Safe and Effective Care Environment NCLEX RN Questions

Question 1 of 5

A nurse is caring for newborn infants in a nursery when a man enters the area to take his baby back to the room. The man does not have an identification bracelet, and the nurse does not recognize him. What is the next action of the nurse?

A. Call security and ask them to escort the man out of the nursery B. Ask the man to wait and check the infant's chart C. Ask the man to return to his room and bring an identification band D. Allow the man to take the baby to his room

Correct Answer: C

Rationale: The safety of infants in newborn nurseries is maintained by requiring parents to wear identification bracelets to identify themselves as the rightful parents. This practice minimizes the risk of mistakenly allowing an unauthorized individual to take a baby. In this scenario, since the nurse does not recognize the man and he lacks an identification bracelet, the appropriate action is to ask him to return to his room and bring the identification band. This step ensures the proper identity verification before allowing the man to take the baby. Calling security without first verifying the man's identity may escalate the situation unnecessarily. Checking the infant's chart alone does not confirm the man's identity. Allowing the man to take the baby without proper verification poses a safety risk to the infant.

Question 2 of 5

What is an attack using microorganisms such as bacteria or viral agents with the intent to harm others called?

A. Assimilation B. Defense intervention C. Bioterrorism D. Environmental remediation

Correct Answer: C

Rationale: Bioterrorism is the act of using harmful agents like bacteria or viruses with the intention to harm others. In the context of healthcare, nurses may be involved in disaster response if bioterrorism weapons affect the community.
Choice A, assimilation, refers to the process of absorbing and integrating information or ideas.
Choice B, defense intervention, does not specifically relate to the intentional use of microorganisms to harm others.
Choice D, environmental remediation, involves the process of cleaning up pollution or contamination in the environment, which is unrelated to the deliberate use of pathogens for harmful purposes.

Question 3 of 5

A client has become combative and is attempting to pull out his IV and take off his surgical dressings. The nurse receives an order to apply wrist restraints. Which action of the nurse signifies that restraints are being used safely?

A. The nurse ties the restraints in a square knot to prevent the client from untying them B. The restraints are attached to a movable portion of the bed C. The padded side of the restraint is applied next to the skin of the wrist D. The nurse assesses the client's distal circulation every 24 hours

Correct Answer: C

Rationale: Restraint use must prioritize the safety of the client. When applying restraints around the wrists, the padded side should be placed against the skin to help prevent skin breakdown. Additionally, restraints should be secured in quick-release knots to ensure they can be removed rapidly in case of an emergency.
Choice A is incorrect as restraints should not be tied in a way that could prevent quick removal.
Choice B is incorrect because restraints should not be attached to a movable part of the bed to avoid unintentional movement.
Choice D is incorrect as assessing distal circulation is important but is not directly related to the safe application of restraints.

Question 4 of 5

When a nurse's hand comes in contact with a client's blood after providing wound care, what is the next action the nurse should take?

A. Use an alcohol-based hand sanitizer to disinfect the hands B. Wash hands with soap and water using appropriate technique C. Notify the appropriate personnel about the exposure to client's blood D. Sample some of the client's blood to determine the presence of diseases

Correct Answer: B

Rationale: When a nurse's hand comes in contact with a client's blood, it is important to follow appropriate infection control measures. Using an alcohol-based hand sanitizer is not sufficient in this scenario as the blood is a visible contaminant. The best practice is to wash hands with soap and water using appropriate technique to ensure thorough cleansing and removal of any potential pathogens. Notifying the appropriate personnel about the exposure is important for documentation and further evaluation, but immediate hand hygiene is crucial. Sampling the client's blood for disease determination is not within the nurse's scope of practice and is unnecessary in this situation.

Question 5 of 5

A healthcare professional is employed at a district health department and must spend several hours each day sitting at a desk. Which principle of ergonomics will most likely help them to reduce the risk of injury or pain in this situation?

A. Adjust the chair height to keep the legs bent at the hips at a 90-degree angle B. Maintain the position of the computer monitor just below eye level C. Stand up and take a walk or stretch every 4 hours D. Rest wrists on the edge of the desk while typing

Correct Answer: A

Rationale: When sitting for prolonged periods, it is important to adjust the height of the chair so that the legs are bent at the hips at a 90-degree angle. This position helps to reduce pressure on the back, legs, and feet, promoting better posture and reducing muscle fatigue. Standing up and moving around at least once every hour is crucial to support circulation and prevent stiffness. Maintaining the position of the computer monitor just below eye level helps reduce strain on the neck and eyes. Resting wrists on the edge of the desk while typing can lead to wrist strain and discomfort, so it is not an ergonomic recommendation for prolonged desk work.

Safe and Effective Care Environment NCLEX RN Questions - Nurselytic

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