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A red dot or reflex sight will make it much easier to shoot accurately. This pistol comes drilled and tapped for a rail to mount an optic on. I'd go with a 2 moa dot or smaller for accurate shooting on small targets.
John, Your as accurate as you are with sights or red dot. A red dot is easier for many people to put on target. You will have to add rail https://www.budsgunshop.com/catalog/product_info.php/products_id/42738/ruger+scope+base+mkiii+mkiv+22%2f45 https://www.budsgunshop.com/catalog/product_info.php/products_id/21051/ruger+black+scope+base+adapter and red dot https://www.budsgunshop.com/catalog/product_info.php/products_id/60657/truglo+red+dot+sight+w%2fmulti+reticle%2fdual+color https://www.budsgunshop.com/catalog/product_info.php/products_id/10139/ncstar+d4b+d4rgb+dual-illum+1x+24x34mm+obj+unltd+relief+3+mo or you can spend several hundred dollars on a red dot.
John, I would train first with the supplied Sights to get a gauge on accuracy. If it is good you may be ok, if not, then you can try a red dot later.
I tried the red dot on my Ruger MK III and I shot worse with it. I kept chasing the dot instead of just shooting. I suggest shooting it as it comes for a while then if you are not happy or just want to try a red dot you can always get one then