NCLEX Safe and Effective Care Environment 3 — Questions and Answers
Question 1: A nurse is preparing to administer medications. Which is part of the rights of medication administration?
- Right roommate
- Right documentation (Correct answer)
- Right visitor
- Right diagnosis only
Correct answer: Right documentation
Right documentation is one of the rights of safe medication administration.
Question 2: Which action best prevents a patient identification error?
- Calling the client by room number
- Using two patient identifiers (Correct answer)
- Relying on the chart placement
- Asking a family member only
Correct answer: Using two patient identifiers
Using two identifiers, such as name and date of birth, prevents misidentification.
Question 3: A nurse finds a frayed electrical cord on an IV pump. What is the priority action?
- Continue using it carefully
- Tape over the frayed area
- Remove it from service and report it (Correct answer)
- Wait until the shift ends
Correct answer: Remove it from service and report it
Damaged equipment poses a hazard and must be removed from use and reported.
Question 4: Which client is at highest risk for falls?
- A young adult with a fractured wrist
- An older adult on sedatives with unsteady gait (Correct answer)
- A stable client ambulating independently
- A client resting comfortably in bed
Correct answer: An older adult on sedatives with unsteady gait
Older adults on sedatives with impaired gait have the greatest fall risk.
Question 5: What is the nurse's first action upon discovering a small fire in a trash can in a patient's room?
- Activate the alarm
- Rescue the patient (Correct answer)
- Extinguish the fire
- Close the doors
Correct answer: Rescue the patient
The RACE acronym begins with Rescue—removing the patient from danger first.
Question 6: Which infection control measure is required for a client with active pulmonary tuberculosis?
- Standard precautions only
- Droplet precautions
- Airborne precautions with N95 respirator (Correct answer)
- Contact precautions
Correct answer: Airborne precautions with N95 respirator
Tuberculosis requires airborne precautions including a negative-pressure room and N95 respirator.
Question 7: A nurse is asked to perform a procedure outside their competency. What should the nurse do?
- Perform it to avoid delay
- Decline and notify the supervisor (Correct answer)
- Ask the patient to consent verbally
- Have a UAP do it instead
Correct answer: Decline and notify the supervisor
Nurses must decline tasks outside their competence and notify the supervisor for safety.
NCLEX Safe and Effective Care Environment 3
A nurse is preparing to administer medications.
Which is part of the rights of medication administration?