PCC EXAM 1 QUESTIONS & ANSWERS 2024/2025
What type of authority regulates the practice of nursing? - ANSWERSState nurse practice acts
In meeting the safty of needs of the adolescent client, it would be most important for the nurse to focus her teaching on - ANSWERSDrivers education ( most c...
What type of authority regulates the practice of nursing? - ANSWERSState nurse practice acts
In meeting the safty of needs of the adolescent client, it would be most important for the nurse to focus
her teaching on - ANSWERSDrivers education ( most cause of death is because of car accident--- WEAR
SEATBELT)
How often should restraints be removed? - ANSWERSat least ever two hours
What is the protocol when removing restraints? - ANSWERSThe nurse should stay with the patient when
the restraint is removed, offer fluids and assistance with toileting, and check for adverse physiological
effects from the restraint.
What can the nurse delegate to the CNA/UAP regarding restraints? - ANSWERSThe nurse can delegate
the checks and releases to a certified nursing assistant (CNA) or UAP.
What is the CNA/UAP not allowed to do? - ANSWERSThe UAP cannot teach, educate, or assess the
patient.
Restraints should only be tied to - ANSWERSA moving part of the bed
The 6 factors that contribute to an unsafe patient environment. - ANSWERS1. Age & ability to understand
2. Impaired mobility
3. Communication
4. Pain & discomfort
5. Delayed assistance
6. Equipment
, Why are the elderly more at risk for falls when they are hospitalized? - ANSWERSThey may be confused
for a variety of reasons including unfamiliar surroundings and medications. When they get up, they may
not realize that they are attached to tubes and cords, so they may pull them or trip over them. They may
not clearly understand or remember directions from nurses such as not to get up without help.
Answering patients call lights promptly is a safety issue. Defend this statement. - ANSWERSIf a patient
does not get assistance in a timely manner, he or she may attempt to get up and walk alone when it is
not safe to do so. This leads to falls and injuries that could have been prevented.
Discuss the role of nurses in a mass casualty event. - ANSWERSA student nurse's responsibility as a
student and as a nurse will be to know and follow his or her facility's disaster plan. A student nurse
should expect to be called in to work as an extra if a disaster occurs. It is appropriate for the student
nurse to ensure the safety of family first and then assist at his or her place of work. Some facilities have a
plan for calling in extra help according to needs, rather than having a barrage of off-duty employees
arriving at once.
Researchers have found that, because they are more likely than others to move around in bed or try to
get out of bed, the individuals who are at highest risk for entrapment are older, frail adults who
experience - ANSWERSPain, Confusion, Fecal Impaction, Urinary retention
The nurse is caring for a patient who has a history of getting up without assistance, which results in falls.
The nurse selects a restraint alternative for this patient. Restraint alternatives include... - ANSWERSLeg
Monitors, bed monitors, chair monitors
When an order has been obtained to place restraints on a patient, and the restraints are in place, nursing
staff is required by the Health Care Financing Administration (HCFA) and the Joint Commission to follow
guidelines, which include - ANSWERS1. Offering the patient fluids.
2. Assisting the patient with toileting.
3. Changing the patient's position in bed.
4. Removing the restraint every 2 hours.
6. Assessing the patient's extremities for edema, capillary refill, and sensation.
When providing discharge instructions to a patient who has been prescribed home oxygen therapy, the
nurse teaches the patient to - ANSWERS3. Avoid smoking near the oxygen source.
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