Page 50 - Saunders Comprehensive Review For NCLEX-RN
P. 50
From National Council of State Boards of Nursing: 2019 NCLEX-RN® examination:
Test plan for the National Council Licensure Examination for Registered NursesChicago,
2018, National Council of State Boards of Nursing.
Safe and Effective Care Environment
The Safe and Effective Care Environment category includes 2 subcategories:
Management of Care, and Safety and Infection Control. According to the NCSBN,
Management of Care addresses prioritizing care and providing and directing
nursing care that will ensure a safe care delivery setting to protect clients and health
care personnel. The NCSBN indicates that Safety and Infection Control addresses
content that will protect clients and health care personnel from health and
environmental hazards within health care facilities and in community settings. Box
1-2 presents examples of questions that address these 2 subcategories.
Box 1-2
Safe and Effective Care Environment
Management of Care
The nurse has received the client assignment for the day. Which client should the
nurse assess first?
1. The client who needs to receive subcutaneous insulin before breakfast
2. The client who has a nasogastric tube attached to intermittent suction
3. The client who is 2 days postoperative and is complaining of incisional pain
4. The client who has a blood glucose level of 50 mg/dL (2.8 mmol/L) and
complaints of blurred vision
Answer: 4
This question addresses the subcategory Management of Care in the Client Needs
category Safe and Effective Care Environment. Note the strategic word, first, so you
need to establish priorities by comparing the needs of each client and deciding
which need is urgent. The client described in the correct option has a low blood
glucose level and symptoms reflective of hypoglycemia. This client should be
50
