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 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 2 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 3 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.
Question 4 of 5
An experienced nurse and new graduate nurse are caring for a confused older adult who gets out of bed and wanders. The preceptor intervenes when observing which action by the graduate nurse?
Correct Answer: A
Rationale: The desire to prevent a patient from wandering is not sufficient reason for the use of side rails. People of small stature are more likely to be injured slipping through or between the side rails. A history of falls from a bed with raised side rails carries a significant risk for a serious incident. The nurse uses creative measures while promoting safety and respect for the patient's dignity.
Question 5 of 5
The hospital's fire alarm sounds, and an announcement is made that there is a fire in a patient room. What is the priority for nurses on the unit?
Correct Answer: A
Rationale: The nurse uses the acronym RACE and rescues and/or removes the patient and those in nearby rooms as the safety priority. Sounding the alarm and extinguishing the fire are important after the patient is safe. Remaining on the unit allows you to assist patients and is more appropriate; assistance can be summoned by phone.