RN Safe and Effective Care Environment

Question 1

A nurse is preparing to administer a blood transfusion. Which action is the most important safety check before beginning the infusion?

Accepted Answer

Verify the blood product with another licensed nurse at the bedside using two patient identifiers

Answer

Two-nurse verification of blood product compatibility using two patient identifiers (name and date of birth or medical record number) is the critical safety step to prevent transfusion reactions.

Question 2

A nurse is preparing to insert a urinary catheter. Which action is essential to prevent catheter-associated urinary tract infection (CAUTI)?

Accepted Answer

Maintain a closed drainage system and secure the catheter to the thigh

Answer

A closed drainage system prevents bacteria from ascending into the bladder; catheter securement prevents movement that introduces microorganisms.

Question 3

Which transmission-based precaution is required for a patient admitted with active pulmonary tuberculosis?

Accepted Answer

Airborne precautions with a negative-pressure room and N95 respirator

Answer

Pulmonary TB is transmitted via airborne droplet nuclei; a negative-pressure room and NIOSH-approved N95 respirator are required to prevent nosocomial transmission.

Question 4

A nurse receives a verbal telephone order from a physician. Which action best ensures patient safety?

Accepted Answer

Read the order back to the physician to confirm accuracy before ending the call

Answer

Reading back verbal or telephone orders and receiving confirmation from the prescriber is the Joint Commission-required 'read-back' safety standard to prevent medication errors.

Question 5

A nurse is preparing to administer medication through a nasogastric tube. Which action must be performed first?

Accepted Answer

Verify tube placement by checking pH of aspirate and assessing tube markings

Answer

Confirming NG tube placement before each use prevents inadvertent pulmonary instillation; checking aspirate pH and tube length markings are the evidence-based methods.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Safe and Effective Care Environment