HESI Module #6 Safety and Infection
Control
Which event would require a nurse to complete and file an incident report?
a. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump
is not working.
b. a client has a seizure.
c. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure and
takes the visitor to the emergency department for treatment.
d. The nurse determines that a client would benefit from the use of a walker to ambulate. - CORRECT
ANSWER ✔✔✔ c
A community health nurse working in a school setting is concerned because parents are not participating
in health activities designed to promote child safety. What is the *most appropriate* initial action for
the nurse to take?
a. Implementing a child safety program
b. Determining the appropriateness of the planned health activity
c. Performing an analysis of health problems related to child safety
d. Planning a focused child safety program - CORRECT ANSWER ✔✔✔ b
A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of
Hodgkin's disease. Which precaution should the nurse take while working with this intravenous (IV)
infusion?
a. Wearing gloves and a mask
b. Wearing gloves and a gown
c. Wearing gloves, a mask, and a head covering
d. Wearing gloves, a mask, and eye protection - CORRECT ANSWER ✔✔✔ d
A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the nurse
that the client understands the necessary respiratory precautions to be taken at home?
a. Wearing an oxygen mask at all times
b. Staying secluded in the bedroom
c. Disposing of contaminated tissues in a container with a leak-proof bag
d. Keeping the house closed up to minimize the spread of disease - CORRECT ANSWER ✔✔✔ c
, A nurse provides instruction to a new nursing assistant regarding the application of a restraint to a
client. The nurse watches as the nursing assistant applies the restraint. What observation tells the nurse
that the nursing assistant is using correct procedure?
a. The assistant secures the restraint in such a way that it is impossible to slip a finger between the
restraint and the client's skin.
b. The assistant applies a tie knot in the restraint strap.
c. The assistant attaches the restraint straps securely to the side rails.
d. The assistant applies the restraint so that the strap does not tighten when force is applied against it. -
CORRECT ANSWER ✔✔✔ d
A nurse receives a telephone call from the admissions office and is told that a client scheduled for an
internal radiation implant will be admitted to the nursing unit. Which of the following precautions does
the nurse include in the client's plan of care?
a. Wearing gloves when emptying the client's bedpan
b. Placing used linen in double bags and sending a bag to the laundry room every evening
c. Allowing the client to ambulate in the hall only once a day
d. Placing the client in a semiprivate room at the end of a hallway - CORRECT ANSWER ✔✔✔ a
A home care nurse is instructing a client in the use of ice packs to treat an eye injury. What does the
nurse instruct the client to do?
a. Wrap a plastic bag filled with ice in a pillowcase and place it on the eye
b. Avoid the use of commercially prepared ice bags
c. Place the ice pack directly on the eye
d. Keep the ice pack on the eye continuously for 24 hours - CORRECT ANSWER ✔✔✔ a
A nurse is assisting with disaster relief after a tornado. The nurse's goal with the overall community is to
prevent as much injury and death resulting from the uncontrollable event as possible. Finding safe
housing for survivors, providing support to families, organizing counseling sessions, and securing
physical care when needed are all examples of which level of prevention?
a. secondary
b. primary
c. initial
d. tertiary - CORRECT ANSWER ✔✔✔ d
A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the
intravenous (IV) line. The client's primary health care provider does not want to prescribe sedation, and
the family has requested that the client not be restrained. Which action by the nurse is *best*?
Control
Which event would require a nurse to complete and file an incident report?
a. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump
is not working.
b. a client has a seizure.
c. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure and
takes the visitor to the emergency department for treatment.
d. The nurse determines that a client would benefit from the use of a walker to ambulate. - CORRECT
ANSWER ✔✔✔ c
A community health nurse working in a school setting is concerned because parents are not participating
in health activities designed to promote child safety. What is the *most appropriate* initial action for
the nurse to take?
a. Implementing a child safety program
b. Determining the appropriateness of the planned health activity
c. Performing an analysis of health problems related to child safety
d. Planning a focused child safety program - CORRECT ANSWER ✔✔✔ b
A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of
Hodgkin's disease. Which precaution should the nurse take while working with this intravenous (IV)
infusion?
a. Wearing gloves and a mask
b. Wearing gloves and a gown
c. Wearing gloves, a mask, and a head covering
d. Wearing gloves, a mask, and eye protection - CORRECT ANSWER ✔✔✔ d
A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the nurse
that the client understands the necessary respiratory precautions to be taken at home?
a. Wearing an oxygen mask at all times
b. Staying secluded in the bedroom
c. Disposing of contaminated tissues in a container with a leak-proof bag
d. Keeping the house closed up to minimize the spread of disease - CORRECT ANSWER ✔✔✔ c
, A nurse provides instruction to a new nursing assistant regarding the application of a restraint to a
client. The nurse watches as the nursing assistant applies the restraint. What observation tells the nurse
that the nursing assistant is using correct procedure?
a. The assistant secures the restraint in such a way that it is impossible to slip a finger between the
restraint and the client's skin.
b. The assistant applies a tie knot in the restraint strap.
c. The assistant attaches the restraint straps securely to the side rails.
d. The assistant applies the restraint so that the strap does not tighten when force is applied against it. -
CORRECT ANSWER ✔✔✔ d
A nurse receives a telephone call from the admissions office and is told that a client scheduled for an
internal radiation implant will be admitted to the nursing unit. Which of the following precautions does
the nurse include in the client's plan of care?
a. Wearing gloves when emptying the client's bedpan
b. Placing used linen in double bags and sending a bag to the laundry room every evening
c. Allowing the client to ambulate in the hall only once a day
d. Placing the client in a semiprivate room at the end of a hallway - CORRECT ANSWER ✔✔✔ a
A home care nurse is instructing a client in the use of ice packs to treat an eye injury. What does the
nurse instruct the client to do?
a. Wrap a plastic bag filled with ice in a pillowcase and place it on the eye
b. Avoid the use of commercially prepared ice bags
c. Place the ice pack directly on the eye
d. Keep the ice pack on the eye continuously for 24 hours - CORRECT ANSWER ✔✔✔ a
A nurse is assisting with disaster relief after a tornado. The nurse's goal with the overall community is to
prevent as much injury and death resulting from the uncontrollable event as possible. Finding safe
housing for survivors, providing support to families, organizing counseling sessions, and securing
physical care when needed are all examples of which level of prevention?
a. secondary
b. primary
c. initial
d. tertiary - CORRECT ANSWER ✔✔✔ d
A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the
intravenous (IV) line. The client's primary health care provider does not want to prescribe sedation, and
the family has requested that the client not be restrained. Which action by the nurse is *best*?
