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A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Remove the clients from the room.

Close the door.

Extinguish the fire.

Activate the fire alarm.

Answer and Explanation

The Correct Answer is A,D,B,C

A. Remove the clients from the room: Rescue any persons in immediate danger first (R in RACE).

D. Activate the fire alarm: Next, activate the alarm system to alert others (A in RACE).

B. Close the door: Confine the fire by closing doors and windows to prevent spread (C in RACE).

C. Extinguish the fire: Attempt to extinguish the fire only if it is small and you are trained to do so (E in RACE).

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. Elevate the bed to waist height: Raising the bed to waist level promotes proper body mechanics and reduces back strain for caregivers.
B. Position the client toward the edge of the bed on the side the client will face after turning: This makes repositioning easier and safer, allowing for better leverage and control.
C. Remove pillows prior to repositioning: Pillows may support body parts during turning and should be removed only if they obstruct repositioning, not as a general rule.
D. Stand with their feet wide apart: A wide base of support ensures better balance and stability when repositioning a client.
E. Face the direction of movement when repositioning the client: Facing the direction of movement maintains spinal alignment and prevents twisting injuries.

A. Rest B. Heat application C. Compression D. Movement

Correct Answer is ["A","C","E"]

Explanation

A. Rest: Resting the injured ankle helps prevent further injury and promotes healing.
B. Heat application: Heat should not be applied in the first 24–48 hours of an acute injury because it can increase swelling. Cold compresses are preferred initially.
C. Compression: Applying an elastic bandage or wrap helps reduce swelling and provides support.
D. Movement: Movement should be limited initially to avoid aggravating the injury.
E. Elevation: Elevating the ankle above heart level helps reduce swelling by promoting venous return.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client? (Select All that Apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following actions should the nurse take first?

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?

A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?