Module 6: Safety and Infection Control Exam
When a visitor suddenly becomes weak
Which of the following events would re- and dizzy, the nurse checks the visi-
quire a nurse to complete and file an tor's blood pressure and takes the visitor
incident report? to the emergency department for treat-
ment.
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
Telling the health care provider that the
client's vital signs, completes an incident
error warrants the completion of an inci-
report, and calls the physician to report
dent 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?
Contact precautions are initiated for a
client with methicillin-resistant Staphy-
lococcus aureus (MRSA) infection. The To wear gloves and a gown when chang-
nurse, providing instructions to a nursing ing the client's bed linen.
assistant about caring for the client, tells
the assistant:
The mother of a 3-year-old calls a neigh-
bor who is a nurse and reports that her
child just drank some window cleaner
Call a poison control center.
that had been stored in a cabinet. The
nurse should instruct the mother to im-
mediately:
A hurricane is forecast to make landfall
in 48 hours, and the staff of the emer-
gency department of an area hospital is
advised to prepare for causalities. Which Activating the agency disaster plan.
action should the nurse manager who
receives the telephone call regarding this
warning take first?
, Module 6: Safety and Infection Control Exam
-I need to follow the oxygen prescription
A home health nurse has instructed a
exactly."
client about safety measures during the
-I have to keep the oxygen concentrator
use of an oxygen concentrator in the
out of direct sunlight.
home. Which statement by the client in-
-I have to tell everyone that they can't
dicates to the nurse that the client has
smoke or have an open flame within 10
understood the directions?
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 in- Every 2 hours.
structs the nursing assistant to release
the restraints to permit muscle exercise:
A community health nurse working in
a school setting is concerned because
parents are not participating in health Determining the appropriateness of the
activities designed to promote child safe- planned health activity.
ty. In this situation, the most appropriate
initial action is:
The nurse administers a dose of ramipril
(Altace) 2.5 mg to a client at 9 am. While
documenting administration of the med-
ication, the nurse discovers that 1.25 mg,
not 2.5 mg, was the prescribed dose. The Ramipril (Altace) 2.5 mg was adminis-
nurse assesses the client, completes an tered at 9 am.
incident report, and notifies the physi-
cian and nursing supervisor of the error.
What statement does the nurse add to
the client's record?
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
The caregiver leaves both side rails down
hospital bed here at home, but my moth-
while the client is in bed.
er has fallen out of bed three times."
Which observation by the nurse reflects
an increased risk of this client's falling
out of bed?
, Module 6: Safety and Infection Control Exam
A community health nurse is providing
information to local residents about the Lungs
transmission of anthrax. Through which Skin
body systems does the nurse tell the res- Gastrointestinal
idents that anthrax can be contracted?
A nurse is preparing a chemotherapy in-
fusion to be administered to a client with
a diagnosis of Hodgkin's disease. Which Wearing gloves, a mask, and eye protec-
of the following precautions should the tion.
nurse take while working with this intra-
venous (IV) infusion?
A nurse is preparing a continuous intra-
venous (IV) infusion at the medication
cart. As the nurse goes to attach the IV
tubing port to the solution bag, the tubing Obtaining new IV tubing.
drops, hitting the top of the medication
cart. Which action should the nurse take
to maintain asepsis?
A home health nurse is visiting a client
with tuberculosis (TB). Which action by
Disposing of contaminated tissues in a
the client tells the nurse that the client
container with a leak-proof bag.
understands the necessary respiratory
precautions to be taken at home?
A home health nurse teaches a client -I should walk barefoot as much as pos-
about home modifications to reduce the sible so that I ll know about any wet spots
risk of falls. Which statements by the on the floor.
client indicate a need for further teach- -I need to remove my wall-to-wall carpet-
ing? ing
A nurse caring for a client who is under
airborne precautions notes that the client .Placing a HEPA mask on the client for
is scheduled for a nuclear scan. Which transport and for contact with other indi-
action on the part of the nurse is appro- viduals
priate?
A nurse employed in a physician s office
Removes the clients from the waiting
hears a client in the waiting room call out,
room.
Help! Fire! The nurse rushes to the wait-
When a visitor suddenly becomes weak
Which of the following events would re- and dizzy, the nurse checks the visi-
quire a nurse to complete and file an tor's blood pressure and takes the visitor
incident report? to the emergency department for treat-
ment.
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
Telling the health care provider that the
client's vital signs, completes an incident
error warrants the completion of an inci-
report, and calls the physician to report
dent 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?
Contact precautions are initiated for a
client with methicillin-resistant Staphy-
lococcus aureus (MRSA) infection. The To wear gloves and a gown when chang-
nurse, providing instructions to a nursing ing the client's bed linen.
assistant about caring for the client, tells
the assistant:
The mother of a 3-year-old calls a neigh-
bor who is a nurse and reports that her
child just drank some window cleaner
Call a poison control center.
that had been stored in a cabinet. The
nurse should instruct the mother to im-
mediately:
A hurricane is forecast to make landfall
in 48 hours, and the staff of the emer-
gency department of an area hospital is
advised to prepare for causalities. Which Activating the agency disaster plan.
action should the nurse manager who
receives the telephone call regarding this
warning take first?
, Module 6: Safety and Infection Control Exam
-I need to follow the oxygen prescription
A home health nurse has instructed a
exactly."
client about safety measures during the
-I have to keep the oxygen concentrator
use of an oxygen concentrator in the
out of direct sunlight.
home. Which statement by the client in-
-I have to tell everyone that they can't
dicates to the nurse that the client has
smoke or have an open flame within 10
understood the directions?
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 in- Every 2 hours.
structs the nursing assistant to release
the restraints to permit muscle exercise:
A community health nurse working in
a school setting is concerned because
parents are not participating in health Determining the appropriateness of the
activities designed to promote child safe- planned health activity.
ty. In this situation, the most appropriate
initial action is:
The nurse administers a dose of ramipril
(Altace) 2.5 mg to a client at 9 am. While
documenting administration of the med-
ication, the nurse discovers that 1.25 mg,
not 2.5 mg, was the prescribed dose. The Ramipril (Altace) 2.5 mg was adminis-
nurse assesses the client, completes an tered at 9 am.
incident report, and notifies the physi-
cian and nursing supervisor of the error.
What statement does the nurse add to
the client's record?
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
The caregiver leaves both side rails down
hospital bed here at home, but my moth-
while the client is in bed.
er has fallen out of bed three times."
Which observation by the nurse reflects
an increased risk of this client's falling
out of bed?
, Module 6: Safety and Infection Control Exam
A community health nurse is providing
information to local residents about the Lungs
transmission of anthrax. Through which Skin
body systems does the nurse tell the res- Gastrointestinal
idents that anthrax can be contracted?
A nurse is preparing a chemotherapy in-
fusion to be administered to a client with
a diagnosis of Hodgkin's disease. Which Wearing gloves, a mask, and eye protec-
of the following precautions should the tion.
nurse take while working with this intra-
venous (IV) infusion?
A nurse is preparing a continuous intra-
venous (IV) infusion at the medication
cart. As the nurse goes to attach the IV
tubing port to the solution bag, the tubing Obtaining new IV tubing.
drops, hitting the top of the medication
cart. Which action should the nurse take
to maintain asepsis?
A home health nurse is visiting a client
with tuberculosis (TB). Which action by
Disposing of contaminated tissues in a
the client tells the nurse that the client
container with a leak-proof bag.
understands the necessary respiratory
precautions to be taken at home?
A home health nurse teaches a client -I should walk barefoot as much as pos-
about home modifications to reduce the sible so that I ll know about any wet spots
risk of falls. Which statements by the on the floor.
client indicate a need for further teach- -I need to remove my wall-to-wall carpet-
ing? ing
A nurse caring for a client who is under
airborne precautions notes that the client .Placing a HEPA mask on the client for
is scheduled for a nuclear scan. Which transport and for contact with other indi-
action on the part of the nurse is appro- viduals
priate?
A nurse employed in a physician s office
Removes the clients from the waiting
hears a client in the waiting room call out,
room.
Help! Fire! The nurse rushes to the wait-
