Safe and Effective Care Environment (12 Questions)
1. A newly licensed RN is delegating tasks to a UAP.
Which task is appropriate to delegate?
A. Performing a sterile dressing change
B. Measuring and recording intake and output
C. Performing initial client assessment
D. Administering oral medications
Answer: B
Rationale: UAPs may assist with basic activities of
daily living and routine data collection (e.g., I&O), but
not tasks requiring nursing judgment or sterile
technique.
2. When admitting a client with suspected sepsis,
which action has the highest priority?
A. Obtain blood cultures before antibiotics
B. Initiate broad-spectrum antibiotics
C. Monitor vital signs every 4 hours
D. Place the client on strict isolation
Answer: A
Rationale: According to sepsis guidelines, blood
cultures should be drawn prior to antibiotic
administration to identify the causative organism.
3. A client on telemetry reports palpitations. The
monitor shows occasional PVCs. Which
intervention should the nurse implement first?
A. Administer a beta-blocker as ordered
, B. Check the client’s apical pulse
C. Increase the IV fluid rate
D. Prepare for synchronized cardioversion
Answer: B
Rationale: Always assess the client’s clinical status
before pharmacologic or electrical interventions.
4. Which of the following is a goal of quality
improvement in a medical–surgical unit?
A. Reducing client falls by 20% within six months
B. Increasing hospital revenue by 15%
C. Hiring additional staff to improve morale
D. Expanding the electronic health record system
Answer: A
Rationale: Quality improvement focuses on
measurable outcomes that enhance patient safety.
5. The nurse reviews a new sterile dressing change
order. Which item is non-negotiable to maintain
sterile technique?
A. Wearing clean gloves under sterile gloves
B. Draping the client with a sterile field
C. Keeping sterile items above waist level
D. Opening sterile packages away from the body
Answer: A
Rationale: Donning clean gloves under sterile gloves
helps prevent contamination of the sterility barrier.
6. A client expresses concern about pain
management. Which statement by the nurse
demonstrates advocacy?
1. A newly licensed RN is delegating tasks to a UAP.
Which task is appropriate to delegate?
A. Performing a sterile dressing change
B. Measuring and recording intake and output
C. Performing initial client assessment
D. Administering oral medications
Answer: B
Rationale: UAPs may assist with basic activities of
daily living and routine data collection (e.g., I&O), but
not tasks requiring nursing judgment or sterile
technique.
2. When admitting a client with suspected sepsis,
which action has the highest priority?
A. Obtain blood cultures before antibiotics
B. Initiate broad-spectrum antibiotics
C. Monitor vital signs every 4 hours
D. Place the client on strict isolation
Answer: A
Rationale: According to sepsis guidelines, blood
cultures should be drawn prior to antibiotic
administration to identify the causative organism.
3. A client on telemetry reports palpitations. The
monitor shows occasional PVCs. Which
intervention should the nurse implement first?
A. Administer a beta-blocker as ordered
, B. Check the client’s apical pulse
C. Increase the IV fluid rate
D. Prepare for synchronized cardioversion
Answer: B
Rationale: Always assess the client’s clinical status
before pharmacologic or electrical interventions.
4. Which of the following is a goal of quality
improvement in a medical–surgical unit?
A. Reducing client falls by 20% within six months
B. Increasing hospital revenue by 15%
C. Hiring additional staff to improve morale
D. Expanding the electronic health record system
Answer: A
Rationale: Quality improvement focuses on
measurable outcomes that enhance patient safety.
5. The nurse reviews a new sterile dressing change
order. Which item is non-negotiable to maintain
sterile technique?
A. Wearing clean gloves under sterile gloves
B. Draping the client with a sterile field
C. Keeping sterile items above waist level
D. Opening sterile packages away from the body
Answer: A
Rationale: Donning clean gloves under sterile gloves
helps prevent contamination of the sterility barrier.
6. A client expresses concern about pain
management. Which statement by the nurse
demonstrates advocacy?
