PrepU ch. 26: Safety, Security, and Emergency
Preparedness Questions and Asnwers
A nurse is caring for a client who is receiving an intravenous therapy through
an IV pump. Which intervention should the nurse implement to ensure
electrical safety?
Obtain a three-prong grounded plug adapter.
What is the primary role of the nurse in the care of clients that experience
domestic violence?
Providing prompt recognition of the potential or actual threat to safety
The unlicensed personnel tells the nurse that a client is very confused and
trying to get out of bed without assistance. What is the appropriate action by
the nurse?
Initiate use of a bed alarm.
The nurse is caring for an 80-year-old patient who was admitted to the hospital
in a confused and dehydrated state. After the patient got out of bed and fell,
restraints were applied. She began to fight and was rapidly becoming
exhausted. She has black-and-blue marks on her wrists from the restraints.
What would be the most appropriate nursing intervention for this patient?
Take the restraints off, stay with her, and talk gently to her.
The nurse is caring for a client with Alzheimer's disease. A family member
states, "I am afraid I will go to bed one night, and the next morning my loved
one will be missing from wandering off." What is the appropriate nursing
response?
"Consider the Alzheimer's Association 'Safe Return' program."
An acronym RACE is commonly taught as a means for remembering priorities
for action during a fire. The "A" in this acronym stands for which of the
following?
Activate the fire alarm and notify the appropriate person.
During a course on terrorism, a group of emergency room nurses learns about
terrorists who use bombs or other explosives to inflict injury on numerous
people and cause multiple fatalities. This is an example of:
mass trauma terrorism.
, Which topic should a public health nurse emphasize when educating older
adults on reducing their risk of poisoning?
keeping medications in clearly labeled containers
An 17-year-old is brought to the emergency department with a head injury. The
nurse knows that adolescents are vulnerable to injuries related to:
automobile accidents
Which statement indicates that a family understands the teaching that has
been provided by the nurse related to car seat safety for a 9-month-old infant?
"We place our baby in a rear-facing car seat in the back seat of the car."
The nurse is assessing an adolescent with an annual physical. The mother
reports that she has noticed a change in the child's behavior lately including
mood swings, withdrawal from the family, and failing school grades. The
mother does not know what to do and asks the nurse for guidance. What is the
most appropriate guidance from the nurse?
"These could be signs of substance abuse. Open communication and a referral to a
counselor that specializes in substance abuse would be beneficial."
The nurse working on a medical surgical floor should determine that which of
the following clients are at risk for a fall? (Select all that apply.)
A client taking a diuretic
A client with advanced alzheimer disease
A client with macular degeneration
The nurse is reviewing a healthcare provider's orders in the electronic health
record (EHR) and notices several abbreviations. What is the appropriate
nursing action?
Contact healthcare provider to clarify order.
The nurse is reading another nurse's notes that were recorded in the
electronic health record (EHR) during the previous shift. What is the
appropriate nursing action when numerous unapproved abbreviations are
noticed in the previous nurse's notes?
Suggest to the nurse manager that an in-service on abbreviation use would be
helpful.
The community health nurse is talking with four clients. Who does the nurse
identify that would most benefit from teaching about alcohol and drug abuse?
19-year-old male college student majoring in physics
Preparedness Questions and Asnwers
A nurse is caring for a client who is receiving an intravenous therapy through
an IV pump. Which intervention should the nurse implement to ensure
electrical safety?
Obtain a three-prong grounded plug adapter.
What is the primary role of the nurse in the care of clients that experience
domestic violence?
Providing prompt recognition of the potential or actual threat to safety
The unlicensed personnel tells the nurse that a client is very confused and
trying to get out of bed without assistance. What is the appropriate action by
the nurse?
Initiate use of a bed alarm.
The nurse is caring for an 80-year-old patient who was admitted to the hospital
in a confused and dehydrated state. After the patient got out of bed and fell,
restraints were applied. She began to fight and was rapidly becoming
exhausted. She has black-and-blue marks on her wrists from the restraints.
What would be the most appropriate nursing intervention for this patient?
Take the restraints off, stay with her, and talk gently to her.
The nurse is caring for a client with Alzheimer's disease. A family member
states, "I am afraid I will go to bed one night, and the next morning my loved
one will be missing from wandering off." What is the appropriate nursing
response?
"Consider the Alzheimer's Association 'Safe Return' program."
An acronym RACE is commonly taught as a means for remembering priorities
for action during a fire. The "A" in this acronym stands for which of the
following?
Activate the fire alarm and notify the appropriate person.
During a course on terrorism, a group of emergency room nurses learns about
terrorists who use bombs or other explosives to inflict injury on numerous
people and cause multiple fatalities. This is an example of:
mass trauma terrorism.
, Which topic should a public health nurse emphasize when educating older
adults on reducing their risk of poisoning?
keeping medications in clearly labeled containers
An 17-year-old is brought to the emergency department with a head injury. The
nurse knows that adolescents are vulnerable to injuries related to:
automobile accidents
Which statement indicates that a family understands the teaching that has
been provided by the nurse related to car seat safety for a 9-month-old infant?
"We place our baby in a rear-facing car seat in the back seat of the car."
The nurse is assessing an adolescent with an annual physical. The mother
reports that she has noticed a change in the child's behavior lately including
mood swings, withdrawal from the family, and failing school grades. The
mother does not know what to do and asks the nurse for guidance. What is the
most appropriate guidance from the nurse?
"These could be signs of substance abuse. Open communication and a referral to a
counselor that specializes in substance abuse would be beneficial."
The nurse working on a medical surgical floor should determine that which of
the following clients are at risk for a fall? (Select all that apply.)
A client taking a diuretic
A client with advanced alzheimer disease
A client with macular degeneration
The nurse is reviewing a healthcare provider's orders in the electronic health
record (EHR) and notices several abbreviations. What is the appropriate
nursing action?
Contact healthcare provider to clarify order.
The nurse is reading another nurse's notes that were recorded in the
electronic health record (EHR) during the previous shift. What is the
appropriate nursing action when numerous unapproved abbreviations are
noticed in the previous nurse's notes?
Suggest to the nurse manager that an in-service on abbreviation use would be
helpful.
The community health nurse is talking with four clients. Who does the nurse
identify that would most benefit from teaching about alcohol and drug abuse?
19-year-old male college student majoring in physics
