within two hours; and
children under 9 years within one hour. - answer-D
Client with restraints must be monitored and reassessed as described in answer D. Restraints
must be ordered by a physician, and client vital signs must be assessed every two hours.
A physician orders restraints for a confused client who is at risk for injury by pulling out tubes
necessary to sustain her life. Which of the following statements describes an accurate action to take
when applying these restraints?
A) Apply restraints to the hands or wrists, never to the ankles.
B) Ensure that two fingers can be inserted between the restraint and the client's extremity.
C) Use a quick-release knot to tie the restraint to the side rail.
D) Remove the restraint at least every four hours, or according to agency policy. - answer-B
Restraints should be sufficiently loose for two fingers to be inserted between the restraint and the
extremity. Restraints can be placed on ankles; quick-release knots should be tied to the bed frame,
not the side rail. Restraints should be removed every two hours.
Which of the following populations, based on their development stage, would benefit from strategies
to prevent falls? Select all that apply.
A) Newborns
B) Toddlers
C) Adolescents
D) Adults
E) Older Adults - answer-A,B,E
, Educate parents never to leave newborns alone on a changing table, and also teach parents of
toddlers to childproof the home. Parents of preschoolers should make sure their children wear
proper safety equipment when riding bicycles or scooters. Adolescents and adults are not at high risk
for falls. Older adults, however, are at risk for falls due to the effects of aging on the body systems.
After a client falls out of bed, the nurse completes which of the following?
A) Safety event report (incident report)
B) Telephone call to hospital's attorney
C) Progress note stating event report was completed
D) Malpractice report - answer-A
An accident or incident that compromises safety in a health care agency requires the completion of a
safety event report. This is a confidential document, formerly referred to as an incident report. The
safety event report is not a part of the medical record and should not be mentioned in the
documentation.
The nurse knows that a health care facility should determine its disaster-preparedness plan for
delivering care in the event of an emergency or disaster?
A) As soon as the disaster is announced publicly
B) When officially informed that a disaster has occurred
C) After the first disaster has been experienced
D) In advance of a possible emergency or disaster - answer-D
Each health care facility should determine in advance how to deliver care, if an emergency or disaster
occurs. This involves collaboration with internal committees and external agencies.
A nurse is assessing a client who recently had a stroke. What is one area of assessment necessary to
promote safety?
A) Neuromuscular
B) Respiratory
C) Gastrointestinal
D) Genitourinary - answer-A
Anything that affects a patient's health state potentially can affect the safety of the environment. For
example, a nurse who is assessing a patient with a recent stroke would assess neuromuscular
impairment to prevent falls.