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Safe And Effective Care Environment Test
Safe And Effective Care Environment Test
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Question 1: Which action by the nurse demonstrates the principle of maintaining a safe environment for a confused patient?
A
Turning off all room lights at night
B
Keeping the bed in the lowest position
C
Leaving the room door closed
D
Applying restraints to the patient's wrists
Question 2: A nurse is preparing to administer a medication that the patient is allergic to. What should the nurse do first?
A
Consult the hospital pharmacist
B
Check the patient's identification band
C
Verify the allergy with the patient
D
Contact the prescribing healthcare provider
Question 3: What is the most effective method for a nurse to prevent the spread of infection in a healthcare setting?
A
Wearing gloves when providing patient care
B
Sterilizing all medical equipment after use
C
Frequent hand washing
D
Using disposable patient care items
Question 4: When setting up a sterile field for a dressing change, the nurse most importantly should:
A
Wear sterile gloves throughout the procedure
B
Add items to the sterile field one at a time
C
Keep the sterile field dry
D
Avoid reaching over the sterile field
Question 5: A patient is to be transferred from the bed to a wheelchair. What is the first step the nurse should take?
A
Lock the wheels of the wheelchair
B
Place the wheelchair parallel to the bed
C
Apply a transfer belt to the patient
D
Assist the patient in sitting on the edge of the bed
Question 6: The nurse is conducting a home safety assessment. Which finding indicates a need for intervention?
A
Grab bars are installed in the bathroom
B
The kitchen floor is clutter-free
C
Medications are stored in their original containers
D
Throw rugs are present in the hallways
Question 7: Which intervention is essential when a nurse is caring for a patient in isolation?
A
Opening the patient's room door to increase ventilation
B
Arranging activities to be done quickly to limit exposure
C
Wearing personal protective equipment (PPE) before entering the room
D
Allowing the patient to have frequent visitors to reduce loneliness
Question 8: A nurse notices smoke coming from a patient's room. What is the first action the nurse should take?
A
Activate the fire alarm
B
Rescue the patient from immediate danger
C
Close all doors to contain the fire
D
Attempt to extinguish the fire
Question 9: During an emergency situation, which approach is the priority for the nurse to ensure a safe and effective care environment?
A
Directing others in providing care
B
Administering medications immediately
C
Communicating clearly and effectively
D
Documenting all actions as they occur
Question 10: Which factor should a nurse consider first when planning care for a newly admitted patient?
A
The patient's dietary preferences
B
The availability of family support
C
The patient's understanding of the medical diagnosis
D
The potential safety hazards in the patient's room
Question 11: A nurse is teaching a patient about the use of a walker. Which instruction is correct?
A
Move the walker forward while keeping both feet on the ground.
B
Move the walker first, then step forward with the weakest leg.
C
Move the walker first, then step forward with either leg.
D
Move one side of the walker forward, then the other side.
Question 12: Which action by the nurse ensures patient confidentiality in a shared hospital room?
A
Discussing the patient's condition in a lowered voice
B
Sharing vital signs with the patient's roommate
C
Allowing family members of the roommate to hear medical information
D
Posting medical information on the door of the shared room
Question 13: When administering a blood transfusion, what is the most important initial step the nurse should take?
A
Instruct the patient to report any signs of reaction immediately
B
Administer the transfusion slowly during the first 15 minutes
C
Verify the blood product with another licensed nurse
D
Check the patient's vital signs every hour
Question 14: A nurse is developing an evacuation plan for patients during a fire drill. What should be the priority?
A
Ensuring all patients have identification bands
B
Transporting ambulatory patients first
C
Evacuating patients who are closest to the danger first
D
Using elevators to move patients quickly
Question 15: What should the nurse prioritize to ensure safe administration of medications?
A
Preparing medications at the beginning of the shift
B
Administering medications to multiple patients at once
C
Checking the medications against the medication administration record (MAR)
D
Documenting medication administration before giving it to the patient
Question 16: A patient on contact precautions requires assistance. Which action should the nurse take first?
A
Put on a mask before entering the room
B
Wear gloves and a gown before providing care
C
Wash hands after leaving the patient's room
D
Ask the patient to wear a mask
Question 17: Which strategy helps reduce falls in a healthcare facility?
A
Keeping the bedrails down to prevent entrapment
B
Ensuring that the patient uses the restroom independently
C
Placing personal items within the patient's reach
D
Encouraging patients to walk barefoot to prevent slipping
Question 18: A child is scheduled for surgery. What is the best method for the nurse to ensure the parents understand the procedure?
A
Give the parents written information about the procedure
B
Use medical terminology when explaining the procedure
C
Ask the parents to explain the procedure back to the nurse in their own words
D
Rely on the surgeon to explain everything to the parents
Question 19: When handling biohazard materials, what is the primary action the nurse must take?
A
Double-bagging all materials before disposal
B
Using gloves and protective equipment
C
Washing hands before handling materials
D
Labeling all materials clearly
Question 20: Which practice is essential in preventing medication administration errors?
A
Relying on memory to remember drug doses
B
Having another nurse verify the medications
C
Recording medications given at the end of the shift
D
Preparing medications for all patients at the same time
Question 21: What is the most important action for the nurse to take when a patient starts to fall while ambulating?
A
Try to hold the patient up
B
Move to a nearby chair
C
Lower the patient gently to the floor
D
Shout for help
Question 22: In the event of a chemical spill in the hospital, what is the nurse's first priority?
A
Clean up the spill with appropriate equipment
B
Isolate the area to prevent exposure
C
Notify the environmental services department
D
Review the Material Safety Data Sheet (MSDS)
Question 23: Which action is a nurse's priority when witnessing a patient having a seizure?
A
Insert an oral airway
B
Restrain the patient's movements
C
Protect the patient's head from injury
D
Administer anti-seizure medication
Question 24: When caring for a patient with a radiation implant, which principle should guide the nurse's actions?
A
Spending as much time as possible with the patient
B
Maintaining a distance from the patient whenever possible
C
Limiting the use of protective lead aprons
D
Allowing family members unrestricted visiting hours
Question 25: To prevent medication errors, what is the best action for the nurse to take?
A
Prepare medications in a quiet environment
B
Rely on the pharmacy to ensure accuracy
C
Administer medications as soon as they are ordered
D
Skip the double-check process if confident
Question 26: A nurse is documenting care in a patient's electronic health record (EHR). Which practice best maintains confidentiality?
A
Using a shared computer terminal
B
Logging off immediately after documenting
C
Allowing others to view the screen
D
Leaving the computer screen open when finished
Question 27: What should the nurse ensure before starting a blood transfusion?
A
The patient has signed an informed consent
B
The IV site is flushed with normal saline
C
The transfusion tubing is primed with dextrose solution
D
The blood unit is warmed to room temperature
Question 28: When performing a patient transfer from bed to stretcher, the nurse should prioritize:
A
Locking the wheels on the bed and stretcher
B
Asking the patient to assist as much as possible
C
Sliding the patient without lifting
D
Keeping the stretcher lower than the bed
Question 29: Which factor is crucial in preventing patient falls in a healthcare setting?
A
Placing call lights within reach
B
Using bed alarms for all patients
C
Administering sedative medications
D
Applying physical restraints
Question 30: A nurse is responsible for ensuring environmental safety in a patient's room. What action should the nurse take?
A
Remove excess furniture to allow for easy movement
B
Ensure the television is always on to provide distraction
C
Keep the patient's personal items out of sight
D
Turn off all alarms to reduce noise
Question 31: A nurse is preparing to administer a medication via a nasogastric (NG) tube. What is the first action the nurse should take?
A
Flush the NG tube with water
B
Check the placement of the NG tube
C
Crush the medication if it's a tablet
D
Clamp the NG tube for 30 minutes after administration
Question 32: Which intervention should the nurse implement to ensure the safe use of oxygen therapy?
A
Allow the patient to adjust the oxygen flow rate as needed
B
Ensure electrical equipment in the room is grounded
C
Place oxygen cylinders on their sides
D
Keep the oxygen tubing under the bed to avoid tripping
Question 33: When transferring a patient from a bed to a wheelchair, which technique should the nurse use to maintain safety?
A
Hold the patient by the arms to lift
B
Ask the patient to hold the nurse's neck
C
Use a transfer belt around the patient's waist
D
Ask a family member to assist
Question 34: What is the best method to verify a patient's identity before administering medication?
A
Check the patient's room number
B
Ask the patient to state their name and date of birth
C
Verify the patient’s chart
D
Ask a colleague to confirm the patient’s identity
Question 35: A nurse is disposing of a used sharps container. What is the correct procedure?
A
Empty the contents into a larger disposal container
B
Seal the container and place it in the biohazard waste
C
Remove the needles from syringes before disposal
D
Leave the container in the patient's room until it is full
Question 36: Which is a priority action for the nurse when a patient is receiving enteral nutrition through a gastrostomy tube?
A
Monitoring the patient’s urinary output
B
Checking the residual volume before each feeding
C
Changing the feeding bag every 72 hours
D
Keeping the patient flat to prevent aspiration
Question 37: During an emergency code situation for a cardiac arrest, what is the first action a nurse should take?
A
Start chest compressions
B
Administer emergency medications
C
Call for the code team
D
Attach the defibrillator pads
Question 38: What is the most important factor in preventing healthcare-associated infections?
A
Maintaining clean patient rooms
B
Following proper hand hygiene practices
C
Using personal protective equipment (PPE)
D
Ensuring patients receive vaccinations
Question 39: When providing patient education on home safety, the nurse should include which recommendation?
A
Store all medications in a high cupboard
B
Install nightlights in bathrooms and hallways
C
Keep all doors and windows locked at all times
D
Use only extension cords for appliances
Question 40: What is the nurse's primary responsibility when caring for a patient with restraints?
A
Restrict fluid intake to prevent accidents
B
Ensure the restraints are tied to the side rails
C
Perform regular checks and release the restraints periodically
D
Explain to the patient that the restraints are a punishment
Question 41: What is the primary concern when a patient with a history of falls needs to use the bathroom at night?
A
The availability of a nurse to assist
B
The presence of nightlights in the hallway
C
Ensuring the patient has non-slip footwear
D
The patient's ability to use the call bell
Question 42: How can a nurse safely manage a patient exhibiting violent behavior?
A
Ignore the behavior to avoid escalation
B
Keep the patient isolated from others
C
Use verbal de-escalation techniques
D
Physically restrain the patient immediately
Question 43: Which practice best ensures the security of medication supplies in a healthcare setting?
A
Storing medications in a locked cart
B
Keeping medications at the nurse's station
C
Allowing only charge nurses to access medications
D
Documenting medication use at the end of each day
Question 44: A nurse is planning to use physical restraints on a patient. What is the most important action to take before applying restraints?
A
Obtain a physician's order
B
Get consent from the patient's family
C
Document the need for restraints in the patient's chart
D
Try alternative measures to calm the patient first
Question 45: When should a nurse perform a safety assessment for a patient admitted to the hospital?
A
During the shift change report
B
At the time of discharge planning
C
As part of the initial admission process
D
Only if the patient has a history of falls
Question 46: In the event of a suspected infectious disease outbreak, what is the nurse’s priority action?
A
Isolate symptomatic patients immediately
B
Notify all departments of a potential outbreak
C
Initiate antiviral treatments for all patients
D
Disinfect public areas more frequently
Question 47: Which factor is most critical when preparing to transport a critically ill patient to another unit?
A
Ensuring the patient's family is informed
B
Obtaining a complete set of vital signs
C
Assembling necessary emergency equipment
D
Documenting the transfer in the patient’s chart
Question 48: A patient requires constant monitoring due to a high risk of seizures. What is the best action for the nurse to take?
A
Apply restraints to prevent injury during a seizure
B
Ensure padded side rails are in place on the bed
C
Place the patient near the nurses' station
D
Administer seizure medication prophylactically
Question 49: How should the nurse handle a medication error that has not yet affected the patient?
A
Adjust the patient's medication schedule
B
Notify the healthcare provider immediately
C
Document the error in the patient's chart
D
Report the error to the pharmacy
Question 50: What is the nurse’s priority action when a patient develops an allergic reaction to a medication?
A
Document the reaction in the patient's chart
B
Administer antihistamines as prescribed
C
Check the patient's allergy bracelet
D
Stop the medication immediately
Question 51: A nurse is planning care for a postoperative patient. Which intervention will help prevent respiratory complications?
A
Encouraging early ambulation
B
Restricting fluid intake
C
Applying sequential compression devices
D
Limiting deep breathing exercises
Question 52: When initiating intravenous (IV) therapy, which action is essential for maintaining a safe environment?
A
Using an alcohol swab to clean the IV port before and after use
B
Inserting larger gauge needles for all patients
C
Changing the IV tubing every 72 hours
D
Positioning the patient in a high Fowler’s position
Question 53: Which step should the nurse prioritize when preparing to administer an intramuscular injection?
A
Selecting an appropriate needle length
B
Massaging the injection site
C
Using the same site repetitively
D
Inserting the needle at a 15-degree angle
Question 54: The nurse is teaching a novice nurse about infection control. Which intervention should the nurse stress?
A
Using sterile technique for all procedures
B
Wearing gloves with every patient interaction
C
Performing hand hygiene before and after patient contact
D
Applying masks for all patient care activities
Question 55: What is the most important consideration when developing a nursing care plan for a patient with an indwelling urinary catheter?
A
Ensuring continuous urine flow
B
Preventing catheter-related infections
C
Maintaining patient comfort
D
Checking the catheter's patency
Question 56: A nurse is caring for a patient in a negative-pressure isolation room. What is the primary purpose of this type of room?
A
To prevent the spread of airborne pathogens
B
To maintain the patient's body temperature
C
To improve the patient's respiratory function
D
To provide a sterile environment for the patient
Question 57: When assessing the safety of a home environment, which factor is a priority for a nurse to address?
A
Presence of a pet in the home
B
Availability of electrical outlets
C
Proper lighting in hallways and stairwells
D
Proximity to a healthcare facility
Question 58: In the event of a disaster, what is the nurse’s priority when triaging patients?
A
Providing immediate care to all patients
B
Identifying patients who require urgent care first
C
Contacting family members of all patients
D
Transporting all patients to a safe area
Question 59: What is the safest method for disposing of unused prescription medications in a healthcare facility?
A
Flush them down the toilet
B
Dispose of them in the regular trash
C
Return them to the pharmacy
D
Throw them in a secured waste container
Question 60: A nurse is setting up a sterile field. Which action breaches the sterile technique?
A
Placing sterile items on the field using sterile gloves
B
Turning away from the sterile field briefly
C
Maintaining the field at waist height
D
Keeping sterile supplies within the 1-inch border of the field
Question 61: What is the first action a nurse should take when discovering a needle stick injury?
A
Report the incident to the supervisor
B
Wash the area thoroughly with soap and water
C
Document the incident in the patient’s chart
D
Immediately go to the emergency department
Question 62: When caring for a patient with airborne precautions, which personal protective equipment (PPE) is essential?
A
Gown and gloves
B
Surgical mask
C
N95 respirator mask
D
Face shield
Question 63: What is the nurse's priority when a patient with chemical burns is admitted to the emergency department?
A
Cooling the burn with ice
B
Applying a healing ointment
C
Flushing the burn with copious amounts of water
D
Covering the burn with a sterile dressing
Question 64: Which action best reduces the risk of injury to a nurse when lifting a heavy object?
A
Bending at the waist
B
Using the leg muscles while keeping the back straight
C
Holding the object away from the body
D
Twisting while lifting
Question 65: A nurse is preparing to administer a high-alert medication. What is the best practice to ensure patient safety?
A
Administer medication quickly to avoid delays
B
Have another nurse double-check the medication and dosage
C
Trust the pharmacy label without verification
D
Document the administration after giving the medication
Question 66: Which action should a nurse take to promote a safe hospital environment for patients with impaired cognition?
A
Keeping the patient's room well-lit
B
Using physical restraints to prevent falls
C
Administering sedatives as needed
D
Placing the patient far from the nurses' station
Question 67: When should the nurse consider using telemetry monitoring for a patient?
A
Patient reports chest pain
B
Patient is scheduled for surgery
C
Patient has a normal heart rhythm
D
Patient is being discharged home
Question 68: How should a nurse respond to a fire alarm in the hospital?
A
Close all doors to contain the fire
B
Evacuate the nearest patients
C
Run to the nearest fire exit
D
Extinguish the fire immediately
Question 69: What is the primary purpose of using a gait belt when assisting a patient?
A
To keep the patient restrained
B
To provide a secure grip for the caregiver
C
To measure the patient's waist size
D
To assist in lifting the patient off the floor
Question 70: What should be the nurse's priority when a patient is experiencing difficulty breathing?
A
Administering prescribed bronchodilators
B
Checking the patient's oxygen saturation
C
Calling for emergency assistance
D
Positioning the patient in a high Fowler’s position
Question 71: Which action is appropriate for a nurse to take when a patient refuses medication?
A
Force the patient to take the medication
B
Document the refusal and notify the healthcare provider
C
Hide the medication in the patient's food
D
Discard the medication immediately
Question 72: What is the nurse's priority when a patient reports severe chest pain?
A
Give the patient water to drink
B
Lay the patient flat in bed
C
Administer prescribed nitroglycerin
D
Notify the healthcare provider immediately
Question 73: A patient with a history of seizures is being admitted. What should the nurse place at the bedside?
A
Restraints
B
Oxygen and suction equipment
C
Soft wrist ties
D
Extra pillows
Question 74: What is the nurse's responsibility when administering a new medication?
A
Administer the medication without question
B
Check the medication order against the original prescription
C
Trust that the pharmacy has verified the medication
D
Plan to observe for side effects only after the second dose
Question 75: What should the nurse prioritize to maintain a safe environment for a patient with visual impairment?
A
Keeping the patient's bed in a high position
B
Removing clutter from the patient's room
C
Providing a loud alarm clock
D
Encouraging the patient to move around independently
Question 76: How frequently should a nurse check on a patient who is in restraints?
A
Every 4 hours
B
Every 2 hours
C
Every 1 hour
D
Every 15 minutes
Question 77: A patient with limited mobility is at risk for pressure ulcers. What is the nurse’s best intervention?
A
Turning and repositioning the patient every 2 hours
B
Using only pillows to support the patient
C
Increasing the patient's fluid intake
D
Allowing the patient to remain in a wheelchair all day
Question 78: When should a nurse wear gloves to promote a safe care environment?
A
When delivering a meal tray
B
When touching blood or body fluids
C
When talking to a patient
D
When entering a patient's room
Question 79: What is the best action for a nurse to take to prevent accidental poisoning in a pediatric unit?
A
Keep all medications locked and out of reach
B
Place medications on a high shelf
C
Inform parents to monitor their child's activities
D
Store medications in brightly colored containers
Question 80: What should be the nurse's first step when preparing to insert an indwelling urinary catheter?
A
Don sterile gloves
B
Explain the procedure to the patient
C
Position the patient properly
D
Open the catheterization kit
Question 81: A nurse is implementing fall precautions for an elderly patient. Which intervention should be included?
A
Keeping the bed at the highest position
B
Placing non-slip socks on the patient
C
Encouraging the patient to ambulate without assistance
D
Using dim lighting in the room
Question 82: Which procedure should a nurse follow to ensure the correct patient is receiving a blood transfusion?
A
Verify the patient’s name verbally
B
Match the blood bag to the order form
C
Check the patient’s identification band and blood bag with another nurse
D
Rely on the blood bank’s verification process
Question 83: What is the nurse's first action when a patient begins to exhibit signs of an anaphylactic reaction?
A
Administer epinephrine
B
Check the patient’s airway, breathing, and circulation
C
Call for a healthcare provider
D
Discontinue the suspected medication
Question 84: Which step is essential when a nurse is inserting a peripheral IV catheter?
A
Cleanse the site with soap and water
B
Shave the site before inserting the catheter
C
Use aseptic technique during the procedure
D
Insert the catheter at a 90-degree angle
Question 85: What should a nurse prioritize when caring for a patient in restraints?
A
Ensuring the restraints are tight
B
Monitoring the patient's circulation and skin condition
C
Using restraints as punishment for non-compliance
D
Leaving the patient unmonitored for short periods
Question 86: A nurse is caring for a patient with a central venous catheter. Which practice is most important to prevent infection?
A
Changing the catheter every week
B
Using sterile technique during dressing changes
C
Flushing the catheter with saline daily
D
Allowing the catheter to air dry after insertion
Question 87: What is the nurse's priority when a patient on contact precautions must leave their room for a procedure?
A
Removing the contact precaution sign
B
Ensuring the patient wears a gown and gloves
C
Notifying the receiving department about the precautions
D
Dressing the patient in a mask
Question 88: What should a nurse do first when preparing to perform a sterile dressing change?
A
Open the sterile dressing kit
B
Explain the procedure to the patient
C
Apply non-sterile gloves
D
Remove the old dressing
Question 89: How often should the nurse reposition an immobile patient to prevent pressure ulcers?
A
Every 8 hours
B
Every 6 hours
C
Every 4 hours
D
Every 2 hours
Question 90: In the event of a hazardous material spill, what should be the nurse’s first action?
A
Clean up the spill immediately
B
Call the housekeeping team
C
Evacuate the area and secure it
D
Continue with patient care as usual
Question 91: When preparing to transfer a patient with limited mobility from bed to a wheelchair, what is the nurse's first step?
A
Raise the bed to a high position
B
Place the wheelchair at a 45-degree angle to the bed
C
Assist the patient to sit on the edge of the bed
D
Apply a gait belt securely around the patient's waist
Question 92: What is the most important action a nurse should take before administering medication through a patient's central line?
A
Flush the line with heparin
B
Check for blood return
C
Administer the medication rapidly
D
Clean the port with an alcohol swab for 5 seconds
Question 93: Which action minimizes the risk of needlestick injuries for healthcare workers?
A
Recapping needles before disposal
B
Using needleless systems
C
Disposing of needles in regular trash
D
Carrying uncapped needles to the sharps container
Question 94: A nurse is providing education to a patient using a cane. Which instruction is correct?
A
Hold the cane on the stronger side
B
Hold the cane on the weaker side
C
Move the cane simultaneously with the stronger leg
D
Move both the cane and stronger leg together
Question 95: When providing care for a patient in the postoperative period, what is the best strategy to prevent pneumonia?
A
Administering antibiotics prophylactically
B
Encouraging coughing and deep breathing exercises
C
Restricting fluid intake
D
Keeping the patient on strict bed rest
Question 96: What should be the nurse's priority action if a patient’s IV site appears red and swollen?
A
Reduce the IV flow rate
B
Apply a warm compress
C
Remove the IV catheter
D
Elevate the extremity
Question 97: Which intervention is essential for a nurse to include when caring for a patient with dysphagia?
A
Providing thin liquids
B
Offering large bites of food
C
Elevating the head of the bed during meals
D
Using a straw for drinking
Question 98: In the event of a patient fall, what is the nurse’s first priority?
A
Documenting the fall in the patient's chart
B
Monitoring the patient for injuries
C
Filling out an incident report
D
Reassuring the patient
Question 99: What is the initial action the nurse should take when a patient complains of pain at the site of an indwelling catheter?
A
Administer pain medication
B
Notify the healthcare provider
C
Assess the catheter site for signs of infection
D
Increase fluid intake
Question 100: Which practice is most effective in preventing the spread of healthcare-associated infections?
A
Using gloves with every patient encounter
B
Changing bed linens daily
C
Performing hand hygiene before and after every patient contact
D
Administering prophylactic antibiotics
Question 101: What is the most effective way for a nurse to prevent fatigue-related errors during a shift?
A
Taking regular short breaks
B
Working through breaks to finish tasks
C
Consuming caffeinated beverages
D
Reducing patient interactions
Question 102: Which action should a nurse take to ensure the safety of a patient receiving enteral feedings via a nasogastric (NG) tube?
A
Administering the feeding as a bolus
B
Checking the placement of the NG tube before each feeding
C
Flushing the NG tube with normal saline before the feeding
D
Keeping the patient flat during the feeding
Question 103: A nurse is providing discharge instructions to a patient with a new colostomy. Which statement indicates a need for further teaching?
A
I should empty the colostomy bag when it's one-third full.
B
I can use regular tap water to irrigate my colostomy.
C
I will change the entire pouch system every 3-7 days.
D
I can take a bath with the colostomy pouch removed.
Question 104: When using a mechanical lift to transfer a patient, what is the first step the nurse should take?
A
Position the straps securely around the patient
B
Ensure all equipment is functioning properly
C
Lift the patient slowly to prevent injury
D
Place the patient in the lift by themselves
Question 105: Which action should the nurse avoid when caring for a patient with a history of falls?
A
Placing the bed in the lowest position
B
Ensuring adequate lighting in the patient's room
C
Keeping frequently used items within reach
D
Using a waist restraint to keep the patient in bed
Question 106: A nurse is handling hazardous medications. What is the primary safety concern?
A
Ensuring proper hand hygiene
B
Minimizing exposure to hazardous drugs
C
Using double gloves for administration
D
Documenting the medication administration accurately
Question 107: What is the most important action for the nurse to prevent catheter-associated urinary tract infections (CAUTIs)?
A
Changing the catheter every week
B
Using sterile technique during catheter insertion
C
Irrigating the catheter daily
D
Placing the drainage bag above bladder level
Question 108: When a patient is placed on seizure precautions, which equipment must a nurse ensure is readily available?
A
Cardiac monitor
B
Nebulizer
C
Suction apparatus
D
Oxygen concentrator
Question 109: Which intervention should a nurse implement to ensure effective communication during end-of-shift reports?
A
Using medical jargon to save time
B
Providing a written summary for the oncoming nurse
C
Sharing patient information in a quiet area
D
Discussing patient information in public areas
Question 110: What is the nurse's best action when a patient with dementia starts wandering in the hallways?
A
Guide the patient back to their room and ensure their safety
B
Lock the patient's door to prevent wandering
C
Ignore the behavior
D
Administer a sedative to the patient
Question 111: When caring for a patient with Clostridioides difficile (C. diff) infection, what precaution should the nurse implement?
A
Wearing an N95 respirator
B
Using hand sanitizer exclusively
C
Implementing contact precautions
D
Keeping the door to the patient's room open
Question 112: A nurse is educating a patient on the use of compression stockings. Which statement indicates a need for further teaching?
A
I should wear the stockings while I'm in bed at night.
B
I need to put the stockings on before getting out of bed in the morning.
C
It's important to remove the stockings daily to check my skin.
D
I should smooth out any wrinkles in the stockings after putting them on.
Question 113: Which action should a nurse take to minimize the risk of infection when inserting a Foley catheter?
A
Apply sterile gloves before starting the procedure
B
Use clean gloves to handle the catheter
C
Insert the catheter using non-sterile technique
D
Position the drainage bag on the bed
Question 114: Which intervention best ensures safety for a patient who is at risk for aspiration?
A
Providing thin liquids with meals
B
Encouraging the patient to eat quickly
C
Keeping the head of the bed elevated at least 30 degrees
D
Allowing the patient to lie down immediately after eating
Question 115: What is the nurse’s priority action when a patient reports pain at the site of an IV infusion?
A
Increase the IV flow rate
B
Assess the IV site for signs of phlebitis and infiltration
C
Elevate the extremity
D
Massage the area around the IV site
Question 116: A nurse is teaching a patient how to use a metered-dose inhaler (MDI). Which instruction is correct?
A
Breathe in quickly while pressing down on the inhaler
B
Hold your breath for a few seconds after inhaling the medication
C
Shake the inhaler before each use
D
Exhale immediately after inhaling the medication
Question 117: What is the nurse's responsibility when a patient starts to exhibit violent behavior?
A
Physically restrain the patient immediately
B
Maintain a safe distance and call for assistance
C
Try to reason with the patient
D
Ignore the behavior to avoid escalation
Question 118: What is the first action a nurse should take after a patient's medication error is discovered?
A
Notify the healthcare provider
B
Assess the patient for adverse effects
C
Complete an incident report
D
Inform the patient about the error
Question 119: Which action is essential when a nurse hands off care to another nurse during a shift change?
A
Providing a detailed oral report in a private area
B
Texting the report to the oncoming nurse
C
Documenting the handoff in the patient’s medical record
D
Leaving written instructions at the nurses’ station
Question 120: How can a nurse best ensure a safe home environment for an elderly patient with limited mobility?
A
Encouraging the patient to use stairs for exercise
B
Removing all throw rugs from the home
C
Keeping all medication bottles within reach
D
Recommending the patient wear socks around the house
Question 121: What is the first action a nurse should take when a patient experiences a sudden drop in oxygen saturation?
A
Administer prescribed oxygen
B
Check the position of the oxygen delivery device
C
Call the healthcare provider
D
Document the finding in the patient's chart
Question 122: Which action should a nurse take to prevent injury while transferring a patient from a bed to a wheelchair?
A
Position the wheelchair so that the patient's weaker side is closest
B
Use a transfer belt around the patient's waist
C
Ask the patient to hold onto the nurse's neck
D
Use a sheet to slide the patient into the wheelchair
Question 123: A nurse is applying a sterile dressing. What is the first step in maintaining a sterile field?
A
Open sterile supplies before donning gloves
B
Don sterile gloves before handling sterile supplies
C
Place the sterile field at a comfortable working height
D
Pour antiseptic solution onto sterile gauze
Question 124: Which action demonstrates a nurse's adherence to the principle of surgical asepsis?
A
Wearing a mask during a sterile procedure
B
Keeping hands below the waist after donning sterile gloves
C
Allowing sterile items to touch clean surfaces
D
Maintaining a 2-inch border around the sterile field
Question 125: When caring for a patient with a latex allergy, which action by the nurse is most important?
A
Ensuring latex-free products are used
B
Administering antihistamines prophylactically
C
Placing an allergy alert band on the patient
D
Wearing latex gloves to avoid contamination
Question 126: What is the nurse's primary responsibility when a fire alarm sounds on the unit?
A
Deactivate the fire alarm to maintain calm
B
Close all doors to contain the fire
C
Assist visitors out of the building first
D
Use the elevator to transport patients quickly
Question 127: A nurse is caring for a patient with contact precautions. Which PPE is required?
A
Mask and gown
B
Gloves and gown
C
Goggles and gloves
D
Mask and gloves
Question 128: What is the nurse's initial response if a medication error is suspected?
A
Monitor the patient’s condition and gather data
B
Notify the nurse manager
C
Contact the pharmacy to verify the medication
D
Complete an incident report immediately
Question 129: Which practice is crucial in reducing the risk of healthcare-associated infections?
A
Reusing equipment if it appears clean
B
Limiting hand hygiene to when gloves are not worn
C
Implementing standard precautions for all patients
D
Avoiding the use of face masks to improve communication
Question 130: A nurse needs to transport a patient with tuberculosis to another department. Which precaution is necessary?
A
Place a surgical mask on the patient
B
Use a negative-pressure room in the receiving department
C
Contact the transport team to use standard precautions
D
Apply a gown and sterile gloves to the patient
Question 131: A nurse is caring for a patient who requires seizure precautions. Which item is essential to have at the bedside?
A
Suction equipment
B
Restraints
C
Nebulizer
D
Blood pressure cuff
Question 132: When a patient is in restraints, what is the nurse's priority action?
A
Ensure the patient's family is informed
B
Document the use of restraints in the patient's chart
C
Provide opportunities for range of motion exercises
D
Monitor the patient's circulation and skin condition
Question 133: Which step should a nurse take first when a patient reports chest pain and shortness of breath?
A
Administer prescribed medication
B
Call for emergency assistance
C
Assess the patient's vital signs
D
Provide reassurance to the patient
Question 134: A nurse is teaching a patient how to prevent falls at home. Which statement indicates the patient needs more instruction?
A
I should wear non-slip socks around the house.
B
I will remove throw rugs from my home.
C
I can use a step stool to reach high shelves.
D
I will install grab bars in the bathroom.
Question 135: What is the nurse's best action to take when a fire alarm sounds during a medication round?
A
Continue administering medications as planned
B
Stop administering medications immediately and assist with evacuation
C
Return medications to the pharmacy
D
Call the healthcare provider for instructions
Question 136: Which intervention is most important to implement for a patient at high risk for skin breakdown?
A
Massage reddened areas frequently
B
Reposition the patient every two hours
C
Keep the patient in a sitting position at all times
D
Use donut-shaped cushions for support
Question 137: A nurse is preparing to administer a medication and notices the dose ordered is higher than recommended. What should the nurse do?
A
Administer the dose as ordered
B
Administer half the prescribed dose
C
Verify the order with the prescribing healthcare provider
D
Document the discrepancy and monitor the patient
Question 138: What is the primary reason for completing incident reports in healthcare settings?
A
To document patient non-compliance
B
To identify and address safety issues
C
To document staff performance
D
To inform the patient's family of errors
Question 139: A nurse is assisting with a sterile procedure. Which action contaminates the sterile field?
A
Keeping hands above the waist
B
Turning away from the sterile field
C
Touching the outer edges of the sterile drape
D
Pouring sterile solution into a sterile container
Question 140: What is the nurse's first action when she finds a patient unresponsive in bed?
A
Begin chest compressions
B
Call for help
C
Check for a pulse
D
Ventilate the patient
Question 141: What is the first action a nurse should take before administering any medication?
A
Check the patient's identification band
B
Verify the medication expiration date
C
Document the medication administration
D
Explain the medication to the patient
Question 142: Which action is most appropriate for maintaining a sterile field during a procedure?
A
Only touching sterile items with sterile gloves
B
Keeping the sterile field at chest height
C
Opening sterile packages with bare hands
D
Turning your back to the sterile field when needed
Question 143: When preparing to ambulate a patient with a gait belt, which of the following steps is essential for safety?
A
Placing the gait belt over the patient's bare skin
B
Holding the gait belt loosely around the patient's waist
C
Ensuring the gait belt is snug but allows for breathing
D
Placing the gait belt around the patient's chest
Question 144: What is the priority nursing intervention for a patient experiencing an acute asthma attack?
A
Administering a bronchodilator inhaler
B
Placing the patient in a supine position
C
Encouraging the patient to take slow deep breaths
D
Administering oral corticosteroids
Question 145: Which measure is most effective in preventing the spread of infection in a healthcare setting?
A
Sterilizing all patient equipment weekly
B
Washing hands before and after all patient contact
C
Using antibiotics for all patients
D
Isolating all new admissions for 24 hours
Question 146: A patient has a new order for wrist restraints. What must the nurse do before applying them?
A
Ensure the patient’s family has given consent
B
Check for the healthcare provider's order
C
Obtain the patient’s verbal consent
D
Review the restraint policy with the patient
Question 147: Which factor is crucial when performing hand hygiene?
A
Wearing gloves instead of washing hands
B
Using a paper towel to turn off the faucet
C
Washing hands for at least 5 seconds
D
Drying hands on a shared towel
Question 148: What should be the nurse’s immediate action if an electrical fire breaks out in a patient’s room?
A
Attempt to extinguish the fire with water
B
Pull the nearest fire alarm and evacuate the patient
C
Check the electrical outlet for the source of the fire
D
Shut off electrical power to the patient's room
Question 149: When a patient expresses concern about the accuracy of a medication dose, what should the nurse do first?
A
Verify the medication order
B
Reassure the patient it is correct
C
Administer the medication as prescribed
D
Call the pharmacy for confirmation
Question 150: Which of the following is essential to ensure safe patient transfers with a mechanical lift?
A
Using the lift without prior training
B
Ensuring the sling is correctly positioned and secure
C
Leaving the patient unattended in the lift
D
Using a broken or malfunctioning lift
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