Practice Question
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)
Answer Choices:
Correct Answer:
"We use an automated dispensing device to track the use of controlled substances."
Rationale:
"We use an automated dispensing device to track the use of controlled substances."
🔷 Automated dispensing devices (ADDs), such as Pyxis or Omnicell systems, are designed to improve accountability and tracking of controlled substances.
🔷 These systems require users to log in with a personal ID or fingerprint, creating an electronic record of every transaction.
🔷 This technology reduces the opportunity for diversion and provides a secure audit trail for pharmacy and nursing leadership to review usage patterns.
"You are required to have a second nurse witness disposal of a controlled substance."
🔶 Disposal of unused or wasted portions of controlled medications must be witnessed and documented by a second licensed professional.
🔶 This policy is a safeguard against intentional diversion or inaccurate charting of medication use.
🔶 Witness verification ensures that the disposal is performed correctly and helps maintain legal compliance and ethical accountability.
"Activities of the automated dispensing machine will be reviewed periodically."
🟢 Periodic review of automated dispensing machine activity is a standard risk-reduction strategy to detect misuse, trends, or suspicious behavior.
🟢 Auditing software tracks medication access by time, user, and patient to help identify anomalies or red flags.
🟢 These reviews promote transparency and early intervention, reinforcing a culture of medication safety and regulatory compliance.
"We count the amount of a controlled substance available before removal from a medication drawer.”
🔵 Verifying the count of controlled substances before removal helps ensure the accuracy of medication records and detect discrepancies.
🔵 This process is often done as a double-check between shifts or during medication access to confirm inventory consistency.
🔵 Accurate counting reduces the risk of diversion and protects both the staff and the institution from legal liability.
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This question is from ATI LPN Medsurg Test~1 which contains 49 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 5