Correct Answers
A nurse enters the hospital room of a patient who had a total knee replacement the day
before. Which of the following pose potential safety risks? (sata)
A. Current safety inspection sticker is on the iv fluids pump
B. A walker is positioned near the patient's bedside
C. The hospital bed is in the high position
D. There is no gait belt at the bedside
E. The overbed table with the patient's glasses is positioned against the wall opposite
the end of the bed ✅c, d, e
A nurse working on a medicine unit in the hospital hears the fire alarm go off. As the
nurse walks down the hallway, there is smoke coming from the family waiting area.
Which of the following steps should the nurse take? (sata)
A. Immediately phone in to the hospital alert system the exact location of the fire
B. Direct the nurse technician to place empty stretchers behind the fire doors
C. Go to each patient room and direct ambulatory patients to walk themselves to a safe
area
D. Work with the nurse technician to help move patients requiring wheelchairs from their
rooms
E. Close the room doors of patients who can't get out of bed, and keep them in their
rooms ✅a, c, d
Individual risks examples ✅limited finances, residual gait due to stroke, low health
literacy
Developmental risks examples ✅toddlers explore by putting things in their mouths,
school-age child chooses to play ice hockey
A nurse working on a surgery floor is assigned 4 patients. The nurse assesses each
patient, noting behaviors and physical signs and symptoms. Which of the following
patients is more likely to be violent towards the nurse?
A. Patient who maintains eye contact, is calm and asks questions frequently
B. Patient who is very drowsy, loses attention span, and mumbles
C. Patient moves nervously in bed, swears and grimaces when trying to cough, and
speaks in low volume
D. Patient speaks in a loud voice and becomes irritable with the nurse arrives to help
walk the patient ✅d
A patient has a history of having fallen during previous admission. The nurse wants to
review the admission assessment completed by the previous nurse. Which section in
the assessment are most likely to provide information about current fall risk? (sata)
A. Allergy history