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NUR 166 Exam 3 Study Guide 2026 | 350+ Exam Questions & Correct Answers | Nursing Documentation, ISBARR, Patient Safety, Falls & Complementary Therapies | ECPI University

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This comprehensive NUR 166 Exam 3 Study Guide for 2026 contains more than 350 verified exam questions and correct answers covering essential nursing documentation, patient confidentiality, ISBARR communication, SOAP charting, patient safety, fall prevention, restraints, emergency preparedness, complementary health approaches, and holistic nursing care. The material provides extensive review content on legal nursing documentation standards, verbal and telephone orders, HIPAA compliance, incident reports, charting by exception, focus charting, patient handoff communication, restraint safety, fall risk factors, fire safety procedures, integrative health practices, and complementary therapies commonly tested in nursing fundamentals and clinical nursing practice courses. This study guide is highly relevant for students enrolled in ECPI University NUR 166, Fundamentals of Nursing, Practical Nursing (PN), Associate Degree Nursing (ADN), Bachelor of Science in Nursing (BSN), Patient Care Technician (PCT), and allied healthcare programs at colleges and universities. It is especially useful for nursing students preparing for NCLEX-style examinations, ATI testing, HESI review, nursing documentation competencies, patient safety assessments, and clinical communication evaluations. The content aligns closely with evidence-based nursing principles discussed in Fundamentals of Nursing by Potter and Perry, Documentation Manual for Nursing Practice by Lippincott Williams & Wilkins, Patient Safety and Quality: An Evidence-Based Handbook for Nurses by Hughes, and professional standards established by the American Nurses Association (ANA), National Council of State Boards of Nursing (NCSBN), The Joint Commission, and HIPAA privacy regulations. The material also reflects modern healthcare communication and patient safety frameworks used in hospital and community care settings. The document extensively reviews nursing documentation principles including factual charting, objective documentation, timeliness, confidentiality, legal significance of charting, military time usage, late entries, verbal and telephone orders, incident reports, and proper correction of documentation errors. Additional topics include SOAP notes, PIE charting, focus charting (DAR), charting by exception (CBE), source-oriented records, problem-oriented medical records (POMR), medication administration records (MAR), flow sheets, discharge summaries, and patient care summaries such as Kardex systems. The guide also explains HIPAA privacy protections, patient rights regarding medical records, confidentiality breaches, and legal documentation responsibilities essential for nursing practice. The study guide further provides detailed review material on communication systems and patient safety including ISBARR handoff communication, change-of-shift reporting, provider telephone reporting, purposeful rounding, and continuity of care strategies. Safety concepts reviewed include fall prevention, orthostatic hypotension, restraint complications, delirium risks, aspiration precautions, environmental hazards, fire safety using the RACE protocol, emergency preparedness, disaster resources, abuse recognition, concussion signs, poisoning prevention, and age-related safety concerns for toddlers, adolescents, adults, and older adults. Additional patient safety topics include safety event reports, injury prevention, home hazard assessments, and interventions to reduce fall risks in vulnerable populations. The guide also explores complementary and alternative medicine (CAM), complementary health approaches (CHA), holistic care, integrative health, and nontraditional therapies used alongside conventional medicine. Topics include meditation, yoga, healing touch, acupuncture, chiropractic therapy, herbal supplements, Ayurveda, naturopathy, qi gong, Traditional Chinese Medicine, yin-yang theory, energy therapies, massage therapy, and mind-body interventions for anxiety reduction and chronic illness management. Students using this resource will strengthen their understanding of nursing documentation, legal and ethical communication, patient confidentiality, safety protocols, holistic nursing care, complementary therapies, and evidence-based nursing interventions necessary for success in NUR 166 coursework and clinical nursing practice. Keywords NUR 166 exam 3, nursing documentation, SOAP notes, PIE charting, focus charting, DAR notes, charting by exception, HIPAA compliance, patient confidentiality, ISBARR communication, patient safety, nursing legal documentation, verbal orders, telephone orders, incident reports, MAR charting, flow sheets, discharge summary, Kardex, handoff communication, purposeful rounding, fall prevention, restraints, orthostatic hypotension, restraint complications, delirium, fire safety, RACE protocol, emergency preparedness, abuse prevention, concussion signs, environmental hazards, holistic nursing care, complementary therapies, integrative health, CAM therapies, CHA nursing, acupuncture, yoga therapy, meditation, healing touch, chiropractic therapy, herbal supplements, qi gong, Traditional Chinese Medicine, Ayurveda, naturopathy, mind body therapy, nursing communication, nursing study guide, NCLEX prep, ATI nursing review, HESI nursing prep, evidence based nursing, patient centered care

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Exam 3 Nur166 2026 Exam
Questions and Answers |
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Which documentation entry by the nurse is most appropriate? -

ANSWER ✔✔Patient ambulated 20 feet with unsteady gait and

required assistance.

Why is the documentation statement "patient seems depressed"

inappropriate? - ANSWER ✔✔It is subjective and not based on

objective observations.

,What is the legal significance of nursing documentation? - ANSWER

✔✔It serves as a legal record of patient care and proof that care was

provided.

A nurse forgets to chart an intervention but remembers later. What is the

correct action? - ANSWER ✔✔Document a late entry with current

date and time and indicate it is a late entry.

Which element of documentation protects patient privacy? -

ANSWER ✔✔Confidentiality


Which characteristic of documentation ensures the information reflects

exactly what occurred? - ANSWER ✔✔Accuracy


Which documentation principle requires recording care immediately after

it occurs? - ANSWER ✔✔Timeliness


Which documentation statement violates factual charting principles? -

ANSWER ✔✔Patient acting strange


Why is the 24-hour clock used in healthcare documentation? -

ANSWER ✔✔To prevent confusion between AM and PM times.


How should 9:00 PM be documented in military time? - ANSWER

✔✔2100

, Which action is considered a breach of patient confidentiality? -

ANSWER ✔✔Leaving a computer logged into a patient chart

unattended.

What is the best action to protect patient confidentiality when using

electronic records? - ANSWER ✔✔Log off the computer after

charting.

A nurse discusses a patient's diagnosis in a crowded hallway. What

principle is violated? - ANSWER ✔✔Patient confidentiality


Which patient information is considered confidential? - ANSWER

✔✔All personal and medical information about the patient.


What right does a patient have regarding their health record? -

ANSWER ✔✔The right to view and obtain copies of their health

record.

Which action is NOT permitted regarding patient medical records? -

ANSWER ✔✔Patients directly revising their records.


When are verbal orders most appropriate in clinical practice? -

ANSWER ✔✔In urgent situations when the provider cannot write the

order.




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