Unit 2 EAQs Nursing Process and Documentation-Fa Davis Coursework quizzes PDF

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Unit 2 EAQs Nursing Process and Documentation-Fa Davis Coursework quizzes...

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Unit 2 Davis Edge Nursing Process & Documentation Quiz Question 1. A patient has a fever. Which independent intervention can the nurse implement? 1. Administer acetaminophen every 4 hours. 2. Place a cool washcloth on the patient’s forehead. 3. Start intravenous (IV) fluids for hydration. 4. Obtain blood cultures to determine the cause of fever.

Question 2. The nurse listens to a patient’s abdomen with a stethoscope and hears active bowel sounds. Which physical assessment technique did the nurse use? 1. Palpation 2. Inspection 3. Auscultation 4. Percussion

Question 3. The nurse is contributing data to the care plan from a primary source. Which source did the nurse use? 1.

Patient 2. Nurse 3. Chart 4. Therapist

Question 4. Which expected outcome would the nurse most likely observe written in a patient’s care plan? 1. Patient’s vital signs will be taken every 4 hours until discharge. 2. Patient will rate pain level at a 2 or below by discharge. 3. Patient will have a good understanding of diagnosis by discharge. 4. Patient will lose weight by discharge.

Question 5. The LPN/LVN is collecting data from a patient by performing an interview. Which action should the nurse take first? 1. Develop rapport 2. Perform a physical assessment 3. Take vital signs 4. Ask questions from the form

Question 6. Which task can the nurse delegate to an unlicensed assistive personnel (UAP)? 1. Taking vital signs 2. Making nursing decisions 3. Writing interventions 4. Evaluating nursing care

Question 7. Which information that the nurse gives in report is objective? 1. Patient has severe stomachache. 2. Patient’s blood pressure is 120/70. 3. Patient is apprehensive about surgery. 4. Patient likes grapefruit juice.

Question 8. The nurse is interviewing a patient about nausea. The patient constantly talks about the possible causes of the nausea. Which response should the nurse make? 1. Nod head and continue to listen 2. Ask, “What have you tried to relieve the nausea?” 3.

Say, “I just need the most important facts.” 4. Reply, “Thank you for your time.”

Question 9. The nurse is preparing to reinforce teaching with a patient about medications. Which finding would cause the nurse to proceed with the teaching session? 1. Patient states, “My heart is racing.” 2. Patient feels feverish and is chilled. 3. Patient just received news of cancer diagnosis. 4. Patient has just finished going to the bathroom.

Question 10. The LPN/LVN is assisting the RN who is writing long- and shortterm goals. Which step of the nursing process are the nurses working on? 1. Assessment 2. Planning 3. Evaluation 4. Diagnosis

Question 11. Which actions should the nurse take before suctioning a patient who is having problems swallowing? Select all that apply. 1.

Gather supplies for the procedure. 2. Identify patient using one method of identification. 3. Explain the procedure to the patient. 4. Lower the bed to its lowest height to reduce falls. 5. Research the procedure on the Internet before performing it for the first time on a patient.

Question 12. Which individualized interventions should the nurse recommend including in a patient’s plan of care? Select all that apply. 1. Take vital signs. 2. Monitor intake and output. 3. Offer fruit juice every 2 hours, especially apple, which the patient prefers. 4. Provide favorite reading material, which is a sports magazine. 5. Assess for signs and symptoms of dehydration.

Question 13. Which statement by the nurse indicates a correct understanding of charting? 1. “My charting can be used against me in a court of law.” 2. “‘Not charted, not done’ is always true.”

3. “Shortcuts are only used if time is short.” 4. “I use several of my own abbreviations when charting.”

Question 14. Which action by the nurse indicates compliance with the Health Insurance Portability and Accountability Act (HIPAA)? 1. Informs the patient’s nephew of the admission 2. Leaves the patient’s chart open at the nurse’s desk 3. Destroys handwritten notes about the patient’s care 4. Discusses patient information with other students during lunch in the cafeteria

Question 15. The nurse writes the following in a patient’s chart: Heart tones strong. However, the nurse meant to write weak rather than strong. What should the nurse do? 1. Scratch out strong and add weak. 2. Place correction fluid over strong and then write weak. 3. Write weak over the word strong. 4. Make a single horizontal line through strong and initial it.

Question 16. Which situations will cause the nurse to complete an incident report? Select all that apply.

1. The nurse administered 500 mg of acetaminophen and 500 mg of acetaminophen was ordered. 2. A patient fell during ambulation. 3. A visitor fainted in the lobby. 4. A new medication was ordered 2 days ago and is just being administered now. 5. A patient spilled hot coffee on the chest.

Question 17. The LPN/LVN is working in a long-term care facility. Which findings can the LPN/LVN allow the unlicensed assistive personnel (UAP) to document? Select all that apply. 1. Gave complete bath at 0800 today 2. Resident’s total intake was 875 mL 3. Resident had two bowel movements 4. Resident ate 80% of breakfast and 75% of lunch. 5. Resident has a headache with nausea.

Question 18. Which actions indicate the nurse understands narrative charting? Select all that apply. 1. Charts by exception

2. Charts in chronological order 3. Charts from admission to discharge 4. Charts using the acronym SOAP 5. Charts concisely and succinctly

Question 19. The nurse ambulates a patient with intestinal gas buildup in the hallway to help relieve the discomfort. Which step of the nursing process did the nurse complete? 1. Assessment 2. Planning 3. Implementation 4.

Question 20. A patient’s spouse asks to see the patient’s chart. Which response by the nurse is best? 1. “I’ll be glad to get that for you.” 2. “I will need to have written permission from the patient first.” 3. “I will need to be with you as you look at the chart.” 4. “I’ll ask the patient if you can see the chart.”

Question 21. Which action should the nurse take when completing a variance report for a patient who fell out of bed? 1. Place the variance report in the patient’s chart. 2. State that the patient fell because the nurse forgot to raise the side rail. 3. Add that x-rays were taken of the hip. 4. Notify the facility’s legal representative.

Question 22. The nurse needs to verify a patient’s oxygen saturation level. Where in a source-oriented chart would the nurse look? 1. Vital signs form 2. Medication administration record 3. History and physical 4. Care flow sheet

Question 23. The nurse is reinforcing teaching to nursing students about the purposes of documentation. Which information should the nurse include? Select all that apply. 1. Provides continuity of care 2. Obtains reimbursement for care 3.

Provides a temporary record of medical care 4. Serves as a record for quality assurance 5. Serves as a legal record

Question 24. Which documentation practices can increase the nurse’s chance of malpractice? Select all that apply. 1. Documents a change in respirations but does not document a change in blood pressure 2. Charts information on Mary B. Smith’s chart that occurred with Mary A. Smith 3. Forgets to inform the health-care provider that the patient was bit by a tick while camping 4. Administers medications at 0900 and charts on the medication administration record at 0905 5. Does not transcribe the order for supplemental oxygen

Question 25. The LPN/LVN is assisting the RN in completing a weekly assessment data form. In which area are the nurses working? 1. Home health care 2. Health department 3. Critical access hospital 4.

Long-term care facility...