Uncategorized LVN Safe and Effective Care Environment 1

Question 1

A nurse is caring for a patient who refuses a prescribed medication. What is the most appropriate initial action?

Accepted Answer

Document the refusal and notify the physician

Answer

Administer the medication anyway to ensure patient safety

Answer

Contact the patient's family to persuade them

Answer

Discontinue the medication from the care plan

Question 2

When applying restraints to a patient, how often must the nurse reassess the patient and document the findings?

Accepted Answer

Every 1–2 hours

Answer

Every 30 minutes

Answer

Every 4 hours

Answer

Every 8 hours

Question 3

A nurse notices a colleague documenting care that was not performed. What is the most appropriate action?

Accepted Answer

Confront the colleague privately and report to the charge nurse or supervisor

Answer

Ignore it, as it is not the nurse's responsibility

Answer

Alter the documentation to reflect what was actually done

Answer

Discuss the situation with other staff members first

Question 4

Which nursing action best prevents a urinary catheter-associated infection (CAUTI)?

Accepted Answer

Using aseptic technique during insertion and keeping the system closed

Answer

Irrigating the catheter daily with saline

Answer

Maintaining the drainage bag above the level of the bladder

Answer

Changing the catheter every 48 hours

Question 5

A nurse is preparing to administer a blood transfusion. Which action must be completed immediately before starting the infusion?

Accepted Answer

Verify the blood product with another licensed nurse at the bedside

Answer

Take the patient's temperature only

Answer

Have the patient sign a refusal form

Answer

Flush the IV line with dextrose solution

Question 6

A patient is found lying on the floor after a fall. After ensuring the patient's safety, what is the nurse's next priority action?

Accepted Answer

Notify the physician and complete an incident report

Answer

Help the patient back to bed immediately without assessment

Answer

Inform the family before documenting anything

Answer

Reassign the patient to another nurse