NCLEX: The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and validit…

Statistics or evidence-based practice Management of Care

Case Study

The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and validity and reliability. Assessment data include a small study reports benefit but has no randomization and a high dropout rate. Before a medication-related action, what must the nurse verify?

Question

A. Administer on schedule even when the client is unarousable.
B. Skip allergy checks if the drug was given previously without reaction.
C. Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.
D. Delegate medication judgment to UAP to save time.

Rationale

Correct answer: C. Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.

Rationale: Medication safety requires full rights verification and monitoring; shortcuts increase error risk on the NCLEX and at the bedside.

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Foundational

Difficulty: Easy

Subtopic: Validity and reliability