Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is caring for a female patient who has been hospitalized for a right-sided cerebrovascular accident
(CVA). The patient is impulsive and confused. She has weakness on the left side of her body and requires
assistance when ambulating. The nurse’s highest priority when caring for this patient is
1. Range-of-motion exercises.
2. Performing a calorie count.
3. Ordering a social service consult.
4. Ensuring that the bed alarm is turned on.
2. A national standard for patient safety has been established by the organization that is responsible for
evaluating and accrediting health-care organizations and programs in the United States. This organization
is known as
1. The Joint Commission.
2. The State Board of Nursing.
3. The National League for Nursing.
4. The American Nurses Association.
3. While supervising a certified nursing assistant (CNA), a nurse intervenes when observing the CNA
1. Answering a call light promptly.
2. Instructing a patient whose primary language is not English to call for assistance.
3. Rapidly responding when alarms sound on equipment.
4. Instructing a patient how to press the call button.
4. A nurse is assigned to care for four patients. The nurse determines that the patient who is most at risk
for injury from trying to get out of bed is
1. An 84-year-old patient who has a fecal impaction.
2. An 8-year-old child who underwent a tonsillectomy.
3. A 16-year-old adolescent who had an appendectomy.
4. A 62-year-old patient who had a myocardial infection.
5. A charge nurse is receiving four patients from surgery. The charge nurse recognizes that the most
appropriate patient to place in the room closest to the nurses’ station is
1. A 9-year-old child who is tearful.
2. A 62-year-old patient who is anxious.
3. An 87-year-old patient who is confused.
4. A 16-year-old adolescent who is depressed.
6. A nurse is caring for a patient who has a history of falls. The nurse would intervene if he or she observed the
certified nursing assistant (CNA)
1. Placing the patient in a wheelchair near the nurses’ station.
2. Standing next to the patient while he or she bathes in the bathroom.
3. Placing the patient in a room that is visible from the nurses’ station.
4. Instructing the patient to put his or her call light on when finished using the commode.
7. A nursing instructor supervises a student nurse who is caring for a patient who is on fall precautions. The
nursing instructor would intervene if he or she observed the student nurse
1. Keeping the bed at the highest position at all times.
2. Using furniture to block areas that are off-limits to the patient.
, 3. Placing the patient’s bed at the lowest level when the patient is sleeping.
4. Placing the overbed table across the wheelchair when the patient is seated.
8. A charge nurse supervises an unlicensed assistive personnel (UAP) providing care to a patient at risk for falls
who repeatedly attempts to get out of bed without assistance. The charge nurse intervenes when observing
the UAP
1. Placing the patient’s mattress on the floor.
2. Having the patient fold washcloths and towels.
3. Having the patient sit in a rocking chair near the nurses’ station.
4. Offering infrequent opportunities for the patient to go to the bathroom.
9. When caring for a confused patient who has a history of falls, a nurse demonstrates caring when
1. Removing the patient’s night-light.
2. Keeping the patient’s bed in the highest position at all times.
3. Having the patient sit in a rocking chair near the nurses’ station.
4. Offering infrequent opportunities for the patient to go to the bathroom.
10. A nurse is caring for a patient on bedrest who repeatedly attempts to get out of bed without assistance. The
most therapeutic response by the nurse is:
1. “Why do you keep trying to get out of bed?”
2. “Would you like me to give you a back rub?”
3. “I need for you to behave and stop trying to get out of bed.”
4. “If you don’t stop trying to get up, I will have to restrain you.”
11. When caring for a patient with bilateral wrist restraints, a nurse can delegate which of the following to a
certified nursing assistant (CNA)?
1. Education of restraint alternatives
2. Checks and releases of the restraints
3. Assessment of bilateral radial pulses
4. Teaching of when restraints can be removed
12. A nurse educator is teaching a group of new graduate nurses about how to correctly apply restraints. The
nurse educator recognizes that further instruction is warranted when a new graduate nurse states:
1. “I should never use restraints on a patient.”
2. “I should tie restraints in a quick-release knot.”
3. “I should not use restraints for the convenience of the staff.”
4. “I should be able to insert three fingers between the patient’s body and the restraint.”
13. A nurse is working on a nursing unit when an electrical fire starts. The nurse should first
1. Sound the fire alarm.
2. Obtain a fire extinguisher.
3. Confine the fire to one area.
4. Remove patients from immediate danger.
14. A nurse is working at a clinic when an electrical fire begins. The nurse determines that there are no patients in
the immediate area. The nurse should next
1. Sound the fire alarm.
2. Obtain a fire extinguisher.
3. Confine the fire to one area.
4. Close all of the doors in the immediate area.
15. While working at a hospital, a fire begins in the break room. A nurse immediately removes patients from the
room adjacent to the break room and sounds the fire alarm. Next, the nurse should
, 1. Call the fire department.
2. Obtain a fire extinguisher.
3. Confine the fire to one area.
4. Open all of the doors in the immediate area.
16. While working at a hospital, a fire begins in the break room. A nurse immediately removes patients from the
room adjacent to the break room, sounds the fire alarm, and confines the fire by closing doors. Next, the
nurse obtains the fire extinguisher. When using a fire extinguisher, the nurse should first
1. Squeeze the handles together.
2. Pull the pin found between the handles.
3. Aim the nozzle at the base of the flames.
4. Sweep the nozzle back and forth at the base of the flames.
17. When educating a new graduate nurse about how to minimize physical hazards, a charge nurse teaches that
one of the best ways to prevent physical injuries when lifting and moving anything is to use good posture
and
1. Strong muscles.
2. Body mechanics.
3. Twisting movements.
4. A narrow base of support.
18. A nursing instructor educates a student nurse about the correct application of a vest restraint. The student
nurse demonstrates understanding when applying the vest restraint so that the crossover is
1. In the back.
2. In the front.
3. On the left side.
4. On the right side.
19. A fire breaks out in a hospital. A nurse makes sure that the fire extinguisher is designated for type C fires
before using it because the fire started
1. In a trashcan full of paper.
2. On a stove in the kitchen.
3. In a piece of electrical equipment.
4. From a combustible liquid.
20. A student nurse encounters an unresponsive patient in a waiting room. The patient is not breathing and has no
pulse or respirations. The first thing they should do is
1. Begin rescue breathing.
2. Alert the emergency team.
3. Begin cardiopulmonary resuscitation (CPR).
4. Perform the Heimlich maneuver.
21. A student nurse is out shopping when he or she hears that a mass casualty event (MCE) has occurred in the
area. It is his or her responsibility as a student and as a nurse to
1. Know and follow his or her facility’s disaster plan.
2. Immediately return to his or her place of work.
3. Go to the scene and begin treating the victims who are most likely to survive.
4. Call the Department of Health and Human Services for instructions.
22. A student nurse’s coworker has been arriving late to work for several weeks in a row, each time with red eyes
and slurred speech. The student nurse should
1. Ask if the coworker is abusing prescription medications.
2. Discuss these observations with other coworkers.
3. Speak confidentially with an instructor.
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