1. The nurse manager is providing an in-service regarding a "safe hospital environment.

" What will this

education mainly focus on preventing?
A. Falls
B. Exposure to contaminants
C. Injury
D. Electrical hazard
2. What is important for the nurse to determine in order to decrease the risk for injury to a patient?
A. If patient can read English
B. If patient is left-handed
C. If patient is able to eat unassisted
D. If patient can dress independently
3. What skills should health care workers frequently attend in-services about to ensure that staff has
competent skills and risk for falls can be decreased?
A. Bathing
B. Feeding
C. Transferring
D. Ambulating
4. What important safety precaution should the home health nurse teach parents in order to prevent burns
to small children?
A. Never leave them unattended
B. Turn pot handles on stoves away from reach
C. Turn hot water on first when filling the bathtub
D. Keep side rails up on the crib
5. What must the nurse do before applying a safety reminder device (SRD)?
A. Get permission from the family
B. Assess patient's skin condition
C. Get a physician's order
D. Explain the SRD to the patient
6. What should the nurse do when offering a cup of hot coffee to a frail, older adult patient?
A. Give the patient a straw
B. Dilute the coffee with cold water
C. Fill the cup half full
D. Offer a bib or an apron
7. What type of fire extinguisher should the nurse use when the oxygen concentrator machine
malfunctions and causes an electrical fire?
A. Type A
B. Type B
C. Type C
D. Type D
8. A disaster situation occurs and involves an explosion in a hospital laundry. What would this be
classified as?
A. Active
B. External
C. Life-threatening
D. Internal
9. The emergency department nurse admits a victim of poisoning. Who should the nurse call to receive
the best assistance for dealing with this victim?
A. American Red Cross
B. Fire department paramedics
C. Poison control center
D. Civil defense office
10. A nurse instructs a nursing assistant about the proper use of a gait belt and is observing a return
demonstration. What action by the nursing assistant should cause the nurse to intervene?
A. Nursing assistant is walking on the patient's strong side
B. Nursing assistant is walking to the side of the patient
C. Nursing assistant is securing the gait belt securely around the patient's waist
D. Nursing assistant is grasping the handles of the gait belt while the patient ambulates
11. What should a nurse do when encountering a mercury spill?
A. Vacuum the spill
B. Open interior doors
C. Close all outside windows
D. Open any outside windows
12. When the nurse ambulates with a patient who has left-sided weakness, what actions should the nurse
take? (Select all that apply.)
A. Walk on the patient's right side
B. Keep the patient away from heavy furniture
C. Hold the patient's arm securely
D. Keep the leg nearest the patient behind the patient's knee
E. Use a gait belt
13. The nurse assesses a patient in a Posey safety reminder device (SRD) for which problem(s) that may
increase because of the use of SRDs? (Select all that apply.)
A. Immobility
B. Lethargy
C. Risk for impaired circulation
D. Risk for skin impairment
E. Incontinence
14. A long-term care facility is committing to a restraint-free environment. What will the health care
workers implement to encourage this environment? (Select all that apply.)
A. Frequent orientation to surroundings
B. Explain all procedures and treatments
C. Discourage visitors
D. Maintain toileting routines
E. Minimize exercise and ambulation
15. ______ is a violent or dangerous act used to intimidate or coerce a person or government to further a
political or social agenda.
ANS: Terrorism
Terrorism is a violent or dangerous act used to intimidate or coerce a person or government to further a
political or social agenda.
16. When reinforcing the PASS acronym for fire extinguisher use, the nurse reminds the staff that the
final "S" stands for _______.
ANS: sweep
The acronym stands for: P = pull pin, A = aim, S = squeeze, S = sweep.
17. The nurse conducting a seminar on bioterrorism reviews several types of agents that may be used as
weapons. An agent that does not seriously damage or kill the target population but only impairs it is
classified as________.
ANS: incapacitating
The agent that only impairs the target rather than killing or seriously damaging it is classified as an
incapacitating agent.
18. The nurse explains that the measurement of radiation exposure is in multiples of Gy. The number of
Gy an individual may absorb before becoming ill with radiation syndrome is ______.
ANS: 0.75
The amount of radiation absorbed is measured by the Gy. 1 Gy is equal to 100 rad. Absorption of 0.75 Gy
will cause the individual to develop acute radiation syndrome.
19. A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure.
Which of the following statements by a nurse requires further instruction?
A. "I will place the client on his side."
B. "I will go to the nurses' station for assistance."
C. "I will administer his medications."
D. "I will prepare to insert an airway."
20. A nurse observes smoke coming from under the door of the staff's lounge. Which of the following
actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm.
C. Move clients who are nearby.
D. Close all open doors on the unit.
21. A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's
priority?
A. Complete a fall-risk assessment.
B. Educate the client and family about fall risks.
C. Eliminate safety hazards from the client's environment.
D. Make sure the client uses assistive aids in his possession.
22. A nurse discovers a small paper fire in trash can in client's bathroom. The client has been taken to
safety and alarm has been activated. Which of the following actions should the nurse take?
A. Open the windows in the clients room to allow smoke to escape
B. Obtain a class C fire extinguisher
C. Remove all electrical equipment from clients room
D. Place wet towels along the base of the door to the clients room
23. A nurse is caring for a client who fell at a nursing home. the client is oriented to person, place, and
time and can follow directions. which of the following actions should the nurse take to decrease the risk
of another fall (select all that apply)
A. Place belt restraint on the client when he is sitting on the bedside commode
B. Keep bed in lowest position with all side rails up
C. Make sure clients call light is within reach
D. Proved nonskid footwear
E. Complete fall-risk assessment
24. A home health nurse is discussing the dangers of carbon monoxide poisoning with the client. Which
of the following information should the nurse include?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body
25. A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home.
Which of the following information should the nurse include about home oxygen safety? (Select all that
apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home.
26. A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has
heatstroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
27. A nurse educator is conducting a parenting class for new parents of infants. Which of the following
statements made by a participant indicates understanding of the instructions?
A. "I will set my water heater at 130° F."
B. "Once my baby can sit up, he should be safe in the bathtub."
C. "I will place my baby on his stomach to sleep."
D. "Once my infant starts to push up, I will remove the mobile from over the crib."
28. A home health nurse is discussing the dangers of food poisoning with a client. Which of the following
information should the nurse include her counseling? (Select all that apply.)
A. Most food poisoning is caused by a virus.
B. Immunocompromised individuals are at risk for complications from food poisoning.
C. Clients who are at high risk should eat or drink only pasteurized dairy products.
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning.
29. R in the acronym RACE means:
A. Restore
B. Restrain
C. Rescue
D. Repeat
30. A nurse is working in a long-term care facility caring for older adults. What type of accident is most
often experienced by an older adult?
A. Burns
B. Falls
C. Poisoning
D. Asphyxiation
31. Which newly admitted patient would be at the greatest risk for an injury?
A. An 80-year-old patient
B. A patient who wears corrective lenses
C. A patient who has arthritis
D. A patient who has a history of falls
32. A newly admitted patient appears to be disoriented and the nurse is considering using a safety
reminder device (SRD). What is the nurse’s next intervention for this patient?
A. Obtain a health care provider’s order.
B. Discuss the matter with the family.
C. Place the safety device on the patient’s consent.
D. Alert the staff about the patient’s confusion.
33. Which mnemonic is used most often to set priorities in case of a fire?
A. CDC
B. OSHA
C. RACE
D. ABC
34. While reviewing fire safety, the nurse knows that a type C fire extinguisher can only be used on which
type of fire?
A. A fire caused by a flammable liquid
B. An electrical fire
C. Paper, wood, or cloth fire
D. Any type of fire
35. What is the first measure for the nurse to carry out in the event of a fire in the workplace?
A. Turn the oxygen off near the fire.
B. Notify the switchboard operator where the fire is located.
C. Remove the people from the room with the fire.
D. Use an appropriate fire extinguisher to put out the fire.
36. A patient has had a wrist safety reminder device on for the last 2 hours. What is the nurse’s highest
priority intervention?
A. Remove the safety reminder device and assess circulation and skin integrity.
B. Make sure the safety reminder devices are fastened securely.
C. Assess the patient’s orientation for improvements.
D. Loosen the safety reminder device, but do not remove them until ordered.
37. The LPN is reinforcing discharge teaching with parents of a small child regarding poisoning. Which
statement by the parents would indicate the need for further teaching?
A. “We’re going to install child-resistant latches on all cupboard doors.”
B. “We have some empty food containers that we can use for storing anything dangerous.”
C. “At the pharmacy, we will ask for child-proof lids on all prescriptions.”
D. “We’re going to move all the plants out of reach or outside.”
38. A patient has a care plan with a patient problem of risk for injury. Which interventions would be most
appropriate? (Select all that apply.)
A. Keep bed in low position except when care is given.
B. Instruct in the use of a call bell and keep in reach at all times.
C. Orient patient to the room and environment to provide familiarity.
D. Allow patient to have reading materials and clothing lying about the room.
E. Assist the patient to the bathroom frequently.
39. The LPN is caring for a patient who has a safety reminder device (SRD). What are the most
appropriate points that need to be included in the documentation? (Select all that apply.)
A. Reason for the physical restraint
B. Explanation given to the patient and family
C. Presence of a family member or representative
D. Duration of the use of the physical restraint
E. Type of safety reminder used

1. The cause of death in a burn client with more than 25% surface area burned in the first 24 hours
is:
a. Hypovolemic shock
b. Septic shock
c. Cardiogenic shock
d. Neurogenic shock
2. The cause of death in a burn client with more than 25% surface area burned after the first 36
hours is:
a. Hypovolemic shock
b. Septic shock
c. Cardiogenic shock
d. Neurogenic shock
3. A client burned his whole head, the anterior chest, the whole left upper extremity, The anterior
right upper extremity. Which of the following is the total surface area burned?
a. 46.5
b. 31.5
c. 50.5
d. 27
4. A client burned his whole head, the anterior trunk, the whole left upper extremity, and genital.
Which of the following is the total surface area burned?
a. 46.5
b. 31.5
c. 50.5
d. 37
5. R in the acronym RICE is:
a. Rest
b. Restrain
c. Rescue
d. Repeat
6. I in the acronym RICE is:
a. Iced
b. Install
c. Instill
d. Increase
7. The type of burn that can cause immediate death is:
a. Chemical
b. Electrical
c. Thermal
d. Radiation