CSN Nurs 101 Exam 4--Nursing Documentation and Patient
Education Questions and Answers
Question 1
Match the learning domain to the example.
1. Cognitive
2. Psychomotor
3. Affective
A. Patient role plays talking to his son about drugs.
B. Patient tells the nurse in what range his AccuChek numbers should be.
C. Patient demonstrates the ability to change his own dressing.
Correct Answer
1. B
2. C
3. A
Question 2
What is charting by exception?
Correct Answer
Shorthand method of documenting findings by only charting abnormal findings.
Can only be done if flow sheets and graphic records are included.
Page 1 of 17
,Question 3
A new nurse tells you, "We are swamped but I got my assessment done for Mr. Brown! I'm so proud of myself for getting it
done on time. I used charting by exception for my initial assessment." What do you tell her?
A. Good job! Charting by exception is my favorite too!
B. Dang girl, you're fast.
C. Excuse me, but charting by exception is only used by experienced nurses.
D. Since the initial assessment is to be used as a baseline and must be thorough, charting by exception cannot be used.
You really need to go back and document everything.
Correct Answer
D
Question 4
What statement about Incident Reports is false?
A. If it involves a patient, it is part of the patient record.
B. Incident reports may be written because of medication errors.
C. If a patient refuses treatment, an incident report should be made.
D. Complications from treatment or procedure is a common reason for an incident report to be made.
Correct Answer
A
Incident reports are NOT part of the patient record
Page 2 of 17
, Question 5
Who develops the goal?
Correct Answer
The nurse and the patient; it is a contractual, mutual agreement
Page 3 of 17
Education Questions and Answers
Question 1
Match the learning domain to the example.
1. Cognitive
2. Psychomotor
3. Affective
A. Patient role plays talking to his son about drugs.
B. Patient tells the nurse in what range his AccuChek numbers should be.
C. Patient demonstrates the ability to change his own dressing.
Correct Answer
1. B
2. C
3. A
Question 2
What is charting by exception?
Correct Answer
Shorthand method of documenting findings by only charting abnormal findings.
Can only be done if flow sheets and graphic records are included.
Page 1 of 17
,Question 3
A new nurse tells you, "We are swamped but I got my assessment done for Mr. Brown! I'm so proud of myself for getting it
done on time. I used charting by exception for my initial assessment." What do you tell her?
A. Good job! Charting by exception is my favorite too!
B. Dang girl, you're fast.
C. Excuse me, but charting by exception is only used by experienced nurses.
D. Since the initial assessment is to be used as a baseline and must be thorough, charting by exception cannot be used.
You really need to go back and document everything.
Correct Answer
D
Question 4
What statement about Incident Reports is false?
A. If it involves a patient, it is part of the patient record.
B. Incident reports may be written because of medication errors.
C. If a patient refuses treatment, an incident report should be made.
D. Complications from treatment or procedure is a common reason for an incident report to be made.
Correct Answer
A
Incident reports are NOT part of the patient record
Page 2 of 17
, Question 5
Who develops the goal?
Correct Answer
The nurse and the patient; it is a contractual, mutual agreement
Page 3 of 17
