Ch. 27 Patient Safety and quality (NCLEX
questions)
In regards to safety, which of the following statements in most accurate?
A.Bacterial contamination of foods is uncontrollable.
B.Fire is the greatest cause of unintentional death.
C.Temperature extremes seldom affect the safety of clients in acute care facilities.
D.Carbon dioxide levels should be monitored in home settings. - ANSD) Carbon dioxide levels
should be monitored in home settings
A 76-year-old client lives alone at home. Which of the following is the highest priority question
for his home health nurse to ask regarding his safety?
A."Do you use softglow light bulbs in your front room lamps?"
B."At what temperature is your thermostat set?"
C."Why don't you consider selling your two-story home and buying a house without stairs?"
D."Do any of your medications cause you to be physically unsteady?" - ANSD) "Do any of your
medications cause you to be physically unsteady?"
Which of the following questions has the highest priority for the nurse when talking with parents
about the safety of a 4-year-old?
A."Can you talk to the parents of your child's friend to find out why they are getting in fights?"
B."Would the families in your neighborhood share your concern about reporting strangers when
they see them?"
C."Do you have the kitchen cleaning supplies locked in the cupboard?"
D."Does your child have the appropriate protective equipment for the games he plays?" -
ANSC) "Do you have the kitchen cleaning supplies locked in the cupboard?"
The best overall rule for avoiding accidents with equipment in the hospital is for the nurse to:
A.Always lock wheels on movable equipment
B.Never operate equipment without prior instruction
C.Always unplug equipment when moving the client
D.Never use equipment without a person to assist you - ANSB) Never operate equipment
without prior instruction
A 4-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to
use for this client to prevent removal of the IV line would be a(n):
A.Wrist restraint
B.Jacket restraint
C.Elbow restraint
D.Mummy restraint - ANSC) Elbow restraint
, A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in
the past. Which of the following is the most appropriate nursing intervention?
A.A loose abdominal restraint should be placed on the client during sleeping hours.
B.The caregivers should check the client frequently during the night.
C.A radio should be left playing at the bedside to assist in reality orientation.
D.Reassign the client to a room that is close to the nursing station. - ANSB) The caregivers
should check the client frequently during the night.
The workmen cause an electrical fire when installing a new piece of equipment in the intensive
care unit. A client is on a ventilator in the next room. The first action the nurse should take is to:
A.Attempt to extinguish the fire
B.Pull the fire alarm
C.Call the physician to obtain orders to take the client off the ventilator
D.Use an Ambu bag and remove the client from the area - ANSD) Use an Ambu bag and
remove the client from the area
A frantic grandmother calls the emergency room to report that her grandson took some of her
medicine and that she is unable to arouse him. The nurse should instruct her to:
A.Induce vomiting with syrup of ipecac
B.Provide fluids to dilute the toxin
C.Hyperextend his head
D.Bring the medicine bottle to the hospital - ANSD) Bring the medicine bottle to the hospital
Which of the following statements by the parent of a child indicates that further teaching by the
nurse is required?
A."Now that my child is 2 years old I can let her sit in the front seat of the car with me."
B."I make sure that my child wears a helmet when he rides his bicycle."
C."I have spoken to my child about safe sex practices."
D."My child is taking swimming classes at the community center." - ANSA) "Now that my child
is 2 years old I can let her sit in the front seat of the car with me."
he nurse assesses that the client may need a restraint and recognizes that:
A.An order for a restraint may be implemented indefinitely until it is no longer required by the
client.
B.Restraints may be ordered on a prn basis.
C.No order or consent is necessary for restraints in long term care facilities.
D.Restraints are to be periodically removed to have the client re-evaluated. - ANSD) Restraints
are to be periodically removed to have the client re-evaluated.
What are the "Basic needs"? (Select all that apply)
A) Water
B) Oxygen
C) Nutrition
questions)
In regards to safety, which of the following statements in most accurate?
A.Bacterial contamination of foods is uncontrollable.
B.Fire is the greatest cause of unintentional death.
C.Temperature extremes seldom affect the safety of clients in acute care facilities.
D.Carbon dioxide levels should be monitored in home settings. - ANSD) Carbon dioxide levels
should be monitored in home settings
A 76-year-old client lives alone at home. Which of the following is the highest priority question
for his home health nurse to ask regarding his safety?
A."Do you use softglow light bulbs in your front room lamps?"
B."At what temperature is your thermostat set?"
C."Why don't you consider selling your two-story home and buying a house without stairs?"
D."Do any of your medications cause you to be physically unsteady?" - ANSD) "Do any of your
medications cause you to be physically unsteady?"
Which of the following questions has the highest priority for the nurse when talking with parents
about the safety of a 4-year-old?
A."Can you talk to the parents of your child's friend to find out why they are getting in fights?"
B."Would the families in your neighborhood share your concern about reporting strangers when
they see them?"
C."Do you have the kitchen cleaning supplies locked in the cupboard?"
D."Does your child have the appropriate protective equipment for the games he plays?" -
ANSC) "Do you have the kitchen cleaning supplies locked in the cupboard?"
The best overall rule for avoiding accidents with equipment in the hospital is for the nurse to:
A.Always lock wheels on movable equipment
B.Never operate equipment without prior instruction
C.Always unplug equipment when moving the client
D.Never use equipment without a person to assist you - ANSB) Never operate equipment
without prior instruction
A 4-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to
use for this client to prevent removal of the IV line would be a(n):
A.Wrist restraint
B.Jacket restraint
C.Elbow restraint
D.Mummy restraint - ANSC) Elbow restraint
, A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in
the past. Which of the following is the most appropriate nursing intervention?
A.A loose abdominal restraint should be placed on the client during sleeping hours.
B.The caregivers should check the client frequently during the night.
C.A radio should be left playing at the bedside to assist in reality orientation.
D.Reassign the client to a room that is close to the nursing station. - ANSB) The caregivers
should check the client frequently during the night.
The workmen cause an electrical fire when installing a new piece of equipment in the intensive
care unit. A client is on a ventilator in the next room. The first action the nurse should take is to:
A.Attempt to extinguish the fire
B.Pull the fire alarm
C.Call the physician to obtain orders to take the client off the ventilator
D.Use an Ambu bag and remove the client from the area - ANSD) Use an Ambu bag and
remove the client from the area
A frantic grandmother calls the emergency room to report that her grandson took some of her
medicine and that she is unable to arouse him. The nurse should instruct her to:
A.Induce vomiting with syrup of ipecac
B.Provide fluids to dilute the toxin
C.Hyperextend his head
D.Bring the medicine bottle to the hospital - ANSD) Bring the medicine bottle to the hospital
Which of the following statements by the parent of a child indicates that further teaching by the
nurse is required?
A."Now that my child is 2 years old I can let her sit in the front seat of the car with me."
B."I make sure that my child wears a helmet when he rides his bicycle."
C."I have spoken to my child about safe sex practices."
D."My child is taking swimming classes at the community center." - ANSA) "Now that my child
is 2 years old I can let her sit in the front seat of the car with me."
he nurse assesses that the client may need a restraint and recognizes that:
A.An order for a restraint may be implemented indefinitely until it is no longer required by the
client.
B.Restraints may be ordered on a prn basis.
C.No order or consent is necessary for restraints in long term care facilities.
D.Restraints are to be periodically removed to have the client re-evaluated. - ANSD) Restraints
are to be periodically removed to have the client re-evaluated.
What are the "Basic needs"? (Select all that apply)
A) Water
B) Oxygen
C) Nutrition
