AND SOLUTIONS RATED A+
✔✔The nurse is bathing a client with senile dementia. What action will optimize the
chance of
cooperation?
Complete the bath quickly.
Use a quiet, calm manner, allowing for choices.
Have other people present to assist.
Avoid bathing more often than necessary - ✔✔Use a quiet, calm manner, allowing for
choices.
✔✔The nurse is teaching a group of parents of toddlers about safety. What should be
included in the
presentation? Select all that apply.
Encourage child to sleep on his/her back at night.
Keep the telephone number of the poison control center accessible.
Have self-closing, locking swimming pool gates.
Use a front-facing car seat placed in the back seat of the car.
Cut food into small, bite-size pieces. - ✔✔Keep the telephone number of the poison
control center accessible.
Have self-closing, locking swimming pool gates.
Cut food into small, bite-size pieces.
✔✔What are considered "never events"? Select all that apply.
An abdominal infection after a ruptured appendix surgery
Administration of unmatched blood in an emergency situation
Hypoglycemic episode after insulin administration
Sponge left in a client after a hysterectomy
Blood clot in the lungs after an orthopedic surgery - ✔✔Hypoglycemic episode after
insulin administration
Sponge left in a client after a hysterectomy
Blood clot in the lungs after an orthopedic surgery
✔✔The nurse is caring for an older adult at risk for falls. What should be included in the
plan of
care? Select all that apply.
Keep bed in highest position.
Provide nonskid footwear.
Keep call light within reach.
Clear floor of obstacles.
,Keep bed wheels locked. - ✔✔Provide nonskid footwear.
Keep call light within reach.
Clear floor of obstacles.
Keep bed wheels locked.
✔✔The nurse responds to a client's call light to find a fire in the bathroom trashcan. The
client yells, "I
just wanted a cigarette; I didn't think this would happen." What should be the nurse's
first action?
Pull the fire alarm.
Relocate the client away from the fire.
Call for additional help.
Close the bathroom door - ✔✔Relocate the client away from the fire.
✔✔A nurse is a new employee in a facility learning about The Joint Commission's
Patient Safety Goals.
What is in included within these goals?
Minimization of patient falls
Elimination of never events
Infection prevention
Requirement of advanced technologies - ✔✔Infection prevention
✔✔A nurse is caring for a client who is at high risk for falling. The client is weak and
confused. What are
actions the nurse can take when caring for this client? Select all that apply.
Repeat fall risk assessment every 8 hours.
Place call light within reach.
Request a social service consultation.
Identify medications that increase falling risk.
Restrain the patient to bed. - ✔✔Repeat fall risk assessment every 8 hours.
Place call light within reach.
Identify medications that increase falling risk.
✔✔A nursing unit is receiving report for five clients being newly admitted. Which client is
at the highest
risk for injury and best to place close to the nurse's station?
A 9-year-old child who is tearful
A 16-year-old adolescent who is depressed
A 62-year-old patient who is anxious
An 87-year-old patient who is confused - ✔✔An 87-year-old patient who is confused
, ✔✔Which statements by a nurse are correct when preventing needlesticks and blood
exposure? Select
all that apply.
"I always place my used needles into a puncture-proof, labeled container."
"I always recap my used insulin needles before disposing of them."
"I confirm that the sharps container is not overfilled before placing the syringe inside."
"It is okay to hand pass sharps if both people in the exchange are wearing gloves."
"I only recap with a needle guard when available." - ✔✔"I always place my used
needles into a puncture-proof, labeled container."
"I confirm that the sharps container is not overfilled before placing the syringe inside."
"I only recap with a needle guard when available."
✔✔The nurse knows that falls most often occur in hospitals and long-term care facilities
during which
time frames? Select all that apply.
Early mornings
Midafternoons
Weekends
Nights
Holidays - ✔✔Weekends
Nights
Holidays
✔✔The nurse is about to move a client who is large and unsteady from the bed to a
chair. Which actions
should the nurse take? Select all that apply.
Use a narrow base stance of support.
Apply a lift belt.
Get additional help.
Clear area of obstacles.
Place client in restraints. - ✔✔Apply a lift belt.
Get additional help.
Clear area of obstacles.
✔✔The nurse is assessing a client who does not speak English. He returned from
surgery 3 hours ago.
Which assessment finding might indicate that this client is experiencing pain?
Blood pressure 165/88 mmHg