NUR 4445 NUR 4445
Module 3_Safety and
Infection Control
,Safety and infection control quiz
1.A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care?
Select one:
a. Change tracheostomy ties when soiled.
b. Clean disposable inner cannula with hydrogen peroxide.
c. Suction the tracheostomy before beginning care.
d. Remove soiled dressing with sterile gloves.
Tracheostomy ties should be changed once a day or when soiled. Secure new ties in place
before removing old soiled ones to prevent accidental decannulation. One or two fingers
should be able to be placed between the tie tape and the neck.
2.A client has fallen in the bathroom. Which of the following is the priority nursing action?
Select one:
a. Obtain the client’s vital signs
b. Notify the healthcare provider
c. Assist the client back to bed
d. 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.
3.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?
Select one:
a. “Possible complications to monitor for include pelvic inflammatory disease.”
b. “I will return to the clinic in one month for re-screening.”
c. “Symptoms of reinfection may include yellow vaginal discharge.”
d. “I will refrain from sexual intercourse until completion of antibiotics.”
No test for cure is required, but all women should be rescreened for re-infections 3 to 12
months after treatment because of high risk for pelvic inflammatory disease (PID). There is
less evidence of the need for re-screening of treated men, but it should be considered.
4. 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)?
Select one:
, a. Assess the client’s skin for any reddened
b. Report shivering by the client
c. Bathe the client to keep the skin damp
d. Obtain a fan for the client’s use
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.
5.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?
Select one:
a. Emergent Category (Class I)
b. Urgent Category (Class II)
c. Nonurgent Category (Class III)
d. Expectant Category (Class IV)
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.
6. 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?
Select one:
a. Raising the bed to a comfortable height.
b. Narrowing the base of support.
c. Using the non-dominant hand to insert the catheter.
d. Positioning the client using a draw sheet.
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.
7. A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client’s risk for falls?
Select one:
a. Hourly rounding by the nurse.
b. Place bedside table in close proximity.
c. Use of a night-light.
d. Demonstrate how to use the call light.
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.
Module 3_Safety and
Infection Control
,Safety and infection control quiz
1.A client has a new tracheostomy. Which of the following interventions should the nurse include
when performing tracheostomy care?
Select one:
a. Change tracheostomy ties when soiled.
b. Clean disposable inner cannula with hydrogen peroxide.
c. Suction the tracheostomy before beginning care.
d. Remove soiled dressing with sterile gloves.
Tracheostomy ties should be changed once a day or when soiled. Secure new ties in place
before removing old soiled ones to prevent accidental decannulation. One or two fingers
should be able to be placed between the tie tape and the neck.
2.A client has fallen in the bathroom. Which of the following is the priority nursing action?
Select one:
a. Obtain the client’s vital signs
b. Notify the healthcare provider
c. Assist the client back to bed
d. 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.
3.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?
Select one:
a. “Possible complications to monitor for include pelvic inflammatory disease.”
b. “I will return to the clinic in one month for re-screening.”
c. “Symptoms of reinfection may include yellow vaginal discharge.”
d. “I will refrain from sexual intercourse until completion of antibiotics.”
No test for cure is required, but all women should be rescreened for re-infections 3 to 12
months after treatment because of high risk for pelvic inflammatory disease (PID). There is
less evidence of the need for re-screening of treated men, but it should be considered.
4. 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)?
Select one:
, a. Assess the client’s skin for any reddened
b. Report shivering by the client
c. Bathe the client to keep the skin damp
d. Obtain a fan for the client’s use
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.
5.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?
Select one:
a. Emergent Category (Class I)
b. Urgent Category (Class II)
c. Nonurgent Category (Class III)
d. Expectant Category (Class IV)
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.
6. 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?
Select one:
a. Raising the bed to a comfortable height.
b. Narrowing the base of support.
c. Using the non-dominant hand to insert the catheter.
d. Positioning the client using a draw sheet.
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.
7. A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client’s risk for falls?
Select one:
a. Hourly rounding by the nurse.
b. Place bedside table in close proximity.
c. Use of a night-light.
d. Demonstrate how to use the call light.
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.
