RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
RNSG 1513 FOUNDATIONS OF NURSING EXAM 2 PREPARATION
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES| BRAND NEW
VERSION!
You are reviewing Health Insurance Portability and Accountability Act (HIPAA)
regulations with your patient during the admission process. The patient states,
"I've heard a lot about these HIPAA regulations in the news lately. How will they
affect my care?" Which of the following is the best response?
A. HIPAA allows all hospital staff access to your medical record.
B. HIPAA limits the information that is documented in your medical record.
C. HIPAA provides you with greater control over your personal health care
information.
D. HIPAA enables health care institutions to release all of your personal
information to improve continuity of care.
C. HIPAA provides you with greater control over your personal health care
information.
HIPAA provides patients with control over who receives and accesses their
medical records. It does not allow uncontrolled access to the medical records.
HIPAA also does not dictate what must be documented in the patient's medical
record.
A patient asks for a copy of her medical record. The best response by the nurse is
to:
A. State that only her family may read the record.
B. Indicate that she has the right to read her record.
C. Tell her that she is not allowed to read her record.
D. Explain that only health care workers have access to her record.
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, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
B. Indicate that she has the right to read her record.
Patients have the right to read their medical records, but the nurse should
always know the facility policy regarding personal access to medical records
because some require a nurse manager or other official to be present to answer
questions about what is in the record. Families may read the records only when
the patient has given permission.
Which of the following charting entries is most accurate?
A.Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated well.
C. Patient up, walked 50 feet and back down hallway with assistance from nurse.
Spouse also accompanied patient during the walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR
88 and regular before exercise, 94 and regular following exercise.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR
88 and regular before exercise, 94 and regular following exercise.
The statement "Patient walked 50 feet and back down hallway with assistance
from nurse; HR 88 and regular before exercise, 94 and regular following
exercise" provides the most accurate, objective information for the chart.
Match the correct entry with the appropriate SOAP (Subjective—Objective—
Assessment—Plan) category.
S
O
A
P
1) Repositioned patient on right side. Encouraged patient to use patient-controlled
analgesia (PCA) device.
2) "The pain increases every time I try to turn on my left side."
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, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
3) Acute pain related to tissue injury from surgical incision.
4) Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact,
no drainage. Pain noted on mild palpation.
S-2
O-4
A-3
P-1
On the nursing unit you are able to access a patient's medical record and review
the education that other nurses provided to the patient during an initial
hospitalization and three subsequent clinic visits. This type of feature is most
common in what type of record system?
A. Information technology.
B. Electronic health record.
C. Personal health information.
D. Administrative information system.
B. Electronic health record.
This is an example of an electronic health record. The electronic health record is
an electronic record of patient health information generated whenever a patient
accesses medical care in any health care delivery setting. In this question you are
able to access information about the patient from the current hospitalization
and from four previous times when the patient accessed care.
You are giving a hand-off report to another nurse who will be caring for your
patient at the end of your shift. Which of the following pieces of information do
you include in the report? (Select all that apply.)
A. The patient's name, age, and admitting diagnosis
B. Allergies to food and medications
C. Your evaluation that the patient is "needy"
D. How much the patient ate for breakfast
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, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
E. That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after
receiving 650 mg of Tylenol
A. The patient's name, age, and admitting diagnosis
B. Allergies to food and medications
E. That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after
receiving 650 mg of Tylenol
During change of shift report, include essential background information such as
the patient's name, age, diagnosis, and allergies. Also include response to
treatments such as response to pain-relieving measures. Information about how
much the patient ate for breakfast is not necessary. This information is in the
chart if the nurse really needs to know. Do not include critical comments about
your patients.
You are supervising a beginning nursing student who is documenting patient care.
Which of the following actions requires you to intervene? The nursing student:
A. Documented medication given by another nursing student.
B. Included the date and time of all entries in the chart.
C. Stood with his back against the wall while documenting on the computer.
D. Signed all documentation electronically.
A. Documented medication given by another nursing student.
Nurses only document the care they provide; entries in the chart need to be
dated, timed, and signed.
A group of nurses is discussing the advantages of using computerized provider
order entry (CPOE). Which of the following statements indicates that the nurses
understand the major advantage of using CPOE?
A. "CPOE reduces transcription errors."
B. "CPOE reduces the time necessary for health care providers to write orders."
C. "Health care providers can write orders from any computer that has Internet
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RNSG 1513 FOUNDATIONS OF NURSING EXAM 2 PREPARATION
NEWEST 2025/2026 WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES| BRAND NEW
VERSION!
You are reviewing Health Insurance Portability and Accountability Act (HIPAA)
regulations with your patient during the admission process. The patient states,
"I've heard a lot about these HIPAA regulations in the news lately. How will they
affect my care?" Which of the following is the best response?
A. HIPAA allows all hospital staff access to your medical record.
B. HIPAA limits the information that is documented in your medical record.
C. HIPAA provides you with greater control over your personal health care
information.
D. HIPAA enables health care institutions to release all of your personal
information to improve continuity of care.
C. HIPAA provides you with greater control over your personal health care
information.
HIPAA provides patients with control over who receives and accesses their
medical records. It does not allow uncontrolled access to the medical records.
HIPAA also does not dictate what must be documented in the patient's medical
record.
A patient asks for a copy of her medical record. The best response by the nurse is
to:
A. State that only her family may read the record.
B. Indicate that she has the right to read her record.
C. Tell her that she is not allowed to read her record.
D. Explain that only health care workers have access to her record.
1|Page
, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
B. Indicate that she has the right to read her record.
Patients have the right to read their medical records, but the nurse should
always know the facility policy regarding personal access to medical records
because some require a nurse manager or other official to be present to answer
questions about what is in the record. Families may read the records only when
the patient has given permission.
Which of the following charting entries is most accurate?
A.Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated well.
C. Patient up, walked 50 feet and back down hallway with assistance from nurse.
Spouse also accompanied patient during the walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR
88 and regular before exercise, 94 and regular following exercise.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR
88 and regular before exercise, 94 and regular following exercise.
The statement "Patient walked 50 feet and back down hallway with assistance
from nurse; HR 88 and regular before exercise, 94 and regular following
exercise" provides the most accurate, objective information for the chart.
Match the correct entry with the appropriate SOAP (Subjective—Objective—
Assessment—Plan) category.
S
O
A
P
1) Repositioned patient on right side. Encouraged patient to use patient-controlled
analgesia (PCA) device.
2) "The pain increases every time I try to turn on my left side."
2|Page
, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
3) Acute pain related to tissue injury from surgical incision.
4) Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact,
no drainage. Pain noted on mild palpation.
S-2
O-4
A-3
P-1
On the nursing unit you are able to access a patient's medical record and review
the education that other nurses provided to the patient during an initial
hospitalization and three subsequent clinic visits. This type of feature is most
common in what type of record system?
A. Information technology.
B. Electronic health record.
C. Personal health information.
D. Administrative information system.
B. Electronic health record.
This is an example of an electronic health record. The electronic health record is
an electronic record of patient health information generated whenever a patient
accesses medical care in any health care delivery setting. In this question you are
able to access information about the patient from the current hospitalization
and from four previous times when the patient accessed care.
You are giving a hand-off report to another nurse who will be caring for your
patient at the end of your shift. Which of the following pieces of information do
you include in the report? (Select all that apply.)
A. The patient's name, age, and admitting diagnosis
B. Allergies to food and medications
C. Your evaluation that the patient is "needy"
D. How much the patient ate for breakfast
3|Page
, RNSG 1513 Foundations of Nursing Exam 2 PREPARATION
E. That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after
receiving 650 mg of Tylenol
A. The patient's name, age, and admitting diagnosis
B. Allergies to food and medications
E. That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after
receiving 650 mg of Tylenol
During change of shift report, include essential background information such as
the patient's name, age, diagnosis, and allergies. Also include response to
treatments such as response to pain-relieving measures. Information about how
much the patient ate for breakfast is not necessary. This information is in the
chart if the nurse really needs to know. Do not include critical comments about
your patients.
You are supervising a beginning nursing student who is documenting patient care.
Which of the following actions requires you to intervene? The nursing student:
A. Documented medication given by another nursing student.
B. Included the date and time of all entries in the chart.
C. Stood with his back against the wall while documenting on the computer.
D. Signed all documentation electronically.
A. Documented medication given by another nursing student.
Nurses only document the care they provide; entries in the chart need to be
dated, timed, and signed.
A group of nurses is discussing the advantages of using computerized provider
order entry (CPOE). Which of the following statements indicates that the nurses
understand the major advantage of using CPOE?
A. "CPOE reduces transcription errors."
B. "CPOE reduces the time necessary for health care providers to write orders."
C. "Health care providers can write orders from any computer that has Internet
4|Page
