Silvestri Comprehensive Review for the NCLEX-PN® Exam,
7th Edition - Safety Flashcard Set
1. A client has a prescription to receive 1000 mL of 5% dextrose in 0.45%
sodium chloride. After gathering the appropriate equipment, the nurse takes
which action first before spiking the IV bag with the tubing?: Closes the roller
clamp on the IV tubing.
2. The nurse is assigned to care for a client with a peripheral intravenous
(IV) infusion. The nurse is providing hygiene care to the client and should
avoid which while changing the client's hospital gown?: Disconnecting the IV
tubing from the catheter in the vein.
3. The nurse is making a worksheet and listing the tasks that need to be
performed for assigned adult clients during the shift. The nurse writes on
the plan to check the intravenous (IV) of an assigned client who is receiving
fluid replacement therapy how frequently?: Every hour.
4. The nurse enters a client's room and finds that the wastebasket is on
fire. The nurse quickly assists the client out of the room. Which is the next
nursing action?: Activate the fire alarm.
5. The nurse obtains a prescription to restrain a client using a belt (safety)
restraint and instructs the unlicensed assistive personnel (UAP) to apply the
restraint. Which observation, if made by the nurse, indicates unsafe
application of the restraint?: The restraint straps are safely secured to the side
rails.
6. The nurse applies wrist restraints, prescribed to prevent a client from
pulling out a nasogastric tube. How should the nurse determine that the
restraints are not too constrictive?: Place two fingers under the restraint to
determine snugness.
7. The nurse is assisting with planning care for a client with an internal
radiation implant. Which should be included in the plan of care? Select all
that apply.: - Wearing gloves when emptying the client's bedpan.
- Keeping all linens in the room until the implant is removed.
- Wearing a film (dosimeter) badge when in the client's room.
- Wearing a lead apron when providing direct care to the client.
, Silvestri Comprehensive Review for the NCLEX-PN® Exam,
7th Edition - Safety Flashcard Set
8. The nurse enters the nursing lounge and discovers that a chair is on
fire. The nurse activates the alarm, closes the lounge door, and obtains the
fire extinguisher to extinguish the fire. The nurse pulls the pin on the fire
extinguisher. Which is the next action the nurse should perform?: Aim at
the base of the fire.
9. The nurse is preparing to reposition a dependent client who weighs
more than 250 lbs. Which interventions should the nurse use to move this
client? Select all that apply.: - Use a friction-reducing slide sheet - Use a
mechanical lift to move the client.
- Keep elbows close and work close to the body.
- Obtain assistance of a second caregiver to assist with the mechanical aids.
10. The nurse is assigned to assist with caring for a client with esophageal
varices who had a Sengstaken-Blakemore tube inserted because other
treatment measures were unsuccessful. The nurse should check the client's
room to ensure that which priority item is at the bedside?: A pair of scissors.
11. The nurse is planning to begin a continuous tube feeding on a client
with a nasogastric (NG) tube. Which interventions should the nurse perform
before initiating the feeding? Select all that apply.: - Explain the procedure to
the client.
- Irrigate the NG tube with saline.
- Elevate the head of the bed to 45 degrees.
12. The nurse is preparing to administer an intermittent tube feeding to a client
with a nasogastric (NG) tube. The nurse checks the residual and obtains an
amount of 200 mL. Which actions should the nurse take? Select all that apply.:
- Listen to the client's bowel sounds.
- Question the client regarding nausea.
- Determine whether the client has abdominal distension.
- Hold the feeding after flushing the tubing with 30 mL of saline.
13. The nurse is preparing to administer a medication through a nasogastric
(NG) tube that is connected to suction. Which interventions should be
7th Edition - Safety Flashcard Set
1. A client has a prescription to receive 1000 mL of 5% dextrose in 0.45%
sodium chloride. After gathering the appropriate equipment, the nurse takes
which action first before spiking the IV bag with the tubing?: Closes the roller
clamp on the IV tubing.
2. The nurse is assigned to care for a client with a peripheral intravenous
(IV) infusion. The nurse is providing hygiene care to the client and should
avoid which while changing the client's hospital gown?: Disconnecting the IV
tubing from the catheter in the vein.
3. The nurse is making a worksheet and listing the tasks that need to be
performed for assigned adult clients during the shift. The nurse writes on
the plan to check the intravenous (IV) of an assigned client who is receiving
fluid replacement therapy how frequently?: Every hour.
4. The nurse enters a client's room and finds that the wastebasket is on
fire. The nurse quickly assists the client out of the room. Which is the next
nursing action?: Activate the fire alarm.
5. The nurse obtains a prescription to restrain a client using a belt (safety)
restraint and instructs the unlicensed assistive personnel (UAP) to apply the
restraint. Which observation, if made by the nurse, indicates unsafe
application of the restraint?: The restraint straps are safely secured to the side
rails.
6. The nurse applies wrist restraints, prescribed to prevent a client from
pulling out a nasogastric tube. How should the nurse determine that the
restraints are not too constrictive?: Place two fingers under the restraint to
determine snugness.
7. The nurse is assisting with planning care for a client with an internal
radiation implant. Which should be included in the plan of care? Select all
that apply.: - Wearing gloves when emptying the client's bedpan.
- Keeping all linens in the room until the implant is removed.
- Wearing a film (dosimeter) badge when in the client's room.
- Wearing a lead apron when providing direct care to the client.
, Silvestri Comprehensive Review for the NCLEX-PN® Exam,
7th Edition - Safety Flashcard Set
8. The nurse enters the nursing lounge and discovers that a chair is on
fire. The nurse activates the alarm, closes the lounge door, and obtains the
fire extinguisher to extinguish the fire. The nurse pulls the pin on the fire
extinguisher. Which is the next action the nurse should perform?: Aim at
the base of the fire.
9. The nurse is preparing to reposition a dependent client who weighs
more than 250 lbs. Which interventions should the nurse use to move this
client? Select all that apply.: - Use a friction-reducing slide sheet - Use a
mechanical lift to move the client.
- Keep elbows close and work close to the body.
- Obtain assistance of a second caregiver to assist with the mechanical aids.
10. The nurse is assigned to assist with caring for a client with esophageal
varices who had a Sengstaken-Blakemore tube inserted because other
treatment measures were unsuccessful. The nurse should check the client's
room to ensure that which priority item is at the bedside?: A pair of scissors.
11. The nurse is planning to begin a continuous tube feeding on a client
with a nasogastric (NG) tube. Which interventions should the nurse perform
before initiating the feeding? Select all that apply.: - Explain the procedure to
the client.
- Irrigate the NG tube with saline.
- Elevate the head of the bed to 45 degrees.
12. The nurse is preparing to administer an intermittent tube feeding to a client
with a nasogastric (NG) tube. The nurse checks the residual and obtains an
amount of 200 mL. Which actions should the nurse take? Select all that apply.:
- Listen to the client's bowel sounds.
- Question the client regarding nausea.
- Determine whether the client has abdominal distension.
- Hold the feeding after flushing the tubing with 30 mL of saline.
13. The nurse is preparing to administer a medication through a nasogastric
(NG) tube that is connected to suction. Which interventions should be
