# The charge nurse reviews actions taken after a client received the wrong medication dose. Which actions require follow-up? Highlight the actions that do not support a safe adverse-event response.

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> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

The charge nurse reviews actions taken after a client received the wrong medication dose. Which actions require follow-up? Highlight the actions that do not support a safe adverse-event response.

| Time | Documented action |
| --- | --- |
| 1010 | Completes the event form before assessing the client |
| 1012 | Assesses the client and notifies the responsible clinician |
| 1015 | Preserves the medication container for the safety review |
| 1020 | Charts that pharmacy caused the error before facts are known |
| 1025 | Explains the known facts without guessing about the cause |
| 1030 | Submits an event report through the approved reporting system |
| 1035 | Documents the client assessment and clinical response in the record |
| 1040 | Waits to report the event unless the client develops harm |
| 1045 | Reviews system contributors with the patient-safety team |

## Explanation

Delaying assessment, documenting speculation and blame, and withholding a report until harm appears require follow-up. The immediate priorities are client care, factual communication, prompt reporting, and system learning.

## In-depth explanation

Quick answer
Highlight delaying the client assessment, writing an unverified blame statement, and waiting for visible harm before reporting. Each action interferes with a timely, factual, learning-focused response.

Why this is correct
The client must be assessed and stabilized before administrative tasks. Event communication and charting should state known clinical facts, not guesses about who caused the error. Reporting should begin promptly because an event can reveal a dangerous system gap even when harm is not yet obvious.[2][3]

Easy analogy or mental picture
Picture two parallel rails: one rail protects the client now, and the other helps the system learn. Delaying care breaks the first rail; blame or silence breaks the second. The image does not replace local reporting policy.

Memory hook
Care first, facts only, report promptly, learn together.

NCLEX decision rule
When an error occurs, first assess and stabilize the client, then notify and report through the approved process using objective facts. Do not delay care, speculate about fault, or wait for injury before activating safety review.

Why the other choices are wrong
Stabilizing the client, preserving relevant materials, explaining known facts, filing the event report, charting the assessment and response, and examining system contributors all support safe care and improvement.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]AHRQ: CANDOR Event ChecklistAgency for Healthcare Research and Quality

- [3]AHRQ: CANDOR Disclosure ChecklistAgency for Healthcare Research and Quality

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