As a nurse receiving a bomb threat call, which of the following actions should you take to ensure safety and assist authorities? (Select all that apply)
Ask the caller specific questions such as the location and appearance of the bomb.
Write down the exact words used by the caller and note any background noises.
Hang up the phone after alerting security to avoid further stress and distraction.
Keep the caller on the line as long as possible to gather information
Immediately begin evacuating all clients using the elevators for a quick exit.
Correct Answer : A,B,D
Rationale:
A. Ask the caller specific questions such as the location and appearance of the bomb is correct because this allows the nurse to collect critical information that can assist law enforcement in assessing and neutralizing the threat. Questions should be factual, non-confrontational, and focused on details like location, type of device, timing, and potential triggers. Care should be taken not to provoke the caller, which could escalate the situation.
B. Write down the exact words used by the caller and note any background noises is correct because verbatim documentation preserves information that may be crucial in identifying the caller, assessing credibility, and guiding emergency response. Background noises, accents, speech patterns, or other environmental sounds can provide valuable clues for authorities. A written record ensures accuracy and can be immediately shared with law enforcement.
C. Hang up the phone after alerting security to avoid further stress and distraction is incorrect. Hanging up prematurely may result in the loss of important information about the threat. Authorities recommend keeping the caller on the line if it can be done safely while waiting for security or law enforcement to intervene.
D. Keep the caller on the line as long as possible to gather information is correct because sustained engagement allows for collection of additional critical details, such as device location, timing, and any other information that may aid in planning the response and evacuation. Remaining calm and professional while gathering information maximizes safety and the usefulness of the data collected.
E. Immediately begin evacuating all clients using the elevators for a quick exit is incorrect because elevators are unsafe during bomb threats or fires. Elevators may fail or become a hazard during emergencies. Evacuations should follow the facility’s emergency plan, using stairwells and designated safe routes under the direction of security personnel or the incident commander.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Relying solely on clinical judgment without consulting EHR alerts and guidelines is incorrect because while clinical judgment is essential, ignoring EHR decision support tools can increase the risk of errors, particularly with clients who have multiple chronic conditions and complex medication regimens.
B. Manually entering all client data into paper charts to ensure accuracy is incorrect because this is redundant and time-consuming, and it does not leverage the safety features of the EHR. Manual charting alone does not prevent medication errors or flag potential risks.
C. Reviewing alerts for potential medication interactions before administering drugs to the client is correct because it demonstrates effective use of clinical decision support tools. These tools help the nurse identify drug interactions, allergies, dosage errors, and contraindications, enhancing patient safety and improving outcomes by preventing adverse events.
D. Delaying documentation until the end of the shift to focus on direct client care is incorrect because timely documentation is crucial for accurate communication, continuity of care, and real-time decision-making. Delaying documentation can result in omissions, errors, or missed alerts from the EHR.
Correct Answer is B
Explanation
Rationale:
A. Using electronic health records only to document the surgical procedure after completion is incorrect because retrospective documentation does not prevent errors. Documentation alone cannot ensure that the correct patient, site, and procedure are verified before surgery.
B. Implementing a surgical time-out protocol is correct because it is a proven, evidence-based safety measure designed to prevent wrong-site, wrong-procedure, and wrong-patient surgeries. During the time-out, the entire surgical team actively verifies the patient’s identity, surgical site, and planned procedure immediately before incision. This practice promotes team communication, reduces errors, and is endorsed by The Joint Commission as a mandatory safety protocol.
C. Providing additional postoperative care education is incorrect because while patient education is important for recognizing complications, it does not prevent the occurrence of the sentinel event itself, which occurs before and during surgery.
D. Increasing the number of nursing staff on the surgical team is incorrect because more staff alone does not guarantee verification of the correct site or procedure. The key preventive measure is structured communication and verification, not staffing levels.
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