A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

Correct the mistake independently.

Speak with the other nurse privately.

Volunteer to perform the procedure next time.

Submit an incident report.

Answer and Explanation

The Correct Answer is B

The first action the nurse should take is to speak with the other nurse privately. This allows the nurse to address the mistake in a respectful and professional manner and provide guidance on how to perform the procedure correctly in the future.
Option A is incorrect because correcting the mistake independently does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option C is incorrect because volunteering to perform the procedure next time does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option D is incorrect because submitting an incident report may be necessary, but it should not be the first action taken.

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Correct Answer is D

Explanation

Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Obtaining vital signs on clients who are stable [d] is a task that can be delegated to an AP.

The other options are not tasks that should be delegated to an AP. Assisting the client to select a low-residue diet [a] and reviewing the steps of self-blood glucose monitoring with a client [c] involves patient education and dietary planning, which are typically the responsibility of a licensed nurse. Performing a complex dressing change [b] is a complex task that requires specialized knowledge and skills.

A. A client decides not to have a colonoscopy after signing the consent form. B. A client requests to take a shower in the evening rather than in the morning. C. A client has an episode of vomiting after receiving medication for hypertension. D. A client's family member becomes short of breath and reports having chest pain.

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Withdrawing consent is a client’s legal right. No error or unexpected event occurred, so no incident report is required.

Choice B rationale: Preference for shower timing is a routine care adjustment, not an adverse or unusual event requiring documentation.

Choice C rationale: Vomiting may be a side effect, but unless it causes harm or is unexpected, it doesn’t meet incident report criteria.

Choice D rationale: A medical emergency involving a visitor is unexpected and requires documentation for liability, safety, and institutional response tracking.

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A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about completing an incident report. For which of the following situations should the nurse complete an incident report?

Correct Answer is D

Explanation

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