NUR 155 EXAM 1 (UNITS 1 & 2)
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question: Which action executed by a professional nurse directly upholds the
legal and ethical standards for protecting the confidentiality of a patient's electronic
health record (EHR)?
1. The nurse logs into the terminal and leaves the screen active while
stepping away to answer a room call light.
2. The nurse shares her unique system login credentials and password
with a trusted colleague.
3. The nurse closes the active patient chart and logs off the system
terminal before leaving the area.
4. The nurse leaves printed patient shift worksheets laying out in the
open at a central computer workstation.
Answer: ✔✔ 3
Clinical Rationale: Logging off completely before stepping away prevents
unauthorized individuals from viewing protected health information (PHI) or
entering documentation under another user's identity. Options 1, 2, and 4 represent
direct breaches of data security protocols and HIPAA regulations.
The case management model using critical pathways would be
appropriate for a client with which diagnosis?
1. Myocardial infarction (heart attack)
2. Diabetes, hypertension
, 3. Myocardial infarction, diabetes, hypertension
4. Diabetes, hypertension, an infected foot ulcer, senile dementia -ANSWER
✔✔Answer: 1
Rationale: Critical pathways work best for clients with one diagnosis.
After making a documentation error, which action should the nurse take?
1. Use correcting liquid to cover the mistake and make a new entry.
2. Draw a line through it and write error above the entry.
3. Draw a line through it and write mistaken entry above it.
4. Draw a line through the mistake and write mistaken entry with initials above it -
ANSWER ✔✔Answer: 4
Rationale: It is the most complete answer. The client's record is a legal record and
should not be altered with correcting liquid. You may see "error" written above a
mistake even though many authors suggest not writing it. It is important to also put
your name or initials next to the words of the mistaken entry.
During the first day a nurse is caring for a client who has been in the hospital for 2
days, the nurse thinks that the client's blood pressure (BP) seems high. What is the
next step?
1. Ask the client about past blood pressure ranges.
2. Review the graphic record on the client's record.
3. Examine the medication record for antihypertensive
medications.
4. Review the progress notes included in the client's record. -ANSWER
✔✔Answer: 2
Rationale: The graphic record provides the trend of the vital signs. Option 1, verbal
information, is not appropriate for validation assessment that is measurable. This is
more appropriate for pain
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question: Which action executed by a professional nurse directly upholds the
legal and ethical standards for protecting the confidentiality of a patient's electronic
health record (EHR)?
1. The nurse logs into the terminal and leaves the screen active while
stepping away to answer a room call light.
2. The nurse shares her unique system login credentials and password
with a trusted colleague.
3. The nurse closes the active patient chart and logs off the system
terminal before leaving the area.
4. The nurse leaves printed patient shift worksheets laying out in the
open at a central computer workstation.
Answer: ✔✔ 3
Clinical Rationale: Logging off completely before stepping away prevents
unauthorized individuals from viewing protected health information (PHI) or
entering documentation under another user's identity. Options 1, 2, and 4 represent
direct breaches of data security protocols and HIPAA regulations.
The case management model using critical pathways would be
appropriate for a client with which diagnosis?
1. Myocardial infarction (heart attack)
2. Diabetes, hypertension
, 3. Myocardial infarction, diabetes, hypertension
4. Diabetes, hypertension, an infected foot ulcer, senile dementia -ANSWER
✔✔Answer: 1
Rationale: Critical pathways work best for clients with one diagnosis.
After making a documentation error, which action should the nurse take?
1. Use correcting liquid to cover the mistake and make a new entry.
2. Draw a line through it and write error above the entry.
3. Draw a line through it and write mistaken entry above it.
4. Draw a line through the mistake and write mistaken entry with initials above it -
ANSWER ✔✔Answer: 4
Rationale: It is the most complete answer. The client's record is a legal record and
should not be altered with correcting liquid. You may see "error" written above a
mistake even though many authors suggest not writing it. It is important to also put
your name or initials next to the words of the mistaken entry.
During the first day a nurse is caring for a client who has been in the hospital for 2
days, the nurse thinks that the client's blood pressure (BP) seems high. What is the
next step?
1. Ask the client about past blood pressure ranges.
2. Review the graphic record on the client's record.
3. Examine the medication record for antihypertensive
medications.
4. Review the progress notes included in the client's record. -ANSWER
✔✔Answer: 2
Rationale: The graphic record provides the trend of the vital signs. Option 1, verbal
information, is not appropriate for validation assessment that is measurable. This is
more appropriate for pain
