SAFETY EXAM PRACTICE EXAM 1:
QUESTIONS WITH CORRECT ANSWERS
CURRENTLY TESTED AND GRADED A+ WITH
RATIONALES
A client with multiple injuries from a motor vehicle accident now is permitted
out of bed to a chair but is not permitted to bear weight on the lower
extremities. When using a mechanical lift to transfer the client, it
is essential that the nurse do what?
1. fold the client's arms across the chest
2. place the sling so that the top is below the client's scapulae
3. call the PHP to secure a prescription to use a mechanical lift
4. raise the lift so that the sling is at least 12 inches above the mattress
1
rationale:
Folding the arms across the chest maintains both arms in a safe position during
the transfer. During a safe transfer, the sling should extend from above the
scapulae to the knees to provide appropriate support. The use of a mechanical
lift is an independent function of the nurse. Raising the lift so that the sling is at
least 12 inches (30.5 cm) above the mattress height is unsafe; during the
transfer, the sling should be raised just high enough (3 to 4 inches [7.6 to 10.2
cm]) to clear the mattress.
1
,The nurse is caring for a client with Parkinson disease. Which is
a priority nursing concern?
1. decreased physical mobility related to stooped posture
2. risk for injury related to gait disturbances
3. impaired skin related to drooling
4. pain related to headache
2
rationale:
The client with Parkinson disease may fall because of gait disturbances.
Decreased mobility and impaired skin are problems but not the priority. Pain is
usually not a manifestation of Parkinson disease.
A pregnant woman in her second trimester arrives at the local health
department, requesting a flu shot. The client states that she gets the flu vaccine
every year and has never had an adverse reaction. What action should the nurse
perform?
1. do not administer the vaccine until checking with the healthcare provider
2. do not administer the vaccine due to pregnancy contraindication
3. administer the usual dose of the vaccine
4. administer half the usual dose of the vaccine
3
2
, rationale:
Influenza is more likely to cause severe illness in pregnant women than in
women who are not pregnant. Changes in the immune system, heart, and lungs
during pregnancy make pregnant women more prone to severe illness from
influenza as well as hospitalizations and even death. There is no need to check
with the healthcare provider before administration. The seasonal flu shot has
been given safely to millions of pregnant women over many years. Flu shots
have not been shown to cause harm to pregnant women or their babies. Flu
shots are not contraindicated; however, the nasal vaccine is. There is no
indication that dosages should be altered.
also - i've read that LIVE vaccines are a no go for pregnant women. the flu shot
isn't a live vaccine
What is the priority of care to promote client safety directly after
esophagogastroduodenoscopy? Select all that apply.
1. preventing aspiration
2. reminding the client not to drive
3. monitoring for signs of perforation
4. advising the client to use throat lozenges
5. teaching the client about hoarseness of voice
1, 3
rationale:
The priority for care to promote client safety after esophagogastroduodenoscopy
3
QUESTIONS WITH CORRECT ANSWERS
CURRENTLY TESTED AND GRADED A+ WITH
RATIONALES
A client with multiple injuries from a motor vehicle accident now is permitted
out of bed to a chair but is not permitted to bear weight on the lower
extremities. When using a mechanical lift to transfer the client, it
is essential that the nurse do what?
1. fold the client's arms across the chest
2. place the sling so that the top is below the client's scapulae
3. call the PHP to secure a prescription to use a mechanical lift
4. raise the lift so that the sling is at least 12 inches above the mattress
1
rationale:
Folding the arms across the chest maintains both arms in a safe position during
the transfer. During a safe transfer, the sling should extend from above the
scapulae to the knees to provide appropriate support. The use of a mechanical
lift is an independent function of the nurse. Raising the lift so that the sling is at
least 12 inches (30.5 cm) above the mattress height is unsafe; during the
transfer, the sling should be raised just high enough (3 to 4 inches [7.6 to 10.2
cm]) to clear the mattress.
1
,The nurse is caring for a client with Parkinson disease. Which is
a priority nursing concern?
1. decreased physical mobility related to stooped posture
2. risk for injury related to gait disturbances
3. impaired skin related to drooling
4. pain related to headache
2
rationale:
The client with Parkinson disease may fall because of gait disturbances.
Decreased mobility and impaired skin are problems but not the priority. Pain is
usually not a manifestation of Parkinson disease.
A pregnant woman in her second trimester arrives at the local health
department, requesting a flu shot. The client states that she gets the flu vaccine
every year and has never had an adverse reaction. What action should the nurse
perform?
1. do not administer the vaccine until checking with the healthcare provider
2. do not administer the vaccine due to pregnancy contraindication
3. administer the usual dose of the vaccine
4. administer half the usual dose of the vaccine
3
2
, rationale:
Influenza is more likely to cause severe illness in pregnant women than in
women who are not pregnant. Changes in the immune system, heart, and lungs
during pregnancy make pregnant women more prone to severe illness from
influenza as well as hospitalizations and even death. There is no need to check
with the healthcare provider before administration. The seasonal flu shot has
been given safely to millions of pregnant women over many years. Flu shots
have not been shown to cause harm to pregnant women or their babies. Flu
shots are not contraindicated; however, the nasal vaccine is. There is no
indication that dosages should be altered.
also - i've read that LIVE vaccines are a no go for pregnant women. the flu shot
isn't a live vaccine
What is the priority of care to promote client safety directly after
esophagogastroduodenoscopy? Select all that apply.
1. preventing aspiration
2. reminding the client not to drive
3. monitoring for signs of perforation
4. advising the client to use throat lozenges
5. teaching the client about hoarseness of voice
1, 3
rationale:
The priority for care to promote client safety after esophagogastroduodenoscopy
3
