Level: Foundational
Difficulty: Easy
Subtopic: Medication pass safety
NCLEX: A senior nursing student during a supervised medication pass is being evaluated for medication pass safety. Asses…
Professional nursing practice (clinical transition) Management of Care
Case Study
A senior nursing student during a supervised medication pass is being evaluated for medication pass safety. Assessment data include the preceptor stops a medication pass because the student did not verify two identifiers. Which finding requires the nurse to intervene immediately?
Question
A. The new finding that the preceptor stops a medication pass because the student did not verify two identifiers.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: A. The new finding that the preceptor stops a medication pass because the student did not verify two identifiers.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.