Safety and Infection Control

The nurse mistakenly gives the patient with malignant hypertension the wrong dose of antihypertensive medication, and the patient complains of several hours of dizziness. Which action by the nurse is most appropriate?

A nurse suspects that a co-worker is abusing drugs and is under the influence while at work. Which action does the nurse take?

The nurse hears the patient calling for help and enters the room to find the patient on the floor. One of the side rails is down on the bed. Which documentation is most appropriate?

The nurse has just assisted an elderly client safely back into bed after a fall, and it has been determined by the nurse and the provider that no injury is present. After submitting an incident report form, which nursing action is the priority?

The nurse attempts, but is unable, to contact the provider to clarify a prescription that is much higher than the normal dosage. Which action by the nurse is appropriate?

Which type of fire extinguisher does the nurse use to extinguish a fire that started in an electrical outlet?

The patient with cervical cancer has an implanted sealed internal radiation device. The nurse provides which instruction to the patient?

Which tool is most effective for promoting safety when ambulating an elderly patient who is a fall risk?

The provider orders physical restraints for a patient in alcohol withdrawal who is delirious, combative, and a fall risk. Which statement is true regarding use of physical restraints for this patient?

The nurse is the first responder to a 3-year-old male who is with his mother, having recently ingested a large quantity of household cleaner. The patient is unconscious but is hemodynamically stable and breathing. An ambulance has already been called. Which action by the nurse is appropriate?

The patient with neurosyphilis who has attempted to stab the nurse with scissors, pulled out several IVs, and is a fall risk is placed in wrist restraints per physician order. How frequently does the nurse assess the patient’s skin integrity?

The nurse is called to the hospital to assist in caring for patients brought to the hospital following a massive gas explosion in the community. Which statement is true regarding the nurse’s involvement with this incident?

The nurse is supervising the care of a patient with a wound infected with methicillin-resistant staphylococcus aureus (MRSA). Which action by the student nurse would prompt the nurse to intervene?

Which characteristic of a home is most effective at preventing falls in the elderly patient?

A unit has experienced a significant rise in the incidence of hospital-acquired urinary tract infections (UTIs). Which action item will be most effective to reduce the incidence of hospital-acquired UTIs?

A paper cut represents which step in the chain of infection?

The nurse is teaching a nursing student about hand washing. Which statement by the nursing student indicates understanding of the teaching?

Which nursing intervention will be most effective in preventing the spread of Clostridium difficile between patients?

Which patient is at the highest risk for falls?

A person in the hospital pulls out a firearm and starts shooting patients and staff at random in the emergency department. Which action by the nurse is most appropriate?

Which interventions does the nurse implement for the patient diagnosed with Clostridium difficile? Select all that apply.

The 50-year-old patient receiving chemotherapy for breast cancer has developed a fungal bloodstream infection. Which intervention is the nurse’s first consideration?

The nurse is caring for a patient receiving total parenteral nutrition (TPN). After morning rounds, the nurse notices the rate of TPN infusion is slower than what is ordered for the patient and is three hours behind schedule. There are no nursing notes, and the rate was not mentioned on sign-out. Which initial action is most appropriate?

The nurse is assigned to a 4-year-old patient admitted with a vaso-occlusive crisis secondary to sickle cell anemia. The boy is in agonizing pain. He has apparently taken off his hospital wristband. Before administering the pain medication, the nurse should perform which of the following actions?

The nurse is caring for a patient admitted for nephrolithiasis. The patient is experiencing severe pain and the provider writes the following order: “5 mg MSO4.” Which action by the nurse is most appropriate?

The nurse is assigned to a 55-year-old patient admitted for diabetic ketoacidosis. The provider writes the patient’s insulin regimen on the admission orders as follows, - “insulin NPH 25 IU.” Which action by the nurse is most appropriate? 

The nurse discovers a fire in an empty patient room. Where does the nurse aim the fire extinguisher discharge to eradicate the flame?

The nurse discovers a fire coming from a computer in the staff computer room. After sounding the alarm and ensuring nearby patients are being moved to safety, which is the best action for the nurse to take?

The nurse is assigned to a patient with epilepsy. Which nursing intervention is most important for this patient? 

Following nephrectomy surgery, the patient is groggy and continuously pulls at the IV inserted in the right arm. Which intervention is most appropriate to protect the IV?

The nurse is providing discharge planning and education for a 72-year-old patient who is being discharged home after a diagnosis of atrial fibrillation. The nurse focuses education on which adverse event? 

The nurse is assigned to a 52-year-old patient who is admitted for elective cholecystectomy. While undergoing preoperative evaluation, the patient mentions to the nurse an allergy that is not documented in the health record. Which action by the nurse is most appropriate?

Which infection control practice is most appropriate?

How frequently does the nurse clean the toys of a pediatric patient with measles?

The elderly patient is at risk for falls related to urinary incontinence. Which intervention is appropriate?

The 85-year-old patient fell in the bathroom. Which score will most accurately predict the adverse effects the patient will experience from the fall?

Which intervention does the nurse utilize first to decrease the risk for fall in the patient who is confused and agitated?

The nurse caring for the patient with pulmonary tuberculosis requests which personal protective equipment?

A 30-year-old female presents in the emergency room with symptoms of a lower respiratory infection with a productive cough, but there are no N95 respirators for the staff to utilize. Which action by the nurse is appropriate?

The nurse is participating in a project to reduce infection of multidrug resistant organisms (MDRO). Which type of surveillance will assist in this endeavor?

Which error in the use of a child's car seat occurs most frequently?

The 10-year-old patient presents to the emergency room following a fever as high as 105°F for 5 days. The patient’s mother reports the child has had red, watery eyes, poor appetite, and has felt ill during this time. The child was brought to the emergency room upon the appearance of a red rash that started on the child’s face and spread to the neck and chest. Which question will be most helpful in order to determine the cause of this patient’s symptoms?

The unvaccinated child presents to the emergency department with a fever lasting 6 days, malaise, and a new, diffuse, maculopapular rash that started on the face and has spread to the chest and arms. Prior to entering the room to assess the patient, the nurse dons which personal protective equipment (PPE)? Select all that apply.

The school nurse who works in an area with poor vaccination compliance learns a child has developed measles after being in class for the past week. Twenty other children in the class have not received the measles vaccine. The nurse anticipates how many of these children will contract measles?

A patient who was admitted with measles infection spent 4 hours in the busy emergency department. Each hour the patient was in the emergency department, 10 new patients entered the room. This trend continued for six hours after the patient was admitted to a room. How many patients are at risk for contracting the measles virus?

Following an outbreak of pertussis, which action describes tertiary prevention?

The home health nurse is working with a patient who is a fall risk. During a home visit, the nurse sees the patient repeatedly using a step stool. Which intervention is the most appropriate?

The nurse knows that a fire extinguisher with a symbol of an A is suitable for which type of fires?

The patient who has recurrent seizures and is no longer legally able to drive has developed a depressed mood and stays home almost all of the time. Which action by the nurse is most appropriate?

The nurse is preparing a wellness presentation for colleagues. Which tips does the nurse include to prevent low back pain and injury? Select all that apply.