Safe and Effective Care Environment

Question 1

A nurse is receiving a client from the emergency department who has a history of MRSA. Which transmission-based precaution is required?

Accepted Answer

Contact precautions with gloves and gown for all client contact

Answer

Droplet precautions with a surgical mask and private room

Answer

Airborne precautions with an N95 respirator and negative pressure room

Answer

Standard precautions only, as MRSA is not transmissible in the inpatient setting

Question 2

A nurse discovers a fire in a client's room. Using the RACE protocol, which action should be taken first?

Accepted Answer

Rescue clients in immediate danger by moving them away from the fire

Answer

Activate the fire alarm by pulling the nearest alarm

Answer

Confine the fire by closing all doors and windows

Answer

Extinguish the fire if it is small using the nearest fire extinguisher

Question 3

A nurse is administering medications using the rights of medication administration. A client's medication administration record lists 'metoprolol 50 mg PO daily.' The pill available is labeled 'metoprolol succinate 100 mg.' The nurse should:

Accepted Answer

Clarify the order with the pharmacist before administering, as the tablet may be extended-release

Answer

Administer the 100 mg tablet and document that a double dose was given

Answer

Split the 100 mg tablet in half and administer 50 mg as prescribed

Answer

Hold the medication and wait for the correct tablet to be dispensed

Question 4

A nurse is caring for a client who is confused and has been attempting to get out of bed unassisted. The call light is within reach and a bed alarm is in place. The family asks why the nurse is not using a restraint. The nurse explains that physical restraints:

Accepted Answer

Can increase agitation, cause injury, and worsen confusion without improving safety

Answer

Are appropriate whenever a client is confused and a fall risk

Answer

Require only the charge nurse's approval and can be applied at the bedside nurse's judgment

Answer

Are the standard of care for all clients classified as high fall risk

Question 5

A nurse is preparing to administer a high-alert medication. Which safety strategy is most important before administration?

Accepted Answer

Perform an independent double-check with a second nurse to verify drug, dose, route, and rate

Answer

Administer the medication quickly to avoid disruption during the process

Answer

Rely on the electronic medication administration record to confirm the five rights

Answer

Verify the medication name with the client before administration

Question 6

A nurse is caring for a client who does not speak English. The client needs to provide informed consent for surgery. Which action by the nurse best protects the client's rights?

Accepted Answer

Arrange for a qualified medical interpreter to be present for the consent discussion

Answer

Ask the client's bilingual family member to translate the consent information

Answer

Have the client sign the consent form and document that a translator was unavailable

Answer

Use a simplified version of the consent form written at a 3rd-grade reading level