Safe and Effective Care Environment Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Safe and Effective Care Environment flashcards as text
The LVN enters a client's room and finds them unresponsive. After calling for help, what is the next immediate action?
Answer: Begin checking for a pulse and initiating CPR if absent
After activating the emergency response system, assessing for pulse and initiating CPR is the immediate life-saving priority.
An LVN discovers a medication error made by a colleague. The most appropriate action is to:
Answer: Immediately assess the client, report the error to the charge nurse, and complete an incident report
Client safety is the immediate priority; the nurse must assess for harm, notify the charge nurse, and file an incident report.
When using SBAR to communicate a change in a client's condition to the physician, which component provides the nurse's professional assessment and recommendation?
Answer: A — Assessment and R — Recommendation
The A (Assessment) and R (Recommendation) components convey the nurse's clinical judgment and what action is needed.
The LVN must delegate a task to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?
Answer: Measuring and recording urine output
Measuring and recording urine output is a routine, non-invasive task within the UAP scope and appropriate for delegation.
A client is scheduled for surgery tomorrow and does not understand the procedure. The LVN's most appropriate action is to:
Answer: Notify the surgeon that the client needs additional education before consent
Obtaining informed consent is the physician's responsibility; the LVN should notify the surgeon when a client lacks understanding.
An LVN notes that a client's O2 saturation has dropped from 97% to 88% over the past hour. Using the chain of command, the first person the LVN should notify is:
Answer: The charge nurse or supervising RN
The LVN must first report significant changes to the charge nurse or supervising RN, who then coordinates further escalation.
Which documentation entry best reflects accurate and legally defensible nursing charting?
Answer: 'Client verbalized pain rating 7/10 at 0900; PRN analgesic administered per order; pain reassessed at 0930 as 3/10.'
Accurate charting includes objective data, time, specific interventions performed, and measurable outcomes of those interventions.