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

Check the patient's allergy list

Answer

Confirm the patient had a recent CBC

Answer

Ensure the IV line is 22-gauge or smaller

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

Use clean technique for the insertion

Answer

Change the catheter every 24 hours

Answer

Irrigate the catheter daily with normal saline

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

Contact precautions only

Answer

Droplet precautions with a surgical mask

Answer

Standard precautions only

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

Write the order directly in the chart without repeating it

Answer

Ask the physician to text the order

Answer

Implement the order immediately and verify later

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

Flush the tube with 60 mL of water

Answer

Crush all medications and mix them together

Answer

Clamp the tube for 30 minutes before medication administration

Question 6

Which patient is at highest risk for a pressure injury?

Accepted Answer

An 80-year-old patient with diabetes, incontinence, and limited mobility on bedrest

Answer

A 30-year-old ambulatory patient post-appendectomy

Answer

A 45-year-old with controlled hypertension who walks twice daily

Answer

A 60-year-old with mild arthritis who requires minimal assistance