Nursing 166 Exam 3 2026
Exam Questions and Answers |
Already Graded A+
The nurses who provide care in a large, long-term care facility utilize
charting by exception (CBE) as the preferred method of documentation.
This documentation method may have which of the following
drawbacks? - ANSWER ✔✔vulnerability to legal liability since nurse
safe, routine care is not recorded
What is the nurse's best defense if a client alleges nursing negligence? -
ANSWER ✔✔clients record
,A hospital utilizes the SOAP method of charting. Within this model, which
of the nurse's following statements would appear at the beginning of a
charting entry? - ANSWER ✔✔client complaining of abdominal pain
rated at 8/10
A nurse is documenting the intensity of a client's pain. What would be
the most accurate entry? - ANSWER ✔✔client states pain is a 9 on a
scale of 1 to 10
Which of the following data entries follows the recommended guidelines
for documenting data? - ANSWER ✔✔following oxygen
administration, vital signs returned to baseline
Alice Jones, a registered nurse, is documenting assessments at the
beginning of her shift. How should she sign the entry? - ANSWER
✔✔A. Jones, RN
A student has reviewed a patients chart before beginning assigned care.
Which of the following actions violates patient confidentiality? -
ANSWER ✔✔writing the clients name on the students care plan
A physician's order reads "up ad lib". What does this mean in terms of
patient activity? - ANSWER ✔✔may be up as desired
,In what type of documentation method would a nurse document
narrative notes in a nursing section? - ANSWER ✔✔source-oriented
record
Which one of the following methods of documentation is organized
around client's diagnosis rather than around patient information -
ANSWER ✔✔problem- oriented medical record (POMR)
A nurse organizes patient data using the SOAP format. Which of the
following would be recorded under S of this acronym? - ANSWER
✔✔clients' complaints of pain
What is the primary purpose of focus charting? - ANSWER ✔✔To
concentrate on the client and client concerns in documentation
Which of the following methods of documenting patient data is least
likely to hold up in court if a case of negligence is brought against a
nurse? - ANSWER ✔✔charting by exception
A nurse has access to computerized standardized plans of care. After
printing one for a patient, what must be done next? - ANSWER
✔✔Individualize it to the specific client
What part of the patients record is commonly used to document specific
patient variables, such as vital signs? - ANSWER ✔✔Graphic record
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, What is the primary purpose of an incident report? - ANSWER
✔✔Means of identifying risks
A group of nurses visits selected patients individually at the beginning of
each shift. What are these procedures called? - ANSWER
✔✔Nursing care rounds
A nurse uses informatics to plan nursing care for a patient. Which three
terms best describes this science as it is applied to nursing? -
ANSWER ✔✔data, information, knowledge
A nurse is manually documenting information related to a client's
condition. When documenting this information, the nurse makes an error
on the manual record sheet. Which is the best technique for recording
the error made in documentation? - ANSWER ✔✔cross out the
incorrect statement with a single line
A nurse caring for a client who is being treated by three physicians uses
the source-oriented format for documentation. What are the benefits of
using this format of documentation? - ANSWER ✔✔information is
documented in separate forms by each health care personnel
A newly hired nurse is participating in the orientation program for the
health care facility. Part of the orientation focuses on
Exam Questions and Answers |
Already Graded A+
The nurses who provide care in a large, long-term care facility utilize
charting by exception (CBE) as the preferred method of documentation.
This documentation method may have which of the following
drawbacks? - ANSWER ✔✔vulnerability to legal liability since nurse
safe, routine care is not recorded
What is the nurse's best defense if a client alleges nursing negligence? -
ANSWER ✔✔clients record
,A hospital utilizes the SOAP method of charting. Within this model, which
of the nurse's following statements would appear at the beginning of a
charting entry? - ANSWER ✔✔client complaining of abdominal pain
rated at 8/10
A nurse is documenting the intensity of a client's pain. What would be
the most accurate entry? - ANSWER ✔✔client states pain is a 9 on a
scale of 1 to 10
Which of the following data entries follows the recommended guidelines
for documenting data? - ANSWER ✔✔following oxygen
administration, vital signs returned to baseline
Alice Jones, a registered nurse, is documenting assessments at the
beginning of her shift. How should she sign the entry? - ANSWER
✔✔A. Jones, RN
A student has reviewed a patients chart before beginning assigned care.
Which of the following actions violates patient confidentiality? -
ANSWER ✔✔writing the clients name on the students care plan
A physician's order reads "up ad lib". What does this mean in terms of
patient activity? - ANSWER ✔✔may be up as desired
,In what type of documentation method would a nurse document
narrative notes in a nursing section? - ANSWER ✔✔source-oriented
record
Which one of the following methods of documentation is organized
around client's diagnosis rather than around patient information -
ANSWER ✔✔problem- oriented medical record (POMR)
A nurse organizes patient data using the SOAP format. Which of the
following would be recorded under S of this acronym? - ANSWER
✔✔clients' complaints of pain
What is the primary purpose of focus charting? - ANSWER ✔✔To
concentrate on the client and client concerns in documentation
Which of the following methods of documenting patient data is least
likely to hold up in court if a case of negligence is brought against a
nurse? - ANSWER ✔✔charting by exception
A nurse has access to computerized standardized plans of care. After
printing one for a patient, what must be done next? - ANSWER
✔✔Individualize it to the specific client
What part of the patients record is commonly used to document specific
patient variables, such as vital signs? - ANSWER ✔✔Graphic record
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, What is the primary purpose of an incident report? - ANSWER
✔✔Means of identifying risks
A group of nurses visits selected patients individually at the beginning of
each shift. What are these procedures called? - ANSWER
✔✔Nursing care rounds
A nurse uses informatics to plan nursing care for a patient. Which three
terms best describes this science as it is applied to nursing? -
ANSWER ✔✔data, information, knowledge
A nurse is manually documenting information related to a client's
condition. When documenting this information, the nurse makes an error
on the manual record sheet. Which is the best technique for recording
the error made in documentation? - ANSWER ✔✔cross out the
incorrect statement with a single line
A nurse caring for a client who is being treated by three physicians uses
the source-oriented format for documentation. What are the benefits of
using this format of documentation? - ANSWER ✔✔information is
documented in separate forms by each health care personnel
A newly hired nurse is participating in the orientation program for the
health care facility. Part of the orientation focuses on
