NR 226 CLINICAL LEARNING EVALUATION
COURSE REVIEW SOLVED QUESTIONS
WITH COMPLETE SOLUTION
●● When the nurse is administering a medication to a confused patient,
the patient says, "this pill looks different from the one I had before."
What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication.
Answer: Correct answer: 3 (This is the safest intervention because it
goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is
confused and the information obtained may be innacurate.
2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without
obtaining additional information.
,●● The nurse administers an incorrect dose of a medication to a patient.
What is the primary purpose of documenting this event in an Incident
Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident.
Answer: Correct answer: 3 (Risk-management committees use stats
about accidents & incidents to identify patterns of risk and prevent
future accidents/incidents.)
1 - Wrong because although documentation of an incident may be used
in a court of law, it is not the primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to
be written and implemented.
4 - Although nurses are always accountable for their actions,
accountability for the cause of an incidence is the role of the courts.
●● A practitioner writes a prescription for a medication that is larger
than the standard dose. What should the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
,3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner.
Answer: Correct Answer: 4 (Nurses have a prof. resonsibility to
know/investigate the standard dose for medications being administered.
In addition, nurses are responsible for their own actions regardless of
whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing
practice.
●● When the nurse attempts to administer a medication to a patient, the
patient refuses to take the medication because it causes diarrhea. The
nurse provides teaching about the medication, but the patient continues
to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the
medication.
4) Explain again to the patient the consequences of refusing to take the
medication.
Answer: Correct Answer: 1 (The patient has the right to refuse)
, 2. Notifying the practitioner eventually should be done, but it is not the
priority at this time.
3. Discussing the situation with a family member without the patient's
consent is a violation of confidentiality.
4. The patient has been taught about the medication and adamantly
refuses the medication. Further teaching at this time may be viewed by
the patient as badgering.
●● When caring for a terminally ill patient, a family member says, "I
need your help to hasten my mother's death so that she is no longer
suffering." What should the nurse do based on the position of the
American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient
has had counseling.
Answer: Correct Answer: 1 (Withholding the medication and docu-
menting the patient's refusal are the appropriate interventions. Patient's
have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the
priority at this time.
COURSE REVIEW SOLVED QUESTIONS
WITH COMPLETE SOLUTION
●● When the nurse is administering a medication to a confused patient,
the patient says, "this pill looks different from the one I had before."
What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication.
Answer: Correct answer: 3 (This is the safest intervention because it
goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is
confused and the information obtained may be innacurate.
2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without
obtaining additional information.
,●● The nurse administers an incorrect dose of a medication to a patient.
What is the primary purpose of documenting this event in an Incident
Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident.
Answer: Correct answer: 3 (Risk-management committees use stats
about accidents & incidents to identify patterns of risk and prevent
future accidents/incidents.)
1 - Wrong because although documentation of an incident may be used
in a court of law, it is not the primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to
be written and implemented.
4 - Although nurses are always accountable for their actions,
accountability for the cause of an incidence is the role of the courts.
●● A practitioner writes a prescription for a medication that is larger
than the standard dose. What should the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
,3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner.
Answer: Correct Answer: 4 (Nurses have a prof. resonsibility to
know/investigate the standard dose for medications being administered.
In addition, nurses are responsible for their own actions regardless of
whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing
practice.
●● When the nurse attempts to administer a medication to a patient, the
patient refuses to take the medication because it causes diarrhea. The
nurse provides teaching about the medication, but the patient continues
to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the
medication.
4) Explain again to the patient the consequences of refusing to take the
medication.
Answer: Correct Answer: 1 (The patient has the right to refuse)
, 2. Notifying the practitioner eventually should be done, but it is not the
priority at this time.
3. Discussing the situation with a family member without the patient's
consent is a violation of confidentiality.
4. The patient has been taught about the medication and adamantly
refuses the medication. Further teaching at this time may be viewed by
the patient as badgering.
●● When caring for a terminally ill patient, a family member says, "I
need your help to hasten my mother's death so that she is no longer
suffering." What should the nurse do based on the position of the
American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient
has had counseling.
Answer: Correct Answer: 1 (Withholding the medication and docu-
menting the patient's refusal are the appropriate interventions. Patient's
have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the
priority at this time.
