Safety

1. A school nurse reviewing healthcare topics for adolescents should be aware that: A. Tobacco use has decreased in this age group. B. Most teenagers who commit suicide use a gun C. Teenagers are more likely to drink and drive D. Peer pressure is insignificant Answer: The correct answer is B. ten percent of teenagers attempt suicide. Tobacco use in this age group has hit a 16-year point, and half of those who experiment with cigarettes become regular smokers. Teenagers are less likely to drink and drive but more likely to have an accident if they do combine both behaviors. Much of adolescents spare time is spent away from home and with peers, and peers are most influential in their decision making. 2. Which child has the greatest risk for choking and suffocating? A. A toddler playing with his 9-year-old brothers construction set B. A 4-year-old eating yogurt for lunch C. An infant covered with a small blanket and asleep in the crib D. A 3-year-olddrinking a glass of juice Answer: The correct answer is A. A young child may place small or loose parts in his mouth. 3. Nursing consideration regarding the use of side rails for a confused patient is based on the knowledge that: A. They prevent confused patient from wandering B. A history of a previous fall from a bed with side rails is insignificant. C. Alternative measures are ineffective to prevent wandering D. A person of small stature is at increased risk for injury or entrapment Answer: The correct answer is D. Studies of restraint-related deaths have shown that people of small stature are more likely to slip through or between the side rails. 4. The leading cause of accidental death for people 79 years of age and older is: A. Fires B. Exposure to temperature extremes C. Drug overdose D. Falls Answer: The correct answer is D. Falls are the leading cause of accidental death in the population 79 years of age and older. 5. Nursing education efforts that focus on prevention of firearm injuries are important because: A. The elderly population is particularly at risk. B. Deaths among adolescents and children have increased sharply

C. The National Safety Council recommends that every household have a gun to protect family members. D. They have contributed to a decrease in injuries and deaths from guns. Answer: The correct answer is B. The number of deaths among adolescents and children has increased sharply since 1990. 6. JCAHO standards for emergency preparedness require creation of a list of available staff and equipment resources. This should be done as part of the: A. Mitigation Phase B. Preparedness Phase C. Response Phase D. Recovery Phase Answer: The correct answer is B. The list of resources needed in an emergency response situation must be created during the preparedness phase. 7. Mr. Eng is a disoriented older resident who like to wander the halls of his longterm care facility. As an alternative to using restraints, the nurse might: A. Seat him in a geriatric chair. B. Use the sheets to secure him snugly C. Keep the bed in the high position. D. Identify his door with a picture and a balloon. Answer: The correct answer is D. Identifying his door with a picture and a balloon may work as an alternative to restraints. 8. While discussing home safety with the nurse, Mrs. Salvador admits that she always smokes a cigarette in bed before falling asleep at night. An appropriate nursing diagnosis would be: A. Impaired Gas Exchange related to cigarette smoking B. Anxiety related to inability to stop smoking C. Risk for Suffocation related to unfamiliarity with fire prevention guidelines D. Knowledge Deficit related to lack of follow-through of recommendation to stop smoking Answer: The correct answer is C. Because Mrs. Salvador is not aware that smoking in bed is extremely dangerous, she is at risk from suffocation from fire. 9. Mr. Go has weakened knees due to arthritis. The home healthcare nurse is aware that he understands the need for safety modifications at home because he: A. Uses the towel bar for support to stand up from the commode B. Leans on the pedestal table in his bedroom when he dresses C. Sits only in chair with armrests D. Uses a small stepladder to reach an item on an upper shelf.

Answer: The correct answer is C. Chairs with armrests can be used to increase the patients leverage he attempts to rise.