Silvestri Comprehensive Review for the NCLEX-PN® Exam, 7th Edition -
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
1. A client has a prescription to receive 1000 mL of 5% Closes the roller clamp on
dextrose in 0.45% sodium chloride. After gathering the IV tubing.
the appropriate equipment, the nurse takes which
action first before spiking the IV bag with the tubing?
2. The nurse is assigned to care for a client with a pe- Disconnecting the IV tubing
ripheral intravenous (IV) infusion. The nurse is pro- from the catheter in the vein.
viding hygiene care to the client and should avoid
which while changing the client's hospital gown?
3. The nurse is making a worksheet and listing the tasks Every hour.
that need to be performed for assigned adult clients
during the shift. The nurse writes on the plan to
check the intravenous (IV) of an assigned client who is
receiving fluid replacement therapy how frequently?
4. The nurse enters a client's room and finds that the Activate the fire alarm.
wastebasket is on fire. The nurse quickly assists the
client out of the room. Which is the next nursing
action?
5. The nurse obtains a prescription to restrain a client The restraint straps are safely
using a belt (safety) restraint and instructs the un- secured to the side rails.
licensed assistive personnel (UAP) to apply the re-
straint. Which observation, if made by the nurse, in-
dicates unsafe application of the restraint?
6. The nurse applies wrist restraints, prescribed to pre- Place two fingers under the
vent a client from pulling out a nasogastric tube. How restraint to determine snug-
should the nurse determine that the restraints are ness.
not too constrictive?
, Silvestri Comprehensive Review for the NCLEX-PN® Exam, 7th Edition -
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
7. The nurse is assisting with planning care for a client - Wearing gloves when emp-
with an internal radiation implant. Which should be tying the client's bedpan.
included in the plan of care? Select all that apply. - Keeping all linens in the
room until the implant is re-
moved.
- Wearing a film (dosimeter)
badge when in the client's
room.
- Wearing a lead apron when
providing direct care to the
client.
8. The nurse enters the nursing lounge and discovers Aim at the base of the fire.
that a chair is on fire. The nurse activates the alarm,
closes the lounge door, and obtains the fire extin-
guisher to extinguish the fire. The nurse pulls the pin
on the fire extinguisher. Which is the next action the
nurse should perform?
9. The nurse is preparing to reposition a dependent - Use a friction-reducing
client who weighs more than 250 lbs. Which interven- slide sheet
tions should the nurse use to move this client? Select - Use a mechanical lift to
all that apply. move the client.
- Keep elbows close and
work close to the body.
- Obtain assistance of a sec-
ond caregiver to assist with
the mechanical aids.
10. The nurse is assigned to assist with caring for a A pair of scissors.
client with esophageal varices who had a Sengstak-
, Silvestri Comprehensive Review for the NCLEX-PN® Exam, 7th Edition -
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
en-Blakemore tube inserted because other treat-
ment measures were unsuccessful. The nurse should
check the client's room to ensure that which priority
item is at the bedside?
11. The nurse is planning to begin a continuous tube - Explain the procedure to
feeding on a client with a nasogastric (NG) tube. the client.
Which interventions should the nurse perform be- - Irrigate the NG tube with
fore initiating the feeding? Select all that apply. saline.
- Elevate the head of the bed
to 45 degrees.
12. The nurse is preparing to administer an intermittent - Listen to the client's bowel
tube feeding to a client with a nasogastric (NG) tube. sounds.
The nurse checks the residual and obtains an amount - Question the client regard-
of 200 mL. Which actions should the nurse take? Se- ing nausea.
lect all that apply. - Determine whether the
client has abdominal disten-
sion.
- Hold the feeding after
flushing the tubing with 30
mL of saline.
13. The nurse is preparing to administer a medication - Clamp the NG tube for
through a nasogastric (NG) tube that is connected to 30 minutes after medication
suction. Which interventions should be included to administration.
accurately administer the medication? Select all that - Before medication admin-
apply. istration, verify correct place-
ment of tube.
- Flush the NG tube with
saline before and after med-
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
1. A client has a prescription to receive 1000 mL of 5% Closes the roller clamp on
dextrose in 0.45% sodium chloride. After gathering the IV tubing.
the appropriate equipment, the nurse takes which
action first before spiking the IV bag with the tubing?
2. The nurse is assigned to care for a client with a pe- Disconnecting the IV tubing
ripheral intravenous (IV) infusion. The nurse is pro- from the catheter in the vein.
viding hygiene care to the client and should avoid
which while changing the client's hospital gown?
3. The nurse is making a worksheet and listing the tasks Every hour.
that need to be performed for assigned adult clients
during the shift. The nurse writes on the plan to
check the intravenous (IV) of an assigned client who is
receiving fluid replacement therapy how frequently?
4. The nurse enters a client's room and finds that the Activate the fire alarm.
wastebasket is on fire. The nurse quickly assists the
client out of the room. Which is the next nursing
action?
5. The nurse obtains a prescription to restrain a client The restraint straps are safely
using a belt (safety) restraint and instructs the un- secured to the side rails.
licensed assistive personnel (UAP) to apply the re-
straint. Which observation, if made by the nurse, in-
dicates unsafe application of the restraint?
6. The nurse applies wrist restraints, prescribed to pre- Place two fingers under the
vent a client from pulling out a nasogastric tube. How restraint to determine snug-
should the nurse determine that the restraints are ness.
not too constrictive?
, Silvestri Comprehensive Review for the NCLEX-PN® Exam, 7th Edition -
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
7. The nurse is assisting with planning care for a client - Wearing gloves when emp-
with an internal radiation implant. Which should be tying the client's bedpan.
included in the plan of care? Select all that apply. - Keeping all linens in the
room until the implant is re-
moved.
- Wearing a film (dosimeter)
badge when in the client's
room.
- Wearing a lead apron when
providing direct care to the
client.
8. The nurse enters the nursing lounge and discovers Aim at the base of the fire.
that a chair is on fire. The nurse activates the alarm,
closes the lounge door, and obtains the fire extin-
guisher to extinguish the fire. The nurse pulls the pin
on the fire extinguisher. Which is the next action the
nurse should perform?
9. The nurse is preparing to reposition a dependent - Use a friction-reducing
client who weighs more than 250 lbs. Which interven- slide sheet
tions should the nurse use to move this client? Select - Use a mechanical lift to
all that apply. move the client.
- Keep elbows close and
work close to the body.
- Obtain assistance of a sec-
ond caregiver to assist with
the mechanical aids.
10. The nurse is assigned to assist with caring for a A pair of scissors.
client with esophageal varices who had a Sengstak-
, Silvestri Comprehensive Review for the NCLEX-PN® Exam, 7th Edition -
Safety Flashcard Set
Study online at https://quizlet.com/_8fezyh
en-Blakemore tube inserted because other treat-
ment measures were unsuccessful. The nurse should
check the client's room to ensure that which priority
item is at the bedside?
11. The nurse is planning to begin a continuous tube - Explain the procedure to
feeding on a client with a nasogastric (NG) tube. the client.
Which interventions should the nurse perform be- - Irrigate the NG tube with
fore initiating the feeding? Select all that apply. saline.
- Elevate the head of the bed
to 45 degrees.
12. The nurse is preparing to administer an intermittent - Listen to the client's bowel
tube feeding to a client with a nasogastric (NG) tube. sounds.
The nurse checks the residual and obtains an amount - Question the client regard-
of 200 mL. Which actions should the nurse take? Se- ing nausea.
lect all that apply. - Determine whether the
client has abdominal disten-
sion.
- Hold the feeding after
flushing the tubing with 30
mL of saline.
13. The nurse is preparing to administer a medication - Clamp the NG tube for
through a nasogastric (NG) tube that is connected to 30 minutes after medication
suction. Which interventions should be included to administration.
accurately administer the medication? Select all that - Before medication admin-
apply. istration, verify correct place-
ment of tube.
- Flush the NG tube with
saline before and after med-
