Safety and Quality Improvement Updated Exam 2026 WITH Recent
Newest Verified And Well Analyzed Exam Questions (Actual Exam
2026-2027) Correct Detailed & Verified ANSWERS (100% Accurate
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A practical nurse is preparing to administer morning medications. The
nurse notices that one tablet appears different in color and shape from
the medication previously given to the client. What is the nurse's
priority action?
Answer: Verify the medication with the medication administration
record and pharmacy before administering it.
Rationale: Medication safety requires the nurse to verify any
discrepancy before administration. A change in appearance may
indicate a manufacturer change or a dispensing error. The nurse should
never administer a medication that cannot be positively identified.
Verification protects the client from medication errors and supports
safe practice.
A client develops sudden shortness of breath immediately after
receiving an intravenous antibiotic. What is the nurse's priority action?
Answer: Stop the infusion immediately.
,Rationale: The client may be experiencing an anaphylactic reaction. The
first priority is to discontinue exposure to the suspected allergen by
stopping the infusion. The nurse should then assess the airway,
breathing, circulation, notify the provider, and prepare emergency
medications.
A nurse discovers that another nurse accidentally administered the
wrong medication to a client. What should the practical nurse do first?
Answer: Assess the client for adverse effects.
Rationale: Client safety always takes priority. The nurse should
immediately assess the client to determine whether harm has occurred.
After ensuring client stability, the provider should be notified,
appropriate interventions initiated, the error reported according to
policy, and documentation completed.
A nurse prepares to transfer a client from the bed to a wheelchair.
Which action best promotes client safety?
Answer: Lock both the bed and wheelchair before assisting with the
transfer.
, Rationale: Locking both the bed and wheelchair prevents unexpected
movement that could result in falls. Safe transfer techniques reduce
injuries for both clients and healthcare providers.
During hourly rounds, a nurse finds an older adult attempting to climb
out of bed without assistance. What is the nurse's priority intervention?
Answer: Assist the client safely and determine the reason for
attempting to get out of bed.
Rationale: Understanding why the client attempted to get out of bed
helps address unmet needs such as toileting, pain, hunger, or
discomfort. Addressing these needs reduces future fall risk.
A client is prescribed insulin. Before administration, the nurse notes
that the blood glucose level is significantly lower than expected. What
should the nurse do?
Answer: Hold the insulin and notify the healthcare provider.
Rationale: Administering insulin when blood glucose is already low
increases the risk for severe hypoglycemia. The nurse should follow
facility policy and notify the provider for further instructions.