Foundations Of Nursing Practice Quiz!

78 Questions | Total Attempts: 630

SettingsSettingsSettings
Please wait...
Foundations Of Nursing Practice Quiz!

.


Questions and Answers
  • 1. 
    Definition of a SENTINEL EVENT
    • A. 

      Any variant whether or not it involves risk or death

    • B. 

      Any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

    • C. 

      Any risk whether or not the person is in a hospital setting

    • D. 

      All the risks and dangers that we encounter daily

  • 2. 
    Which of the following statements about safety in the hospital or health care environment are true? Select all that apply: 
    • A. 

      The patient's overall safety in any health care environment has always been a primary concern of nursing.

    • B. 

      Today, the focus on a safe environment has not changed and is still exactly as it was before.

    • C. 

      A safe environment implied freedom from injury with focus on helping to prevent falls, electrical injuries, fires, burns, and poisoning.

    • D. 

      The nurse's role is to be alert to potential safety problems, including workplace violence and to know how to report and respond when safety is threatened

    • E. 

      Both protection and education are primary nursing responsibilities.

  • 3. 
    Organization that releases national patient safety goals for health care facilities
    • A. 

      The Joint Commission

    • B. 

      American Nurses Association

    • C. 

      Occupational and Safety Hazards Agency

    • D. 

      American Hospital Association

  • 4. 
    Precautions to Promote Safety. Select all that apply:
    • A. 

      Orient patient to environment

    • B. 

      Place bedside table and overbed table within reach

    • C. 

      Clean spilled liquids, prevent litter, and provide adequate lighting

    • D. 

      Always use side rails as a universal precaution regardless of facility policy

    • E. 

      Lock wheels on beds, wheelchairs

  • 5. 
    When is the initial fall risk assessment performed on a patient?
    • A. 

      Upon admission to the unit

    • B. 

      Upon admission to the facility

    • C. 

      After providing medication

    • D. 

      Before providing medication

  • 6. 
    When does the majority of patient falls take place?
    • A. 

      During ambulation exercises

    • B. 

      During transfer to a dining room

    • C. 

      During transfer to a bedside commode or to a wheel chair

    • D. 

      When the patient is fast asleep

  • 7. 
    Which of the following interventions cannot be delegated to an Assistive Personnel?
    • A. 

      Application of SRD's

    • B. 

      Care of patient receiving radiation therapy

    • C. 

      Assessment and documentation of SRD sites

    • D. 

      Setting up seizure precautions

  • 8. 
    For safety reasons, visitors who are younger than 18 or who may be pregnant are not allowed to visit what kind of patient?
    • A. 

      Those who are receiving radiation therapy

    • B. 

      Those who are suffering from HIV/AIDS

    • C. 

      Those who are heavily sedated

    • D. 

      Those who are blind

  • 9. 
    Which of the following are correct techniques for using gait belts?
    • A. 

      Apply gait belt securely around the patient's chest

    • B. 

      Have patient support self by leaning on or holding your arm

    • C. 

      Walk with your closest leg just behind the patient's knee

    • D. 

      Walk with your knees and hips flexed

    • E. 

      If patient is weak, walk alongside bed or heavy furniture, use hand rails if available, encourage patient to use furniture or rails for support.

  • 10. 
    Which of the following can increase the risk of falls? Select all that apply 
    • A. 

      Use of anesthesia, sedatives or narcotics

    • B. 

      Unstable gait

    • C. 

      A Patient who just woke up

    • D. 

      Problem with balance

  • 11. 
    Reason why a child is at great risk for injury.
    • A. 

      Children do not obey instructions

    • B. 

      Growth and acquisition of new motor skills

    • C. 

      Children do not understand instructions

    • D. 

      Restlessness and hyperactivity

  • 12. 
    A 3-year old is playing around your kitchen. Which of the following is an appropriate safety measure. 
    • A. 

      Follow the child wherever he goes

    • B. 

      Be sure to remove area rugs

    • C. 

      Grab the child and bring him to another part of the house

    • D. 

      Turn pot handles on a stove away from the child's reach

  • 13. 
    A mother who recently gave birth will need more child care education if she says one of the following:
    • A. 

      "I will keep side rails at all times when the baby is sleeping"

    • B. 

      "I can put my 2 year old child in a tub to play with water while I take care of the baby"

    • C. 

      "I will have to check the temperature of the water when I give the baby a bath".

    • D. 

      "I will have to pay attention to the baby every time he cries"

  • 14. 
    Which of the following are changes among older adults that directly affect their ability to protect themselves from injury? Select all that apply
    • A. 

      Change in vision

    • B. 

      Change in hearing

    • C. 

      Change in cardiovascular system

    • D. 

      Change in age

  • 15. 
    Benchmark of orthostatic hypotension
    • A. 

      Drop of 25 mm Hg in systolic, drop of 10 mm Hg in diastolic

    • B. 

      Drop of 10 mm Hg in systolic, drop of 25 mm Hg in diastolic

    • C. 

      Drop of 15 mm Hg in systolic, drop of 5 mm Hg in diastolic

    • D. 

      Drop of 5 mm Hg in systolic, drop of 15 mm Hg in diastolic

  • 16. 
    Definition of a SAFETY REMINDER DEVICE
    • A. 

      Any device used to support a patient or part of patient's body.

    • B. 

      Any device used to mobilize a patient or part of patient's body.

    • C. 

      Any device used to strengthen a patient or part of patient's body.

    • D. 

      Any device used to immobilize a patient or part of patient's body.

  • 17. 
    Reasons for the use of SRD. Select all that apply:
    • A. 

      Safeguard continuity of treatment

    • B. 

      Prevents removal of intravenous lines

    • C. 

      Prevents disoriented patients from wandering

    • D. 

      Reduces the risk of patients falling from bed

    • E. 

      Helps a patient safely ambulate

  • 18. 
    What is a Posey?
    • A. 

      A soft safety restraining device commonly used

    • B. 

      A device that alarms when a patient leaves bed

    • C. 

      A mechanism that helps a patient do range of motion

    • D. 

      A soft safety restraining device used for special occasions

  • 19. 
    Which of the following is not an adverse effect of a safety restraining device?
    • A. 

      Increased restlessness, agitation and powerlessness

    • B. 

      May be a probable cause for incontinence

    • C. 

      May cause skin and circulation problems

    • D. 

      Diminishes risk for nosocomial infection

    • E. 

      Contributes to patient immobility

  • 20. 
    Which of the following interventions may  reduce the need for safety restraining devices? Select all that apply
    • A. 

      Use relaxation techniques

    • B. 

      Eliminate bothersome treatments as soon as possible

    • C. 

      Orient patient and family to surroundings

    • D. 

      Increase the use of sedatives to promote patient relaxation

    • E. 

      Conduct ongoing assessment and evaluation of patient's care

  • 21. 
    When applying a safety restraining device, which of the following statement is not true?
    • A. 

      Nursing interventions using SRD's include patient and family teaching

    • B. 

      Documentation about the need for the SRD, the type of device used and the patient's response are all crucial

    • C. 

      Use SRD's judiciously and with kindness

    • D. 

      When the patient is confused or suffering from dementia, it is acceptable not to explain the use of SRD's

  • 22. 
    Legislation that mandates specific guidelines of SRD's in nursing homes
    • A. 

      OBRA

    • B. 

      OSHA

    • C. 

      SRD Act of 1984

    • D. 

      HIPAA

  • 23. 
    According to the provisions of a certain legislation, which of the following are acceptable reasons for the use of physical restraints? Select all that apply. 
    • A. 

      Other disciplines have been consulted for their assistance

    • B. 

      A nursing unit of a mental health ward is short staffed

    • C. 

      Supporting documentation has been completed

    • D. 

      Other interventions have been attempted before the use of restraints

  • 24. 
    Which of the following are safe practices regarding the use of SRD's? Select all that apply
    • A. 

      Release physical restraint at least every 2 hours

    • B. 

      Routine exercise of extremities

    • C. 

      Administer restraints as frequently as needed

    • D. 

      Assess for circulation and skin integrity

  • 25. 
    Which of the following statements regarding cultural considerations about safety in health care settings is not true?
    • A. 

      A patient's sense of environmental control is a sensitive cultural issue

    • B. 

      Evaluate your own attitudes and emotions toward providing nursing interventions for safety to patients from diverse sociocultural backgrounds

    • C. 

      Before assessing the cultural background of a patient, isolate yourself and your own culture so as to be more objective

    • D. 

      Use an interpreter or engage a family member if available

    • E. 

      Patients from Western Europe and the British isle sometimes seem aloof in terms of space.

Back to Top Back to top