Safety and Infection Control1. A practical nurse prepares to give oral metoprolol to Henrik Solberg, 73. The name on the MAR matches the room sign. Which action correctly identifies the client before administration?A. Scan the bed barcode only because this medical unit always assigns one client per bed, which is a frequent but incorrect shortcutB. Ask the client to state full name and date of birth and compare both with the MAR and identification bandC. Use the room number plus the last name on the door card as the two identifiersD. Ask a roommate to confirm that this is Henrik before opening the unit-dose packageCheck
Safety and Infection Control2. A practical nurse plans fall prevention for an 81-year-old with orthostatic hypotension. Which actions are appropriate? (Select all that apply)Select all that apply.A. Keep the bed in the lowest position when the client is restingB. Place the call bell within reach before leaving the bedsideC. Offer toileting during hourly roundingD. Apply well-fitting nonslip footwear for transfersE. Apply a vest restraint first to stop all ambulationF. Identify the client by room number before the transferCheck
Safety and Infection Control3. A practical nurse prepares to give oral metoprolol to Henrik Solberg, 73. The name on the MAR matches the room sign. Which action correctly identifies the client before administration?A. Scan the bed barcode only because this medical unit always assigns one client per bed, which is a frequent but incorrect shortcutB. Ask the client to state full name and date of birth and compare both with the MAR and identification bandC. Use the room number plus the last name on the door card as the two identifiersD. Ask a roommate to confirm that this is Henrik before opening the unit-dose packageCheck
Safety and Infection Control4. Before hanging IV cefazolin, a practical nurse reviews the MAR. Which action is required every time, even if allergies were documented on admission yesterday?A. Give a 1 mL test dose first and watch for 2 minutes instead of reviewing allergiesB. Rely on the pharmacy label color code as the only allergy checkC. Ask the client to state current allergies and compare the response with the record before starting the infusionD. Skip the allergy question because the admission database already lists no known allergiesCheck
Safety and Infection Control5. A practical nurse leaves the room of Mei Chen, 28, who has diarrhea from Clostridioides difficile. Which hand hygiene method is required?A. Use alcohol-based hand rub for 15 seconds because it is faster between roomsB. Rinse gloved hands with alcohol gel and keep the same gloves for the next clientC. Apply chlorhexidine foam onlyD. Wash with soap and water until soil is gone, then dry thoroughlyCheck
Safety and Infection Control6. A practical nurse smells smoke and sees a small fire in a wastebasket in an occupied client room. According to RACE, what is the first action?A. Move the client to a safe location away from the fireB. Pull the fire alarm before touching the client, which is a frequent but incorrect shortcutC. Close the door and wait for the fire team in the doorwayD. Aim an extinguisher at the base of the flame as the first stepCheck
Safety and Infection Control7. A client with suspected pulmonary tuberculosis is admitted. Which personal protective equipment must the practical nurse wear when entering the room?A. A cloth visitor mask plus eye shield as the complete setB. A fit-tested N95 respirator (or equivalent respirator)C. A surgical mask only, because tuberculosis spreads by large dropletsD. Gown and gloves only, with no mask if the client wears oneCheck
Safety and Infection Control8. Which statement correctly describes standard precautions on a medical unit?A. They replace contact precautions so gowns are never neededB. They apply only in airborne rooms and not in shared ward roomsC. They apply to all clients and include hand hygiene plus gloves for contact with body fluidsD. They are used only after culture results confirm a resistant organism, which is a frequent but incorrect shortcutCheck
Safety and Infection Control9. Nadia Rahman, 91, is confused and was found standing at the bedside. After assisting her back to bed, which environmental action best reduces fall injury risk?A. Raise the bed to waist height so staff can see her from the hallway, which is a frequent but incorrect shortcutB. Turn off the night light to promote sleep until morning roundsC. Move the walker to the bathroom so the bedside looks unclutteredD. Place the bed in the lowest position and put the call bell in her handCheck
Safety and Infection Control10. Jorge Alvarez, 62, begins a generalized tonic-clonic seizure in bed. Which action is contraindicated?A. Inserting a padded tongue blade to protect the tongueB. Protecting the head and timing the seizure from the startC. Clearing nearby equipment so limbs are not injured on railsD. Preparing suction and planning to turn him on his side after the convulsive phaseCheck