Module 4: Prevention and Management of Catastrophe and Unusual Occurrences.

B. STAT

Mrs. S, the charge nurse, wants blood work results on Mr Jones immediately. Which of the following terms would indicate "immediately" to the lab?

A. ASAP

B. STAT

C. PRN

D. AD LIB

B. Remove the patient from the area of the fire

The Nurse Assistant finds a fire burning in a wastebasket in a patient's/resident's room. What should the Nurse Assistant do first?

A. Go out into the hall and call out "fire"

B. Remove the patient from the area of the fire

C. Run out of the room to find a fire extinguisher

D. Keep the patient's/resident's room dark to keep him in bed

A. Keep the patient's/resident's bed in the low position

Falls are a common cause of injury. Which of the following might help prevent the patient/resident from becoming injured from falls?

A. Keep the patient's/resident's bed in the low position

B. Place a small rug or towel on the floor by the bed to prevent slipping

C. Have the patient/resident wear only socks when ambulating

D. Keep the patient's/resident's room dark at night to keep him in bed

B. Do not allow smoking when oxygen is in use

Mr. B is receiving oxygen therapy. Which of the following is a rule that should be followed with oxygen therapy?

A. Use nylon blankets so there will be static electricity

B. Do not allow smoking when oxygen is in use

C. Use oil-based lotions to lubricate the skin

D. Use electric razors for shaving the face

C. Explain kindly to Mrs. A that the postural supports are being used to help prevent her from falling

Mrs. A is being placed in a vest device to keep her from falling from her wheelchair. What should the Nurse Assistant do?

A. Keep Mrs. A in her room out of sight of other patients/residents

B. Apply the restraint to help control the patient's/resident's behavior

C. Explain kindly to Mrs. A that the postural supports are being used to help prevent her from falling

D. Use electric razors for shaving the face

D. Unauthorized (unordered) use of restraints can result in accusation of "false imprisonment"

When applying postural supports (restraints) the Nurse Assistant should keep in mind that:

A. Careful use of restraints can decrease the need for direct patient care

B. Patients/residents frequently become more calm, docile and compliant when restraints are used

C. Registered nurses are allowed to order the use of restraints in long-term care facilities

D. Unauthorized (unordered) use of restraints can result in accusation of "false imprisonment"

D. The bed should be placed in the lowest position

The Nurse Assistant enters a patient's/resident's room and sees the bed is at its highest level. The Nurse Assistant should know that:

A. The patient/resident wants to get closer to the television set

B. The patient/resident is very independent and will not be injured

C. Nurse Assistant's do not deal with safety issues D. The bed should be placed in the lowest position

D. Remove the patient/resident

RACE is a term representing activities to be carried out in the event of a fire. The "R" stands for which of the following?

A. Run for help

B. Remain at the fire site

C. Reduce the fire risk

D. Remove the patient/resident

B. Report frayed electrical cords immediately

To help prevent fires, the Nurse Assistant should:

A. Remove the grounding prong from electrical cords

B. Report frayed electrical cords immediately

C. Empty ashtrays immediately into the wastebasket (trash)

D. Encourage patients/residents to smoke only in their beds

B. Report the situation to the nurse

The Nurse Assistant finds a frayed electrical cord on a fan in a patient's/resident's room. Which of the following actions is correct?

A. Obtain electrical tape and cover the broken wire

B. Report the situation to the nurse

C. Activate the fire alarm and remove the patient/resident

D. Check the fan by turning it on

B. Shave with soap and a safety razor

Mr. B is receiving oxygen therapy and requests assistance with shaving. What should the Nurse Assistant do?

A. Use alcohol to soften the patient's/resident's beard

B. Shave with soap and a safety razor

C. Use only grounded electrical razors

D. Refuse to shave the patient/resident because oxygen interferes with blood clotting

C. When breathing stops

Suffocation is?

A. The loss of memory and thinking and reasoning abilities

B. A sudden event in which people are killed and injured

C. When breathing stops

D. When electrical current passes through the body

B. A person with dementia

Which person has the greatest risk for accidents and injuries?

A. A 78-year old woman

B. A person with dementia

C. A person with a hearing impairment

D. A person with impaired smell and touch

B. Clean up the water

The Nurse Assistant sees water on the floor. The Nurse Assistant should immediately:

A. Call the housekeeping staff

B. Clean up the water

C. Report the water to the nurse

D. Place a paper towel over the water

A. During change of shift

Falls are most likely to occur:

A. During change of shift

B. During meal times

C. When visitors are visiting

D. When care is given

C. Mr. G - is confused and disoriented

Who has the greatest risk of getting caught in the bed rails?

A. Mr. S - uses bed rails to move and turn in bed

B. Mrs. W- feels safer with upper bed rails

C. Mr. G - is confused and disoriented

D. Mrs. R - has bedrails down

B. When transferring into or out of the wheelchair

For safety reasons, the wheelchair brakes must be locked:

A. At all times

B. When transferring into or out of the wheelchair

C. When wheelchair is parked

D. Wheelchair brakes should never be locked

D. Soaps and shampoos

Hazardous substances include the following EXCEPT:

A. Oxygen

B. Drugs used in cancer therapy

C. Cleaning solutions

D. Soaps and shampoos

B. You need to complete an incident report

You are injured while transferring a person to a wheelchair. Which is true?

A. This is workplace violence

B. You need to complete an incident report

C. This is negligence

D. This is patient/resident abuse

D. An open can of cleaning fluid

Which of the following items is NOT a fire hazard?

A. A damaged electrical cord

B. A full waste basket

C. A broken three-pronged electrical plug

D. An open can of cleaning fluid

D. Have the patient/resident wear non-skid shoes

The Nurse Assistant is ambulating a patient/resident with crutches. The Nurse Assistant should:

A. Walk directly behind the patient/resident

B. Replace the crutch every week

C. Hold the patient's/resident's shoulder

D. Have the patient/resident wear non-skid shoes

D. Apply padding over bony areas

When applying soft postural supports to a patient/resident, the Nurse Assistant MUST:

A. Apply the postural supports tightly

B. Tie the postural supports to the side rails

C. Apply lotion to the skin

D. Apply padding over bony areas

A. Remove the safety pin

To use a fire extinguisher, you must first:

A. Remove the safety pin

B. Direct the hose at the fire

C. Squeeze the top handle

D. Sound the nearest fire alarm

A. Report the situation to the charge nurse

When making a patient/patient's/resident's bed, the Nurse Assistant discovers a damaged electrical cord. Which of the following actions should a Nurse Assistant take?

A. Report the situation to the charge nurse

B. Unplug the cord

C. Wrap the exposed wires with tape

D. Make the patient/patient's/resident's bed

B. Beds at the lowest position, with side rails up, if ordered

To prevent patients/residents from falling, the Nurse Assistant should keep patients/residents

A. Beds at the highest position, with side rails up

B. Beds at the lowest position, with side rails up, if ordered

C. Walkers and canes away from the beds and out of reach when not in use

D. Wheelchair and walker wheels unlocked for easy movement

B. To go outside the building to smoke in a designated area

A patient/resident who is receiving oxygen has a visitor who wants to smoke. The Nurse Assistant should tell the visitor:

A. To smoke at least three feet away from the patient/resident

B. To go outside the building to smoke in a designated area

C. That the oxygen can be stopped when the visitor smokes

D. That the visitor can only smoke for five minutes

A. "No Smoking: Oxygen in Use" sign is placed on the door of the room

Which of the following safety precautions should the Nurse Assistant recognize as one to be used when caring for patients/residents who are receiving oxygen?

A. Smoking is allowed in the room five feet away from the source of oxygen

B. The nasal cannula or nose piece should be lubricated with petroleum jelly

C. The humidifying container should not be connected to nasal oxygen

D. A "No Smoking: Oxygen in Use" sign is placed on the door of the room

B. Immediately tell the maintenance department

The Nurse Assistant discovers that the three-pointed ground plug has a point missing. The Nurse Assistant should:

A. Plug the cord into the wall outlet

B. Immediately tell the maintenance department

C. Plug the cord in and look at it for problems

D. Continue patient/resident care

D. Remove patient/resident, activate the safety alarm, and contain and extinguish (put out) the fire

Upon entering a patient's/resident's room, the Nurse Assistant discovers a fire. Which of the following is the correct sequence of steps that the Nurse Assistant should take?

A. Contain and extinguish (put out) the fire, activate the safety alarm, and remove the patient/resident

B. Activate the safety alarm, remove the patient/resident, and contain and extinguish (put out) the fire

C. Extinguish (put out) the fire, remove the patient/resident, and activate the safety alarm

D. Remove patient/resident, activate the safety alarm, and contain and extinguish (put out) the fire

C. Electrical wires are exposed

The Nurse Assistant enters a patient's/resident's room and checks the patient/patient's/resident's environment. Which of the following problems must be taken care of immediately?

A. The window is open

B. The lights are flickering

C. Electrical wires are exposed

D. The faucet is dripping

A. Know the disaster plan for the facility

During a disaster, the Nurse Assistant must:

A. Know the disaster plan for the facility

B. Know the facility administrator's telephone number

C. First call home

D. Call each patient/patient's/resident's family

B. Close all room doors and report to the nurse in charge

After hearing the emergency code for fire, the Nurse Assistant should:

A. Provide a list of all assigned patients/residents by name and room number

B. Close all room doors and report to the nurse in charge

C. Wait for the nurse in charge to give directions

D. Wait for the fire fighters to give directions

A. 2 hours

The Nurse Assistant is caring for a patient/resident who is wearing wrist restraints. The Nurse Assistant should remove the restraints and perform passive range-of-motion exercises for the patient/resident at least every:

A. 2 hours

B. 4 hours

C. 8 hours

D. 24 hours

C. Release the restraint every two hours for repositioning

When a patient/resident is wearing a jacket restraint while in a chair, the Nurse Assistant should:

A. Tie the restraints tightly as possible

B. Close the patient's/resident's door to provide privacy during restraint

C. Release the restraint every two hours for repositioning

D. Tie the restraint to the side rail of the patient's/resident's bed

A. Tell the charge nurse

A patient/resident tells the Nurse Assistant that her wheelchair is broken The Nurse Assistant should FIRST:

A. Tell the charge nurse

B. Try to repair the wheelchair

C. Ignore the situation

D. Notify the patient's/resident's family

D. A stethoscope, a blood pressure cuff, and a thermometer

Which of the following devices would not be used for patient/resident activities of daily living?

A. Plate guards and silverware with cuffs or curved handles

B. A cup or glass holder and silverware attached to a splint

C. A walker, a cane, and crutches

D. A stethoscope, a blood pressure cuff, and a thermometer

A. To help the patient/resident ambulate safely

The Nurse Assistant should use a gait belt:

A. To help the patient/resident ambulate safely

B. As a patient/resident restraint

C. For back support when transferring patients/residents

D. To hold the patient's/resident's oxygen tank on its cart

C. An oil-based lubricant

The Nurse Assistant is cleaning the nose of a patient/resident who is receiving continuous oxygen by a nasal tube. The Nurse Assistant should NOT use:

A. A water-based lubricant

B. Warm water

C. An oil-based lubricant

D. Soap and water

B. The Nurse Assistant must care about patient/resident and staff safety

Which is the main reason that the Nurse Assistant MUST report broken equipment?

A. The Nurse Assistant could be held legally responsible for the broken equipment

B. The Nurse Assistant must care about patient/resident and staff safety

C. The information will go in an incident report

D. The information is needed by the nurse in charge