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

Emphasis on safety over competing goals, with a blame-free environment and teamwork to address safety issues.

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 of the following interventions would be MOST effective in reducing this patient's risk of falling?

Accepted Answer

Providing regular exercise that includes stability-challenging activities and addressing 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?

Accepted Answer

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

Question 4

Which of the following scenarios BEST illustrates an extrinsic (environment-based) risk factor for falls in older adults?

Accepted Answer

Slippery or uneven surfaces in the home.

Question 5

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

Accepted Answer

Children should use a belt-positioning booster seat until they are at least 4 ft, 9 inches tall and between 8 and 12 years old.

Question 6

Which of the following is the MOST appropriate nursing intervention to prevent procedure-related accidents in a hospital setting?

Accepted Answer

Follow correct procedures, including verifying patient identity and calling a time-out before procedures.

Question 7

A nurse is developing a safety teaching plan for a school-age child. Which of the following interventions is MOST effective in preventing traumatic brain injury (TBI) during bicycle riding?

Accepted Answer

Ensure the child wears a properly fitted helmet every time they ride a bicycle.

Question 8

Which of the following is TRUE regarding the use of physical restraints in health care facilities?

Accepted Answer

Restraints may only be used as a last resort, with a provider's order, and must be discontinued at the earliest possible time.

Question 9

A nurse is assessing a patient’s home for fire safety. Which of the following recommendations is MOST important to reduce the risk of fire-related injury and death?

Accepted Answer

Install and regularly test smoke alarms in the home.

Question 10

A nurse is educating a group of adolescents about substance use. Which of the following statements is supported by current evidence?

Accepted Answer

Alcohol is the most commonly used substance among teenagers, and binge drinking is a significant concern.

Question 11

A nurse is caring for a patient who is at risk for carbon monoxide (CO) poisoning at home. Which of the following statements about CO is CORRECT?

Accepted Answer

CO is colorless, odorless, and tasteless, and exposure can cause severe organ damage quickly.

Question 12

Which of the following is an example of a systems-based approach to improving patient safety in a health care facility?

Accepted Answer

Implementing root cause analysis (RCA) to identify and address underlying causes of adverse events.

Question 13

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

Accepted Answer

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

Question 14

A nurse is caring for a patient who is a victim of intimate partner violence (IPV). Which of the following actions is MOST appropriate?

Accepted Answer

Respect the patient's right to self-determination and assist in developing a safety plan.

Question 15

A nurse is teaching a group of parents about preventing suffocation in infants. Which of the following recommendations is MOST effective?

Accepted Answer

Avoid soft bedding and ensure the infant sleeps on a firm mattress without loose items.

Question 16

A nurse is reviewing the risk factors for elder abuse. Which of the following is MOST commonly associated with increased risk of elder abuse?

Accepted Answer

Disability, dementia, and dependence on a caregiver who is known and trusted.

Question 17

A nurse is educating a patient about the importance of sensory perception in safety. Which of the following scenarios BEST illustrates how sensory impairment can increase risk for injury?

Accepted Answer

A patient with a hearing deficit who cannot hear alarms or sirens.

Question 18

A nurse is planning a community education session on emergency preparedness. Which of the following is a critical component of disaster planning for health care facilities?

Accepted Answer

Collaborating with internal committees and external agencies to develop and regularly update emergency response plans.

Question 19

A nurse is caring for a patient who is confused and attempts to get out of bed unassisted. According to best practice, which of the following is the MOST appropriate initial intervention?

Accepted Answer

Use alternative strategies such as frequent observation, bed alarms, and environmental modifications before considering restraints.

Safety and Security Across the Lifespan: Person-Centered, System, and Population Perspectives

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