Level: Clinical
Difficulty: Medium
Subtopic: Medication pass safety
NCLEX: A new graduate nurse working with a preceptor is being evaluated for medication pass safety. Assessment data incl…
Professional nursing practice (clinical transition) Management of Care
Case Study
A new graduate nurse working with a preceptor is being evaluated for medication pass safety. Assessment data include the new graduate feels unsure about an order that conflicts with the allergy list. Which action is appropriate within the RN scope of practice?
Question
A. Independently diagnose the medical disease and prescribe treatment.
B. Prescribe new medications without a provider order.
C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
D. Delegate nursing assessment and evaluation on an unstable client.
B. Prescribe new medications without a provider order.
C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
D. Delegate nursing assessment and evaluation on an unstable client.
Rationale
Correct answer: C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.