Safety and infection control quiz || PASSED!!
A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care? correct answers Change tracheostomy ties when soiled.
A client has fallen in the bathroom. Which of the following is the priority nursing action? correct
answers Assess the client's level of consciousness. Safety first. Before proceeding with the
assessment or taking vital signs assess the level of consciousness. Complaints of pain, any joint
or bone deformity may provide evidence of fractures or dislocations. Inspection of the skin will
determine lacerations, contusions, or hematomas that may need to be treated. After a report to the
provider, additional x-rays or exams may be ordered.
A nurse is providing discharge education for a female client diagnosed with Chlamydia. Which
statement made by the client would indicate the need for further instruction? correct answers will
return to the clinic in one month for re-screening
A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8 C (105.5 F).
The provider has ordered a cooling blanket. Which intervention is appropriate to delegate to an
Unlicensed Assistive Personnel (UAP)? correct answers Report shivering by the client
CORRECT. The unlicensed assistive personnel should be taught to observe for and report
shivering during any form of external cooling. Shivering may indicate that the client is being
cooled too quickly.
A nurse is triaging clients following a mass casualty event. The nurse should place a client who
has sustained fatal injuries in which of the following triage categories? correct answers .
Expectant Category (Class IV) CORRECT. Class IV (Expectant Category) is reserved for clients
who are not expected to live and will be allowed to die naturally. Comfort measures may be
provided, but restorative care will not. These clients are the lowest priority when a mass casualty
has occurred.
A nurse is positioning a client for a urinary catheterization. Which of the following nursing
actions would be best in preventing musculoskeletal injuries during the procedure? correct
answers Raising the bed to a comfortable height. CorrectCORRECT. Working with the bed at a
comfortable height is more ergonomically appropriate to prevent back strain and possible injury,
to prevent bending and/or twisting from the waist.
A nurse is caring for an older adult client with delirium. Which intervention will most effectively
reduce the client's risk for falls? correct answers . Hourly rounding by the nurse. CORRECT. In
the health care environment, hourly rounding by nurses significantly reduces the occurrence of
client falls, as well as reducing call light usage and increasing client satisfaction.
A fire in a first floor operating room is forcing evacuation of clients from a second floor unit to
another building. Which of the following clients would have the highest priority for the charge
nurse to evacuate? correct answers . A client receiving IV antibiotics every six hours for a leg
ulcer. CorrectCORRECT. The client with a leg ulcer can walk unassisted without an IV pole. In
a hospital evacuation, unlike triage and evacuation outside of the hospital, the most stable,
A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care? correct answers Change tracheostomy ties when soiled.
A client has fallen in the bathroom. Which of the following is the priority nursing action? correct
answers Assess the client's level of consciousness. Safety first. Before proceeding with the
assessment or taking vital signs assess the level of consciousness. Complaints of pain, any joint
or bone deformity may provide evidence of fractures or dislocations. Inspection of the skin will
determine lacerations, contusions, or hematomas that may need to be treated. After a report to the
provider, additional x-rays or exams may be ordered.
A nurse is providing discharge education for a female client diagnosed with Chlamydia. Which
statement made by the client would indicate the need for further instruction? correct answers will
return to the clinic in one month for re-screening
A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8 C (105.5 F).
The provider has ordered a cooling blanket. Which intervention is appropriate to delegate to an
Unlicensed Assistive Personnel (UAP)? correct answers Report shivering by the client
CORRECT. The unlicensed assistive personnel should be taught to observe for and report
shivering during any form of external cooling. Shivering may indicate that the client is being
cooled too quickly.
A nurse is triaging clients following a mass casualty event. The nurse should place a client who
has sustained fatal injuries in which of the following triage categories? correct answers .
Expectant Category (Class IV) CORRECT. Class IV (Expectant Category) is reserved for clients
who are not expected to live and will be allowed to die naturally. Comfort measures may be
provided, but restorative care will not. These clients are the lowest priority when a mass casualty
has occurred.
A nurse is positioning a client for a urinary catheterization. Which of the following nursing
actions would be best in preventing musculoskeletal injuries during the procedure? correct
answers Raising the bed to a comfortable height. CorrectCORRECT. Working with the bed at a
comfortable height is more ergonomically appropriate to prevent back strain and possible injury,
to prevent bending and/or twisting from the waist.
A nurse is caring for an older adult client with delirium. Which intervention will most effectively
reduce the client's risk for falls? correct answers . Hourly rounding by the nurse. CORRECT. In
the health care environment, hourly rounding by nurses significantly reduces the occurrence of
client falls, as well as reducing call light usage and increasing client satisfaction.
A fire in a first floor operating room is forcing evacuation of clients from a second floor unit to
another building. Which of the following clients would have the highest priority for the charge
nurse to evacuate? correct answers . A client receiving IV antibiotics every six hours for a leg
ulcer. CorrectCORRECT. The client with a leg ulcer can walk unassisted without an IV pole. In
a hospital evacuation, unlike triage and evacuation outside of the hospital, the most stable,
