Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
1. A home health nurse is performing a home assessment for safety.
Which comment by the patient will cause the nurse to follow up?
a. "Every December is the time to change batteries on the carbon
monoxide detector."
b. "I will schedule an appointment with a chimney inspector next
week."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I will use a nonvented
furnace." - CORRECT ANSWERS ✔✔ANS: D
Using a nonvented heater introduces carbon monoxide into the
environment and decreases the available oxygen for human
consumption and the nurse should follow up to correct this behavior.
Checking the chimney and heater, changing the batteries on the
detector, and following up on symptoms such as dizziness, nausea, and
fatigue are all statements that are safe and appropriate and need no
follow-up.
2. The nurse is caring for an older-adult patient admitted with nausea,
vomiting, and diarrhea due to food poisoning. The nurse completes the
health history. Which priority concern will require collaboration with
social services to address the patient's health care needs?
a. The electricity was turned off 3 days ago.
b. The water comes from the county water supply.
c. A son and family recently moved into the home.
,Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
d. This home is not furnished with a microwave oven. - CORRECT
ANSWERS ✔✔ANS: A
Electricity is needed for refrigeration of food, and lack of electricity
could have contributed to the nausea, vomiting, and diarrhea due to
food poisoning. This discussion about the patient's electrical needs can
be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for
infections and food poisoning, and an assessment should include
storage practices. The water supply, the increased number of
individuals in the home, and not having a microwave may or may not
be concerns but do not pertain to the current health care needs of this
patient.
3. The patient has been diagnosed with a respiratory illness and reports
shortness of breath. The nurse adjusts the temperature to facilitate the
comfort of the patient. At which temperature range will the nurse set
the thermostat?
a. 60° to 64° F
b. 65° to 75° F
c. 15° to 17° C
d. 25° to 28° C - CORRECT ANSWERS ✔✔ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and
75° F). The other ranges are too low or too high and do not reflect the
average person's comfort zone.
,Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
4. A homeless adult patient presents to the emergency department.
The nurse obtains the following vital signs: temperature 94.8° F, blood
pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital
sign should the nurse address immediately?
a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure - CORRECT ANSWERS ✔✔ANS: B
The temperature indicates the patient is experiencing hypothermia.
Homeless individuals are more at risk for hypothermia. While all the
vital signs are low, the most critical vital sign at this time is the
temperature.
5. A nurse is teaching the patient and family about wound care. Which
technique will the nurse teach to best prevent transmission of
pathogens?
a. Wash hands
b. Wash wound
c. Wear gloves
d. Wear eye protection - CORRECT ANSWERS ✔✔ANS: A
One of the most effective methods for limiting the transmission of
pathogens is the medically aseptic practice of hand hygiene. The most
, Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
common means of transmission of pathogens is by the hands. While
washing the wound is needed, the best method to prevent transmission
is hand hygiene. Wearing gloves and possibly eye protection help
protect the nurse, but handwashing is best for limiting the transmission
of pathogens.
6. The nurse is monitoring for Never Events. Which finding indicates the
nurse will report a Never Event?
a. No blood incompatibility occurs with a blood transfusion.
b. A surgical sponge is left in the patient's incision.
c. Pulmonary embolism after lung surgery
d. Stage II pressure ulcer - CORRECT ANSWERS ✔✔ANS: B
The Centers for Medicare and Medicaid Services names select serious
reportable events as Never Events (i.e., adverse events that should
never occur in a health care setting). A surgical sponge left in a patient's
incision is a Never Event. No blood incompatibility reaction is safe
practice. Pulmonary embolism after certain orthopedic procedures is
like a total knee and hip replacement. Stage III and IV pressure ulcers
are Never Events.
7. The nurse discovers a patient on the floor. The patient states that he
fell out of bed. The nurse assesses the patient and places the patient
back in bed. Which action should the nurse take next?
a. Do nothing, no harm has occurred.
Safety and Quality Exam Question &
Answers 2025
1. A home health nurse is performing a home assessment for safety.
Which comment by the patient will cause the nurse to follow up?
a. "Every December is the time to change batteries on the carbon
monoxide detector."
b. "I will schedule an appointment with a chimney inspector next
week."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I will use a nonvented
furnace." - CORRECT ANSWERS ✔✔ANS: D
Using a nonvented heater introduces carbon monoxide into the
environment and decreases the available oxygen for human
consumption and the nurse should follow up to correct this behavior.
Checking the chimney and heater, changing the batteries on the
detector, and following up on symptoms such as dizziness, nausea, and
fatigue are all statements that are safe and appropriate and need no
follow-up.
2. The nurse is caring for an older-adult patient admitted with nausea,
vomiting, and diarrhea due to food poisoning. The nurse completes the
health history. Which priority concern will require collaboration with
social services to address the patient's health care needs?
a. The electricity was turned off 3 days ago.
b. The water comes from the county water supply.
c. A son and family recently moved into the home.
,Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
d. This home is not furnished with a microwave oven. - CORRECT
ANSWERS ✔✔ANS: A
Electricity is needed for refrigeration of food, and lack of electricity
could have contributed to the nausea, vomiting, and diarrhea due to
food poisoning. This discussion about the patient's electrical needs can
be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for
infections and food poisoning, and an assessment should include
storage practices. The water supply, the increased number of
individuals in the home, and not having a microwave may or may not
be concerns but do not pertain to the current health care needs of this
patient.
3. The patient has been diagnosed with a respiratory illness and reports
shortness of breath. The nurse adjusts the temperature to facilitate the
comfort of the patient. At which temperature range will the nurse set
the thermostat?
a. 60° to 64° F
b. 65° to 75° F
c. 15° to 17° C
d. 25° to 28° C - CORRECT ANSWERS ✔✔ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and
75° F). The other ranges are too low or too high and do not reflect the
average person's comfort zone.
,Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
4. A homeless adult patient presents to the emergency department.
The nurse obtains the following vital signs: temperature 94.8° F, blood
pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital
sign should the nurse address immediately?
a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure - CORRECT ANSWERS ✔✔ANS: B
The temperature indicates the patient is experiencing hypothermia.
Homeless individuals are more at risk for hypothermia. While all the
vital signs are low, the most critical vital sign at this time is the
temperature.
5. A nurse is teaching the patient and family about wound care. Which
technique will the nurse teach to best prevent transmission of
pathogens?
a. Wash hands
b. Wash wound
c. Wear gloves
d. Wear eye protection - CORRECT ANSWERS ✔✔ANS: A
One of the most effective methods for limiting the transmission of
pathogens is the medically aseptic practice of hand hygiene. The most
, Fundamentals Chapter 27 Patient
Safety and Quality Exam Question &
Answers 2025
common means of transmission of pathogens is by the hands. While
washing the wound is needed, the best method to prevent transmission
is hand hygiene. Wearing gloves and possibly eye protection help
protect the nurse, but handwashing is best for limiting the transmission
of pathogens.
6. The nurse is monitoring for Never Events. Which finding indicates the
nurse will report a Never Event?
a. No blood incompatibility occurs with a blood transfusion.
b. A surgical sponge is left in the patient's incision.
c. Pulmonary embolism after lung surgery
d. Stage II pressure ulcer - CORRECT ANSWERS ✔✔ANS: B
The Centers for Medicare and Medicaid Services names select serious
reportable events as Never Events (i.e., adverse events that should
never occur in a health care setting). A surgical sponge left in a patient's
incision is a Never Event. No blood incompatibility reaction is safe
practice. Pulmonary embolism after certain orthopedic procedures is
like a total knee and hip replacement. Stage III and IV pressure ulcers
are Never Events.
7. The nurse discovers a patient on the floor. The patient states that he
fell out of bed. The nurse assesses the patient and places the patient
back in bed. Which action should the nurse take next?
a. Do nothing, no harm has occurred.
