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Nursing Care and Safety Quiz

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

A nurse is caring for a client on prolonged bedrest. Which assessment finding most strongly indicates a complication of immobility requiring immediate intervention?

a)

Decreased appetite

b)

Shallow respirations

c)

Bilateral calf warmth and tenderness

d)

Mild constipation

2.

Which nursing action best reduces the risk of pressure injury in a client who cannot reposition independently?

a)

Massage reddened areas every shift

b)

Reposition the client every 2 hours

c)

Apply heat packs to pressure points

d)

Elevate the head of the bed continuously

3.

A nurse is assisting a postoperative client to dangle at the bedside. Which assessment requires the nurse to STOP the activity immediately?

a)

Heart rate increases from 80 to 92 bpm

b)

Client reports nausea and dizziness

c)

Respirations increase to 22/min

d)

Blood pressure increases slightly

4.

Which device is most appropriate for transferring a client who is unable to bear weight and cannot assist with movement?

a)

Gait belt

b)

Transfer board

c)

Stand-assist lift

d)

Full-body mechanical lift

5.

Which instruction is most important when teaching a client to use crutches safely?

a)

Support body weight with axilla

b)

Keep crutches close together

c)

Avoid pressure on the axilla

d)

Lean forward when advancing

6.

A nurse is moving a heavy client in bed. Which action best protects the nurse from injury?

a)

Twisting at the waist

b)

Narrow base of support

c)

Keeping the load close

d)

Bending at the waist

7.

Which complication of immobility places a client at highest risk for pulmonary embolism?

a)

Decreased peristalsis

b)

Muscle atrophy

c)

Venous stasis

d)

Skin breakdown

8.

A client’s foot is pointed downward in a fixed position. This finding is best described as:

a)

Dorsiflexion

b)

Plantar flexion

c)

Inversion

d)

Eversion

9.

Which nursing action best promotes joint mobility in a client with limited movement?

a)

Passive ROM once daily

b)

Active ROM as tolerated

c)

Immobilization of joints

d)

Massage only

10.

Which assistive device provides the greatest base of support during ambulation?

a)

Cane

b)

Crutches

c)

Walker

d)

Brace

11.

Which client is at highest risk for falls?

a)

A middle-aged adult with controlled hypertension

b)

A toddler learning to walk

c)

An older adult with impaired vision and polypharmacy

d)

An adolescent athlete

12.

Which intervention best prevents accidental suffocation in infants?

a)

Placing infant on side to sleep

b)

Using firm mattress without soft bedding

c)

Swaddling tightly with blankets

d)

Elevating head of crib

13.

Which developmental group has the highest risk for drowning-related death?

a)

Neonates

b)

Infants

c)

Toddlers

d)

Adolescents

14.

A nurse is educating parents about poison prevention. Which instruction is most important?

a)

Store medications in original containers

b)

Keep poison control number accessible

c)

Use large-print medication labels

d)

Color-code medicine bottles

15.

Which factor most increases injury risk in older adults?

a)

Increased activity level

b)

Slower reflexes

c)

Increased appetite

d)

Improved balance

16.

Which behavior demonstrates risk-taking behavior that jeopardizes safety?

a)

Wearing gloves during cleaning

b)

Using handrails

c)

Riding a motorcycle without a helmet

d)

Using seat belts

17.

A nurse is preparing to give a hand-off report. Which framework ensures effective communication?

a)

SOAP

b)

ISBAR

c)

SBAR-R

d)

ADPIE

18.

Which client factor should the nurse prioritize when planning safety interventions?

a)

Diagnosis alone

b)

Developmental level

c)

Room assignment

d)

Provider preference

19.

Which intervention best reduces fall risk in hospitalized clients?

a)

Side rails up x4

b)

Call light within reach

c)

Dim lighting at night

d)

Restrict ambulation

20.

Which occupational hazard places nurses at highest risk?

a)

Noise exposure

b)

Needlestick injuries

c)

Skin irritation

d)

Visual strain

21.

Which step of the nursing process is foundational for all others?

a)

Diagnosis

b)

Planning

c)

Assessment

d)

Evaluation

22.

Identifying patient responses to health problems is the focus of which type of assessment?

a)

Medical

b)

Nursing

c)

Diagnostic

d)

Laboratory

23.

A nurse collects vital signs after a client becomes dizzy. This action represents which assessment type?

a)

Initial

b)

Time-lapsed

c)

Focused

d)

Comprehensive

24.

Which nursing diagnosis step aligns with 'analyze cues and prioritize hypotheses'?

a)

Assessment

b)

Diagnosis

c)

Planning

d)

Implementation

25.

Which situation requires an emergency assessment?

a)

Chronic pain flare

b)

Sudden loss of consciousness

c)

Scheduled dressing change

d)

Routine medication administration