NRSE 260 EXAM 4 QUESTIONS AND
ANSWERS GRADED A+ 2026
Information regarding a patient's health status may not be released to non-health care team
members because:
A. legal and ethical obligations require health care providers to keep information strictly
confidential.
B. regulations require health care institutions to document evidence of physical and emotional
well-being.
C. reimbursement issues related to patient care and procedures may be of concern.
D. fragmentation of nursing and medical care procedures may be identified. - ANS A-
Rationale: Under HIPAA laws, a patient's medical information can only be released to team
members, unless express written consent is given by the patient.
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When
completing the admission paper work, the nurse needs to record:
A. an interpretation of patient behavior.
B. objective data that are observed.
C. lengthy entry using lay terminology.
D. abbreviations familiar to the nurse. - ANS B- Rationale: Objective data are part of the
assessment portion of the nursing process. All data collected during the nursing process should
be documented.
A nurse records that the patient stated his abdominal pain is worse now than last night. This is
an example of:
A. PIE documentation.
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 1
, B. SOAP documentation.
C. narrative charting.
D. charting by exception. - ANS C- Rationale: Writing subjective data, which includes the
information the patient verbalizes, is written in narrative charting.
A patient you are assisting has fallen in the shower. You must complete an incident report. The
purpose of an incident report is to:
A. exchange information among health care members.
B. provide information about patients from one unit to another unit.
C. ensure proper care for the patient.
D. aid in the hospital's quality improvement program. - ANS D- Rationale: Any deviation from
the norm, such as a patient fall, can be used to improve quality. Incidents are gathered and
assessed to see if there is a way to prevent it from happening again.
What does EHR stand for? - ANS Electronic Health Record:
- digital record of health info
- streamlined sharing of updated info
- allows patients medical info to move with them
-access to tools that providers can use for decision making
What does EMR stand for? - ANS Electric Medical Record:
- digital version of the chart
-not designated to be shared outside the individual practice
- patient record does not easily travel outside of practice
- mainly used by providers for diagnosis and treatment
What is HIPPA? - ANS the privacy rule requires that nurses protect all written and verbal
communication about patients
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 2
ANSWERS GRADED A+ 2026
Information regarding a patient's health status may not be released to non-health care team
members because:
A. legal and ethical obligations require health care providers to keep information strictly
confidential.
B. regulations require health care institutions to document evidence of physical and emotional
well-being.
C. reimbursement issues related to patient care and procedures may be of concern.
D. fragmentation of nursing and medical care procedures may be identified. - ANS A-
Rationale: Under HIPAA laws, a patient's medical information can only be released to team
members, unless express written consent is given by the patient.
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When
completing the admission paper work, the nurse needs to record:
A. an interpretation of patient behavior.
B. objective data that are observed.
C. lengthy entry using lay terminology.
D. abbreviations familiar to the nurse. - ANS B- Rationale: Objective data are part of the
assessment portion of the nursing process. All data collected during the nursing process should
be documented.
A nurse records that the patient stated his abdominal pain is worse now than last night. This is
an example of:
A. PIE documentation.
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 1
, B. SOAP documentation.
C. narrative charting.
D. charting by exception. - ANS C- Rationale: Writing subjective data, which includes the
information the patient verbalizes, is written in narrative charting.
A patient you are assisting has fallen in the shower. You must complete an incident report. The
purpose of an incident report is to:
A. exchange information among health care members.
B. provide information about patients from one unit to another unit.
C. ensure proper care for the patient.
D. aid in the hospital's quality improvement program. - ANS D- Rationale: Any deviation from
the norm, such as a patient fall, can be used to improve quality. Incidents are gathered and
assessed to see if there is a way to prevent it from happening again.
What does EHR stand for? - ANS Electronic Health Record:
- digital record of health info
- streamlined sharing of updated info
- allows patients medical info to move with them
-access to tools that providers can use for decision making
What does EMR stand for? - ANS Electric Medical Record:
- digital version of the chart
-not designated to be shared outside the individual practice
- patient record does not easily travel outside of practice
- mainly used by providers for diagnosis and treatment
What is HIPPA? - ANS the privacy rule requires that nurses protect all written and verbal
communication about patients
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 2
