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During clinical, you think you see a staff nurse swallow a narcotic medicine she signed out for a patient. What will you do?
- A. Ask the staff nurse if she just swallowed that pill.
- B. Say nothing and watch the nurse to see if she acts different later.
- C. Tell a fellow student at break so you can both watch the nurse.
- D. Confidentially tell your instructor what you thought you saw.
Correct Answer: D
Rationale: Reporting suspected diversion to an instructor ensures proper investigation while maintaining confidentiality and adhering to ethical standards.
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A newly admitted patient may be at risk for falls. While the patient is in the bathroom changing into a hospital gown, the admitting nurse would be most concerned about:
- A. ordering soft device bolsters for the bed.
- B. arranging for a bed monitor to be placed on the bed.
- C. staying near the bathroom to help the patient back to bed.
- D. determining whether to ask the doctor for an order for restraints.
Correct Answer: C
Rationale: Staying near the bathroom ensures immediate assistance if the patient becomes unsteady, directly addressing the immediate fall risk during a vulnerable activity.
Which statement best describes the National Patient Safety Goals?
- A. They emphasize the importance of safe lifting and mandate hospitals to have equipment in place to phase out manual lifting.
- B. They address specific safety problems in the hospital setting and establish requirements for meeting each goal.
- C. They address needle-stick injuries and require hospitals to purchase needless access devices.
- D. They identify specific communicable diseases and outline transmission-based precautions for each.
Correct Answer: B
Rationale: The National Patient Safety Goals, established by The Joint Commission, focus on specific safety issues in healthcare settings and set requirements to address them, such as reducing patient harm from falls or improving communication.
A patient has been restrained to prevent him from pulling out his nasogastric tube. You assign a UAP to check on the patient. What directions will you give?
- A. Check on him every 30 minutes and release him every 2 hours. Don't forget to document all your checks on the flow sheet.'
- B. Look in on the patient from the doorway every 2 hours. Make sure the tube is still in place.'
- C. Just to be extra careful, check on him every hour and ask if he needs to go to the bathroom.'
- D. Release him from the restraints every 30 minutes and document that you have done so.'
Correct Answer: A
Rationale: Restraints require frequent checks (every 30 minutes) and release every 2 hours for repositioning, toileting, and skin assessment, with documentation to ensure compliance with safety protocols.
To use proper body mechanics, you need to be most concerned about:
- A. your center of gravity, your base of support, and using your leg muscles.
- B. obtaining lifting equipment, obtaining assistance, and keeping your feet apart.
- C. your center of support, base of gravity, and the position of your back.
- D. finding ways to avoid lifting and wearing a brace to protect your back.
Correct Answer: A
Rationale: Proper body mechanics involve maintaining a stable center of gravity, a wide base of support, and using leg muscles to lift, minimizing strain on the back.
While rinsing a used surgical instrument in a disinfectant called Cidex, some of the Cidex splashes on your lips and nose. Your first action is to:
- A. rinse your mouth and nose immediately with running water.
- B. consult the SDS for Cidex to know what actions to take.
- C. induce vomiting in case you accidentally swallowed any of the chemical.
- D. wash the area immediately with surgical soap and water.
Correct Answer: A
Rationale: Immediate rinsing with water removes the chemical from mucous membranes, reducing potential harm before consulting the Safety Data Sheet (SDS).