Practice Question
A nurse is caring for a toddler and is preparing to administer their medication. The toddler's identification bracelet has fallen off. Which of the following actions should the nurse take to identify the toddler?
Answer Choices:
Correct Answer:
Confirm the toddler's name and date of birth with their guardian.
Rationale:
🔹Confirming with the guardian ensures the most accurate verification of the toddler’s identity, as toddlers cannot reliably self-identify.
🔹 Guardians provide the toddler’s correct name and date of birth, which are required identifiers for safe medication administration.
🔹This step adheres to the Two-Identifier Rule, which mandates using two reliable patient-specific identifiers before giving any medication.
🔹Relying on the guardian maintains patient safety and prevents medication errors when the identification bracelet is unavailable.
🔹The nurse must ensure correct identity using the most credible source, and in pediatrics, the guardian is the primary legal identifier.
Tape a new bracelet to the head of the toddler’s crib
🔹 A crib is not a patient-specific identifier, and another child could be placed there, leading to misidentification.
🔹 Identification must be linked to the client, not their environment or furniture.
Verify the toddler’s identity with another nurse
🔹 Another nurse’s verbal confirmation does not meet the requirement for objective identifiers.
🔹 Staff opinions are not acceptable substitutes for legal identification sources.
Ask the toddler their name and telephone number
🔹 Toddlers cannot reliably provide accurate identifying information, making this unsafe.
🔹 Telephone numbers and full names are often beyond developmental capability at this age.
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This question is from PN ATI Capstone Proctored Post-Assessment EXAM 2 which contains 79 questions.
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From Exam
PN ATI Capstone Proctored Post-Assessment EXAM 2
79 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: ♻PN Capstone Exams
- Answer Choices: 4