NUR209 Exam 1 Medical Surgical Nursing 2
Fortis 2026/2027 Comprehensive Test Bank
with Verified Answers and Rationales Grade A
1. What are the safety measures that nurses take?
Correct Answer: Make sure you have the correct patient check
wristband, name and DOB, and correct medical record, comfortable, and
check head of the bed 30 degrees, NG tube nose to esophagus feeding
thru tube.
Rationale:
1. Patient identification using wristband, name, and date of birth prevents
medication and procedure errors.
2. Checking the medical record ensures correct orders and history.
3. Head of bed at 30 degrees reduces aspiration risk, especially with NG tube
feeding.
4. Comfort measures promote patient safety by reducing agitation and falls.
2. What is the nurse's role for safety measures?
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Correct Answer: Accidents are preventable, water spilling, confusion in
patients who do not leave alone, and assisting patients that cannot walk.
Use critical thinking skills as the nurse. If we see something as the nurse
we must say something. Speak up in unsafe environments because it can
prevent injuries. Between 5 and 7 minutes sees the physician in a 24
hour period. The nurse is responsible for physical assessment, eating,
drinking, fever, blood pressure, using the bathroom. 11 hours and 53
minutes and at night the full 12 hours. You have your senses and
equipment and your responsibility to notice changes in the patient's
status and watch their safety. Our job is to make sure that the patient
assigned to us is provided safe, correct, and proper care. Safety is the
number one goal.
Rationale:
1. Accident prevention requires identifying hazards like water spills and
assisting immobile patients.
2. Critical thinking and speaking up prevent errors and injuries.
3. Nurses assess physical status, intake/output, vital signs, and elimination.
4. Continuous surveillance over 12-hour shifts detects changes in patient
condition.
5. Safety is the priority goal of nursing care.
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3. What are the safety considerations for older adults?
Fall prevention, understand what we are telling them, steadiness, older adult
physical comp decreases. Are they cognitive - something to put something
together to create something else. Home safety - throw rugs biggest injury
factor or rug runners those rugs that are not taken down can cause older
people to fall and have a hip injury. The artery in the hip can break the hollow
organ to empty its displaced fracture, can cause sepsis and can lead to death.
50 percent of people with a hip injury die in the first year. If you fracture the
femur bone marrow gets exposed cause fat globules when going back to the
inferior vena cava heart will have fat in it. As it goes into the lungs and causes
a pulmonary clot (Embolism) a fat clot. 50 percent of patients die from
pneumonia. Cannot move blood will not be flowing correct, heart will lower,
blood will pool and clot can go to lungs and cause pulmonary blood clot. The
vessels will get smaller and will kill the heart muscle. go to coronary arteries.
Correct Answer: Fall prevention, understand what we are telling them,
steadiness, older adult physical comp decreases. Are they cognitive -
something to put something together to create something else. Home
safety - throw rugs biggest injury factor or rug runners those rugs that
are not taken down can cause older people to fall and have a hip injury.
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The artery in the hip can break the hollow organ to empty its displaced
fracture, can cause sepsis and can lead to death. 50 percent of people
with a hip injury die in the first year. If you fracture the femur bone
marrow gets exposed cause fat globules when going back to the inferior
vena cava heart will have fat in it. As it goes into the lungs and causes a
pulmonary clot (Embolism) a fat clot. 50 percent of patients die from
pneumonia. Cannot move blood will not be flowing correct, heart will
lower, blood will pool and clot can go to lungs and cause pulmonary
blood clot. The vessels will get smaller and will kill the heart muscle. go
to coronary arteries.
Rationale:
1. Fall prevention is critical due to decreased physical function and cognitive
changes.
2. Throw rugs are a major home hazard causing hip fractures.
3. Hip fracture leads to fat embolism, sepsis, and 50% first-year mortality.
4. Immobility after fracture causes venous stasis, DVT, and pulmonary embolism.
5. Pneumonia causes 50% of deaths in hip fracture patients due to immobility.
4. What are safety issues related to radiation exposure?