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

Patients have the right to refuse treatment. The nurse must respect this right, document the refusal thoroughly, and notify the physician so the care plan can be adjusted appropriately.

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

Restrained patients must be reassessed at least every 1–2 hours to check circulation, skin integrity, comfort, and the continued need for restraints to prevent complications.

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

Falsifying medical records is illegal and unethical. The nurse has a professional and legal obligation to address the issue by speaking with the colleague and reporting it through the proper chain of command.

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

Strict aseptic technique during insertion and maintaining a closed drainage system are the most effective measures for preventing CAUTI by minimizing pathogen entry into the urinary tract.

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

Before initiating a transfusion, two licensed nurses must independently verify the blood product, patient identification, blood type, and expiration date at the bedside to prevent a potentially fatal transfusion reaction.

Uncategorized Practice Test

Uncategorized Practice Test

Uncategorized LVN Safe and Effective Care Environment 1