CNUR 107: Documentation Quiz Review Questions
and Correct Answers | Latest Update
The "Registered Nurses Act: (1988) enables the CRNS to create bylaws
that:
- prescribe the powers and procedures of the Council
- provide a code of professional ethics
© 2026 Assignment
- set the standards for professional conduct, competency, and
proficiency of nurses
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- further specify categories of practice and the rights & privileges of
those categories
(a) = Communicator
(b) = Professional Responsibility & Accountability
(c) = Knowledge-Based Practice
(d) = Ethical Practice Ans: Standards and Competencies that Apply to
Documentation Include:
Entry-Level Competency: __(a)__
- documents and reports clearly, concisely, accurately, and in a timely
manner
Standard I: __(b)__
- demonstrates effective communication
Standard II: __(c)__
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- utilizes nursing informatics and other information and communications
technology in practicing safe registered nursing care
Standard III: __(d)__
- communicates respectfully and effectively
FALSE
Although documentation is NOT optional, it is NOT SEPARATE from care.
Ans: True or False::
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Documentation is separate from care and not optional.
(a) = caregiver
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(b) = nursing process
(c) = health outcome
(d) = response to care
(e) = continuity
(f) = safe, competent, and ethical care Ans: Documentation:
- identifies the __(a)__ and records evidence that the __(b)__ was carried
out, including the client's __(c)__ and the client's __(d)__
- promotes __(e)__ of care through intra/interprofessional communication
- demonstrates the RN's accountability to providing __(f)__
a), b), c), d), e), f) Ans: Select All that Apply:
Why do RNs document?
a) Professional Accountability
b) Professional Liability
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c) Funding & Resource Management
d) Research & Evidence-Informed Practice
e) Quality Improvement, Risk Management, & Accreditation
f) Communication
(a) = care
(b) = client
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(c) = RN
(d) = When
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(e) = Why
(f) = client's
(g) = outcome Ans: Those reading the documentation should be able to
determine:
1. The __(a)__ that was provided.
2. The __(b)__ who received the care.
3. The __(c)__ who provided the care.
4. __(d)__ the care was provided (date & time)
5. __(e)__ the care was provided (the assessment of the client).
6. The __(f)__ response to the care provided and the client's __(g)__.
a), b), d), e), f), and g) Ans: Select All that Apply:
Documentation should reflect the RNs:
a) professional judgement