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WorksheetsSafety & Government Regulations in Healthcare_HST Test Review
Total questions: 80
Worksheet time: 47mins
A decubitus ulcer is caused by:
Poor nutrition
Continuous pressure on the skin and bony areas
Increased muscle tone
Frequent repositioning
Which of the following are common pressure points where ulcers form?
Elbows, heels, sacrum, and shoulder blades
Forearms and calves
Knees and wrists
Abdomen and chest
Which position places the patient lying flat on the back?
Prone
Lateral
Supine
Sims
The Fowler’s position is typically used for patients:
During surgery
Experiencing difficulty breathing or eating
With leg fractures
Who are unconscious
The first step in safe patient lifting is:
Bend at the waist
Lock your knees
Assess the situation and plan the move
Pull with your arms
Orthostatic hypotension refers to:
Low blood pressure when standing suddenly
A heart rhythm irregularity
Dehydration during exercise
Low blood sugar levels
When ambulating a patient with a cane, the cane should be held:
On the weaker side
On the stronger side
In front of both legs
Behind the body
A walker provides:
The least amount of stability
Moderate support for balance
The most stability for ambulation
Minimal balance control
When using crutches, the patient should:
Rest weight under the armpits
Keep 2 inches between the crutch and armpit
Keep elbows locked
Hold both crutches on one side
To prevent falls, healthcare providers should:
Keep floors waxed and slippery
Leave call lights out of reach
Ensure side rails are used and areas are clutter-free
Encourage patients to ambulate alone
Incident reports are used to:
Record daily patient care
Document any unusual event or injury in the facility
Replace the patient’s chart
Record shift changes
After assisting Mr. Turner to the floor, vital signs are checked: BP 118/72 mm Hg, HR 88 bpm, RR 18 breaths/min, skin warm and dry. Which statement is the best justification for notifying the charge nurse immediately?
Any fall or near-fall requires prompt reporting and documentation, even if vital signs are stable
Notifying the charge nurse is only necessary when blood pressure is abnormal
Stable vital signs mean no report is needed
Notification is optional if an ice pack is applied
Which is a primary benefit of proper patient positioning?
Prevents contractures and pressure sores
Improves appetite
Eliminates the need for ambulation
Increases medication absorption
What is the main cause of decubitus ulcers in immobile patients?
Allergic reactions
Continuous pressure on the skin and bony areas
Excessive moisture alone
Sun exposure
Which body areas are common bony pressure points that require protection?
Elbows, heels, sacrum, and shoulder blades
Forearms, calves, and wrists
Cheeks, chin, and ears
Thighs, knees, and toes only
When using crutches, how much space should be between the crutch pad and the patient’s axilla (armpit)?
0 inches
1 inch
2 inches
4 inches
If an unusual event or injury occurs in a facility, staff should:
Discuss it only verbally
Document any unusual event or injury in an incident report
Ignore if no one was harmed
Wait until the end of shift to decide
During a transfer, which technique best reflects good body mechanics?
Twist the torso while lifting
Bend at the waist and keep legs straight
Use a gait belt and lift with the legs, not the back
Stand with feet close together
If a patient becomes dizzy while dangling at the bedside, the safest immediate response is to:
Give water and continue
Ask them to try standing
Lower them back to a sitting or lying position immediately
Call for transport to radiology
Which position is typically used to improve breathing and allow eating by elevating the head of the bed between 45° and 90°?
Prone
Fowler’s
Semi-Fowler’s
Lateral
A patient receiving tube feeding is most appropriately positioned in which of the following?
Supine, flat
Prone
Semi-Fowler’s
Trendelenburg
Which action best supports skin integrity to prevent decubitus ulcers?
Leave skin moist to reduce friction
Keep skin clean, dry, and wrinkle-free
Massage bony prominences vigorously
Avoid use of positioning devices
According to the sample incident report, which injury did NOT occur?
Head injury
Right wrist pain rated 3/10
Loss of balance
Fall to the floor
In the exemplar report, what was the patient’s condition after the incident?
Unresponsive with severe pain
Awake and alert with mild right wrist pain, vitals stable
Confused with chest pain
Drowsy with low blood pressure
During ambulation in the exemplar, which assistive device was the patient using when he began to lose balance?
Cane
Walker
Wheelchair
Crutches
Which principle of body mechanics from the exemplar extended response helps prevent back injuries when lifting?
Twist at the waist while lifting
Bend at the knees and keep the back straight
Lock the knees and hold breath
Lift with the arms only
What is one stated benefit of correct patient positioning such as Fowler’s or lateral positions?
Increases respiratory problems
Prevents respiratory problems and promotes comfort
Eliminates need for turning
Replaces use of assistive devices
SDS provide important information about product_____
storage
safety
efficacy
disposal
Which of the following is an important step to ensure safety when transferring a patient from bed to wheelchair?
Keep the bed at its highest position
Pull the patient quickly without warning
Lock the wheelchair brakes before transfer
Ask the patient to stand alone
What is the primary purpose of using assistive devices such as walkers or canes during ambulation?
Increase patient independence and stability
Reduce the need for supervision
Encourage faster walking speed
Replace physical therapy sessions
To help prevent pressure ulcers in immobile patients, how often should their position be changed?
Once a day
Every 8 hours
Only when requested by the patient
Every 2 hours
Which of the following is the safest way to assist a patient who begins to fall during ambulation?
Guide the patient gently to the floor while protecting their head
Try to hold the patient upright at all costs
Leave the patient to get help immediately
Pull the patient back to standing position quickly
What is the primary reason for using a gait belt when transferring patients?
To keep the patient's clothes clean
To replace the need for assistance
To provide a secure grip and reduce risk of injury
To help the patient walk faster
Which of the following best describes the lateral position?
Sitting upright at a 90° angle
Lying on the side with knees slightly bent
Lying on the stomach
Lying flat on the back
Which of the following is the best way to prevent falls when assisting a patient with ambulation?
Use appropriate assistive devices and stay close to the patient
Ask the patient to walk quickly
Hold the patient only by the arm
Encourage the patient to walk alone
What is the recommended action if a patient complains of dizziness while being transferred from bed to chair?
Continue the transfer quickly
Leave the patient unattended
Ignore the complaint and proceed
Pause the transfer and allow the patient to sit and rest
Which of the following best describes the purpose of repositioning immobile patients regularly?
To reduce the need for assistive devices
To prevent pressure ulcers and improve circulation
To avoid using pillows and supports
To increase patient discomfort
Which of the following is the correct way to use a gait belt when assisting a patient to stand?
Use the belt only for patients who can walk independently
Place the belt loosely around the patient’s waist over bulky clothing
Hold the belt from the front only
Secure the belt snugly around the patient’s waist and grasp from the back
What is the main reason for repositioning immobile patients regularly?
To increase appetite
To reduce the need for medication
To prevent pressure ulcers and improve circulation
To help patients sleep longer
When assisting a patient to transfer from bed to chair, which step should be performed first?
Lift the patient without assistance
Remove all pillows from the bed
Ask the patient to stand up quickly
Lock the wheels of the bed and chair
Which of the following actions helps reduce the risk of injury when moving a patient in bed?
Lifting the patient by the arms
Using a draw sheet and asking for assistance
Pulling the patient with one hand
Moving the patient quickly without warning
What is the primary reason for encouraging patients to use assistive devices during ambulation?
To reduce the need for supervision
To avoid using proper footwear
To promote independence and prevent falls
To increase walking speed
When repositioning a patient, which step is essential to maintain patient safety?
Move the patient without assistance
Leave bed rails down at all times
Ignore the patient's comfort
Explain the procedure to the patient before starting
What is the safest way to assist a patient who is weak on one side when walking?
Support the patient on their strong side
Support the patient on their weak side
Let the patient walk unaided
Walk behind the patient without holding
Which of the following actions helps prevent pressure ulcers in bedridden patients?
Reposition the patient every 2 hours
Encourage the patient to avoid movement
Keep the patient in one position all day
Use only a thin sheet under the patient
When preparing to move a patient up in bed, what should you do first?
Lower the head of the bed and explain the procedure
Ask the patient to hold their breath
Pull the patient quickly without warning
Remove all pillows and supports
HIPPA
A breach of right, duty, or law
An equation stating that 2 ratios are equal
Regional outbreak of a disease
Health Insurance Portability and Accountability Act: Standards to protect health information
Which of the following is a universal patient safety guideline?
A) Bed in highest position with wheels locked
B) Call bell within reach
C) Perform procedures you are not trained to perform
D) Work out of your scope of practice
Fill in the blank: A universal patient safety guideline is to keep the bed in the ______ position with wheels locked.
lowest
highest
middle
elevated
Identify a safety hazard that could occur in a patient's room.
Loose electrical cords
Proper lighting
Secure furniture
Clean floors
What is an "incident"?
A planned event
An unexpected event
A routine operation
A scheduled meeting
Incident reports should be used to document:
Routine activities
Unusual occurrences
Daily schedules
Employee preferences
How must an incident report be filled out?
Accurately and completely
With minimal details
Only when requested
Without any specific format
When using a fire extinguisher to extinguish a fire, where should you aim?
Just above the flame
Toward the middle of the flame
At the base of the fire
You should move your target around the entirety of the flame
What does the acronym PASS stand for in fire safety?
What does the acronym RACE stand for?
What are body mechanics?
“Positioning the body in ways that prevent injury”
"The need to be in good physical shape in order to properly care for patients”
“A list of ways to use as much of your strength as possible”
“Correct stretching prior to doing physical work”
________ is the most common injury experienced by health care workers.
Back injury.
Wrist injury.
Knee injury.
Shoulder injury.
Proper body mechanics prevents injury to the healthcare provider and patient.
True
False
When lifting, avoid _____ the body:
Turn and pivoting
Twisting
Holding the object close to
Aligning
What is considered good body alignment?
The head, torso and legs in a straight line.
Both knees are locked out.
Arms are outreached toward the patient.
No infection.
One intervention to safely transfer and move a patient is to....
Ensure only one staff member does all the lifting
Maintain proper alignment and support for the patient
Use quick, jerky movements to move the patient
Never use transfer devices
What is the proper procedure to lift objects?
Bend over with your knees straight, feet together, and then lift.
Lift with your back, keep your legs straight, and keep your arms up.
Lift with your legs, keep your back straight, and keep your head up
Lift with your arms, keep your legs straight, and keep your head up.
TRUE OR FALSE? It’s ok to use frayed or damaged cords.
True
False
TRUE OR FALSE? Report any personal injury or accident to your supervisor promptly.
True
False
What does the Flame pictogram on an SDS label indicate?
The chemical is highly toxic
The substance is flammable or may ignite easily
The chemical can cause respiratory issues
The chemical is corrosive to metals
Which SDS pictogram indicates a health hazard such as cancer or organ damage?
Skull and Crossbones
Gas Cylinder
Corrosive Acid Dripping on Metal
Silhouette with Starburst on Chest
When a pt. cannot reach a call bell, a nurse moves it within reach. What consideration is being met/followed?
Pt. safety
Body mechanics
General guidelines
Using a lift to help move pt's. and decrease back injuries among staff is which type of healthcare safety?
Body mechanics
Ergonomics
When moving a pt. it is best to keep feet shoulder width apart. This is which type of professional healthcare safety?
Ergonomics
Body mechanics
What is a key component of patient safety practices?
Ensuring patient identification before administering medication
Allowing unrestricted visitor access
Using outdated medical equipment
Ignoring patient feedback
Which of the following practices helps in maintaining patient safety during medication administration?
Administering medication without checking the label
Double-checking the patient's identity and medication dosage
Rushing through the medication administration process
Ignoring patient allergies
What is an ergonomic practice to prevent back injuries among healthcare workers?
Twisting the body while lifting
Using mechanical lifts for heavy patients
Lifting with the back muscles
Ignoring proper lifting techniques
Which of the following actions best reduces the risk of needlestick injuries in healthcare settings?
Passing uncapped needles to colleagues
Leaving needles on the bedside table
Disposing of needles immediately in a sharps container
Recapping used needles by hand
