do the really ask this on the NCLEX?

Nursing Students NCLEX

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I took/passed the NCLEX almost 4 yrs ago--that is why I am putting this under "General Nursing Discussion" not under and NCLEX forum. Anyway, I had a very slow day at work a few weeks ago (slow day are very, very uncommon where I work). I was on the computer and I saw a program of NCLEX practice questions--I forget what the name of the program was. Wanting to see how much I forgot in 4 years, I opened it to take a few. One really stood out:

(paraphrasing) At a facility all med orders are trascribed onto the MAR and onto the pt's Cardex (Kardex? either way, I hate them). A doctor wrote an order for a pt to have a med daily for 3 days. The med was correctly transcribed onto the Cardex, but the stop date was not recorded on the MAR. On the 4th day, a nurse gave a dose of the med. Who is responsible for the med error? (A) the nurse who transcribed the order, (B) the nurse who gave the med, © the facility, or (D) the prescribing doctor.

Their answer was B (which I do agree with). My issues: first, why they heck is this an NCLEX question?? Second, their 'reasoning.' Per them: the facility is not at fault because they have a policy in place to write the med both places. Since the RN giving the med did not check the Cardex, it is her error because it was correctly transcribed there even if it was not correct on the MAR.

I am so glad I don't have to study again for that silly test! P.S. the results of the test are not silly (an RN license)...it is silly on what they test and on how they word questions.

Oh well, rant over.

If the med was ordered for three days, shouldn't there only be three days of med on hand?

Can only think of a few meds where this wouldn't be the case....stock meds...any others?

Specializes in ICU.

If the nurse gives the medication without checking the doctor's order, then the nurse is at fault. It doesn't matter how many hands the order goes thru first, the one giving the medication to the patient is the one who will be at fault.

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