A nurse enters a client's room and sees smoke coming from the client's trash can.
Which of the following actions should the nurse take first?

Confine the fire by closing doors and windows.

Activate the fire alarm system.

Extinguish the fire if possible.

Rescue the client from immediate danger.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Confine the fire by closing doors and windows. While confining the fire is important, the nurse's first priority should be ensuring the safety of the client. Closing doors and windows may help prevent the fire from spreading, but it does not address the immediate danger to the client.

Choice B rationale:

Activate the fire alarm system. Activating the fire alarm is a crucial step to alert other staff members, patients, and visitors about the fire. However, it is not the first action the nurse should take. Ensuring the safety of the client should be the top priority.

Choice C rationale:

Extinguish the fire if possible. Attempting to extinguish the fire can be dangerous for the nurse and may waste precious time. The nurse's safety and the client's safety should be the primary concern. Trying to put out the fire before ensuring the client's safety is not the best course of action.

Choice D rationale:

Rescue the client from immediate danger. This is the correct answer because the nurse's first priority in a fire emergency is to ensure the safety of the client. Rescuing the client from immediate danger should be done before any other actions are taken. The nurse should assess the situation, help the client to safety, and then notify others about the fire and activate the alarm system.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

The anterior surface of the drape is not the correct choice because it includes the central sterile area, which should never be touched by the nurse. Touching the central sterile area contaminates the field.

Choice B rationale:

The outer 1-inch border of the drape is the correct choice for the nurse to touch. This border is considered non-sterile and can be handled without contaminating the sterile field. It acts as a barrier, preventing contaminants from reaching the central sterile area.

Choice C rationale:

The top inner corners of the drape are part of the central sterile area and should not be touched by the nurse. Touching this area would contaminate the sterile field.

Choice D rationale:

The posterior aspect of the drape is not the correct choice because it is part of the central sterile area. Touching this area would contaminate the sterile field. When preparing a sterile field, it is essential for the nurse to follow strict aseptic techniques to maintain the sterility of the field. This includes touching only the designated non-sterile areas, such as the outer 1-inch border of the sterile drape, to avoid contamination.

A. Tachypnea. B. Apnea. C. Bradypnea. D. Eupnea.

Correct Answer is A

Explanation

Choice A rationale:

Diastolic pressure represents the pressure in the arteries when the heart is at rest between contractions. It specifically measures the force of blood against the arterial walls when both the atria and ventricles are relaxed, allowing the heart to fill with blood. Diastolic pressure is the bottom number in a blood pressure reading (e.g., 120/80 mmHg), indicating the pressure in the arteries during the heart's resting phase. Elevated diastolic pressure is an important indicator of increased risk for cardiovascular diseases, such as hypertension.

Choice B rationale:

This statement describes systolic blood pressure, which measures the pressure in the arteries when the heart's ventricles contract and pump blood into the circulation. Systolic pressure is the top number in a blood pressure reading (e.g., 120/80 mmHg) and represents the highest pressure reached in the arteries during a cardiac cycle.

Choice C rationale:

This description is not accurate for either diastolic or systolic pressure. Both atria and ventricles do not contract simultaneously; they follow a specific sequence to ensure effective pumping of blood through the heart.

Choice D rationale:

This statement is incorrect as it does not align with the definitions of diastolic or systolic blood pressure. Diastolic pressure specifically measures the pressure in the arteries during the heart's resting phase, not when the ventricles relax. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse enters a client's room and sees smoke coming from the client's trash can.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a healthcare-associated infection (HAI) This terminology means what?

Correct Answer is B

Explanation

A nurse is assessing a sedated client whose respiratory rate has fallen below 10 respirations per minute.The nurse identifies this condition as what?

Correct Answer is A

Explanation

A nurse is preparing to conduct a fall risk screening on a client.Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)

A nurse is caring for a client when the safety on the bed plug's electrical outlet pops and begins to smoke. Which of the following actions is the nurse's priority?

The nurse prepares to assess a client's temperature.Which should the nurse keep in mind that can falsely lower the body temperature? (Select all that apply.)

A nurse is preparing to open a sterile pack. The nurse has performed the task correctly when the nurse demonstrates what?

A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?

A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?

When caring for a client, the nurse knows the best method to reduce healthcare-associated infections (HAIs) is to do what?

A nurse is caring for a client who requires contact precautions.Which action should the nurse take with this client?

A nurse enters a client's room and sees smoke coming from the client's trash can.
Which of the following actions should the nurse take first?