A staff nurse discovers a treatment error made by a nurse on the previous shift. The staff nurse finds no documentation of the error. Which of the following actions should the staff nurse take first?
Complete an incident report.
Evaluate the client for injury.
Notify the nurse manager.
Report the error to the provider.
The Correct Answer is B
A. Complete an incident report:
This is an important step for documentation and risk management but should be done after assessing for possible client harm.
B. Evaluate the client for injury:
The nurse’s first responsibility after discovering an error is to assess the client’s condition to ensure safety and identify any adverse effects (priority: client safety).
C. Notify the nurse manager:
This is appropriate after assessing the client, but not the immediate first step.
D. Report the error to the provider:
This should be done after assessing the client so the provider can be informed of the client’s current status and any necessary interventions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer pain medication:
Pain medication is important but should not be given before assessing the client’s current status.
B. Instruct the client to splint the incision:
This is helpful during coughing or movement but is not the first action before assessing vital signs.
C. Measure the client's vital signs:
Vital signs provide essential information to determine if the pain could be related to complications such as infection or bleeding before choosing an intervention.
D. Reposition the client:
Repositioning may help relieve discomfort, but assessment takes priority.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
A. Client 1 – Expectant/likely to die despite care (black tag)
This client has an open head trauma and is actively dying. In a mass casualty event, resources are directed toward those with the greatest chance of survival. Clients with injuries incompatible with life despite treatment are tagged black (expectant).
B. Client 2 – Life-threatening injury with high possibility of survival (red tag)
The client has a sucking chest wound with severe respiratory distress, tachycardia, hypotension, and hypoxemia (O₂ sat 85%). These are life-threatening injuries that can be rapidly corrected with airway management and wound sealing, giving a high likelihood of survival if treated immediately. Red tag is for immediate care.
C. Client 3 – Minor injuries that can wait (green tag)
This client has an ankle sprain and abrasions-injuries that are not life-threatening and do not require urgent intervention. These are classified as green tag (walking wounded), meaning treatment can be delayed without negative outcomes.
D. Client 4 – Serious injury but can be delayed without risk (yellow tag)
This client has a partial leg amputation with a tourniquet in place, no active bleeding, and stable vital signs for now. The injury is serious but currently controlled, so care can be delayed while higher-priority cases are managed. Yellow tag is for urgent but not immediate cases.
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