RN Safe and Effective Care Environment 3

Question 1

A nurse is preparing to perform hand hygiene. According to the CDC, when is alcohol-based hand rub NOT appropriate?

Accepted Answer

When hands are visibly soiled or after caring for a patient with C. difficile

Answer

Before donning gloves for a venipuncture

Answer

After removing gloves following routine patient care

Answer

Before and after touching a patient's environment

Question 2

A nurse is using the SBAR communication tool to hand off a patient to the oncoming nurse. Which component of SBAR describes the patient's current vital signs and assessment data?

Accepted Answer

Assessment

Answer

Situation

Answer

Background

Answer

Recommendation

Question 3

Which action by the nurse best prevents a central line-associated bloodstream infection (CLABSI)?

Accepted Answer

Change central line dressings every 7 days using sterile technique or when soiled/loose

Answer

Irrigate the central line with normal saline every 2 hours

Answer

Access the central line without gloves when time-sensitive

Answer

Change the central line site every 3 days routinely

Question 4

A nurse suspects elder abuse in a patient admitted from a nursing facility. The nurse's legal obligation is to:

Accepted Answer

Report the suspected abuse to Adult Protective Services (APS) as required by mandatory reporting laws

Answer

Inform the nursing facility administrator directly

Answer

Document suspicions privately and wait for the patient to disclose

Answer

Consult a social worker and allow them to decide whether to report

Question 5

A nurse is performing a surgical time-out before a procedure. Which information must be confirmed during the time-out?

Accepted Answer

Patient identity, correct procedure, correct site/side, correct position, and availability of correct implants or equipment

Answer

Patient's insurance and billing information

Answer

Patient's preferred language and religious beliefs

Answer

Nurse's credentials and shift assignment

Question 6

A patient receiving a unit of packed red blood cells develops fever, chills, and back pain 15 minutes into the transfusion. The nurse's priority action is:

Accepted Answer

Stop the transfusion, keep the IV line open with normal saline, and notify the physician and blood bank immediately

Answer

Slow the infusion rate and administer diphenhydramine

Answer

Complete the transfusion quickly before symptoms worsen

Answer

Administer acetaminophen and continue monitoring