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NURSING:DOCUMENTING, REPORTING, CONFERRING FUNDAMENTALS Q & A 2023.Qualified.DOWNLOAD TO SCORE A+
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1.What is the nurse's best defense if a patient alleges nursing negligence? A) testimony of other nurses B) testimony of expert witnesses C) patient's record D) patient's family 2.A nurse is documenting the intensity of a patient's pain. What would be the most accurate entry? A) “Patient complaining of severe pain.” B) “Patient appears to be in a lot of pain and is crying.” C) “Patient states has pain; walking in hall with ease.” D) “Patient states pain is a 9 on a scale of 1 to 10.” 3.Which of the following data entries follows the recommended guidelines for documenting data? A) “Patient is overwhelmed by the diagnosis of pancreatic cancer.” B) “Patient kidneys are producing sufficient amount of measured urine.” C) “Following oxygen administration, vital signs returned to baseline.” D) “Patient complained about the quality of the nursing care provided on previous shift.”
4.Alice Jones, a registered nurse, is documenting assessments at the beginning of her shift. How should she sign the entry? A) Alice J, RN B) A. Jones, RN C) Alice Jones D) AJRN 5.In which of the following cases should a progress note be written? Select all that apply. A) for any nurse–patient interaction B) when admitting a patient C) when receiving a patient postoperatively D) when assisting a patient with ADLs E) when a procedure is performed F) when a patient sends back an untouched dinner tray 6.A student has reviewed a patient's chart before beginning assigned care. Which of the following actions violates patient confidentiality? A) writing the patient's name on the student care plan B) providing the instructor with plans for care C) discussing the medications with a unit nurse
9.A patient asks to see his medical record (chart). How would the nurse respond? A) “I can't let you do that without a doctor's order.” B) “Our hospital policy is that you can't do that.” C) “I will get your chart and provide you with privacy to read it.” D) “Why would you want to do that? It will only make you worry.” 10.A physician's order reads “up ad lib.” What does this mean in terms of patient activity? A) may walk twice a day B) may be up as desired C) may only go to the bathroom D) must remain on bed rest
A) U (unit) B) QD (daily) C) NPO (nothing per os) D) mL (milliliters) E) > (greater than) F) mcg (micrograms)
B) nursing notes C) critical paths D) graphic record 21.A nurse is documenting information about a patient in a long-term care facility. What is used in a Medicare-certified facility as a comprehensive assessment and as the foundation for the Resident Assessment Instrument (RAI)? A) PIE system B) minimum data set C) OASIS D) charting by exception 22.What is the primary purpose of an incident report? A) means of identifying risks B) basis for staff evaluation