DWI FULL SOLUTION SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
▶ Step 5. Answer: Would a reasonable and prudent nurse perform this
activity in this setting?
▶ Step 6. Answer: Are you prepared to accept the consequences of your
actions?
▶ Prohibited Delegation Tasks. Answer: Nursing assessments
Plan of care
Professional Judgement/Intervention
Responsibility for initial teaching
Medication administration, IV fluids as well
-Prohibited in acute care settings
-may be delegated in independent living situations
▶ Minor Incident. Answer: Conduct that does not indicate the nurses
continuing to practice professional nursing poses a risk fo harm to the pt. or
other person
▶ Exclusion to Minor Incident Rule. Answer: A nurse involved in a MI does
not need to reported to BON unless...
-Creates sig. risk fo physical, emotional, financial harm
-Lacks a conscientious approach for accountability
-Lacks knowl. and compet. and not easily remedial
-Pattern of multiple minor incidents
-5 minor incidents in a 12 month period must be reported to peer review
▶ NEVER a Minor Incident. Answer: Error contributed to pt. death/serious
harm
Criminal conduct
Serious violation (theft, faud, pt. abuse, exploiting)
Impairment/suspected impairment by chem. dep.
▶ IBPR Due Process Rights. Answer: Facility must have policies in place
for PR
, PR committee must comply with req.
Nurse must receive notice/ opportunity to review documents/submit a
response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
▶ Safe Harbor Peer Review. Answer: Allows a nurse to accept an
assignment and provide best care without fear of licensure action if there is
a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignment if lack basic knowledge/ability to render care
▶ Safe Harbor. Answer: Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
▶ Quick Request Form. Answer: Written on blank piece of paper but must
include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignment
-Brief explanation of why safe harbor is being req.
▶ Chain after Safe Harbor Nurse completion. Answer: Nurse
supervisor/administrator who gave assignment.
Nurse administrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR findings
Nurse who initiated request
WITH ANSWERS GRADED A+
▶ Step 5. Answer: Would a reasonable and prudent nurse perform this
activity in this setting?
▶ Step 6. Answer: Are you prepared to accept the consequences of your
actions?
▶ Prohibited Delegation Tasks. Answer: Nursing assessments
Plan of care
Professional Judgement/Intervention
Responsibility for initial teaching
Medication administration, IV fluids as well
-Prohibited in acute care settings
-may be delegated in independent living situations
▶ Minor Incident. Answer: Conduct that does not indicate the nurses
continuing to practice professional nursing poses a risk fo harm to the pt. or
other person
▶ Exclusion to Minor Incident Rule. Answer: A nurse involved in a MI does
not need to reported to BON unless...
-Creates sig. risk fo physical, emotional, financial harm
-Lacks a conscientious approach for accountability
-Lacks knowl. and compet. and not easily remedial
-Pattern of multiple minor incidents
-5 minor incidents in a 12 month period must be reported to peer review
▶ NEVER a Minor Incident. Answer: Error contributed to pt. death/serious
harm
Criminal conduct
Serious violation (theft, faud, pt. abuse, exploiting)
Impairment/suspected impairment by chem. dep.
▶ IBPR Due Process Rights. Answer: Facility must have policies in place
for PR
, PR committee must comply with req.
Nurse must receive notice/ opportunity to review documents/submit a
response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
▶ Safe Harbor Peer Review. Answer: Allows a nurse to accept an
assignment and provide best care without fear of licensure action if there is
a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignment if lack basic knowledge/ability to render care
▶ Safe Harbor. Answer: Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
▶ Quick Request Form. Answer: Written on blank piece of paper but must
include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignment
-Brief explanation of why safe harbor is being req.
▶ Chain after Safe Harbor Nurse completion. Answer: Nurse
supervisor/administrator who gave assignment.
Nurse administrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR findings
Nurse who initiated request
