CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
A nurse is assisting with conducting a home hazard assessment for a client who has
dementia. Which of the following findings indicates an understanding of home safety?
a) An extension cord is secured under a rug
b) The edges of stairs are marked with brightly colored tape
c) A toaster is plugged in when not in use
d) The water heater is set to 55 degrees C
A nurse is preparing to conduct a fall risk screening on a client. Which of the following
variables will the nurse use to evaluate the client? Select all that apply
a) Fall history
b) Medical diagnosis
c) Use of assistive devices
d) Mental status
e) do-not-resuscitate status
A nurse is assisting with teaching about warning signs from a co-worker that might
indicate future workplace violence. Which of the following behaviors should the nurse
include?
a) Legitimate absenteeism
b) Strict adherence to facility policies
c) Consistent adequate work performance
d) Frequent reports of not being treated fairly
,A nurse is caring for a client who has a prescription for wrist restraints. Which of the
following actions should the nurse take?
a) Tie the restraints to the siderails on the client's bed
b) Remove the restraints with each vital sign check
c) Use the square knot to secure the restraints
d) Make sure one finger can fit under the restraints
A nurse discovers a small fire in a client's room. After removing the client to safety,
which of the following actions should the nurse take next?
a) Extinguish the fire
b) Close the windows in the client's room
c) Close the client's door
d) Activate the fire alarm
A nurse is caring for a client who is at risk for suicide. Which of the following actions
should the nurse take? Select all that apply
a) Place the client on round-the-clock surveillance
b) Remove the objects from the room that the client could use to arm themselves
c) Search items brought into the client's room by visitors
d) Refrain from asking the client if they intend to harm themselves
e) Screen the client for suicide ideation
A nurse is planning to use the identify, situation, background, assessment,
recommendation, read-back (ISBARR) tool to communicate with a provider about a
client. Which of the following information is included in the assessment component of
ISBARR?
a) The client's admitting diagnosis
b) The client's medical history
c) The client's lab test results
d) The client's response to treatment
, A nurse is caring for a client who is experiencing a seizure. Which of the following
actions should the nurse take?
a) Record the time and length of the seizure
b) Restrain the client's extremities
c) Place the client in the prone position
d) Monitor the client's hemoglobin level
A nurse is planning to implement the Transforming Care at the Bedside plan on a med-
surg unit. Which of the following interventions should the nurse include in the plan?
a) Require nurses to spend 50% of their time at the bedside of the clients
b) Perform change-of-shift report at the nurses' station
c) Complete the client rounds every 4 hours
d) Use a standardized communication tool
A nurse is checking a client's allergy bracelet before administering a medication and
finds the client is allergic to that medication. The nurse does not administer the
medication to the client. This is an example of which of the following unexpected
events?
a) Near-miss event
b) Client safety event
c) Adverse event
d) Sentinel event
A nurse is preparing a poster about fire safety for a community health fair. The nurse
should include on the poster that which of the following components contains needed
elements for a fire to occur? Select all that apply
a) CO2
b) Nitrogen
c) Cooking oil
d) Oxygen
e) Heat
d) Oxygen