QUIZ #1 (SAFE & EFFECTIVE CARE ENVIRONMENT RANDOM)

1. You are a night nurse passing meds. You have a 94 year old patient who is very confused. They are refusing all night meds and any further care. They are screaming that they want you to leave their room now. What intervention should be taken next?
 
 
 
 
2. You are working with an LPN on your shift. Which of the following would be appropriate to assign to the LPN?
 
 
 
 
3. Your patient is on neutropenic precautions. Which of the below would not be following neutropenic precautions?
 
 
 
 
4. What are the 5 rights of delegation? Select all that apply:
 
 
 
 
 
 
 
 
5.
You are getting ready to hang 1 unit of PRBC. Which is the correct precautions to use when handling blood products for blood administration?

 
 
 
 
6. You are developing a care plan for a patient who has peripheral neuropathy. They do have a history of accidental falls. They check their feet daily. They are rating their pain at 4/10. They do not take any medications for their peripheral neuropathy. Which of the following would be your priority nursing diagnosis for this patient?
 
 
 
 
7. Your patient has a hemoglobin of 6.5. They refuse a blood transfusions because of their religious beliefs. What religion do they most likely belong to, considering this info?
 
 
 
 
8. A patient is preparing for a below the knee amputation. The patient is very nervous and asks the RN "So how long will I have phantom pain after the surgery? The surgeon told me that I will probably have phantom pain".
 
 
 
 
9. You have a co-worker who has called in to work 2 times within the last 2 weeks. That same co-worker has told you that they have a drinking problem and it has gotten worse over the last month. They show up to work and are slurring their words and have the smell of alcohol on their breath. What do you do next?
 
 
 
 
10. Your co-workers has a family member on your floor. You are assigned to this patient. Your co-worker comes up to the nurses station and says " I am really worried about my sister. Where is her chart? What does Dr. Brown think is going on with her?" What is the best response?
 
 
 
 
11. A patient has anorexia nervosa. What would be one of the top priorities?
 
 
 
 
12. Who is not a mandatory reporter?
 
 
 
 
 
13. You are getting ready to acknowledge an order that was just written. The order reads: Increased Lisinopril PO from 40mg daily to 100mg daily. What should you do next?
 
 
 
 
14. Select all of the following that are considered examples of client abandonment:
 
 
 
 
 
 
 
15. An elderly woman is refusing to take a bath. She is alert and oriented and able to make sound decisions. The nurse says "you really need to wash up; you have not had a bed bath in 6 days". The patient continues to refuse. The nurse then gently takes the patient's arm and begins to wash with a bath towel and soap. Which of the following is this considered?
 
 
 
 
16. A LPN is taking care of a stable patient who suddenly develops severe abdominal pain rated at 8/10. This is new for this patient. They did not come in with these symptoms. What should the LPN do first?
 
 
 
 
17. A nurse is getting ready to do an assessment on a 79-year-old male. He is completely alert & oriented. The nurse says, “Ok Mr. Brown, I am going to do an assessment on you”. Mr. Brown says “ No, don’t touch me”. The nurse responds in a very kind tone saying “Oh come on Mr. Brown, let me help you get better”. Mr. Brown replies, ”I said no”. The nurse then proceeds to auscultate Mr. Brown’s lung and abdomen. What is this considered?

 
 
 
 
18. You are taking care of a patient with nausea, headache, psychosis, hallucinations, and agitation. You are doing a 12-hour chart check. You read the following orders. Which of the following needs to be clarified, as it is likely an error?
 
 
 
 
19. Which fire extinguisher should be used for an electrical fire?

 
 
 
 
 
20. In every state, mandatory reporters must report known or suspected elderly abuse within what time frame?
 
 
 
 
 
21. A patient has soft restraints. The nurse knows that the order must be renewed how often?

 
 
 
 
22. A patient is in soft restraints. The nurse should check for circulation how often?

 
 
 
 
23. Which  patient would need to be placed on neutropenic precautions?
 
 
 
 
24. You are administering night time medications.  You realize that you made a medication error. The order calls for a half tablet of carvedilol instead of a whole tablet. What do you do next?
 
 
 
 
25. A patient comes into the ER complaining of swollen tongue, generalized hives, and mild wheezing. Their symptoms started 15 minutes prior to arrival after eating a bowl of fruit. They tell you they don't eat fruit very often because many of their family members have allergic reactions to various fruits. The only known allergy that they have is latex. What fruit is often linked to latex allergies?
 
 
 
 
26. You are a nurse taking care of a patient with varicella (chicken pox). What kind of precautions will you need to use for this patient?

 
 
 
 
27. A nurse is getting ready to go into a room with a patient who has just been diagnosed with c-diff. The patient is on contact precautions. The nurse gowns up and puts on gloves. The nurse assesses the patient. After the nurse is done, they take off their gown, gloves, and they make sure to foam out with alcohol. Which of the following did the nurse do incorrectly?
 
 
 
 
28. Which of the following is correct about foley insertion?

 
 
 
 
29. You are instructing a new parent on foods that they should avoid in their 4 month old baby. You know that the parent needs further instruction if they say which of the following?
 
 
 
 
30. You are taking care of a 87 year old male who comes in due to a CHF exacerbation and severe weakness. They have hypokalemia (K 3.2), hyperglycemia (335 glucose), and anemia (hgb 10.4). In the ER he was given  10 units of insulin, 40 meq potassium, and furosemide 60 mg. This was all given approximately 45 minutes ago. Which of the following is the most important nursing intervention to immediately implement when patient comes to the floor?
 
 
 
 
31. You are taking care of a patient with HIV. Which of the following is considered a high-risk exposure?
 
 
 
 
32. A nurse had an accidental needle stick with a needle that was just used on a patient who has HIV. How long will the nurse likely be on antiretroviral treatment for HIV exposure?

 
 
 
 
33. A father frantically calls a nurse line and states his 2 yr old just "ingested windex by accident". What does the nurse tell him to do immediately?
 
 
 
 
34. Your patient has an ear canal infection (swimmer's ear). How long should they avoid swimming?
 
 
 
 
35. You are a RN working with a LPN. Which patient task would NOT be appropriate to delegate to a LPN?
 
 
 
 
36. You are taking care of an alert & oriented 65 year old patient. They have been admitted for anemia. They've just arrived to the floor. You are getting ready to do their admission assessment. They have a family member in the room. You ask the patient if they would like the family member to step out of the room while doing the admission assessment. Before the patient can respond, the family member says " I will be the one to answer most of the questions, I will need to stay". The patient does not respond to your question. What should be done next?
 
 
 
 
37. A patient just had a thyroidectomy. You are monitoring them post-op. Which of the following would be the most important to report immediately?
 
 
 
 
38. You are reading an order written for your 37 year old patient who has GERD. The order reads "Ranitidine 150 mg PO q.d". What should be done next?
 
 
 
 

 

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