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Practice Question

A nurse is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse take?

Answer Choices:

Correct Answer:

Document the doubled dose in the client's medical record.

Rationale:

🔹 Accurate documentation is a legal and ethical responsibility. The nurse must record the actual medication administered in the client's medical record, including the dose and time.

🔹 This ensures that all members of the healthcare team are aware of the medication error and can monitor the client for potential adverse effects or complications related to the overdose.

🔹 The incident report, while necessary, is documented separately from the medical record and is used for internal quality improvement—not placed in the client’s chart.

🔹 Immediate documentation in the record supports continuity of care, allows appropriate monitoring, and protects the client’s safety.

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This question is from PN Management~2023 Retake Exam which contains 53 questions.

More Questions from This Exam
A nurse has just received change-of-shift report for a group of clients. Which of the following strategies should the nurse use to help manage client care requirements throughout the shift?

Answer Choices:

A. Set specific times for low-priority tasks.
B. Perform complicated tasks independently.
C. Postpone checking for new prescriptions until medications are due.
D. Cluster care activities for each client.
A nurse in a long-term care facility is caring for a group of clients. The nurse should recognize that which of the following information is the highest priority to report to the nursing supervisor?

Answer Choices:

A. A client who has dementia and is experiencing paranoia
B. A client who has a UTI and reports itching after receiving a dose of cefaclor PO
C. A client who has heart failure and has gained 1 kg (2.2 lb) in the last 48 hr
D. A client who has a pressure ulcer on the left heel that has progressed from stage II to stage III
A nurse is observing an assistive personnel (AP) provide care to a group of clients. Which of the following actions by the AP requires intervention by the nurse?

Answer Choices:

A. Removing gloves before leaving an isolation room
B. Filling a basin with water at 40° C (104° F) when providing foot care
C. Instructing a client to look down at their feet when being assisted to ambulate
D. Applying water-soluble lubricant to the nares of a client who is receiving oxygen
A nurse is assisting with the development of an in-service about client advocacy. Which of the following information should the nurse include when describing advocacy?

Answer Choices:

A. Encourages the expression of feelings about illness
B. Reinforces teaching about prescribed medications
C. Collaborates with other team members
D. Supports the client's needs
A charge nurse is observing the actions of the facility staff on the unit. Which of the following actions should the charge nurse identify as a possible legal issue?

Answer Choices:

A. A nurse does not provide an interpreter for a client who speaks a different language than the nurse.
B. A provider who suspects partner violence asks to speak with the client alone.
C. A dietitian prescribes a kosher meal tray for a client who practices the Orthodox Jewish faith.
D. A client requests that a nurse provide information by telephone to their partner.
From Exam
PN Management~2023 Retake Exam

53 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Leadership
  • Answer Choices: 4
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