Question 1

Which of the following is a key feature of a 'culture of safety' in health care organizations, as defined by the American Nurses Association (ANA)?

Accepted Answer

Prioritizing safety over competing organizational goals through collective and sustained commitment

Question 2

A nurse is caring for an older adult patient who has a history of falls, depression, and difficulty with activities of daily living (ADLs). According to evidence-based practice, which factor is MOST strongly associated with both fall risk and injury from falls in this population?

Accepted Answer

Depression

Question 3

A 3-year-old child is brought to the emergency department after ingesting an unknown medication. What is the nurse’s PRIORITY action according to current guidelines?

Accepted Answer

Call the Poison Control Center (PCC) immediately before attempting any home remedy

Question 4

Which of the following interventions is MOST effective in reducing the number and severity of bicycle-related head injuries in school-age children?

Accepted Answer

Mandating and modeling the use of properly fitted bicycle helmets

Question 5

A nurse is teaching parents about car seat safety for infants and toddlers. According to the American Academy of Pediatrics (AAP), which statement is CORRECT?

Accepted Answer

Children should remain in a rear-facing car seat until they reach the highest height or weight allowed by the manufacturer

Question 6

Which of the following is an example of an extrinsic (environment-based) fall risk factor for older adults?

Accepted Answer

Dim lighting or glare

Question 7

A nurse is developing a safety teaching plan for adolescents. Which of the following topics should be emphasized as the LEADING cause of death in this age group?

Accepted Answer

Motor vehicle accidents

Question 8

A patient in a health care facility becomes confused and attempts to get out of bed unassisted. According to current standards, what is the nurse’s BEST initial intervention?

Accepted Answer

Implement alternative strategies such as frequent observation and use of electronic alarms

Question 9

Which of the following is TRUE regarding the use of side rails in health care facilities?

Accepted Answer

Side rails used to prevent voluntary exit from bed are considered restraints

Question 10

A nurse is preparing a community presentation on smoking cessation. Based on current evidence, which statement is MOST accurate regarding the use of e-cigarettes (with nicotine) compared to nicotine replacement therapy (NRT) for smoking cessation?

Accepted Answer

E-cigarettes (with nicotine) may increase quit rates compared to NRT, but effectiveness may diminish over time

Question 11

A nurse is assessing a patient’s risk for carbon monoxide (CO) poisoning at home. Which of the following statements is CORRECT regarding CO?

Accepted Answer

CO is colorless, odorless, and tasteless, making it especially dangerous

Question 12

A nurse is caring for a victim of intimate partner violence (IPV) who is reluctant to disclose abuse. Which of the following is the MOST appropriate nursing action?

Accepted Answer

Respect the patient’s right to self-determination and provide resources for safety planning

Question 13

A nurse is reviewing the hospital’s fire safety plan. According to the RACE acronym, what is the CORRECT sequence of actions in the event of a fire?

Accepted Answer

Rescue, Activate alarm, Confine fire, Evacuate

Question 14

A nurse is educating a group of parents about drowning risks. Which of the following statements is SUPPORTED by current data?

Accepted Answer

Most drowning deaths in young children occur due to inadequate adult supervision near bathtubs or pools

Question 15

A nurse is planning interventions to prevent falls in a health care facility. Which of the following is NOT a recommended strategy?

Accepted Answer

Using restraints as the first intervention for confused patients

Question 16

A nurse is caring for a patient who does not speak English and is experiencing fatigue due to medication side effects. Which safety risk is MOST relevant in this scenario?

Accepted Answer

Impaired ability to communicate, increasing risk for misunderstanding safety instructions

Question 17

A nurse is reviewing the types of child maltreatment. Which of the following is the MOST common form of child maltreatment in the United States?

Accepted Answer

Neglect

Question 18

A nurse is teaching a group of older adults about fire safety at home. Which of the following is the HIGHEST priority intervention to reduce fire-related injury and death?

Accepted Answer

Installing and regularly testing smoke alarms

Question 19

A nurse is preparing for a mass casualty event involving a chemical attack. Which of the following is the MOST critical initial action for victims exposed to chemical agents?

Accepted Answer

Immediate decontamination before transport to the hospital

Comprehensive Study Guide: Safety and Security in Personal and Community Health

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