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Nursing and Safety Knowledge Quiz 2

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

A client has been on bedrest for 5 days. Which assessment finding MOST strongly indicates musculoskeletal complications of immobility?

a)

Decreased urine output

b)

Reduced joint range of motion

c)

Crackles in lung bases

d)

Orthostatic hypotension

2.

A nurse is planning care for a client with impaired mobility. Which goal is MOST appropriate?

a)

Client will remain free from falls

b)

Client will ambulate independently within 24 hours

c)

Client will demonstrate improved joint flexibility

d)

Client will verbalize understanding of exercises

3.

Which findings are expected complications of prolonged immobility?

a)

Muscle atrophy

b)

Increased bone density

c)

Venous stasis

d)

Decreased peristalsis

e)

Improved circulation

4.

A nurse notes a client has difficulty lifting the body off the bed using a trapeze. What is the PRIORITY nursing action?

a)

Document the finding

b)

Encourage rest

c)

Assess upper body strength

d)

Notify physical therapy

5.

Which nursing action best prevents contracture formation in an immobile client?

a)

Immobilizing joints

b)

Passive ROM twice weekly

c)

Proper positioning with splints

d)

Increasing calorie intake

6.

When assisting a client to transfer from bed to wheelchair, which action demonstrates correct body mechanics?

a)

Locking knees during lift

b)

Bending at the waist

c)

Keeping feet close together

d)

Aligning shoulders and hips

7.

A nurse is assisting a confused client with ambulation. Which intervention is MOST appropriate?

a)

Encourage independence

b)

Use a gait belt

c)

Walk behind the client

d)

Hold client by the arm

8.

Which client would benefit MOST from a stand-assist lift?

a)

Client with complete paralysis

b)

Client who can bear partial weight

c)

Client who is comatose

d)

Client with bilateral leg casts

9.

Which action indicates unsafe use of a walker?

a)

Advancing the walker first

b)

Stepping into the walker

c)

Lifting the walker while walking

d)

Keeping all four legs on floor

10.

Which joint movement describes turning the sole of the foot outward?

a)

Inversion

b)

Eversion

c)

Supination

d)

Pronation

11.

Which environmental modification BEST reduces fall risk in older adults?

a)

Increased lighting glare

b)

Throw rugs for traction

c)

Grab bars in bathroom

d)

High-pile carpeting

12.

Which client scenario requires the MOST aggressive safety education?

a)

Preschooler learning to swim

b)

Adolescent starting driver’s education

c)

Older adult with polypharmacy

d)

School-aged child riding a bike

13.

Which safety risks are MOST associated with toddlers?

a)

Ingestion of foreign bodies

b)

Falls

c)

Firearms injury

d)

Drowning

e)

Motor vehicle crashes

14.

Which nursing action best supports a culture of safety?

a)

Completing tasks quickly

b)

Encouraging incident reporting

c)

Limiting communication

d)

Assigning blame

15.

Which factor MOST increases fall risk during hospitalization?

a)

Familiar environment

b)

Recent surgery

c)

Stable gait

d)

Normal vision

16.

A nurse is teaching parents about crib safety. Which statement indicates correct understanding?

a)

Soft blankets keep my baby warm.

b)

Crib slats should be close together.

c)

Waterbeds are safe for infants.

d)

Pillows prevent suffocation.

17.

Which client is MOST at risk for accidental poisoning?

a)

School-aged child

b)

Infant

c)

Adolescent

d)

Older adult with vision impairment

18.

Which nursing action is MOST appropriate to reduce choking risk in children?

a)

Allowing small toys

b)

Cutting food into small pieces

c)

Encouraging independent eating

d)

Using pillows during sleep

19.

Which statement best reflects patient-centered safety?

a)

All patients get the same precautions.

b)

Safety plans are individualized.

c)

Restraints prevent falls.

d)

Staff convenience comes first.

20.

Which factors increase injury risk in older adults?

a)

Slower reaction time

b)

Polypharmacy

c)

Improved vision

d)

Decreased strength

e)

Increased reflexes

21.

A nurse identifies abnormal assessment findings. Which nursing process step comes NEXT?

a)

Planning

b)

Diagnosis

c)

Implementation

d)

Evaluation

22.

Which nursing action best demonstrates “recognizing cues”?

a)

Administering medication

b)

Noting changes in mental status

c)

Teaching discharge instructions

d)

Evaluating outcomes

23.

Which situation requires a time-lapsed assessment?

a)

Sudden chest pain

b)

Admission to unit

c)

Weekly weight monitoring

d)

Acute respiratory distress

24.

A nurse documents “patient appears anxious.” Why is this documentation inappropriate?

a)

It lacks medical terminology

b)

It is an interpretation, not a cue

c)

It is subjective data

d)

It is irrelevant

25.

Which nursing action demonstrates failure to validate data?

a)

Clarifying patient statements

b)

Rechecking abnormal vitals

c)

Accepting conflicting data

d)

Using multiple sources

26.

Which actions support accurate data collection?

a)

Establishing rapport

b)

Using open-ended questions

c)

Ignoring patient input

d)

Clustering cues

e)

Updating the database

27.

Which assessment source is MOST appropriate for pain severity?

a)

Family

b)

Medical record

c)

Nurse observation

d)

Patient report

28.

Which action best reflects evaluation in ADPIE?

a)

Measuring blood pressure

b)

Administering medication

c)

Comparing outcomes to goals

d)

Identifying nursing diagnoses

29.

Which statement best describes nursing assessment versus medical assessment?

a)

Nursing focuses on pathology

b)

Medical focuses on patient response

c)

Nursing focuses on responses

d)

Both are identical

30.

Which client requires an emergency assessment?

a)

Client with chronic back pain

b)

Client with sudden confusion

c)

Client awaiting discharge

d)

Client requesting medication

31.

Which situation requires vital signs to be obtained outside routine schedule?

a)

Shift change

b)

Before bedtime

c)

Change in condition

d)

Meal delivery

32.

A nurse obtains an oral temperature immediately after a client drinks hot coffee. Why is this inaccurate?

a)

Equipment malfunction

b)

Increased metabolic rate

c)

Environmental interference

d)

Altered surface temperature

33.

Which physiologic response occurs during hypothermia?

a)

Vasodilation

b)

Increased sweating

c)

Shivering

d)

Decreased metabolism

34.

Which heat loss mechanism occurs when a cold X-ray table touches the skin?

a)

Conduction

b)

Radiation

c)

Convection

d)

Evaporation

35.

Which client is at greatest risk for impaired thermoregulation?

a)

Young adult athlete

b)

Older adult living alone

c)

Middle-aged office worker

d)

School-aged child