100 Verified Questions & Detailed Rationales |
ADPIE, ABCs & Safety Focused Study Guide |
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Coverage by Batch
Batch/Module Core Topics Covered Critical Concepts
Module 1: Safety Nursing Process (ADPIE), C.diff protocols, Sterile fields,
& Process Infection Control, Fall Priority of Assessment
Prevention
Module 2: Mobility Pressure Injury Staging, Body Non-blanchable redness, Cane
& Hygiene Mechanics, Diabetic Foot Care usage, Stage 1–4 injuries
Module 3: Vital BP Classification, Pulse Orthostatic hypotension, Apical
Signs Assessment, Physical Exam pulse vs. Radial, Abdominal
Order assessment
Module 4: Administration Rights, Routes, Z-track technique, IM injections,
Medications Syringe Safety, Ear/Eye drops Identification standards
Module 5: Fluids & Electrolyte Imbalances, ABG Potassium/Sodium levels,
Labs Interpretation, Nutrition Labs Respiratory Acidosis, Prealbumin
Module 6: Bowel & Urinary Health, 24-hr Urinary retention, Bladder
Elimination Urine, Occult Blood scanning, Guaiac testing
Module 7: Airway Management, Nasal cannula safety, Incentive
Oxygenation Suctioning, Pulse Oximetry spirometry, High-Fowler's
Module 8: Legal & Informed Consent, Restraints, Veracity, Autonomy, Assault vs.
Ethics Malpractice, Principles Battery, Least restrictive measures
Module 9: Pain & Pain Scales, PCA Pumps, Neuropathic pain, Cold/Heat
Sleep Sleep Hygiene, Non- therapy, Patient-controlled safety
pharmacological
Module 10: Wound Healing, Post-Op Care, Macular degeneration, IV
Advanced Care Evisceration, Sensory Loss Infiltration, Post-mortem care
Batch 1: Safety, Infection Control, and Nursing Process
, 1. A nurse is caring for a client who is at risk for falls. Which of the following actions
should the nurse take?
A) Keep all four side rails in the up position.
B) Place the bedside table on the opposite side of the bed from the client's exit.
C) Determine the client's ability to use the call light.
D) Ensure the bed is at the nurse's waist height.
Safety begins with the client's ability to summon help. All four side rails are considered a
restraint. The bed should be in the lowest position, not waist height.
2. A nurse is performing hand hygiene after caring for a client with Clostridium difficile
(C. diff). Which action is correct?
A) Use an alcohol-based hand rub for 15 seconds.
B) Wash hands with non-antimicrobial soap and water.
C) Scrub hands with a brush for 2 minutes.
D) Use cold water to prevent skin irritation.
Alcohol-based rubs are ineffective against C. diff spores. Soap and water (mechanical
friction) are required to remove spores from the skin.
3. A nurse is preparing to insert an indwelling urinary catheter. Which of the following is
the highest priority?
A) Explaining the procedure to the client.
B) Maintaining surgical aseptic technique.
C) Documenting the time of insertion.
D) Providing for client privacy.
While all are important, preventing a Catheter-Associated Urinary Tract Infection (CAUTI)
via strict surgical asepsis is the priority safety intervention.
4. Using the nursing process, which of the following actions should the nurse take first
when a client reports pain?
A) Administer the prescribed analgesic.
B) Reposition the client for comfort.
C) Collect data regarding the characteristics of the pain.
D) Notify the provider of the client's report.
Following the ADPIE (Assessment/Data Collection) model, the nurse must first assess the
pain (location, quality, intensity) before implementing an intervention.