NCLEX · General

A nurse receives a verbal order from a physician during an emergency. What is the correct procedure for safety?

Correct answer

Write down the order, read it back to the physician for confirmation, and ensure it is signed within the required timeframe

  1. A Carry it out from memory without documentation
  2. B Write down the order, read it back to the physician for confirmation, and ensure it is signed within the required timeframe
  3. C Ask another nurse to remember it
  4. D Ignore the order until it is written

Why this is the answer

For VERBAL/TELEPHONE ORDERS, the safe procedure is: WRITE DOWN the order (or enter it), then READ IT BACK to the prescriber for verification (read-back/'repeat-back'), and confirm it is correct; the prescriber must SIGN/authenticate the order within the facility's required timeframe (often 24 hours). NCLEX safe care/communication safety. The READ-BACK step is critical — it catches misheard medications, doses, or routes, preventing errors. Verbal orders should be limited to situations where written/electronic orders aren't feasible (emergencies). This closed-loop communication (write down, read back, confirm) is a key safety practice and tested NCLEX concept.
Source: NCLEX Safe Care — Verbal Orders, Read-Back