HESI Extra Credit Module 6 Exam Safety and Infection Control [NEW!!] 2022 (72 Pages) 100% CORRECT
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HESI
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HESI
Which event would require a nurse to complete and file an incident report? ID: 28
A. A client has a seizure.
B. The nurse determines that a client would benefit from the use of a walker to ambulate.
C. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusio...
hesi extra credit module 6 exam safety and infection control new 2022 72 pages 100 correct
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ubmission Details
Submission Date: 7/31/2021 Number of Attempts Allowed: Unlimited
Submission Time: 7:11 PM Not Scored: 0
Points Awarded: 160.75 Percentage: 98.02%
Points Missed: 3.25
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Questions
1. Which event would require a nurse to complete and file an incident report? ID: 18630127828
A. A client has a seizure.
B. The nurse determines that a client would benefit from the use of a walker to ambulate.
C. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump
is not working.
D. 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. Correct
Rationale: An incident is any event that is not consistent with the routine operation of a health
care unit or routine care of a client. Examples of incidents include client falls, needlestick
injuries, a visitor having symptoms of illness, medication administration errors, accidental
omission of prescribed therapies, and circumstances leading to injury or a risk for injury. An
incident report does not need to be filed if a client has a seizure unless the client sustains injury
as a result of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If the nurse
notes that the battery of an intravenous infusion pump is not working, he or she should obtain a
functioning pump and send the nonfunctioning pump to the appropriate department for repair.
Test-Taking Strategy: Use knowledge of the subject, reasons for filing an incident report, to
assist you with the process of elimination. Read each option carefully. Recalling that an incident
is any event that is not consistent with the routine operation of a health care unit or routine care
of a client will direct you to the correct option. Review the reasons for filing an incident report if
you had difficulty with this question.
,2. A nurse, charting the administration of medications to an assigned client at 9 p.m., notes that ID: 18630128204
atenolol (Tenormin) was prescribed to be administered at 9 a.m. instead of 9 p.m. The nurse checks the client’s
vital signs, completes an incident report, and calls the health care provider to report the error. The health care
provider 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?
A. Notifying the nursing supervisor
B. Tearing up and discarding the incident report
C. Telling the health care provider that the error warrants the completion of an incident report Correct
Rationale: Incident reports are an important part of a health care agency’s quality improvement
program. An incident is any event that is not consistent with the routine operation of a health
care unit or routine care of a client. An example of an incident is administering a medication at a
time at which it is not prescribed to be given. Whenever an incident occurs, an incident report is
completed and filed in accordance with agency guidelines. The nursing supervisor would be
notified of the incident; however, on the basis of the data in the question, the nurse should tell
the health care provider that the error warrants completion and follow-through with an incident
report. Therefore, the other options are incorrect.
Test-Taking Strategy: Focus on the subject of the question, the health care provider’s telling the
nurse that an incident report is not needed. Eliminate the comparable or alike options that
involve notifying the nursing supervisor. To select from the remaining options, recall the purpose
of an incident report to select the correct option. Review the procedures involved in completing
and filing incident reports if you had difficulty with this question.
D. Telling the nursing supervisor that the health care provider did not want an incident report completed
and filed
Awarded 1.0 points out of 1.0 possible points.
3. Contact precautions are initiated for a client with methicillin-resistant Staphylococcus ID: 18630127846
aureus (MRSA) infection. The nurse, providing instructions to a nursing assistant about caring for the client,
tells the assistant to take which action?
A. To transfer the client to a semiprivate room
B. That gloves only are needed to care for the client
, C.
To wear gloves and a gown when changing the client’s bed linen
Correct
Rationale: Contact precautions require the use of gloves, gown, and goggles if direct client
contact is anticipated. The client should be placed in a private room or, if a private room is not
available, in a semiprivate room with another client who has active infection with the same
microorganism but no other infection. The nursing assistant would remove the protective gear
before leaving the client’s room.
Test-Taking Strategy: Use the process of elimination. Eliminate the option that includes the
closed-ended word “only.” Next eliminate the option that involves removal of the gown after
leaving the client’s room. To select from the remaining options, read each carefully and visualize
the procedure instituted for contact precautions, which will direct you to the correct option. If you
had difficulty with this question, review contact precautions.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Leadership/Management
D. To wear a gown when caring for the client and remove the gown immediately after leaving the client
s room
Awarded 1.0 points out of 1.0 possible points.
4. The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank ID: 18630127871
some window cleaner that had been stored in a cabinet. The nurse should instruct the mother to immediately
take which action?
A. Call a poison control center. Correct
Rationale: When a poisoning occurs, a poison center should be called immediately. Vomiting
should not be induced if the victim is unconscious or if the substance ingested was a strong
corrosive or petroleum product. Also, vomiting should not be induced unless a health care
provider has given specific instructions to induce vomiting. Neither calling an ambulance nor
calling the health care provider’s answering service is the immediate action, because either
would delay treatment. Additionally, the health care provider would immediately make a referral
to the poison control center. The poison control center may advise the mother to bring the child
to the emergency department; if this is the case, the mother should then call an ambulance.
Test-Taking Strategy: Note the strategic word “immediately” in the query of the question. First,
recalling that vomiting should not be induced without appropriate advice to do so will help you
, eliminate the option that involves inducing vomiting. Next eliminate the comparable or alike
options that will delay treatment (i.e., calling an ambulance and leaving a message with the
answering service). Review immediate poison control measures if you had difficulty with this
question.
B. Administer an excessive amount of fluids to induce vomiting.
C. Call an ambulance to bring the child to the emergency department.
D. Leave a message at the health care provider answering service about the incident.
Awarded 1.0 points out of 1.0 possible points.
5. A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department ID: 18630128240
of an area hospital is advised to prepare for casualties. Which action should the nurse who receives the
telephone call regarding this warning take first?
A. Activating the agency disaster plan Correct
Rationale: In an external disaster, many people may be brought to the emergency department
for treatment. Although increasing the nursing staff and supplying the triage rooms with
additional equipment may be steps in preparing for casualties, the initial action by the nurse
manager must be activation of the disaster plan. Calling the hospital maintenance department to
secure the building from the storm is not a responsibility that falls within the scope of nursing
management.
Test-Taking Strategy: Note the strategic word “first” in the query of the question. Use the
process of elimination in determining the priority action. Note that the correct option is the
umbrella option. Also remember that other necessary activities will be initiated once the agency
disaster plan has been activated. Review procedures related to management in times of
disaster if you had difficulty with this question.
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