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

Alcohol-based hand sanitizers are ineffective against C. difficile spores and do not remove visible soiling; soap and water must be used in these situations per CDC guidelines.

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

The Assessment component of SBAR includes the nurse's clinical interpretation of the patient's condition, including current vital signs, lab values, and relevant findings.

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

Evidence-based CLABSI bundles mandate sterile dressing changes every 7 days (or when soiled/non-occlusive) as a key intervention to prevent insertion-site colonization.

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

Nurses are mandated reporters under federal and state law; suspected elder abuse must be reported to APS regardless of whether abuse is confirmed or the patient requests confidentiality.

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

The Universal Protocol requires a pre-procedure time-out to confirm patient identity, correct procedure, correct anatomical site/side, patient position, and availability of required equipment.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Safe and Effective Care Environment 3