NUR 155 Exam 1 (Units 1 & 2) questions with
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answers
Which action by a nurse ensures confidentiality of a client's
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computer
record?
1. The nurse logs on to the client's file and leaves the computer
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to answer the client's call light.
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2. The nurse shares her computer password.
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3. The nurse closes a client's computer file and logs off.
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4. The nurse leaves client computer worksheets at the computer
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workstation. - CORRECT ANSWERS ✔✔Answer: 3 |\ |\ |\ |\ |\ |\
Rationale: All of the other answers endanger the client's
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confidentiality.
The case management model using critical pathways would be
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appropriate for a client with which diagnosis?
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1. Myocardial infarction (heart attack)
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2. Diabetes, hypertension
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3. Myocardial infarction, diabetes, hypertension
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4. Diabetes, hypertension, an infected foot ulcer, senile dementia
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- CORRECT ANSWERS ✔✔Answer: 1
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Rationale: Critical pathways work best for clients with one
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diagnosis.
, After making a documentation error, which action should the
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nurse take? |\
1. Use correcting liquid to cover the mistake and make a new
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entry.
2. Draw a line through it and write error above the entry.
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3. Draw a line through it and write mistaken entry above it.
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4. Draw a line through the mistake and write mistaken entry with
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initials above it - CORRECT ANSWERS ✔✔Answer: 4
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Rationale: It is the most complete answer. The client's record is a
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legal record and should not be altered with correcting liquid. You
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may see "error" written above a mistake even though many
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authors suggest not writing it. It is important to also put your
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name or initials next to the words of the mistaken entry.
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During the first day a nurse is caring for a client who has been in
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the hospital for 2 days, the nurse thinks that the client's blood
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pressure (BP) seems high. What is the next step?
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1. Ask the client about past blood pressure ranges.
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2. Review the graphic record on the client's record.
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3. Examine the medication record for antihypertensive
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medications.
4. Review the progress notes included in the client's record. -
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CORRECT ANSWERS ✔✔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 |\ |\
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answers
Which action by a nurse ensures confidentiality of a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
computer
record?
1. The nurse logs on to the client's file and leaves the computer
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to answer the client's call light.
|\ |\ |\ |\ |\
2. The nurse shares her computer password.
|\ |\ |\ |\ |\ |\
3. The nurse closes a client's computer file and logs off.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. The nurse leaves client computer worksheets at the computer
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
workstation. - CORRECT ANSWERS ✔✔Answer: 3 |\ |\ |\ |\ |\ |\
Rationale: All of the other answers endanger the client's
|\ |\ |\ |\ |\ |\ |\ |\
confidentiality.
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
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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 |\ |\
