At 0200 the nurse phones the healthcare provider to request a PRN medication for a client who is unable to sleep. The healthcare provider is awakened, and gives the nurse a prescription for four times the normal dosage. When questioned by the nurse, the healthcare provider responds in a sleepy voice, "Yeah, OK," and hangs up the phone. Which action should the nurse take first?

Record that the nurse questioned the prescription, and ask the supervisor for guidance.

Notify the medical chief of staff of the situation, and request a prescription for the client.

Call the healthcare provider back, and report that the dosage prescribed is four times the normal dose.

Refuse to administer the medication, and write an incident report describing the event.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Recording that the nurse questioned the prescription and seeking guidance from the supervisor can be done after calling the healthcare provider back.

Choice B rationale: Notifying the medical chief of staff may be necessary, but the nurse should first call the healthcare provider back.

Choice C rationale: Calling the healthcare provider back to report the dosage discrepancy is important, because it will allow the healthcare provider to correct the mistake and give a safe prescription.

Choice D rationale: Refusing to administer the medication and writing an incident report is an appropriate action, but it should be done if the healthcare provider does not respond or insists on giving the wrong prescription.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A rationale: The risk management nurse is not typically responsible for coordinating patient care through rehabilitation and discharge.

Choice B rationale: The neurology unit supervisor may have expertise in neurology care but may not be directly involved in coordinating care through rehabilitation and discharge.

Choice C rationale: The nurse case manager is specifically trained to coordinate and manage the care of patients through the entire healthcare continuum, including rehabilitation and discharge.

Choice D rationale: While the adult nurse practitioner may be involved in the patient's care, the nurse case manager is spec

A. Combined partial and full-thickness burns on the anterior chest three days ago. O2 saturation is 92%. B. Nephrotic syndrome diagnosed 2 days ago, decreased serum protein level and mild edema. C. Subtotal thyroidectomy performed one hour ago, receiving a unit of packed red blood cells. D. Renal transplant yesterday, complaining of flank pain and who states, "It's hot in here."

Correct Answer is B

Explanation

Choice A rationale: A client with combined partial and full-thickness burns on the anterior chest with a decreased O2 saturation is likely in need of critical care and should not be transferred to a general unit.

Choice B rationale: A client with nephrotic syndrome and mild edema is the most stable and has the least risk of complications among the four options.

Choice C rationale: The client with thyroidectomy has a risk of bleeding and needs frequent assessment of vital signs and dressing.

Choice D rationale: The client with renal transplant has a risk of rejection and infection and needs strict isolation and immunosuppressive therapy.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Correct Answer is C

Explanation

The charge nurse of a critical care unit must transfer a client to a general unit to make a bed available for an incoming trauma client. Based on the information provided, which client is best for the nurse to recommend for transfer to the general unit?

Correct Answer is B

Explanation

The charge nurse is providing instructions to an unlicensed assistive personnel (UAP) who will be assisting with the care of a client who has a hiatal hernia. Which instruction should the charge nurse provide the UAP?

Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which task should the nurse delegate to the PN?

The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

Several nurses are elected by their peers to serve on a negotiating committee to recommend new healthcare benefits. After the new benefits plan is developed and approved, which action is most important for the nurses working on this committee to implement?

A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?