Exam 2 Flashcards
The nurse is teaching a group of mothers of toddlers how to prevent accidental poisoning. Which of the following suggestions should the nurse give regarding medications?
A
Lock all medications in a cabinet.
B
Child proof all the caps to medication bottles.
C
Store medications on the highest shelf in a cupboard.
D
Place medications in different containers.
A
While assisting a patient who is delivering a baby, the nurse should use which of the following protective measures? A Gloves, gown, goggles and surgical cap. B Sterile gloves, mask, and gown. C Gloves gown, mask and goggles. D Double gloves, goggles, mask and surgical cap.
C
A nurse is caring for a newly admitted patient who has a documented history of falls. Which of the following is the priority action by the nurse? A Complete a fall-risk assessment. B Educate the patient and family on fall risks. C Complete a physical assessment. D Survey the patient’s belongings.
A
The home health nurse visits the home of a patient diagnosed with moderate-stage Alzheimer’s disease. The patient is pleasantly confused and lives with his son-in-law and daughter. Which of the following observations, if made by the nurse, is MOST concerning?
A
There are extension cords on the floors behind furniture.
B
The rugs are secured safely to the floor.
C
The door has a lock with a bolt.
D
The stovetops do not turn on without activation of a hidden switch in the nearby drawer.
C
The nurse is caring for a confused patient with an IV catheter. The patient habitually tugs at the IV tubing with his left hand and has almost dislodged it. What is the LEAST amount of restraint that will still maintain the patient’s safety? A 2-point restraints of arms only. B Safety “mitt” for the left hand. C Safety “mitts” for both hands D 4-point restraints for maximum safety.
b
The nurse is caring for a patient with Meniere”s disease. The nurse knows that the most important consideration in regard for patient safety is to:
A
a. Ask the nursing assistant to walk with the patient when she needs to use the bathroom.
B
Raise the side rails on the patient’s bed.
C
Remind the patient t wash her hands frequently, especially after voiding or before meal times.
D
Offer the patient alternative meal choices form the cafeteria.
A
A nurse manager is reviewing care of a patient who has had a seizure with nurses on the unit. Which of the following statements by a nurse requires further instruction
A
a. “I will place the client on his side.”
B
“I will go to the nurses’ station for assistance.”
C
“I will administer medications as prescribed.”
D
“I will be prepared to insert an airway.”
B
A nurse observes smoke coming from under the door of the staff lounge. Which of the following is the priority action by the nurse?
Evacuate the patients
A charge nurse is designating room assignments for patients who will be admitted to the unit. Based on the nurse’s knowledge of fall prevention, which of the following clients should be assigned to the room closest to the nurses’ station?
A
a. A 43-year old patient who is postoperative following a laparoscopic cholecystectomy.
B
A 61-year old patient being admitted for telemetry to rule out a myocardial infarction.
C
A 50-year old patient who is postoperative following an open reduction internal fixation of the ankle
D
A 79-year old patient who is postoperative following a below-the-knee amputation.
D
A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When reviewing car-seat use, which of the following instructions should the nurse include?
A
a. Use a car seat that has a three-point harness system.
B
Position the car seat so that the infant is rear-facing.
C
Secure the car seat in the front passenger seat of the vehicle.
D
Put soft padding in the car seat behind the infant’s back and neck.
B
A nurse is giving a presentation about accident prevention to a group of parent of toddlers. Which of the following accident-prevention strategies should the nurse include? A a. Keep toxic agents in locked cabinets. B Keep toilet seats up. C Turn pot handles toward the back of the stoves. D Place safety gates across stairways. E A & C F A, C & D
A, C D
A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification and instruction?
A
a. “I will begin swimming lessons as soon as my baby can close her mouth under water.”
B
“Once my baby can sit up, he should be safe in the bathtub.”
C
“I will test the temperature of the water before placing my baby in the bath.”
D
“Once my infant starts to push up, I will remove the mobile from over the bed.”
B
A nurse educator is teaching a module on proper body mechanics during employee orientation. Which of the following statements by a newly hired nurse indicates the need for further teaching?
A
a. “My line of gravity should fall outside my base of support.”
B
“The lower my center of gravity, the more stability I have.”
C
“To broaden my base of support, I should spread my feet apart.”
D
“When I lift an object, I should hold it as close to my body as possible.”
A
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? A a. Install bath rails and grab bars in bathrooms. B Wear a helmet while skiing. C Install a carbon monoxide detector. D Secure firearms in a safe location. E Do not text while driving. F B & D G B, C & D
B, C, D
A nurse who is teaching a group of adults ages 20 to 40 years old about safety is going to ensure that which topic is a priority? A a. Motor vehicle accidents B Drowning and firearms C Falls D Suicide & homicide
A
