The practical nurse (PN) enters a client's hospital room and sees smoke and flames in the wastebasket. Which sequence of actions should the PN implement? (Arrange from first on top to last on the bottom.)
Activate the fire alarm.
Get the fire extinguisher.
Move clients in immediate danger.
Shut the doors to all client rooms.
The Correct Answer is C, A, D, B
C. Move clients in immediate danger: The fundamental principle of fire safety in a clinical setting is the RACE acronym, which prioritizes Rescue (R) above all other actions. Ensuring the physical safety of the client in the room with the active flame is the immediate life-saving intervention. This action must occur before any administrative or mechanical responses. A. Activate the fire alarm: Once life-safety is addressed through rescue, the nurse must Alarm (A) to notify the facility and emergency responders. This step ensures that specialized firefighting personnel are dispatched and that the rest of the hospital is alerted to the potential hazard. It provides the necessary infrastructure for a coordinated emergency response. B. Get the fire extinguisher: Following the alarm, the nurse proceeds to Confine (C) the fire by closing doors to prevent the spread of smoke and heat. This containment strategy protects other patients and limits the oxygen supply to the fire within the affected zone. It is a critical step in preserving the environment of care. D. Shut the doors to all client rooms: The final step in the sequence is to Extinguish (E) the fire if it is small and manageable using the appropriate device. This should only be attempted after all previous life-safety and notification protocols are complete. If the fire is too large, the priority remains evacuation rather than suppression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Discard the first urine specimen and collect the second voiding:
Clean catch is from a single void after midstream cleaning, not a separate voiding.
B. Place the urine collection cup in the stream of urine while voiding:
Midstream catch avoids contamination from urethral opening.
C. Collect the urine specimen immediately upon awakening in the morning:
Morning urine may be concentrated but is not required for culture.
D. Void into the bedpan but place toilet tissue in the trash container:
This contaminates the specimen; bedpans not used for clean catch.
Correct Answer is D
Explanation
A. Platelet count 150,000/mm³: Within normal range; no urgent need to report.
B. Hematocrit 35%: Slightly low, but not the most critical value in this context.
C. Potassium 3.5 mEq/L: At the lower limit of normal; monitor but not urgent.
D. Creatinine 3.8 mg/dL: Amphotericin B is nephrotoxic; this elevated creatinine indicates severe kidney impairment and must be reported immediately.
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