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Safety and Infection Control in Nursing: A Comprehensive Guide, Exams of Nursing

Miami University - Middletown Nursing

A detailed overview of safety and infection control principles in nursing, focusing on various scenarios such as blood spills, disaster response, client care, and more. It covers topics like wearing gloves, disinfecting areas, handling broken glass, and administering medication correctly. It also discusses home safety assessments, blood pressure cuff usage, and the role of the american red cross in disasters.

Typology: Exams

2023/2024

Available from 05/07/2024

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17 documents

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A nurse is preparing to clean up a blood spill on the client’s bedside

table that

A nurse is attending an in-service program on disaster preparedness. Which of the

Module 6 Safety and Infection Control

1. ID: 22266381457 A teenage client returns to the gynecological (GYN) clinic for a

follow-up visit after diagnosis and initial treatment of a sexually transmitted infection

(STI). Which statement by the client indicates the need for further teaching?

A. “I always make sure my boyfriend uses a condom.”

B. “I know you won’t tell my parents that I’m sick.”

C. “My boyfriend doesn’t have to come in for treatment.” Correct

D. “I finished all the antibiotic, just like you said.”

2.ID: 22266381082

occurred when a blood tube containing a specimen from the client broke. What steps

should the nurse take to clean up the blood spill? Select all that apply.

A. Blotting up the spill with a face cloth or cloth towel

B. Disinfecting the area of the blood spill with a dilute bleach solution

Correct

C. Wearing gloves for the cleanup procedure Correct

D. Placing the pieces of broken glass in a plastic bag

E. Using tongs to collect any broken glass Correct

3. Which of the following statements reflect the principles of sterile technique? Select

all that apply.

A. When a sterile field becomes wet, it remains sterile as long as the

items on the field are not touched.

B. Any part of a sterile field that hangs below the top of the table is

sterile as long as it is not touched.

C. The clients overbed table is wiped with chlorhexidine.

D. Items in a sterile package must be used immediately once the

package has been opened; otherwise they are considered

contaminated. Correct

E. If a package is not labeled as sterile, it should be considered

unsterile. Correct

F. Sterile objects that come in contact with unsterile objects are to be

considered contaminated. Correct

4.ID: 22266381046

following events are described as examples of natural disasters? Select all that apply.

A. Drought Correct

B. Hurricane Correct

C. Toxic waste spill

D. Bus accident

E. Flood Correct

F. Terrorist attack

Partial preview of the text

Download Safety and Infection Control in Nursing: A Comprehensive Guide and more Exams Nursing in PDF only on Docsity!

A nurse is preparing to clean up a blood spill on the client’s bedside table that A nurse is attending an in-service program on disaster preparedness. Which of the

Module 6 Safety and Infection Control

ID: 22266381457 A teenage client returns to the gynecological (GYN) clinic for a follow-up visit after diagnosis and initial treatment of a sexually transmitted infection (STI). Which statement by the client indicates the need for further teaching? A. “I always make sure my boyfriend uses a condom.” B. “I know you won’t tell my parents that I’m sick.” C. “My boyfriend doesn’t have to come in for treatment.” Correct D. “I finished all the antibiotic, just like you said.” 2.ID: 22266381082 occurred when a blood tube containing a specimen from the client broke. What steps should the nurse take to clean up the blood spill? Select all that apply. A. Blotting up the spill with a face cloth or cloth towel B. Disinfecting the area of the blood spill with a dilute bleach solution Correct C. Wearing gloves for the cleanup procedure Correct D. Placing the pieces of broken glass in a plastic bag E. Using tongs to collect any broken glass Correct 3. Which of the following statements reflect the principles of sterile technique? Select all that apply. A. When a sterile field becomes wet, it remains sterile as long as the items on the field are not touched. B. Any part of a sterile field that hangs below the top of the table is sterile as long as it is not touched. C. The clients overbed table is wiped with chlorhexidine. D. Items in a sterile package must be used immediately once the package has been opened; otherwise they are considered contaminated. Correct E. If a package is not labeled as sterile, it should be considered unsterile. Correct F. Sterile objects that come in contact with unsterile objects are to be considered contaminated. Correct 4.ID: 22266381046 following events are described as examples of natural disasters? Select all that apply. A. Drought Correct B. Hurricane Correct C. Toxic waste spill D. Bus accident E. Flood Correct F. Terrorist attack

A licensed practical nurse (LPN) tells the registered nurse (RN) that she A registered nurse is instructing a group of nursing assistants in the principles of A community health nurse working in a school setting is concerned because A hospitalized client, experiencing confusion, is at risk of falling because she

5.ID: 22266381406

administered acetaminophen to a client by way of the rectal route rather than the prescribed oral route because the client was extremely nauseated. What is the most appropriate action by the RN? A. Tells the LPN that she made a sound judgment in administering the medication by way of the rectal route B. Instructs the LPN to write “pr” (per rectum) on the medication record next to the time at which the medication was administered C. Asks the LPN to complete and file an incident report Correct D. Asks the LPN to check the client in 30 minutes to see whether the nausea has subsided

6. ID: 22266381436 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? Select all that apply. A. “I should walk barefoot as much as possible so that I’ll know about any wet spots on the floor.” Correct B. “I need to use night lights.” C. “I need to get handrails put up in the bathroom.” D. “I need to remove my wall-to-wall carpeting.” Correct E. “I need to use the staircase handrails when I go up the stairs.” 7.ID: 22266381418 body mechanics. Which of these observations tell the nurse that a student is using the principles appropriately? Select all that apply. A. The assistant turns his back to change position while moving a client. B. The assistant leans forward when turning a client in bed. C. The assistant helps a client requiring total care into a chair without additional assistance. D. The assistant positions a box that is to be lifted between his knees. Correct E. The assistant keeps the object to be moved as close to his body as possible. Correct 8.ID: 22266381493 parents are not participating in health activities designed to promote child safety. What is the most appropriate initial action for the nurse to take? A. Planning a focused child safety program B. Implementing a child safety program C. Determining the appropriateness of the planned health activity Correct D. Performing an analysis of health problems related to child safety 9.ID: 22266380062 continually tries to climb out of bed. Which of these safety devices that the nurse

B. Ambularm Correct C. Elbow D. Belt 10.ID: 22266381439 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? A. Wearing an oxygen mask at all times B. Staying secluded in the bedroom C. Keeping the house closed up to minimize the spread of disease D. Disposing of contaminated tissues in a container with a leak-proof bag Correct 11.ID: 22266381487 A community health nurse is asked to assist in developing a community disaster plan identified by Federal Emergency Management Agency (FEMA). The nurse knows that the preparedness phase of the plan includes what components? Select all that apply. A. Caring for disaster victims Correct B. Planning for rescue Correct C. Training of disaster personnel Correct D. Actions to prevent the occurrence of a disaster or reduce the damaging effects E. Evacuation Correct F. Putting disaster planning services into action

ID: 22266380071 A nurse performs an evaluation to determine whether a client's home is electrically safe. Which finding indicates the need for further investigation and intervention? A. Electrical kitchen appliances are located away from the sink. B. A safety-type extension cord is secured to the floor with electrical tape. C. Wiring for the television runs under the carpet. Correct D. Electrical cords are free of frayed and damaged wires.
ID: 22266381415 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. “A space heater can be used as long as it is kept at a low setting at all times.” B. “A space heater can be used as long as it is kept in the bedroom at night in case a fire occurs.” C. “A space heater should never be used in an apartment.”

D. “A space heater can be used as long as it’s placed at least 3 feet ( meter) from anything that may ignite.” Correct

ID: 22266381040 A nurse is reading an article about the role of the American Red Cross (ARC) in a disaster. Which of the following responsibilities does the article ascribe to the ARC? Select all that apply. A. Declaring a disaster

D. Soak the scab that forms with warm water every day.

19. ID: 22266380059 Which of the following points should the nurse include when documenting information about a client who is wearing wrist restraints? Select all that apply. A. Circulatory and neurovascular status of the restrained extremities Correct B. The client’s 24-hour urine output C. The date and time of application of the restraint Correct D. Skin integrity of the restrained body part Correct E. The client’s temperature F. The procedure used in applying the restraint Correct 20. ID: 22266381025 A triage nurse in an emergency department (ED) is attending to the victims of a train crash. All victims are alert. Which of these clients does the nurse assign to the emergent category? Select all that apply. A. A victim with a fractured humerus B. A victim with a forehead laceration that is not bleeding Correct C. A victim with respiratory distress Correct D. A victim with multiple nonbleeding bruises of the arms and legs E. A victim with partial amputation of the foot Correct

ID: 22266380092 After discussing the use of restraints with a client and family, the primary health care provider has written a prescription for wrist restraints to be applied to a client. The nurse instructs the nursing assistant to apply the restraints. Which of the following observations by the nurse indicates that the nursing assistant is using the restraints safely and correctly? Select all that apply. A. A safety knot has been used to secure the restraints. Correct B. The restraints are applied tightly. C. The call light has been placed within reach of the client. Correct D. The restraints have been tied to the side rails of the bed. E. The restraints are being released every 2 hours. Correct
ID: 22266381481 A nurse prepares to teach a client with chronic vertigo about safety measures to help prevent exacerbation of signs/symptoms and injury. Which instructions should the nurse provide to the client? Select all that apply. A. “Drive your car only if you’re not feeling dizzy.” B. “Turn your head slowly when someone speaks to you.” C. “Change positions slowly.” Correct D. “Remove clutter from your home.” Correct E. “Use public transportation as much as possible.”
ID: 22266381472 A nurse, assessing a client's readiness for discharge, is performing a home safety assessment to determine whether there are any environmental hazards in the home. Which of the

ID: 22266380044 A nurse is discussing accident prevention with the family of an older client who is being discharged from the hospital after hip surgery. This client has a tendency to be forgetful. Which items in the home increase the client’s risk for injury? Select all that apply. A. Cooking equipment such as a stove Correct B. Elevated toilet seat with armrests C. A nightlight in the bathroom D. A water heater thermostat adjusted to a low setting E. Smoke and carbon monoxide detectors F. Common household objects such as door mats Correct
ID: 22266381055 A nurse manager of an emergency department (ED) arrives at work and is told that four registered nurses scheduled to work will not be reporting to work because they are ill. Every trauma room is busy, and emergency medical services (EMS) has just called to report that several victims involved in a 10-car wreck on the interstate will be brought to the ED. How does the nurse manager initially manage this situation? A. Telling EMS to take the victims to another hospital B. Demanding that the nurses from the night shift stay until all of the victims have been treated C. Closing the emergency department temporarily to incoming clients D. Calling the nursing supervisor to discuss activation of the disaster plan Correct 29. ID: 22266380037 A home care nurse is visiting an older client who has been recovering from a mild brain attack (stroke) affecting her left side. The client lives alone but receives regular assistance from her daughter and son, who both live within 10 miles. Which of the following actions should the nurse take to assess the client’s safety risk? Select all that apply. A. Observe the client’s gait and posture Correct B. Look for any hazards in the home environment Correct C. Assess the client’s visual acuity Correct D. Ask a family member to move in with the client until her recovery is complete E. Evaluate the client’s muscle strength Correct F. Request that the client transfer to an assisted living environment for at least 1 month
ID: 22266381412 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 is the most appropriate action the nurse should do? A. Determine the need for the appliances now plugged into the

needed wall socket Correct B. Use a regular extension cord to allow the use of more than one electrical appliance

D. Maintaining sterile occlusion of intravenous (IV) catheters Correct

E. Requiring the client to use an electric shaver rather than a razor F. Providing a soft toothbrush for oral care

ID: 22266381442 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? A. Obtain a new IV solution bag B. Scrub the tubing port with an alcohol swab C. Obtain new IV tubing Correct D. Wipe the tubing port with povidone-iodine solution
ID: 22266381454 The nurse administers a dose of ramipril 2.5 mg to a client at 9 am. While documenting administration of the medication, the nurse discovers that 1. mg, not 2.5 mg, was the prescribed dose. The nurse assesses the client, completes an incident report, and notifies the primary health care provider and nursing supervisor of the error. What statement does the nurse add to the client's record? A. Twice the amount of the prescribed ramipril was administered at 9 am. B. Client’s blood pressure was 128/82 mm Hg after the administration of the incorrect dose of ramipril. C. Ramipril 2.5 mg was administered at 9 am. Correct D. An incident report was completed and filed.
ID: 22266381908 Contact precautions are initiated for a client with methicillin- resistant Staphylococcus aureus (MRSA) infection. What does the nurse, providing instructions to a nursing assistant about caring for the client, tell the assistant? A. To transfer the client to a semiprivate room B. To wear gloves and a gown when changing the client's bed linen. Correct C. To wear a gown when caring for the client and remove the gown immediately after leaving the client’s room D. That gloves only are needed to care for the client 38.ID: 22266380050

would be the most appropriate action by the nurse?

A. Contact the primary health care provider Correct B. Apply the restraints anyway C. Medicate the client with a sedative, then apply the restraints D. Compromise with the client and use only one wrist restraint instead of two

42. ID: 22266380047 Wrist restraints have been prescribed for a client who is constantly pulling at his gastrostomy tube. Which findings does the nurse, developing a care plan, recognize as unexpected outcomes related to the use of restraints? Select all that apply. A. The skin under the restraint is red. Correct B. The client verbalizes the reason for the restraints. C. The client slips his hand from its restraint and pulls at his gastrostomy tube. Correct D. The client becomes agitated. Correct E. The client is unable to reach the gastrostomy tube with his hands. F. The client’s left hand is pale and cold. Correct

ID: 22266380065 A sedated client is being transported to the radiology department on a stretcher. Which type of restraint should the nurse suggest applying to help ensure the client’s safety? A. Wrist B. Elbow C. Mitten D. Belt Correct.
ID: 22266381016 An industrial nurse at a large factory provides information to the employees in the mailroom and shipping department about the signs of skin (cutaneous) anthrax. For which early sign of cutaneous anthrax does the nurse tell the employees to check their skin? A. A weeping blister B. An open ulcer C. A black skin area of skin D. An itchy bump Correct
ID: 22266381490 A nurse caring for a 9-month-old who has undergone repair of a cleft palate applies elbow restraints to the child. The mother visits her child and asks the nurse to remove the restraints. According to the guidelines for the use of restraints, what should the nurse do in response to the mother’s request? A. Remove both restraints B. Loosen the restraints after telling the mother that they may not be removed C. Tell the mother that the restraints may not be removed

ID: 22266380083 A nurse preparing to perform a sterile dressing change notes that the covering of a package of sterile 4 × 4 gauze pads has a small tear. Which action should the nurse take? A. Discard the gauze pad closest to the outside of the package and using the others B. Discard the package Correct C. Use the gauze pads, because the tear was small
ID: 22266380014 A registered nurse(RN)is watching as a new licensed practical nurse(LPN) suctions a client with a diagnosis of acquired immunodeficiency syndrome (AIDS). Which of the following protective devices worn by the LPN would cause the RN to determine that the LPN was performing the procedure safely? A. Gloves, gown, and face shield Correct B. Gown and protective eyewear C. Gloves and gown D. Gloves and mask
ID: 22266381095 A physician writes a prescription for the application of a heating pad to a client’s back. Which of the following actions should the nurse take when implementing this prescription? Select all that apply. A. Assessing the client’s medical history and risk factors for burns Correct B. Assessing the heating pad periodically for proper electrical function Correct C. Placing the heating pad under the client D. Frequently assessing the client’s skin for signs of burns Correct E. Adjusting the heating pad to the high setting
ID: 22266381421 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? A. The assistant attaches the restraint straps securely to the side rails. B. The assistant secures the restraint in such a way that it is impossible to slip a finger between the restraint and the client’s skin. C. The assistant applies the restraint so that the strap does not tighten when force is applied against it. Correct D. The assistant applies a tie knot in the restraint strap. 50.ID: 22266381466 A client with a new diagnosis of tuberculosis (TB) is being admitted to the hospital. During the collection of data from the client, which of the following considerations is most important? A. The names of close friends and family members Correct

B. What medications have been prescribed and what the client knows about his or her side effects C. The religious affiliation or church of preference

Safety and Infection Control in Nursing: A Comprehensive Guide, Exams of Nursing

Related documents

Partial preview of the text

Download Safety and Infection Control in Nursing: A Comprehensive Guide and more Exams Nursing in PDF only on Docsity!

Module 6 Safety and Infection Control

5.ID: 22266381406