Nclex-Rn Practice Questions-Fundamentals Of Nursing Safety Accident Injury And Error Prevention
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Question 1 |
The nurse is evaluating the performance of the UAP. The nurse should provide feedback to the UAP about which unsafe action?
A | Cleanses and returns a wheelchair to a storage area after being used by the client. |
B | Ties the bedridden client’s wrist restraint ties to the bed frame using a quick-release knot. |
C | Grasps the cord to unplug an intravenous infusion pump for the client’s transport to x-ray. |
D | Turns on a bed exit alarm for the confused client who was talking incoherently to the UAP. |
Question 2 |
The nurse manager overhears multiple conversations on a hospital unit. Based on the statement made, the nurse manager should initiate the process for reporting incivility with which person?
A | Charge nurse to the nurse, “I need to discuss the medication error you made yesterday.” |
B | HCP to the nurse, “Tell me again what the client’s vital signs were before Ire collapsed.” |
C | Nurse to a coworker, “You forgot to document the client’s noon glucometer reading.” |
D | HCP to the client, “I can’t do anything more for you; you don’t follow my advice anyway.” |
Question 3 |
The nurse confides to a coworker that when reporting a change in the client’s condition to the HCP, the HC P stated, “It seems that every time you work, there is some catastrophe. Can’t you problem- solve earlier so this doesn’t happen!” What is the coworker’s best response?
A | “This HCP responds to everyone the same. You did everything right; don’t feel bad.” |
B | “You should obtain our hospital policy and initiate the steps to report the HCP.” |
C | “Let the nurse manager know; I think our manager is already dealing with the HCP.” |
D | “Let’s go to the medical director, who should be told about this HC P’s angry response.” |
Question 4 |
Prior to checking a fingerstick blood glucose level, the nurse checks the identification band of the newly admitted client transferred from another facility. The nurse notes that the name and birth date are correct but that the band has the logo from another facility. Which is the best action by the nurse?
A | Ask the UAP to obtain a new band while the nurse performs the planned procedure. |
B | Stop and replace the band with the current facility band that has the client identifiers. |
C | Ask the client to state his or her name and birth date and to verify them against the band. |
D | Leave the band in place; a name band from one facility can be used in another facility. |
Question 5 |
The nurse manager is reviewing a list of serious reportable events that occurred in a hospital setting before submitting the list to an external agency. Which event should the nurse manager remove from the list before it is submitted?
A | The nurse is seriously injured when touching the client during a cardioversion procedure- |
B | The client obtains a skin tear and abrasion while transferring from the bed to a wheelchair. |
C | The client has a hip fracture after wandering off the unit and falling down the stairs. |
D | The client has a cardiac arrest; the serum potassium level was low and not reported to the HCP. |
Question 6 |
A health care agency has different receptacles for the various categories of institutional waste. Into which container should the nurse dispose of a suction canister used to collect bloody drainage from the client’s NG tube?
A | Injurious waste receptacle |
B | Hazardous waste receptacle |
C | Infectious waste receptacle |
D | Wastebasket in the client’s bathroom |
Question 7 |
The nurse is teaching parents measures to prevent scald and burn injuries to toddlers in the home. Due to toddlers’ inquisitiveness, which recommendation by the nurse is most important?
A | Turn pot handles toward the back of the stove- |
B | Use the microwave cautiously when cooking. |
C | Ensure that the smoke detector is on and working. |
D | Verify that the bathwater temperature is tepid- |
Question 8 |
The experienced nurse is instructing the new nurse on client safety. Which statement made by the new nurse should the experienced nurse correct?
A | “It is very important for school-aged children to be taught safety rules related to sports.” |
B | “The leading causes of death in young adults are due to substance abuse and suicide.” |
C | “Older adults especially should be asked whether they have ever accidentally fallen at home-” |
D | ”Preschooler activity should be monitored because falls are a major cause of nonfatal injuries.” |
Question 9 |
The expectant mother asks the nurse, “With all the babies in the nursery, how will I know that the nurse is bringing rue my baby?” What is the nurse’s best response?
A | “The baby has a plastic bracelet with permanent locks that must be cut for removal.” |
B | “If taken from the unit, your baby’s security band will set off an alarm and lock exits.” |
C | “Your identification number and full name are printed on your baby’s identification band.” |
D | “An identification band is applied to your infant, and footprints are taken and kept on record.” |
Question 10 |
A power outage occurs at a hospital, and a backup generator supplying power to a telemetry unit fails. After obtaining a flashlight, what is the nurse’s next best action?
A | Call the nursing supervisor |
B | Assess the most critically ill clients |
C | Obtain oxygen tanks for cheats on oxygen |
D | Delegate which clients the NA should monitor |
Question 11 |
The nurse realizes that a fire has started in the client’s room. Which action should be taken by the nurse first?
A | Find the nearest fire alarm to activate. |
B | Extinguish the fire with a blanket. |
C | Remove the client from the room. |
D | Telephone the operator to announce a fire. |
Question 12 |
When entering the client’s room, the nurse sees that the client is standing on the far side of the room with clothing on fire. Which action should be taken by the nurse immediately?
A | Go find the nearest fire alarm box |
B | Grab a blanket to smother the fire |
C | Obtain water to douse the clothes |
D | Tell the client to drop and roll on the floor |
Question 13 |
The home health nurse is using the home Safety Assessment Scale to evaluate the dangers that may exist in the home of the client who is mildly cognitively impaired. Which finding on the scale should be most concerning to the nurse?
A | Lives alone and has no spouse or living children |
B | Places cloth items on stove when burners are on |
C | Is unable to recognize when food is spoiled |
D | Has poor vision and doesn’t wear glasses |
Question 14 |
The client makes the following statements to the home health nurse. Which statement requires the nurse to intervene immediately?
A | “I can’t lift pans from the back burners, but I can manage just fine by using the front burners of my stove.” |
B | “I almost fell down the stairs, so I bought myself a pair of slippers with nonskid soles.” |
C | “The grass near the sidewalk will be dead because my son insists on putting salt on the icy sidewalk.” |
D | “My home is less costly to heat when I use my gas oven with the oven door open to heat just my living areas.” |
Question 15 |
The client with a right femoral arterial line is con- fused, thrashing about in bed, and picking at the tubing- The HCP prescribes wrist restraints- Based on this information, what should the nurse plan to do?
A | Apply the wrist restraints as prescribed |
B | Request an order for a right ankle restraint also |
C | Request an order for sedation instead of restraints |
D | Question the order; restraints will increase the client’s agitation |
Question 16 |
The UAP is caring for the client who has been placed in bilateral wrist restraints. Which direction should the nurse give to the UAP?
A | “The wrist restraint must remain on at all times but can be loosened if needed.” |
B | “The client attempted to harm staff; only enter the room with another person.” |
C | “Ask the client about the need for toileting and offer liquids every two hours-” |
D | “Assess the client’s skin condition and provide hand exercises every two hours.” |
Question 17 |
The nurse asks the NA to apply a mitten restraint for the client seated in the wheelchair next to the bed. Which observation by the nurse indicates that the NA needs further instructions on applying restraints?
A | Restraint strap is tied to the bed frame next to the client. |
B | Restraint straps are secured using a half-bow slip knot. |
C | Two fingers can be inserted between the restraint and client’s skin. |
D | Mesh portion of the mitten restraint is on the back of the hand. |
Question 18 |
The client with dementia and confusion is transferred from the hospital to the nursing home. The client’s family has not yet arrived at the nursing home. Which direction is appropriate for the RN to provide to the LPN?
A | “Take a photograph of the new resident; it is needed to administer medications.” |
B | “Place the person in a wheelchair near the nurse’s station until the family arrives.” |
C | “Help the new resident change into clothing with Velcro closures for easy removal.” |
D | “Perform a full-body assessment and document this in the resident’s medical record.” |
Question 19 |
The new NA is caring for the client who is at risk for a fall. Which statement by the nurse to the new NA is most important?
A | “Remind the client to call for assistance before getting out of bed.” |
B | “Clip the call light to the bedcovers so the client can find it easily.” |
C | “Be sure the bed is in the lowest position when you leave the room.” |
D | “Check that you have all four side rails up after you provide care.” |
Question 20 |
The experienced nurse is observing the new nurse providing care to the hospitalized cheat. Which action requires the experienced nurse to intervene to ensure client safety?
A | Turns on the client’s bathroom light and turns out the room lights after settling the client for sleep |
B | Checks the client’s room number and name on the name band to verify client identity prior to giving a medication |
C | Stirs thickening powder into the glass of juice and cup of milk before giving these to the client who has dysphagia |
D | Delays the HCP from performing a thoracentesis by calling “a timeout” to verify the client’s identity, consent, procedure, and site |
Question 21 |
The hospitalized client tells the nurse about feeling a strong shock when turning on an electric hair dryer. What should the nurse do first?
A | Assess the client’s heart rhythm and apical pulse |
B | Disconnect the hair dryer from the electrical outlet |
C | Assess the client’s skin for signs of electrical burn |
D | Tag and send the hair dryer for inspection |
Question 22 |
The nurse is caring for the client who received afterload internal radiotherapy (brachytherapy) for treatment of uterine cancer. The nurse manager evaluates that the nurse uses correct hazardous material precautions when noting that the nurse takes which action?
A | Double-bags linens before removing them from the client’s room |
B | Minimizes the amount of time spent in contact with the client |
C | Maintains a distance of 1 foot away from the client |
D | Wears lead gloves and apron and a dosimetry badge with client contact |
Question 23 |
The mother calls the nurse to ask when her newborn will be brought back to her room to finish feeding. The mother states that a doctor came about 30 minutes ago to take the baby for an examination and has not returned with her baby- Which action should be taken by the nurse first?
A | Check the unit for the infant |
B | Initiate procedures for possible newborn abduction |
C | Ask other staff if they saw any physicians on the unit |
D | Check to see if the doctor is still examining the Infant |
Question 24 |
Pressure is being exerted to the client’s foot ulcer from the bottom bed guard, and the client needs to be pulled up in bed. The client weighs 130 lb. Which action by the nurse is best when no one is available to assist the nurse?
A | Wait until sufficient help is available to pull up and reposition the client in bed |
B | Place pillows over the bed guard and elevate both of the client’s legs on the pillows |
C | Place the bed in Trendelenburg position to relieve the pressure and then wait for help |
D | Use a slight Trendelenburg position, have the client lift the heels, and pull the client up in bed |
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