Best NCLEX Next Gen Prep Related

Review Best NCLEX Next Gen Prep related questions and content

An LPN is tasked with checking the narcotic count on a medical-surgical unit. Which statement by the LPN requires further investigation?

  • A. "I need a witness when I waste the leftover narcotics in the client's PCA pump."?
  • B. "I am going to check the facility's policy for how to dispose of this controlled substance."?
  • C. "I left the narcotics box unlocked after confirming the beginning of shift count was correct."?
  • D. "The end of shift narcotics count is incorrect and needs to be reported."?
Correct Answer: C

Rationale: The LPN's statement about leaving the narcotics box unlocked after confirming the beginning of shift count was correct requires further investigation. Narcotics should be locked and kept in a secure place during the shift to prevent unauthorized access and ensure patient safety. This statement raises concerns about medication security, which is critical in preventing diversion and ensuring patient safety. The other statements demonstrate appropriate actions: A) The LPN acknowledges the need for a witness when wasting leftover narcotics, ensuring proper documentation and accountability during medication waste. B) Checking the facility's policy for proper disposal of controlled substances shows awareness of regulatory compliance regarding controlled substances. D) Recognizing an incorrect end-of-shift narcotics count and planning to report it reflects the LPN's responsibility in maintaining accurate records and addressing discrepancies, which is essential for medication safety and accountability.