The overhead page has just announced a fire, on a unit two floors below the unit where the staff nurse is working. Which action should the nurse Implement first?
Evacuate the clients to a lower floor.
Turn off the oxygen supply to the rooms.
Make a list of clients to discharge.
Close all the doors to the client's rooms.
The Correct Answer is D
Rationale:
A. Evacuating clients to a lower floor is part of the fire response plan, but it is not the first action when the fire is not on the nurse’s unit. Immediate evacuation is only necessary if the fire is on the same unit or poses an immediate threat. Acting too quickly without following proper sequence may create unnecessary panic and risk.
B. Turning off the oxygen supply may be appropriate in certain fire situations, especially if oxygen is contributing to combustion. However, this is not the first action and could be dangerous if clients depend on oxygen therapy. This step should only be taken when directed and when it is safe to do so.
C. Making a list of clients to discharge is unrelated to immediate fire safety actions. This does not address the urgent need to protect clients from potential fire hazards.
D. This is the correct answer because according to the RACE fire safety protocol (Rescue, Alarm, Contain, Extinguish/Evacuate), the first priority for a unit not directly involved in the fire is to contain it. Closing all doors helps prevent the spread of smoke and fire, protecting clients and staff. Since the fire is two floors below, containment is the most appropriate immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Sending the staff nurse home unsupervised could be unsafe if she is impaired. She may require supervision or transport assistance, and proper institutional protocols must be followed to ensure safety and compliance.
B. Asking other staff whether they think she’s using substances is speculative and could violate privacy and professionalism. Assessment of impairment must be based on objective findings and handled through proper reporting channels, not informal inquiry.
C. Avoiding documentation is inappropriate. Documentation of objective observations and actions taken is critical for legal protection, regulatory compliance, and institutional accountability. Delaying documentation could compromise patient safety and the facility’s ability to follow policy.
D. Notifying the house supervisor or director is the appropriate next step. This ensures leadership is aware, institutional protocols for impaired providers are activated, and appropriate measures (e.g., safe removal from the unit, referral to Employee Assistance Programs, investigation) are implemented. The house supervisor or director coordinates safe transport, documentation, and adherence to policy.
Correct Answer is D
Explanation
Rationale:
A. While active listening is important in conflict resolution, simply allowing both parties to continue repeating their viewpoints is not productive at this stage. The situation has reached a point where communication is no longer advancing toward resolution, so further repetition without guidance will likely prolong the conflict rather than resolve it.
B. This response is inappropriate because it shows bias and prematurely takes the nurse’s side without fully exploring the CNA’s concerns. Effective mediation requires neutrality and ensuring that both parties feel heard and respected. Taking sides can escalate conflict and damage team dynamics.
C. Telling the individuals to resolve the issue on their own is not appropriate since the CNA has already attempted to address the conflict unsuccessfully. The nurse manager has a responsibility to facilitate resolution, not withdraw from the process.
D. This is the best answer because it helps move the conversation forward by encouraging both parties to explore underlying or unspoken issues contributing to the conflict. Often, repeated arguments signal deeper concerns such as workload perception, communication style, or role expectations. This approach promotes deeper understanding, problem-solving, and a more effective resolution.
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