ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 28 : Safety, Security, and Emergency
Preparedness Questions
Question 1 of 5
A community health nurse is providing education on child safety. Who does the nurse identify as at highest risk for choking and suffocation?
Correct Answer: C
Rationale: Infants should be placed on their backs to sleep. A young child may place small or loose parts in the mouth. Anything that will fit through the average toilet paper roll is not safe for a toddler. A 3-year-old and a 4-year-old drinking juice and eating yogurt are developmentally appropriate.
Question 2 of 5
While discussing home safety with the nurse, a patient admits that they smoke a cigarette in bed before falling asleep at night. Which health problem is the priority for this patient?
Correct Answer: D
Rationale: Because the patient is not aware or denies that smoking in bed poses a danger for fire and toxic fumes, education about the risk for burns and suffocation is needed. The other three nursing diagnoses are correctly stated but are not a priority in this situation.
Question 3 of 5
A nurse working in a pediatrician's office receives calls from parents whose children have ingested a toxic substance from under the sink. How will the nurse advise the parents?
Correct Answer: D
Rationale: The nurse tells the parents to call the PCC immediately, before attempting a home remedy. Parents may be instructed to bring the child to an emergency facility for immediate treatment. Activated charcoal is not appropriate to use at home but under medical supervision, after the risks and benefits have been assessed. Syrup of ipecac is no longer recommended because vomiting may exacerbate the hazard as it vomited up. Gastric lavage is no longer prescribed routinely for the treatment of ingestion of a toxic substance because it may propel the poison into the small intestine, where absorption will occur. The amount of toxin removed by gastric lavage is relatively small.
Question 4 of 5
A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. What should be the focus of this education?
Correct Answer: A
Rationale: Booster seats should be used for children until they are 4' 9" tall and weigh between 80 and 100 lb. All 50 U.S. states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle. Infants toddlers up to age to 2 years (or up to the maximum height and height for the seat) should be in a rear-facing safety seat. Many children older than age 6 years should still be in a booster seat.
Question 5 of 5
A nurse in a long-term care facility is on an interprofessional safety committee focusing on protecting older adults from injury and trauma. Which action does the nurse suggest they prioritize?
Correct Answer: D
Rationale: Falls among older adults are the most common cause of hospital admissions for trauma, therefore therefore rooms and hallways should be free of clutter free. Elder hazards for older adults but are not the most common cause of trauma.