Module 6: Safety and Infection Control
Exam
Which of the following events would require a nurse to complete and file an incident report? - ANS
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.
A nurse, charting the administration of medications to an assigned client at 9 pm, notes that atenolol
(Tenormin) was prescribed to be administered at 9 am instead of 9 pm. The nurse checks the client's
vital signs, completes an incident report, and calls the physician to report the error. The physician tells
the nurse that an incident report is not needed but instructs her to monitor the client during the night
for hypotension. What action should the nurse take? - ANS Telling the health care provider that the
error warrants the completion of an incident report.
Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA)
infection. The nurse, providing instructions to a nursing assistant about caring for the client, tells the
assistant: - ANS To wear gloves and a gown when changing the client's bed linen.
The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank some
window cleaner that had been stored in a cabinet. The nurse should instruct the mother to immediately:
- ANS Call a poison control center.
A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an
area hospital is advised to prepare for causalities. Which action should the nurse manager who receives
the telephone call regarding this warning take first? - ANS Activating the agency disaster plan.
A home health nurse has instructed a client about safety measures during the use of an oxygen
concentrator in the home. Which statement by the client indicates to the nurse that the client has
understood the directions? - ANS -I need to follow the oxygen prescription exactly."
-I have to keep the oxygen concentrator out of direct sunlight.
-I have to tell everyone that they can't smoke or have an open flame within 10 feet of the oxygen
concentrator
,A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints.
The nurse instructs the nursing assistant to release the restraints to permit muscle exercise: - ANS Every
2 hours.
A community health nurse working in a school setting is concerned because parents are not participating
in health activities designed to promote child safety. In this situation, the most appropriate initial action
is: - ANS Determining the appropriateness of the planned health activity.
The nurse administers a dose of ramipril (Altace) 2.5 mg to a client at 9 am. While documenting
administration of the medication, the nurse discovers that 1.25 mg, not 2.5 mg, was the prescribed
dose. The nurse assesses the client, completes an incident report, and notifies the physician and nursing
supervisor of the error. What statement does the nurse add to the client's record? - ANS Ramipril
(Altace) 2.5 mg was administered at 9 am.
A home health nurse has been called to the home of an older postoperative cardiovascular client by the
client's son. The son tells the nurse, "We're using a hospital bed here at home, but my mother has fallen
out of bed three times." Which observation by the nurse reflects an increased risk of this client's falling
out of bed? - ANS The caregiver leaves both side rails down while the client is in bed.
A community health nurse is providing information to local residents about the transmission of anthrax.
Through which body systems does the nurse tell the residents that anthrax can be contracted? - ANS
Lungs
Skin
Gastrointestinal
A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of
Hodgkin's disease. Which of the following precautions should the nurse take while working with this
intravenous (IV) infusion? - ANS Wearing gloves, a mask, and eye protection.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to
attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart.
Which action should the nurse take to maintain asepsis? - ANS Obtaining new IV tubing.
, 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? - ANS Disposing
of contaminated tissues in a container with a leak-proof bag.
A home health nurse teaches a client about home modifications to reduce the risk of falls. Which
statements by the client indicate a need for further teaching? - ANS -I should walk barefoot as much as
possible so that I ll know about any wet spots on the floor.
-I need to remove my wall-to-wall carpeting
A nurse caring for a client who is under airborne precautions notes that the client is scheduled for a
nuclear scan. Which action on the part of the nurse is appropriate? - ANS .Placing a HEPA mask on the
client for transport and for contact with other individuals
A nurse employed in a physician s office hears a client in the waiting room call out, Help! Fire! The nurse
rushes to the waiting room and finds that the wastebasket is on fire. The nurse immediately: - ANS
Removes the clients from the waiting room.
A nurse enters the laundry room to empty a bag of dirty linen and discovers a fire in a laundry basket.
What action should the nurse take first? - ANS Activating the fire alarm.
The safety department is providing a yearly educational session on fire safety and the use of fire
extinguishers. A nurse is asked to demonstrate the use of a fire extinguisher after the session. The nurse
demonstrates appropriate use of the fire extinguisher by first: - ANS Pulling the pin on the fire
extinguisher.
A nurse provides instruction to a new nurse employee regarding the application of a restraint to a client.
The nurse watches as the nurse employee applies the restraint. What observation tells the nurse that
the nurse employee is using correct procedure? - ANS The employee applies the restraint so that the
strap does not tighten when force is applied against it.
Exam
Which of the following events would require a nurse to complete and file an incident report? - ANS
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.
A nurse, charting the administration of medications to an assigned client at 9 pm, notes that atenolol
(Tenormin) was prescribed to be administered at 9 am instead of 9 pm. The nurse checks the client's
vital signs, completes an incident report, and calls the physician to report the error. The physician tells
the nurse that an incident report is not needed but instructs her to monitor the client during the night
for hypotension. What action should the nurse take? - ANS Telling the health care provider that the
error warrants the completion of an incident report.
Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA)
infection. The nurse, providing instructions to a nursing assistant about caring for the client, tells the
assistant: - ANS To wear gloves and a gown when changing the client's bed linen.
The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank some
window cleaner that had been stored in a cabinet. The nurse should instruct the mother to immediately:
- ANS Call a poison control center.
A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an
area hospital is advised to prepare for causalities. Which action should the nurse manager who receives
the telephone call regarding this warning take first? - ANS Activating the agency disaster plan.
A home health nurse has instructed a client about safety measures during the use of an oxygen
concentrator in the home. Which statement by the client indicates to the nurse that the client has
understood the directions? - ANS -I need to follow the oxygen prescription exactly."
-I have to keep the oxygen concentrator out of direct sunlight.
-I have to tell everyone that they can't smoke or have an open flame within 10 feet of the oxygen
concentrator
,A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints.
The nurse instructs the nursing assistant to release the restraints to permit muscle exercise: - ANS Every
2 hours.
A community health nurse working in a school setting is concerned because parents are not participating
in health activities designed to promote child safety. In this situation, the most appropriate initial action
is: - ANS Determining the appropriateness of the planned health activity.
The nurse administers a dose of ramipril (Altace) 2.5 mg to a client at 9 am. While documenting
administration of the medication, the nurse discovers that 1.25 mg, not 2.5 mg, was the prescribed
dose. The nurse assesses the client, completes an incident report, and notifies the physician and nursing
supervisor of the error. What statement does the nurse add to the client's record? - ANS Ramipril
(Altace) 2.5 mg was administered at 9 am.
A home health nurse has been called to the home of an older postoperative cardiovascular client by the
client's son. The son tells the nurse, "We're using a hospital bed here at home, but my mother has fallen
out of bed three times." Which observation by the nurse reflects an increased risk of this client's falling
out of bed? - ANS The caregiver leaves both side rails down while the client is in bed.
A community health nurse is providing information to local residents about the transmission of anthrax.
Through which body systems does the nurse tell the residents that anthrax can be contracted? - ANS
Lungs
Skin
Gastrointestinal
A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of
Hodgkin's disease. Which of the following precautions should the nurse take while working with this
intravenous (IV) infusion? - ANS Wearing gloves, a mask, and eye protection.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to
attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart.
Which action should the nurse take to maintain asepsis? - ANS Obtaining new IV tubing.
, 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? - ANS Disposing
of contaminated tissues in a container with a leak-proof bag.
A home health nurse teaches a client about home modifications to reduce the risk of falls. Which
statements by the client indicate a need for further teaching? - ANS -I should walk barefoot as much as
possible so that I ll know about any wet spots on the floor.
-I need to remove my wall-to-wall carpeting
A nurse caring for a client who is under airborne precautions notes that the client is scheduled for a
nuclear scan. Which action on the part of the nurse is appropriate? - ANS .Placing a HEPA mask on the
client for transport and for contact with other individuals
A nurse employed in a physician s office hears a client in the waiting room call out, Help! Fire! The nurse
rushes to the waiting room and finds that the wastebasket is on fire. The nurse immediately: - ANS
Removes the clients from the waiting room.
A nurse enters the laundry room to empty a bag of dirty linen and discovers a fire in a laundry basket.
What action should the nurse take first? - ANS Activating the fire alarm.
The safety department is providing a yearly educational session on fire safety and the use of fire
extinguishers. A nurse is asked to demonstrate the use of a fire extinguisher after the session. The nurse
demonstrates appropriate use of the fire extinguisher by first: - ANS Pulling the pin on the fire
extinguisher.
A nurse provides instruction to a new nurse employee regarding the application of a restraint to a client.
The nurse watches as the nurse employee applies the restraint. What observation tells the nurse that
the nurse employee is using correct procedure? - ANS The employee applies the restraint so that the
strap does not tighten when force is applied against it.
