Ch. 27 Patient Safety and quality
(NCLEX questions)
A 4-year-old child is scheduled to receive an IV line. The most appropriate type of
restraint to use for this client to prevent removal of the IV line would be a(n):
A.Wrist restraint
B.Jacket restraint
C.Elbow restraint
D.Mummy restraint - ANS - C) Elbow restraint
A 76-year-old client lives alone at home. Which of the following is the highest priority
question for his home health nurse to ask regarding his safety?
A."Do you use softglow light bulbs in your front room lamps?"
B."At what temperature is your thermostat set?"
C."Why don't you consider selling your two-story home and buying a house without
stairs?"
D."Do any of your medications cause you to be physically unsteady?" - ANS - D) "Do
any of your medications cause you to be physically unsteady?"
A 79-year-old resident in a long-term care facility is known to "wander at night" and has
fallen in the past. Which of the following is the most appropriate nursing intervention?
A.A loose abdominal restraint should be placed on the client during sleeping hours.
B.The caregivers should check the client frequently during the night.
C.A radio should be left playing at the bedside to assist in reality orientation.
D.Reassign the client to a room that is close to the nursing station. - ANS - B) The
caregivers should check the client frequently during the night.
A child in the hospital starts to have a grand mal seizure while playing in the playroom.
What is your most important nursing intervention during this situation?
A) Begin cardiopulmonary respiration.
B) Restrain the child to prevent injury.
C) Place a tongue blade over the tongue to prevent aspiration.
D) Clear the area around the child to protect the child from injury. - ANS - D) Clear the
area around the child to protect the child from injury.
, A couple is with their adolescent daughter for a school physical and state they are
worried about all the safety risks affecting this age. What is the greatest risk for injury for
an adolescent?
A) Home accidents
B) Physiological changes of aging
C) Poisoning and child abduction
D) Automobile accidents, suicide and substance abuse - ANS - D) Automobile
accidents, suicide and substance abuse
A frantic grandmother calls the emergency room to report that her grandson took some
of her medicine and that she is unable to arouse him. The nurse should instruct her to:
A.Induce vomiting with syrup of ipecac
B.Provide fluids to dilute the toxin
C.Hyperextend his head
D.Bring the medicine bottle to the hospital - ANS - D) Bring the medicine bottle to the
hospital
A parent calls the pediatrician's office frantic about the bottle of cleaner that her
2-year-old son drank. Which of the following is the most important instruction the nurse
gives to this parent?
A) Give the child milk.
B) Give the child syrup of ipecac.
C) Call the poison control center.
D) Take the child to the emergency department. - ANS - C) Call the poison control
center.
A physician writes an order to apply a wrist restraint to a patient who has been pulling
out a surgical wound drain. Place the following steps for applying the restraint in the
correct order.
A) Explain what you plan to do.
B) Wrap a limb restraining around wrist or ankle with soft part toward skin and secure.
C) Determine that restraint alternatives fail to ensure patient's safety.
D) Identify the patient using proper identifier.
E) Pad the patient's wrist. - ANS - All
A substance that impairs health or destroys life when ingested, inhaled or absorbed by
the body.
A) Carbon Monoxide
B) Poison
C) Pollution
(NCLEX questions)
A 4-year-old child is scheduled to receive an IV line. The most appropriate type of
restraint to use for this client to prevent removal of the IV line would be a(n):
A.Wrist restraint
B.Jacket restraint
C.Elbow restraint
D.Mummy restraint - ANS - C) Elbow restraint
A 76-year-old client lives alone at home. Which of the following is the highest priority
question for his home health nurse to ask regarding his safety?
A."Do you use softglow light bulbs in your front room lamps?"
B."At what temperature is your thermostat set?"
C."Why don't you consider selling your two-story home and buying a house without
stairs?"
D."Do any of your medications cause you to be physically unsteady?" - ANS - D) "Do
any of your medications cause you to be physically unsteady?"
A 79-year-old resident in a long-term care facility is known to "wander at night" and has
fallen in the past. Which of the following is the most appropriate nursing intervention?
A.A loose abdominal restraint should be placed on the client during sleeping hours.
B.The caregivers should check the client frequently during the night.
C.A radio should be left playing at the bedside to assist in reality orientation.
D.Reassign the client to a room that is close to the nursing station. - ANS - B) The
caregivers should check the client frequently during the night.
A child in the hospital starts to have a grand mal seizure while playing in the playroom.
What is your most important nursing intervention during this situation?
A) Begin cardiopulmonary respiration.
B) Restrain the child to prevent injury.
C) Place a tongue blade over the tongue to prevent aspiration.
D) Clear the area around the child to protect the child from injury. - ANS - D) Clear the
area around the child to protect the child from injury.
, A couple is with their adolescent daughter for a school physical and state they are
worried about all the safety risks affecting this age. What is the greatest risk for injury for
an adolescent?
A) Home accidents
B) Physiological changes of aging
C) Poisoning and child abduction
D) Automobile accidents, suicide and substance abuse - ANS - D) Automobile
accidents, suicide and substance abuse
A frantic grandmother calls the emergency room to report that her grandson took some
of her medicine and that she is unable to arouse him. The nurse should instruct her to:
A.Induce vomiting with syrup of ipecac
B.Provide fluids to dilute the toxin
C.Hyperextend his head
D.Bring the medicine bottle to the hospital - ANS - D) Bring the medicine bottle to the
hospital
A parent calls the pediatrician's office frantic about the bottle of cleaner that her
2-year-old son drank. Which of the following is the most important instruction the nurse
gives to this parent?
A) Give the child milk.
B) Give the child syrup of ipecac.
C) Call the poison control center.
D) Take the child to the emergency department. - ANS - C) Call the poison control
center.
A physician writes an order to apply a wrist restraint to a patient who has been pulling
out a surgical wound drain. Place the following steps for applying the restraint in the
correct order.
A) Explain what you plan to do.
B) Wrap a limb restraining around wrist or ankle with soft part toward skin and secure.
C) Determine that restraint alternatives fail to ensure patient's safety.
D) Identify the patient using proper identifier.
E) Pad the patient's wrist. - ANS - All
A substance that impairs health or destroys life when ingested, inhaled or absorbed by
the body.
A) Carbon Monoxide
B) Poison
C) Pollution
