NURSING SKILLS - EXAM 1 STUDY
SET QUESTIONS AND ANSWERS
3 A health care provider will assess the patient. - Answer-A nurse restrains a violent
patient following agency policy. Which activity must occur within 1 hour after the
restraints have been applied to meet national standards?
1 The patient will receive a detailed explanation.
2 The patient's next-of-kin will be notified.
3 A health care provider will assess the patient.
4 The nurse will document the situation.
3 Remove one restraint at a time with another staff member present. - Answer-A
patient with a head injury and unpredictable behavior has soft restraints applied to
each extremity after having pulled out an intravenous (IV) line repeatedly. Which
method by the nurse is most appropriate when removing the restraints for
assessment and skin care?
1 Remove one hand and one leg restraint at the same time.
2 Remove the upper-extremity restraints at the same time and then the lower ones.
3 Remove one restraint at a time with another staff member present.
4 Remove all of the restraints at the same time with another staff member present.
3 You follow evidence guidelines in your assessment of a patient's fall risk.
4 During a change of shift report you include a fall occurrence involving a patient for
whom you cared. - Answer-How would you demonstrate Quality and Safety
Education for Nurses (QSEN) skills for safety competency in which of the following
behaviors? (Select all that apply.)
1 During rounds on three different patients you use your memory to recall which
patient needs to get an analgesic in the next 30 minutes.
2 You place a patient on a new bed alarm system without having attended an in-
service on the system.
3 You follow evidence guidelines in your assessment of a patient's fall risk.
4 During a change of shift report you include a fall occurrence involving a patient for
whom you cared.
,2 Conducting a standard vision assessment when visiting patients the first time -
Answer-A nurse working in a home health agency is collaborating with other nurses
to develop a fall prevention program for patients in the community. Using evidence
from the literature on fall prevention, the nurses would likely include which of the
following strategies?
1 Developing a recommended set of diversional activities for patients to use in the
home
2 Conducting a standard vision assessment when visiting patients the first time
3 Developing guidelines for using restraints for persons with dementia
4 Instituting the use of the Revised Algase Wandering Scale (RAWS)
3 Asking the patient to place her blanket over the trash can - Answer-A fire is
discovered in a trash can in a patient's room. Which action by the nurse should be
questioned?
1 Turning off the oxygen sources
2 Getting the patient out of the room
3 Asking the patient to place her blanket over the trash can
4 Calling for help
2, 3, 4, 1
rescue
alert
evacuate
contain - Answer-A nurse enters a patient's room, finds the patient asleep, and
notices sparks and fire coming from an electrical outlet. The patient is in traction for
fractures to the legs. Place the following steps for the nurse's response to the fire in
their correct order.
_________ 1 Contain the fire by turning off all oxygen in the room.
_________ 2 Rescue the patient by moving the bed away from the outlet.
_________ 3 Alert a staff member to activate the fire alarm.
_________ 4 Evacuate the patient from the room.
1 Determining the meaning of restraints to the patient's family
3 Collaborating with family members in accommodating a patient's cultural
perspectives about restraints
, 4 Identifying a patient's preferences for using an extremity restraint or mitten restraint
- Answer-A nurse uses a patient-centered approach for any safety interventions to
minimize a patient's vulnerability and diligently protect the patient from injury. Which
of the following approaches are patient-centered when applying a restraint? (Select
all that apply.)
1 Determining the meaning of restraints to the patient's family
2 Using a standard assessment guide that is evidence based before restraining the
patient
3 Collaborating with family members in accommodating a patient's cultural
perspectives about restraints
4 Identifying a patient's preferences for using an extremity restraint or mitten restraint
(Perry 218-219)
Perry, Anne, Patricia Potter, Wendy Ostendorf. Clinical Nursing Skills & Techniques,
8th Edition. Mosby, 022013. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy before
use. - Answer-CITE FOR FOLLOWING 10 QUESTIONS
3 Use of a three-person carry - Answer-A 65-year-old patient who weighs 998 kg
(260 lbs) is to be transferred from his bed to a stretcher. The patient is unable to
bear full weight on one leg. His upper body strength is good. Which technique is the
least appropriate technique for transfer?
1 Use of a transfer board
2 Use of a bariatric transfer device
3 Use of a three-person carry
4 Use of a ceiling lift
3 "I'll keep my knees bent and trunk erect so my muscles work together." - Answer-A
patient who has suffered a stroke will be taken care of by his daughter at home.
Which statement by the daughter regarding body mechanics indicates that learning
has occurred?
1 "I'm glad I have a strong back."
2 "As I twist to place my father in his chair, I'll make sure that he doesn't fall."
3 "I'll keep my knees bent and trunk erect so my muscles work together."
4 "I'll tighten my back muscles and push my pelvis forward to provide balance when
lifting my father."
SET QUESTIONS AND ANSWERS
3 A health care provider will assess the patient. - Answer-A nurse restrains a violent
patient following agency policy. Which activity must occur within 1 hour after the
restraints have been applied to meet national standards?
1 The patient will receive a detailed explanation.
2 The patient's next-of-kin will be notified.
3 A health care provider will assess the patient.
4 The nurse will document the situation.
3 Remove one restraint at a time with another staff member present. - Answer-A
patient with a head injury and unpredictable behavior has soft restraints applied to
each extremity after having pulled out an intravenous (IV) line repeatedly. Which
method by the nurse is most appropriate when removing the restraints for
assessment and skin care?
1 Remove one hand and one leg restraint at the same time.
2 Remove the upper-extremity restraints at the same time and then the lower ones.
3 Remove one restraint at a time with another staff member present.
4 Remove all of the restraints at the same time with another staff member present.
3 You follow evidence guidelines in your assessment of a patient's fall risk.
4 During a change of shift report you include a fall occurrence involving a patient for
whom you cared. - Answer-How would you demonstrate Quality and Safety
Education for Nurses (QSEN) skills for safety competency in which of the following
behaviors? (Select all that apply.)
1 During rounds on three different patients you use your memory to recall which
patient needs to get an analgesic in the next 30 minutes.
2 You place a patient on a new bed alarm system without having attended an in-
service on the system.
3 You follow evidence guidelines in your assessment of a patient's fall risk.
4 During a change of shift report you include a fall occurrence involving a patient for
whom you cared.
,2 Conducting a standard vision assessment when visiting patients the first time -
Answer-A nurse working in a home health agency is collaborating with other nurses
to develop a fall prevention program for patients in the community. Using evidence
from the literature on fall prevention, the nurses would likely include which of the
following strategies?
1 Developing a recommended set of diversional activities for patients to use in the
home
2 Conducting a standard vision assessment when visiting patients the first time
3 Developing guidelines for using restraints for persons with dementia
4 Instituting the use of the Revised Algase Wandering Scale (RAWS)
3 Asking the patient to place her blanket over the trash can - Answer-A fire is
discovered in a trash can in a patient's room. Which action by the nurse should be
questioned?
1 Turning off the oxygen sources
2 Getting the patient out of the room
3 Asking the patient to place her blanket over the trash can
4 Calling for help
2, 3, 4, 1
rescue
alert
evacuate
contain - Answer-A nurse enters a patient's room, finds the patient asleep, and
notices sparks and fire coming from an electrical outlet. The patient is in traction for
fractures to the legs. Place the following steps for the nurse's response to the fire in
their correct order.
_________ 1 Contain the fire by turning off all oxygen in the room.
_________ 2 Rescue the patient by moving the bed away from the outlet.
_________ 3 Alert a staff member to activate the fire alarm.
_________ 4 Evacuate the patient from the room.
1 Determining the meaning of restraints to the patient's family
3 Collaborating with family members in accommodating a patient's cultural
perspectives about restraints
, 4 Identifying a patient's preferences for using an extremity restraint or mitten restraint
- Answer-A nurse uses a patient-centered approach for any safety interventions to
minimize a patient's vulnerability and diligently protect the patient from injury. Which
of the following approaches are patient-centered when applying a restraint? (Select
all that apply.)
1 Determining the meaning of restraints to the patient's family
2 Using a standard assessment guide that is evidence based before restraining the
patient
3 Collaborating with family members in accommodating a patient's cultural
perspectives about restraints
4 Identifying a patient's preferences for using an extremity restraint or mitten restraint
(Perry 218-219)
Perry, Anne, Patricia Potter, Wendy Ostendorf. Clinical Nursing Skills & Techniques,
8th Edition. Mosby, 022013. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy before
use. - Answer-CITE FOR FOLLOWING 10 QUESTIONS
3 Use of a three-person carry - Answer-A 65-year-old patient who weighs 998 kg
(260 lbs) is to be transferred from his bed to a stretcher. The patient is unable to
bear full weight on one leg. His upper body strength is good. Which technique is the
least appropriate technique for transfer?
1 Use of a transfer board
2 Use of a bariatric transfer device
3 Use of a three-person carry
4 Use of a ceiling lift
3 "I'll keep my knees bent and trunk erect so my muscles work together." - Answer-A
patient who has suffered a stroke will be taken care of by his daughter at home.
Which statement by the daughter regarding body mechanics indicates that learning
has occurred?
1 "I'm glad I have a strong back."
2 "As I twist to place my father in his chair, I'll make sure that he doesn't fall."
3 "I'll keep my knees bent and trunk erect so my muscles work together."
4 "I'll tighten my back muscles and push my pelvis forward to provide balance when
lifting my father."
