QUESTIONS, with complete
answers
A charge nurse is reviewing documentation with a group of newly licensed nurses.
Which of the following legal guidelines should be followed when documenting in
a client’s record? (Select all that apply)
A. Cover errors with correction fluid, and write in the correct information
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - Answer B, C
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
A nurse is receiving a providers prescription by telephone for morphine for a
client who is reporting moderate to sever pain. Which of the following nurse
actions are appropriate? (Select all that apply)
,A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
D. Decline the verbal prescription because it it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone -
Answer A, B, C
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
A nurse is discussing occurrences that require completion of an incident report
with a newly licensed nurse. Which of the following should the nurse include in
the teaching? (Select all that apply)
A. Medication Error
B. Needlesticks
C. Conflict with a provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test - Answer A, B, D
,A. Medication Error
B. Needlesticks
D. Omission of prescription
A nurse manager is discussing the HIPPA Privacy Rule with a group of newly hired
nurses during orientation. Which of the following information should the nurse
manager include? (Select all that apply)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility -
Answer B,C,D,E
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility
, SOAP - Answer Subjective, objective, assessment, plan
PIE - Answer problem, intervention, evaluation
DAR (focus charting) - Answer data, action, response
ABCDE Principle in Emergency Situations - Answer Airway/cervical spine
Breathing
Circulation
Disability
Exposure
A nurse is providing info about how to reduce the risk of poisoning to a group of
infants and toddlers to a group of guardians. What information should nurse
include? - Answer Keeping house plants and cleaning products out of reach, look
for paint chips as those at this age tend to consume these, poison control hotline
readily available, place poisonous products in locked cabinet, keep medications in
child proof containers and locked up, disposed of unused medications