Telephone order NCLEX Question

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So I ran into this question:

A charge nurse is providing orientation for a newly licensed nurse regarding the receipt of telephone orders. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

* "I will repeat the telephone order back to the provider."

* "I will ask another nurse to review and sign the telephone order"

* "The telephone order should be directly transcribed into the nurse's notes."

*"The telephone order must be signed by the provider ASAP"

Answer is C, because it should be transcribed on the provider's order sheet in the medical record.

I understand the rationale, however, is that how it really works in the real world? I picked B because I was thinking if I'm the other nurse, I wouldn't sign if I wasn't actually there to hear the conversation on the phone. I guess my question is, in the real world, if you're the other nurse, how would you review and sign something that you didn't physically receive/witness?

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We do not transcribe orders onto nurses notes thus answer would be C. Belong on Physicians/Doctors

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Specializes in LTC.

Yes the answer is see. We don't do that.

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how about A.. repeating the order to be certian? as we do in an emergency situation? just a thought

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Specializes in Psych ICU, addictions.
how about A.. repeating the order to be certian? as we do in an emergency situation? just a thought

The question is asking which action she shouldn't do. You ALWAYS repeat the order back, emergency situation or not.

I agree: I would have picked C. The other three make perfect sense as to what to do with verbal/telephone orders, though I guess the 2nd nurse signing it may be a facility-specific thing. But a 2nd nurse should at least review it.

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