NCLEX Safe and Effective Care Environment 2

Question 1

A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

Accepted Answer

Assisting a stable client with ambulation

Answer

Assessing a new admission's pain level

Answer

Administering an oral medication

Answer

Developing the client's plan of care

Question 2

Which client should the charge nurse assign to a newly licensed RN?

Accepted Answer

A stable client awaiting routine post-op vital signs

Answer

A client requiring complex discharge teaching

Answer

A critically unstable client on multiple drips

Answer

A client needing emergency code interventions

Question 3

A nurse notices a coworker diverting narcotics. What is the priority action?

Accepted Answer

Report to the nurse manager

Answer

Confront the coworker directly

Answer

Ignore it to avoid conflict

Answer

Tell other staff members

Question 4

Which situation requires the nurse to obtain informed consent before a procedure?

Accepted Answer

A surgical operation under anesthesia

Answer

Routine vital sign measurement

Answer

Insertion of a peripheral IV per standing order

Answer

Administering a scheduled oral medication

Question 5

A nurse is caring for clients on a medical unit. Which client should be seen first?

Accepted Answer

A client with new onset of shortness of breath

Answer

A client requesting pain medication for chronic back pain

Answer

A client asking about discharge time

Answer

A client needing help with a meal tray

Question 6

What is the correct action when a medication order is illegible or unclear?

Accepted Answer

Contact the prescriber for clarification

Answer

Interpret it based on the client's diagnosis

Answer

Ask another nurse to guess

Answer

Administer the most likely dose

Question 7

Which is an example of appropriate use of restraints?

Accepted Answer

Applying restraints with a current provider order after less restrictive measures fail

Answer

Restraining a client for staff convenience

Answer

Using restraints as the first intervention for agitation

Answer

Restraining a client without documentation