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WorksheetsChapter 19 - Safety
Total questions: 42
Worksheet time: 26mins
What is the priority cue that indicates Mrs. Patel is at increased fall risk?
Postoperative status
Age over 70
Use of pain medications
Overnight hospitalization
Which is the most appropriate initial intervention to prevent further incidents?
Order physical restraints
Provide hourly rounding and bed alarm
Place a Foley catheter
Discontinue pain medication
Mrs. Patel states, “I didn’t want to bother anyone.” Which nursing action supports patient-centered care?
Say, “You should have used the call light.”
Tell her to wait next time
Educate on safety and reinforce call light use
Increase the dose of pain meds
Which intervention is most appropriate to prevent future wandering?
Apply wrist restraints
Use bed alarms and keep patient near nurse's station
Administer sedatives
Assign him to a private room
What root cause of wandering must the nurse assess?
Medication side effects
Need to urinate
Pain
Delusions
Which is the most therapeutic approach when Mr. Greene becomes agitated during redirection?
Firmly tell him to sit down
Gently redirect using distraction and familiar items
Ignore him until he calms down
Threaten to call family
What is the highest immediate safety concern?
Contraband possession
Fire and smoke hazard
Medication noncompliance
Aggressive behavior
What is the nurse's first action?
Call hospital security
Activate RACE protocol
Inform the physician
Document the incident
After ensuring safety, what legal requirement must be met?
Notify OSHA
File an incident report
Re-evaluate her insurance
Call the Department of Health
What is the nurse’s priority action?
Call the family
Return him to bed
Assess for injury and neuro status
Complete a fall report
Which intervention is likely to reduce future fall risk?
Raise bed rails
Apply mitt restraints
Review nighttime toileting routine
Discontinue medications
A patient with Alzheimer’s disease is found wandering outside of their unit. What is the priority nursing action?
Report the patient to security
Notify family
Ensure the patient is safe and return them to the unit
Lock the doors permanently
A nurse is caring for a patient with a history of latex allergy. Which action is most appropriate?
Remove only latex gloves from the room
Apply oil-based cream before putting on gloves
Wipe down all surfaces and use only latex-free equipment
Use powder-based latex gloves for protection
A patient exposed to carbon monoxide presents with headache and confusion. Which sign confirms the suspected diagnosis?
Pale skin
Cyanosis
Cherry-red skin color
Flushed cheeks
A nurse responds to a fire alarm near a patient’s room. According to RACE protocol, what is the first step?
Confine the fire
Extinguish
Activate the alarm
Rescue the patient
A patient receiving oxygen therapy complains of nausea and headache. Which hazard should the nurse suspect?
Respiratory infection
Oxygen toxicity
Carbon monoxide exposure
Medication interaction
A nurse teaching about burn prevention should emphasize which safety feature in a healthcare facility?
Decreased lighting
Locked exits
Working sprinkler system
Gas heaters in patient rooms
A patient with a cardiac pacemaker is in a room with faulty electrical outlets. What should the nurse do?
Unplug nonessential items and continue care
Tape over the outlet
Relocate the patient and notify maintenance
Ignore unless an issue occurs
A nurse using a Class B fire extinguisher is most likely dealing with:
Wood fire
Paper fire
Flammable liquid fire
Electrical fire
Fill in the blank: A Class C fire extinguisher is used for (a) fires.
A patient with oxygen therapy is at increased fire risk. What is the correct nursing instruction to family?
Use petroleum jelly for dry lips.
Do not smoke near the oxygen equipment.
Only smoke in the hallway.
Place oxygen tanks near heat vents.
A patient with advanced dementia ingested an unknown liquid from a cleaning cart. What is the nurse’s first action?
Induce vomiting
Notify provider and poison control
Offer water or milk
Wait for symptoms
Fill in the blank: Poisoning can occur through ingestion, inhalation, or (a) .
A pediatric patient was given an adult dose of acetaminophen. What should the nurse monitor first?
Respiratory status
Renal function
Liver enzymes
Heart rate
A nurse preparing a latex-free room for a surgical patient should:
Replace only gloves
Include latex-free resuscitation and diagnostic equipment
Keep latex in sealed containers
Postpone surgery
A patient on chemotherapy has reduced platelet count and is burned from hot soup. What is the priority?
Apply ice
Assess burn site and notify provider
Cover burn with ointment
Ignore unless blistering
A 75-year-old patient with Parkinson’s disease frequently gets up unassisted. What is the safest nursing intervention?
Use physical restraints
Place a bed alarm and lower the bed height
Remove mobility aids
Turn off the lights
A nurse recognizes which patient is at greatest risk for falling?
25-year-old postoperative knee replacement
84-year-old with urinary urgency and antihypertensive use
55-year-old with IV antibiotics
Teenager with appendicitis
Fill in the blank: Falls are the most common accident with serious consequences in (a) patients.
Which environmental factor increases fall risk?
Dry floor
Overhead lighting
Cluttered room with scatter rugs
Locked wheelchair brakes
Which is a true statement regarding fall prevention for home care patients?
Remove all assistive devices
Keep emergency numbers near the phone
Limit walking
Avoid grab bars
A patient is placed in soft wrist restraints. What is the nursing priority?
Document once daily
Assess extremity circulation every 2 hours
Keep restraints until discharge
Use as punishment
Fill in the blank: Restraints should be used only when ______ methods fail.
Which law requires restraint documentation and regulation in nursing homes?
HIPAA
OSHA
OBRA
CLIA
Which statement by a nurse shows understanding of restraint policy?
I can apply restraints for convenience.
I need a provider’s order and follow facility protocol.
I document only if complications occur.
Restraints are the first response to aggression.
A restrained patient is combative and trying to remove an IV. Which alternative is best before restraint use?
Discharge the patient
Administer sedatives
Use a sitter or reorientation strategies
Allow continued removal
A patient is found smoking in bed while receiving oxygen. What is the best nurse response?
Shut off the oxygen
Remove cigarettes and educate on oxygen safety
Notify physician
Call security
A toddler on antibiotics is left unsupervised and found with an open medication vial. What is the first step?
Call poison control
Call the parents
Start CPR
Apply restraints
Fill in the blank: Microshock refers to low-voltage electrical current affecting ________.
A patient complains of burning at the IV site after plugging in a phone charger. The nurse suspects:
Normal sensitivity
Microshock exposure
Skin irritation
Which measure prevents electrical shock in clinical areas?
Use of personal extension cords
Grounded three-prong plugs on equipment
Avoiding power strips
Use of static-producing flooring
A patient newly started on opioids is confused and trying to climb out of bed. What is the most appropriate initial nursing action?
Apply soft restraints
Activate bed alarm and stay with the patient
Administer haloperidol
Raise all bed rails
