Safety and Infection Control Exam--
1. Which of the following events would require a nurse to complete and
file an incident report?: 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.
2. 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?: Telling the physician that the error warrants the
completion of an incident report.
3. 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:: To wear
gloves and a gown when changing the client's bed linen.
4. 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:: Call a poison
control center.
5. 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?: Activating the agency
disaster plan.
6. 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?: -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
7. 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:: Every 2 hours.
8. A community health nurse working in a school setting is concerned
because parents are not participating in health activities designed to promote
, Safety and Infection Control Exam--
child safety. In this situation, the most appropriate initial action is::
Determining the appropriateness of the planned health activity.
9. 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?: Ramipril (Altace) 2.5 mg was administered at 9 am.
10. 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?: The caregiver leaves both side rails down
while the client is in bed.
11. 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?: Lungs
Skin
Gastrointestinal
12. 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?: Wearing gloves, a mask, and eye protection.
13. 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?: Obtaining new IV tubing.
14. 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?: Disposing of contaminated
tissues in a container with a leak-proof bag.
15. 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?: -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
, Safety and Infection Control Exam--
16. 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?: Placing a surgical mask on the client for transport and for
contact with other individuals.
17. 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:: Removes the clients from
the waiting room.
18. 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?:
Activating the fire alarm.
19. 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:: Pulling the pin on the fire
extinguisher. 20. A nurse provides instruction to a new nursing assistant
regarding the application of a restraint to a client. The nurse watches as the
nursing assistant applies the restraint. What observation tells the nurse that
the nursing assistant is using correct procedure?: The assistant applies the
restraint so that the strap does not tighten when force is applied against it.
21. A registered nurse is instructing a group of nursing assistants in the
principles of body mechanics. Which of these observations tell the nurse that
a student is using the principles appropriately?: -The assistant keeps the object
to be moved as close to his body as possible.
-The assistant positions a box that is to be lifted between his knees.
22. A home care nurse visits a client who lives in a small apartment to
perform an admission assessment. During the home safety assessment, the
client asks the nurse whether it is safe to use a space heater. What is the
appropriate response by the nurse?: A space heater can be used as long as it's
placed at least
3 feet from anything that may ignite."
23. A nurse is preparing to initiate a continuous tube feeding, using a tube-
feeding pump. On bringing the pump to the bedside and preparing to plug
the pump in, the nurse discovers that there is no available plug in the wall
socket. What should the nurse do?: Determine the need for the appliances now
plugged into the needed wall socket.
24. View video. A nurse, preparing a sterile field on which to perform a
dressing change, places the sterile drape on the overbed table. Which of
1. Which of the following events would require a nurse to complete and
file an incident report?: 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.
2. 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?: Telling the physician that the error warrants the
completion of an incident report.
3. 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:: To wear
gloves and a gown when changing the client's bed linen.
4. 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:: Call a poison
control center.
5. 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?: Activating the agency
disaster plan.
6. 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?: -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
7. 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:: Every 2 hours.
8. A community health nurse working in a school setting is concerned
because parents are not participating in health activities designed to promote
, Safety and Infection Control Exam--
child safety. In this situation, the most appropriate initial action is::
Determining the appropriateness of the planned health activity.
9. 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?: Ramipril (Altace) 2.5 mg was administered at 9 am.
10. 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?: The caregiver leaves both side rails down
while the client is in bed.
11. 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?: Lungs
Skin
Gastrointestinal
12. 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?: Wearing gloves, a mask, and eye protection.
13. 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?: Obtaining new IV tubing.
14. 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?: Disposing of contaminated
tissues in a container with a leak-proof bag.
15. 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?: -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
, Safety and Infection Control Exam--
16. 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?: Placing a surgical mask on the client for transport and for
contact with other individuals.
17. 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:: Removes the clients from
the waiting room.
18. 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?:
Activating the fire alarm.
19. 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:: Pulling the pin on the fire
extinguisher. 20. A nurse provides instruction to a new nursing assistant
regarding the application of a restraint to a client. The nurse watches as the
nursing assistant applies the restraint. What observation tells the nurse that
the nursing assistant is using correct procedure?: The assistant applies the
restraint so that the strap does not tighten when force is applied against it.
21. A registered nurse is instructing a group of nursing assistants in the
principles of body mechanics. Which of these observations tell the nurse that
a student is using the principles appropriately?: -The assistant keeps the object
to be moved as close to his body as possible.
-The assistant positions a box that is to be lifted between his knees.
22. A home care nurse visits a client who lives in a small apartment to
perform an admission assessment. During the home safety assessment, the
client asks the nurse whether it is safe to use a space heater. What is the
appropriate response by the nurse?: A space heater can be used as long as it's
placed at least
3 feet from anything that may ignite."
23. A nurse is preparing to initiate a continuous tube feeding, using a tube-
feeding pump. On bringing the pump to the bedside and preparing to plug
the pump in, the nurse discovers that there is no available plug in the wall
socket. What should the nurse do?: Determine the need for the appliances now
plugged into the needed wall socket.
24. View video. A nurse, preparing a sterile field on which to perform a
dressing change, places the sterile drape on the overbed table. Which of
