# Situation: A 36-bed orthopedic and ophthalmology ward of a public hospital is staffed by a charge nurse, staff nurses, and nursing attendants. Nursing students from an affiliated college have clinical duty on the ward three days a week. A nursing student wants to give a scheduled oral medicine while the clinical instructor is at a meeting in another building. A staff nurse says the student may go ahead because the staff nurse will check the chart afterward. Why is this arrangement **NOT** acceptable?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630552  
> language: ko  
> subject: Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination

## 문제

Situation: A 36-bed orthopedic and ophthalmology ward of a public hospital is staffed by a charge nurse, staff nurses, and nursing attendants. Nursing students from an affiliated college have clinical duty on the ward three days a week.

A nursing student wants to give a scheduled oral medicine while the clinical instructor is at a meeting in another building. A staff nurse says the student may go ahead because the staff nurse will check the chart afterward. Why is this arrangement **NOT** acceptable?

## 보기

1. Students may give oral medicines only on units where they are listed in the roster
2. A staff nurse may oversee a student only for tasks that involve no medicines
3. Students may give medicines only after completing the related learning course
4. Students may carry out nursing acts only under direct supervision of their faculty **✔ 정답**

**정답: 4**

## 해설

The Philippine Nursing Act of 2002 (Republic Act 9173) allows nursing students to perform nursing functions only under the direct supervision of a qualified faculty member. Checking the chart afterward is indirect oversight by someone who is not the student's faculty, so the student must wait for the instructor.

## 심화 해설

Direct faculty supervision is a legal requirement
The Philippine Nursing Act of 2002 (RA 9173) allows nursing students to perform nursing functions only under the direct supervision of a qualified faculty member. Nursing students are not licensed, so their legal authority to give care comes from the educational program and the presence of their faculty. Checking the chart afterward is indirect oversight by someone who is not the student's faculty, so it does not meet the requirement. The student must wait for the clinical instructor to return before giving the scheduled oral medicine.

What direct supervision means
Direct supervision means the faculty member is physically present and able to observe and guide the student during the act, especially for medication administration, which carries high risk. A staff nurse may be helpful and experienced, but the law places the responsibility for students' nursing acts on qualified faculty. A review of documentation after the fact cannot catch an error at the bedside, such as the wrong client, wrong dose, or wrong route.

| Statement | Accurate? | Reason |
| --- | --- | --- |
| Students act only under direct faculty supervision | Yes | Requirement under RA 9173 |
| Roster listing allows oral medicines | No | Roster does not replace faculty supervision |
| Staff nurse may oversee non-medicine tasks only | No | The law does not split tasks this way |
| Medicines only after a learning course | No | Not the legal basis; supervision is |

Why the other explanations are wrong
Being listed in the unit roster shows assignment, not legal authority; it does not replace direct faculty supervision. The law does not divide student tasks into those with and without medicines and allow a staff nurse to supervise one category; all nursing acts by students require direct faculty supervision. No rule of completing a course first applies here; the requirement remains direct supervision by qualified faculty.

What the student and staff nurse should do
The student delays the medication only as long as needed and informs the staff nurse that the instructor must be present, or asks the staff nurse to give the dose if it is time-critical, since the staff nurse is licensed and responsible for the client. The student notifies the clinical instructor. The staff nurse should not encourage students to act outside the law, because doing so exposes the client to risk and the nurse to liability.

Exam takeaway
Key point Under RA 9173, nursing students perform nursing functions only under the direct supervision of qualified faculty. Later chart checks by staff do not count.

## 임상 시나리오

Nursing Students and MedicationDirect faculty supervision under RA 9173
The Philippine Nursing Act of 2002 (RA 9173) allows nursing students to perform nursing functions only under the direct supervision of qualified faculty.

A staff nurse checking the chart afterward is indirect oversight by someone who is not the student's faculty, so it does not meet the requirement.

The student waits for the instructor, or the licensed staff nurse gives a time-critical dose, and the instructor is informed.

CautionRoster listing, course completion, or a staff nurse's permission does not replace direct faculty supervision.

## 핵심 개념

- **Philippine Nursing Act of 2002 (RA 9173)** — The law regulating nursing education, licensure, and practice in the Philippines.
- **Direct supervision** — Supervision in which the supervisor is physically present to observe and guide the act.
- **Clinical instructor** — A qualified faculty member who supervises nursing students in the clinical area.
- **Scope of practice** — The range of actions a person is legally authorized to perform in nursing.

## 같은 주제 문제

- [Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…](https://mymerci.kr/pages/nclex_q.php?qn_id=630351)
- [Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…](https://mymerci.kr/pages/nclex_q.php?qn_id=630352)
- [Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…](https://mymerci.kr/pages/nclex_q.php?qn_id=630353)
- [Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…](https://mymerci.kr/pages/nclex_q.php?qn_id=630354)
- [Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…](https://mymerci.kr/pages/nclex_q.php?qn_id=630355)
- [Situation: A 30-bed adult medical ward admits many clients with diabetes, liver disease, a…](https://mymerci.kr/pages/nclex_q.php?qn_id=630451)
- [Situation: A 30-bed adult medical ward admits many clients with diabetes, liver disease, a…](https://mymerci.kr/pages/nclex_q.php?qn_id=630452)
- [Situation: A 30-bed adult medical ward admits many clients with diabetes, liver disease, a…](https://mymerci.kr/pages/nclex_q.php?qn_id=630453)

---

More free questions: [기출문제](https://mymerci.kr/)

_학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요._