A nurse administers medication to a patient at 0900.
Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?
4 p.m.
1600
1700
7 p.m.
The Correct Answer is B
The nurse completed the incident report at 1600.
Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight.
Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m.
Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m.
Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This choice provides information about the patient’s condition, which corresponds to the “Situation” in SBAR123.
Choice B rationale
This choice provides background information about the patient’s medical history, which corresponds to the “Background” in SBAR123.
Choice C rationale
This choice is asking for an order for additional pain medication, which corresponds to the “Recommendation” in SBAR123. In the SBAR communication model, the “Recommendation” is where the nurse would suggest a course of action or ask for an order.
Choice D rationale
This choice provides an assessment of the patient’s pain level, which corresponds to the “Assessment” in SBAR123. In the SBAR model, the “Assessment” is where the nurse would share their analysis or what they think about the situation.
Correct Answer is B
Explanation
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
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