NSG 3180 Communication and Teamwork | Exam 2 Practice
Questions And Answers | 2025-2026 Updates
Question 1
A nurse is entering patient data into the electronic health record (EHR) at the bedside. Which of
the following actions should the nurse take to maintain patient engagement and ensure accurate
documentation?
A. Enter data without discussing it with the patient to avoid distractions.
B. Face the terminal away from the patient to ensure privacy.
C. Verbalize a summary of what is being entered and make periodic eye contact with the patient.
D. Save all charting until the end of the shift to focus on patient care.
Answer: C. Verbalize a summary of what is being entered and make periodic eye contact
with the patient.
Rationale:
Verbalizing a summary of what is being entered into the EHR and making periodic eye contact
helps maintain patient engagement and ensures that the patient can validate the information
being documented. This practice enhances communication and supports patient-centered care.
Question 2
Which of the following is NOT considered a bene t of electronic health records (EHRs)?
A. Improved completeness of nursing documentation.
B. Enhanced patient outcomes by reducing adverse drug events.
C. Increased time spent with patients at the bedside.
D. Real-time access to patient imaging les at the point of care.
Answer: C. Increased time spent with patients at the bedside.
Rationale:
While EHRs have many bene ts, they do not necessarily increase the amount of time nurses
spend with patients at the bedside. In fact, nurses have reported that the need to document
electronically can reduce the time spent directly caring for patients.
Question 3
A nurse is using the Computerized Provider Order Entry System (CPOE) to input medication
orders. Which of the following outcomes is directly associated with the use of CPOE?
,A. Reduced risk of illegible handwriting errors.
B. Increased informal communication during shift changes.
C. Decreased compliance with nursing care plans.
D. Increased use of inappropriate abbreviations.
Answer: A. Reduced risk of illegible handwriting errors.
Rationale:
CPOE systems reduce the risk of errors associated with illegible handwriting by allowing
providers to enter orders directly into the electronic system. This enhances the accuracy and
clarity of orders, improving patient safety.
Question 4
During a shift change, a nurse verbally communicates important patient information that was not
included in the electronic health record (EHR). This scenario best illustrates a challenge related
to:
A. Interoperability.
B. Informal communication.
C. Legal documentation.
D. Clinical decision support.
Answer: B. Informal communication.
Rationale:
The scenario illustrates the challenge of informal communication, where important patient
information may be verbally communicated during shift changes but not documented in the
EHR. This can lead to gaps in the formal record and affect continuity of care.
Question 5
Which of the following actions is essential for maintaining con dentiality when using an EHR
system?
A. Sharing your password with a trusted colleague.
B. Using the copy and paste function to expedite documentation.
C. Entering data promptly at the bedside with the screen facing away from visitors.
D. Saving all charting until the end of the shift.
Answer: C. Entering data promptly at the bedside with the screen facing away from
visitors.
Rationale:
, To maintain con dentiality, it is essential to enter data in a way that prevents unauthorized access,
such as positioning the screen away from visitors. Sharing passwords and using the copy and
paste function can compromise security and data integrity, while delaying charting can lead to
inaccuracies and missed information.
Question 6
A nurse receives an alert from the EHR system indicating a potential drug-drug interaction for a
prescribed medication. What is the most appropriate action for the nurse to take?
A. Ignore the alert if the patient has no known allergies.
B. Document the alert and proceed with administering the medication.
C. Review the patient s medication list and notify the prescribing physician of the potential
interaction.
D. Disable the alert function to prevent future interruptions.
Answer: C. Review the patient s medication list and notify the prescribing physician of the
potential interaction.
Rationale:
The nurse should review the patient s medication list and notify the prescribing physician of the
potential interaction to ensure patient safety and appropriate medication management. Ignoring
the alert or disabling the function compromises the safety features of the EHR system.
Question 7
When documenting in an EHR, which practice helps improve the clarity and accuracy of nursing
notes?
A. Using abbreviations to save time.
B. Entering notes at the end of the shift.
C. Documenting care in real time at the bedside.
D. Copying and pasting previous entries.
Answer: C. Documenting care in real time at the bedside.
Rationale:
Documenting care in real time at the bedside helps ensure that the information is accurate and
current, enhancing the clarity and reliability of nursing notes. This practice also minimizes the
risk of forgetting important details.
Question 8
A nurse is preparing to access a patient s EHR to review lab results. Which of the following is a
key consideration to ensure the security of patient information?
Questions And Answers | 2025-2026 Updates
Question 1
A nurse is entering patient data into the electronic health record (EHR) at the bedside. Which of
the following actions should the nurse take to maintain patient engagement and ensure accurate
documentation?
A. Enter data without discussing it with the patient to avoid distractions.
B. Face the terminal away from the patient to ensure privacy.
C. Verbalize a summary of what is being entered and make periodic eye contact with the patient.
D. Save all charting until the end of the shift to focus on patient care.
Answer: C. Verbalize a summary of what is being entered and make periodic eye contact
with the patient.
Rationale:
Verbalizing a summary of what is being entered into the EHR and making periodic eye contact
helps maintain patient engagement and ensures that the patient can validate the information
being documented. This practice enhances communication and supports patient-centered care.
Question 2
Which of the following is NOT considered a bene t of electronic health records (EHRs)?
A. Improved completeness of nursing documentation.
B. Enhanced patient outcomes by reducing adverse drug events.
C. Increased time spent with patients at the bedside.
D. Real-time access to patient imaging les at the point of care.
Answer: C. Increased time spent with patients at the bedside.
Rationale:
While EHRs have many bene ts, they do not necessarily increase the amount of time nurses
spend with patients at the bedside. In fact, nurses have reported that the need to document
electronically can reduce the time spent directly caring for patients.
Question 3
A nurse is using the Computerized Provider Order Entry System (CPOE) to input medication
orders. Which of the following outcomes is directly associated with the use of CPOE?
,A. Reduced risk of illegible handwriting errors.
B. Increased informal communication during shift changes.
C. Decreased compliance with nursing care plans.
D. Increased use of inappropriate abbreviations.
Answer: A. Reduced risk of illegible handwriting errors.
Rationale:
CPOE systems reduce the risk of errors associated with illegible handwriting by allowing
providers to enter orders directly into the electronic system. This enhances the accuracy and
clarity of orders, improving patient safety.
Question 4
During a shift change, a nurse verbally communicates important patient information that was not
included in the electronic health record (EHR). This scenario best illustrates a challenge related
to:
A. Interoperability.
B. Informal communication.
C. Legal documentation.
D. Clinical decision support.
Answer: B. Informal communication.
Rationale:
The scenario illustrates the challenge of informal communication, where important patient
information may be verbally communicated during shift changes but not documented in the
EHR. This can lead to gaps in the formal record and affect continuity of care.
Question 5
Which of the following actions is essential for maintaining con dentiality when using an EHR
system?
A. Sharing your password with a trusted colleague.
B. Using the copy and paste function to expedite documentation.
C. Entering data promptly at the bedside with the screen facing away from visitors.
D. Saving all charting until the end of the shift.
Answer: C. Entering data promptly at the bedside with the screen facing away from
visitors.
Rationale:
, To maintain con dentiality, it is essential to enter data in a way that prevents unauthorized access,
such as positioning the screen away from visitors. Sharing passwords and using the copy and
paste function can compromise security and data integrity, while delaying charting can lead to
inaccuracies and missed information.
Question 6
A nurse receives an alert from the EHR system indicating a potential drug-drug interaction for a
prescribed medication. What is the most appropriate action for the nurse to take?
A. Ignore the alert if the patient has no known allergies.
B. Document the alert and proceed with administering the medication.
C. Review the patient s medication list and notify the prescribing physician of the potential
interaction.
D. Disable the alert function to prevent future interruptions.
Answer: C. Review the patient s medication list and notify the prescribing physician of the
potential interaction.
Rationale:
The nurse should review the patient s medication list and notify the prescribing physician of the
potential interaction to ensure patient safety and appropriate medication management. Ignoring
the alert or disabling the function compromises the safety features of the EHR system.
Question 7
When documenting in an EHR, which practice helps improve the clarity and accuracy of nursing
notes?
A. Using abbreviations to save time.
B. Entering notes at the end of the shift.
C. Documenting care in real time at the bedside.
D. Copying and pasting previous entries.
Answer: C. Documenting care in real time at the bedside.
Rationale:
Documenting care in real time at the bedside helps ensure that the information is accurate and
current, enhancing the clarity and reliability of nursing notes. This practice also minimizes the
risk of forgetting important details.
Question 8
A nurse is preparing to access a patient s EHR to review lab results. Which of the following is a
key consideration to ensure the security of patient information?
