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. Collect ear drainage for culture:
May be indicated if ordered, but not routine before instillation of drops.
B. Warm the drops to room temperature:
Prevents dizziness or nausea from instilling cold drops and promotes comfort.
C. Don sterile gloves to instill the drops:
Clean technique is used for otic medications, not sterile gloves.
D. Insert the dropper into the ear canal:
Risk of trauma and contamination; dropper should remain above canal opening.
Correct Answer is A
Explanation
A. Tell the nurse assigned to the client about the event so the findings can be recorded: The PN must first verbally report to the responsible nurse to ensure continuity of care and proper documentation.
B. Enter computer documentation of the findings and the application of a dressing: Documentation is essential but comes after notifying the primary nurse in charge of the client.
C. Inform the charge nurse that the findings indicate that the client pulled out the IV: Assumptions should be avoided unless confirmed; the PN should report only observed facts.
D. Complete the shift documentation for this client and include the findings about the IV: This delays immediate communication to the responsible nurse and could jeopardize timely care.
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