Safety and Infection Conttrol Report

Student Exam Results
Student Information
Last Name: lazaro Reference:
First Name: briselda
Exam: RN Lesson 2 Posttest Total Attempts: 2 Total Submitted Attempts : 2 Mark: 100 %
Reference:
Exam Name: RN Lesson 2 Posttest
Objective: RN Lesson 2 Posttest - Safe and Effective Care Environment: Safety and Infection
Student Control
Mark for this Objective: 47% Correct Responses: 9 / 19
Correct (Ref: )Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella
infection?
Learner Response: A) Wash hands thoroughly before and after client contact
Correct Response: A) Wash hands thoroughly before and after client contact
Feedback: Gram-negative bacilli cause Salmonella infection, and lack of sanitation is the primary means of
contamination. Two million new cases appear each year. Thorough handwashing can prevent the spread
of salmonella. Note that all of the options are appropriate activities, but handwashing is primary.
Kozier, B., Erb, G., Berman, A., & Snyder, S. (2004). Fundamentals of nursing. Upper Saddle River, N.J.:
Pearson Prentice Hall.
Potter P., & Perry, A. (2005). Fundamentals of nursing. (6th ed.). St. Louis: Elsevier.
Correct (Ref: )A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority
information for the nurse to include in client teaching is which of these statements?
Learner Response: A) "In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice
after urination or defecation."
Correct Response: A) "In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice
Feedback: The client's urine and saliva are radioactive for 24 hours after ingestion, and vomitus is radioactive for 6 to
8 hours. The client should drink 3 to 4 liters of fluid a day for the initial 48 hours to help remove the (131I)
from the body. Staff should limit contact with hospitalized clients to 30 minutes per day per person.
Black, J., Hawk, J., & Keene, A. (2001). Medical-surgical nursing. (6th ed). Philadelphia: Elsevier.
Phipps, W., Monahan, F., Sands, J., Marke, J., & Neighbors, N. (2003). Medical-surgical nursing: health and
illness perspectives. (7th ed.). St. Louis: Elsevier.
Correct (Ref: )The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a
priority for the nurse to implement?
Learner Response: D) Place client in a negative pressure private room and have all who enter the room use masks with shields
Correct Response: D) Place client in a negative pressure private room and have all who enter the room use masks with shields
Feedback: A client with active tuberculosis should be hospitalized in a negative pressure room to prevent respiratory
droplets from leaving the room when the door is opened. Tuberculosis (TB) is caused by spore-forming
mycobacteria, more often Mycobacterium tuberculosis. In developed countries the infection is airborne and
is spread by inhalation of infected droplets. In underdeveloped countries, transmission also occurs by
ingestion or by skin invasion, particularly when bovine TB is poorly controlled.
Incorrect (Ref: )A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: "I found my child with odd
stuff coming from the mouth and an unmarked bottle nearby." Which of these comments would be the best tool for the nurse
to determine if the child has swallowed a corrosive substance?
Learner Response: D) "Has the child had vomiting, diarrhea or stomach cramps?"
Correct Response: A) "Ask the child if the mouth is burning or throat pain is present."
Feedback: Local irritation of tissues indicates a corrosive poisoning. The other comments may be helpful in determining
the child's overall condition, however the question concerns evaluation for ingesting a caustic substance.
Ball, J., & Bindler, R. (2003). Pediatric nursing. Upper Saddle River, N.J.: Pearson Education.
Hockenberry, M.J., Wilson, D., Winklestein, M.L., & Kline, N.E. (2003). Wong's nursing care of infants and
children.(7th ed). St. Louis: Elsevier.
Incorrect (Ref: )The parents of a toddler who is being treated for pesticide poisoning ask: "Why is activated charcoal used? What
does it do?" What is the nurse's best response?
Learner Response: D) "The action may bind or inactivate the toxins or irritants that are ingested by children and adults."
Correct Response: B) "The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
10 July 2007 6:21:01PM Page 1 of 9

Feedback: All of the options are correct responses. However, option B is most accurate information to answer the
parents' questions about the use and action of activated charcoal. The language is appropriate for a
parent's understanding.
Incorrect (Ref: )Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for
falls?
Learner Response: A) Sensory perceptual alterations related to decreased vision
Correct Response: D) Altered patterns of urinary elimination related to nocturia
Feedback: Nocturia is especially problematic because many elders fall when they rush to reach the bathroom at night.
They may be confused or not fully alert. Inadequate lighting can increase their chances of stumbling, and
then they may fall over furniture or carpets.
Correct (Ref: )Which approach is the best way to prevent infections when providing care to clients in the home setting?
Learner Response: A) Handwashing before and after examination of clients
Correct Response: A) Handwashing before and after examination of clients
Feedback: Handwashing remains the most effective way to avoid spreading infection. However, too often nurses do
not practice good handwashing techniques and do not teach families to do so. Nurses need to wash their
hands before and after touching the client and before entering the nursing bag. All of the options are
correct, and the sequence of priorities would be options A, C, B, and D.
Lewis, S.M., Heitkemper, M.M., & Dirksen, S. R. (2004). Medical-surgical nursing: assessment &
management of clinical problems. St. Louis: Elsevier.
Correct (Ref: )A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members
that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Learner Response: D) Have gloves on while handling bedpans with feces
Correct Response: D) Have gloves on while handling bedpans with feces
Feedback: The specific measure to prevent the spread of hepatitis A is careful handling and protection while working
with fecal material. All of the other actions are correct but not the most significant specific approach used
with hepatitis A.
Correct (Ref: )Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne
precautions?
Learner Response: B) A positive purified protein derivative (PPD) test with an abnormal chest x-ray
Correct Response: B) A positive purified protein derivative (PPD) test with an abnormal chest x-ray
Feedback: The client who must be placed in airborne precautions is the client with these findings that suggest a
suspicious tuberculin lesion. A sputum smear for acid fast bacillus would be done next. CMV usually
causes no signs or symptoms in children and adults with healthy immune systems. Good handwashing is
recommended for CMV. When signs and symptoms do occur, they are often similar to those of
mononucleosis, including sore throat, fever, muscle aches and fatigue.
Incorrect (Ref: )A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission
orders should the nurse implement first?
Learner Response: A) Institute seizure precautions
Correct Response: C) Place in respiratory/secretion precautions
10 July 2007 6:21:01PM Page 2 of 9

Feedback: Meningococcal meningitis is a bacterial infection that can be communicated to others. The initial therapeutic
management of acute bacterial meningitis includes respiratory/secretions precautions, initiation of
antimicrobial therapy, monitoring neurological status along with vital signs, instituting seizure precautions
and lastly maintaining optimum hydration. The first action for nurses to take is initiate any necessary
precautions to protect themselves and others from possible infection. Viral meningitis usually does not
require protective measures of isolation.
Incorrect (Ref: )A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes
regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most
important action to take during the seizure would be to
Learner Response: A) move any chairs or desks at least 3 feet away from the child
Correct Response: D) place the hands or a folded blanket under the head of the child
Feedback: The priority during seizure activity is to protect the person from physical injury. Place a pillow, folded blanket
or your hands under the child's head to prevent concussion or other head trauma. The other body parts are
at less risk for injury, consequently the prioritized sequence of the actions above would be options D, A, B,
and C.
Correct (Ref: )The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus
Capitis) in the school. The information that would be most important to include is reflected in which of these
statements?
Learner Response: C) "Children should not share hats, scarves and combs."
Correct Response: C) "Children should not share hats, scarves and combs."
Feedback: Head lice live only on human beings and can be spread easily by sharing hats, combs, scarves, coats and
other items of clothing that touch the hair. All of the options are correct statements, however they do not
best answer the question of how to prevent the spread of lice in a school setting.
Incorrect (Ref: )Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Learner Response: A) An infant with a positive culture of stool for <I>Shigella</I>
Correct Response: B) An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
Feedback: Tuberculosis is a reportable disease because persons who had contact with the client must be traced and
often must be treated with chemoprophylaxis for a designated time. Options A and D may need contact
isolation precautions. Option C -- findings may indicate the initial stage of autoimmune deficiency syndrome
(AIDS).
Incorrect (Ref: )A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which
situation?
Learner Response: B) A toddler who has eaten a number of ibuprofen tablets
Correct Response: A) An infant who has been identified as suffering from botulism
Feedback: C. botulinum forms a toxin in improperly processed foods in anaerobic conditions. It is a neurotoxin that
impairs autonomic and voluntary neurotransmission and causes muscular paralysis. Findings appear within
36 hours of ingestion. The nurse should be aware that all of these clients may be candidates for gastric
lavage or for activated charcoal administration.
Correct (Ref: )A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is
most appropriate for this client?
Learner Response: D) Contact
Correct Response: D) Contact
10 July 2007 6:21:01PM Page 3 of 9

Feedback: Contact precautions or Body Substance Isolation (BSI) involves the use of barrier protection (e.g. gloves,
mask, gown, or protective eyewear as appropriate) whenever direct contact with any body fluid is
expected. When determining the type of isolation to use, one must consider the mode of transmission. The
hands of personnel continue to be the principal mode of transmission for methicillin resistant
staphylococcus aureus (MRSA). Because the organism is limited to the sputum in this example, precautions
are taken if contact with the patient's sputum is expected. A private room and contact precautions , along
with good hand washing techniques, are the best defenses against the spread of MRSA pneumonia.
Incorrect (Ref: )A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim
(Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
Learner Response: C) peanut butter sandwich, banana, and iced tea
Correct Response: B) roast beef, mashed potatoes, and green beans
Feedback: The client has correctly selected an appropriate lunch and appears to know the dietary restrictions. Low
granulocyte counts and susceptibility to infection are expected. Compromised host precautions require that
foods are either cooked or canned. Options A, C and D do not demonstrate learning, as raw fruits,
vegetables, and milk are to be avoided.
Swearingen, P. (2004). All-in-one care planning resource: medical-surgical, pediatric, maternity, and
psychiatric nursing care plans. St. Louis: Elsevier.
Altman, G. (2004). Delmarâ€™s fundamental and advanced nursing skills. (2nd ed.). Albany, NY: Delmar.
Incorrect (Ref: )The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe,
proficient nursing practice?
Learner Response: D) Verify the client's allergies on the admission sheet and order. Verify the client's name on the name plate
outside the room then as the nurse enters the room ask the client "What is your first, middle and last name?"
Correct Response: B) Upon entering the room the nurse should ask: "What is your name? What allergies do you have?" and
then check the client's name band and allergy band.
Feedback: A dual check is always done for a client's name. This would involve verbal and visual checks. Since this is
a new medication an allergy check is appropriate.
Altman, G. (2004). Delmar's fundamental and advanced nursing skills. (2nd ed.). Albany, NY: Delmar.
Correct (Ref: )Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Learner Response: D) A young adult in the second day of treatment for an overdose of acetometaphen
Correct Response: D) A young adult in the second day of treatment for an overdose of acetometaphen
Feedback: An overdose of Tylenol requires close observation for 3 to 4 days as well as Mucomyst PO during that time
. A strong risk of liver failure exists immediately following Tylenol overdose.
Incorrect (Ref: )After an explosion at a factory one of the employees approaches the nurse and says "I am an unlicensed assistive
personnel (UAP) at the local hospital." Which of these tasks should the nurse assign first to this worker who wants to help
care for the wounded workers?
Learner Response: A) Get temperatures
Correct Response: C) Palpate pulses
Feedback: The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be
palpated, those clients would need to be seen first.
Delaune, S. & Lander, P. (2002). Fundamentals in nursing: standards and practice. (2nd ed). Clinton Park,
New York: Delmar.
Objective: RN Lesson 2 Posttest - Safe and Effective Care Environment: Safety and Infection
Student Control
Mark for this Objective: 100% Correct Responses: 19 / 19
Correct (Ref: )Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella
infection?
Learner Response: A) Wash hands thoroughly before and after client contact
Correct Response: A) Wash hands thoroughly before and after client contact
10 July 2007 6:21:01PM Page 4 of 9

Feedback: Gram-negative bacilli cause Salmonella infection, and lack of sanitation is the primary means of
contamination. Two million new cases appear each year. Thorough handwashing can prevent the spread
of salmonella. Note that all of the options are appropriate activities, but handwashing is primary.
Kozier, B., Erb, G., Berman, A., & Snyder, S. (2004). Fundamentals of nursing. Upper Saddle River, N.J.:
Pearson Prentice Hall.
Correct (Ref: )A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority
information for the nurse to include in client teaching is which of these statements?
Learner Response: A) "In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice
Correct Response: A) "In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice
Feedback: The client's urine and saliva are radioactive for 24 hours after ingestion, and vomitus is radioactive for 6 to
8 hours. The client should drink 3 to 4 liters of fluid a day for the initial 48 hours to help remove the (131I)
from the body. Staff should limit contact with hospitalized clients to 30 minutes per day per person.
Correct (Ref: )The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a
priority for the nurse to implement?
Learner Response: D) Place client in a negative pressure private room and have all who enter the room use masks with shields
Correct Response: D) Place client in a negative pressure private room and have all who enter the room use masks with shields
Feedback: A client with active tuberculosis should be hospitalized in a negative pressure room to prevent respiratory
droplets from leaving the room when the door is opened. Tuberculosis (TB) is caused by spore-forming
mycobacteria, more often Mycobacterium tuberculosis. In developed countries the infection is airborne and
is spread by inhalation of infected droplets. In underdeveloped countries, transmission also occurs by
ingestion or by skin invasion, particularly when bovine TB is poorly controlled.
Correct (Ref: )A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: "I found my child with odd
stuff coming from the mouth and an unmarked bottle nearby." Which of these comments would be the best tool for
the nurse to determine if the child has swallowed a corrosive substance?
Learner Response: A) "Ask the child if the mouth is burning or throat pain is present."
Correct Response: A) "Ask the child if the mouth is burning or throat pain is present."
Feedback: Local irritation of tissues indicates a corrosive poisoning. The other comments may be helpful in determining
the child's overall condition, however the question concerns evaluation for ingesting a caustic substance.
Correct (Ref: )The parents of a toddler who is being treated for pesticide poisoning ask: "Why is activated charcoal used? What
does it do?" What is the nurse's best response?
Learner Response: B) "The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
Correct Response: B) "The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
Feedback: All of the options are correct responses. However, option B is most accurate information to answer the
parents' questions about the use and action of activated charcoal. The language is appropriate for a
parent's understanding.
Correct (Ref: )Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for
falls?
Learner Response: D) Altered patterns of urinary elimination related to nocturia
Correct Response: D) Altered patterns of urinary elimination related to nocturia
10 July 2007 6:21:01PM Page 5 of 9

Feedback: Nocturia is especially problematic because many elders fall when they rush to reach the bathroom at night.
They may be confused or not fully alert. Inadequate lighting can increase their chances of stumbling, and
then they may fall over furniture or carpets.
Correct (Ref: )Which approach is the best way to prevent infections when providing care to clients in the home setting?
Learner Response: A) Handwashing before and after examination of clients
Correct Response: A) Handwashing before and after examination of clients
Feedback: Handwashing remains the most effective way to avoid spreading infection. However, too often nurses do
not practice good handwashing techniques and do not teach families to do so. Nurses need to wash their
hands before and after touching the client and before entering the nursing bag. All of the options are
correct, and the sequence of priorities would be options A, C, B, and D.
Correct (Ref: )A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members
that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Learner Response: D) Have gloves on while handling bedpans with feces
Correct Response: D) Have gloves on while handling bedpans with feces
Feedback: The specific measure to prevent the spread of hepatitis A is careful handling and protection while working
with fecal material. All of the other actions are correct but not the most significant specific approach used
with hepatitis A.
Correct (Ref: )Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne
precautions?
Learner Response: B) A positive purified protein derivative (PPD) test with an abnormal chest x-ray
Correct Response: B) A positive purified protein derivative (PPD) test with an abnormal chest x-ray
Feedback: The client who must be placed in airborne precautions is the client with these findings that suggest a
suspicious tuberculin lesion. A sputum smear for acid fast bacillus would be done next. CMV usually
causes no signs or symptoms in children and adults with healthy immune systems. Good handwashing is
recommended for CMV. When signs and symptoms do occur, they are often similar to those of
mononucleosis, including sore throat, fever, muscle aches and fatigue.
Correct (Ref: )A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission
orders should the nurse implement first?
Learner Response: C) Place in respiratory/secretion precautions
Correct Response: C) Place in respiratory/secretion precautions
Feedback: Meningococcal meningitis is a bacterial infection that can be communicated to others. The initial therapeutic
management of acute bacterial meningitis includes respiratory/secretions precautions, initiation of
antimicrobial therapy, monitoring neurological status along with vital signs, instituting seizure precautions
and lastly maintaining optimum hydration. The first action for nurses to take is initiate any necessary
precautions to protect themselves and others from possible infection. Viral meningitis usually does not
require protective measures of isolation.
Correct (Ref: )A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes
regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the
most important action to take during the seizure would be to
Learner Response: D) place the hands or a folded blanket under the head of the child
10 July 2007 6:21:01PM Page 6 of 9

Correct Response: D) place the hands or a folded blanket under the head of the child
Feedback: The priority during seizure activity is to protect the person from physical injury. Place a pillow, folded blanket
or your hands under the child's head to prevent concussion or other head trauma. The other body parts are
at less risk for injury, consequently the prioritized sequence of the actions above would be options D, A, B,
and C.
Correct (Ref: )The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus
Capitis) in the school. The information that would be most important to include is reflected in which of these
statements?
Learner Response: C) "Children should not share hats, scarves and combs."
Correct Response: C) "Children should not share hats, scarves and combs."
Feedback: Head lice live only on human beings and can be spread easily by sharing hats, combs, scarves, coats and
other items of clothing that touch the hair. All of the options are correct statements, however they do not
best answer the question of how to prevent the spread of lice in a school setting.
Correct (Ref: )Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Learner Response: B) An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
Correct Response: B) An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
Feedback: Tuberculosis is a reportable disease because persons who had contact with the client must be traced and
often must be treated with chemoprophylaxis for a designated time. Options A and D may need contact
isolation precautions. Option C -- findings may indicate the initial stage of autoimmune deficiency syndrome
(AIDS).
Correct (Ref: )A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which
situation?
Learner Response: A) An infant who has been identified as suffering from botulism
Correct Response: A) An infant who has been identified as suffering from botulism
Feedback: C. botulinum forms a toxin in improperly processed foods in anaerobic conditions. It is a neurotoxin that
impairs autonomic and voluntary neurotransmission and causes muscular paralysis. Findings appear within
36 hours of ingestion. The nurse should be aware that all of these clients may be candidates for gastric
lavage or for activated charcoal administration.
Correct (Ref: )A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is
most appropriate for this client?
Learner Response: D) Contact
Correct Response: D) Contact
Feedback: Contact precautions or Body Substance Isolation (BSI) involves the use of barrier protection (e.g. gloves,
mask, gown, or protective eyewear as appropriate) whenever direct contact with any body fluid is
expected. When determining the type of isolation to use, one must consider the mode of transmission. The
hands of personnel continue to be the principal mode of transmission for methicillin resistant
staphylococcus aureus (MRSA). Because the organism is limited to the sputum in this example, precautions
are taken if contact with the patient's sputum is expected. A private room and contact precautions , along
with good hand washing techniques, are the best defenses against the spread of MRSA pneumonia.
Correct (Ref: )A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim
(Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary
changes?
10 July 2007 6:21:01PM Page 7 of 9

Learner Response: B) roast beef, mashed potatoes, and green beans

Correct Response: B) roast beef, mashed potatoes, and green beans
Feedback: The client has correctly selected an appropriate lunch and appears to know the dietary restrictions. Low
granulocyte counts and susceptibility to infection are expected. Compromised host precautions require that
foods are either cooked or canned. Options A, C and D do not demonstrate learning, as raw fruits,
vegetables, and milk are to be avoided.
Swearingen, P. (2004). All-in-one care planning resource: medical-surgical, pediatric, maternity, and
psychiatric nursing care plans. St. Louis: Elsevier.
Altman, G. (2004). Delmarâ€™s fundamental and advanced nursing skills. (2nd ed.). Albany, NY: Delmar.
Correct (Ref: )The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe,
proficient nursing practice?
Learner Response: B) Upon entering the room the nurse should ask: "What is your name? What allergies do you have?" and
Correct Response: B) Upon entering the room the nurse should ask: "What is your name? What allergies do you have?" and
Feedback: A dual check is always done for a client's name. This would involve verbal and visual checks. Since this is
a new medication an allergy check is appropriate.
Altman, G. (2004). Delmar's fundamental and advanced nursing skills. (2nd ed.). Albany, NY: Delmar.
Correct (Ref: )Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Learner Response: D) A young adult in the second day of treatment for an overdose of acetometaphen
Correct Response: D) A young adult in the second day of treatment for an overdose of acetometaphen
Feedback: An overdose of Tylenol requires close observation for 3 to 4 days as well as Mucomyst PO during that time
. A strong risk of liver failure exists immediately following Tylenol overdose.
Correct (Ref: )After an explosion at a factory one of the employees approaches the nurse and says "I am an unlicensed assistive
personnel (UAP) at the local hospital." Which of these tasks should the nurse assign first to this worker who
wants to help care for the wounded workers?
Learner Response: C) Palpate pulses
Correct Response: C) Palpate pulses
Feedback: The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be
palpated, those clients would need to be seen first.
Delaune, S. & Lander, P. (2002). Fundamentals in nursing: standards and practice. (2nd ed). Clinton Park,
New York: Delmar.
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Student Exam Results

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Learner Response: B) roast beef, mashed potatoes, and green beans

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