1. A nurse is caring for a patient who has a central venous

catheter (CVC) inserted in the right subclavian vein. The

nurse notices that the dressing around the CVC site is wet

and bloody. What should the nurse do first?

a) Apply pressure to the site and call for help.

b) Remove the dressing and assess the site for bleeding.

c) Change the dressing and document the incident.

d) Clamp the CVC and notify the physician. *

Rationale: The nurse should clamp the CVC and notify the

physician as this may indicate a serious complication such

as catheter migration, perforation, or rupture of the vein.

Applying pressure, removing the dressing, or changing the

dressing may worsen the bleeding or introduce infection.

2. A nurse is conducting a root cause analysis (RCA) of a

medication error that occurred in her unit. She interviews

the staff involved, reviews the incident report, and

examines the medication administration process. What is

the next step in RCA?

a) Identify the contributing factors that led to the error.

b) Implement corrective actions to prevent recurrence of

the error. *

c) Evaluate the effectiveness of the corrective actions.

d) Communicate the findings and recommendations to

stakeholders.

Rationale: The next step in RCA is to implement corrective

actions to prevent recurrence of the error. Identifying the