PNVN 1811 EXAM 3A QUESTIONS AND VERIFIED
ANSWERS
Documentation of type of care, time of care, and signature of the person who is
documenting proves that:
a. the person who signed the documentation did all the work noted.
b .no litigation can be brought against the person who signed.
c. interventions were implemented to meet the patient's needs.
d. the patient's response to the intervention was positive.
c. interventions were implemented to meet the patient's needs.
This information results in recording the interventions that are implemented to meet the
patient's needs.
how do you handle an error on an electronic medical record?
draw a single line through it
A patient states, "I'm really strung out about this pregnancy." The nurse responds by
asking, "What about this pregnancy worries you?" What communication technique is
this?
a. Closed inquiry
b. Restating
c. Open-ended question
d. Minimal encouraging
c.
Open-ended questions convey interest and do not require a specific response.
What best defines the nursing process?
Its a framework for the organization of individualized nursing care.
The nurse writes two nursing diagnosis: (1) inadequate nutritional intake related to
vomiting as manifested by a 3-lib weight loss and (2) risk for impaired skin integrity
related to inadequate nutrition. What is the major difference between these diagnosis?
a. The second diagnosis needs no defined nursing interventions.
b. The second diagnosis needs medical intervention.
c. The second diagnosis will not need to be evaluated.
d. The second diagnosis reflects a problem that does not yet exist
d. The second diagnosis reflects a problem that does not yet exist
, The actual patient problem represents a condition that is currently present. "Risk for"
diagnoses are those that the patient is susceptible to, but not yet troubled by.
What measurement do you use for flushing water in a tube?
mL
What type of asepsis kills all microorganisms an their spores?
Surgical "sterile technique"
safety measures for transferring patients
using a gait belt
The emergency department nurse admits a victim of poisoning. Who should the nurse
call to receive the best assistance for dealing with this victim?
Call poison control center
A nurse instructs a nursing assistant about the proper use of a gait belt and is observing
a return demonstration. What action by the nursing assistant should cause the nurse to
intervene?
a. Nursing assistant is walking on the patient's strong side
b. Nursing assistant is walking to the side of the patient
c. Nursing assistant is securing the gait belt securely around the patient's waist
d. Nursing assistant is grasping the handles of the gait belt while the patient ambulate
A. nursing assistant is walking on the patient’s strong side
A gait belt should be securely applied around the patient's waist. It has handles
attached for the nurse to grasp while the patient ambulates. The nurse should walk on
the patient's weaker side so that assistance may be given if the patient starts to fall.
This positioning allows the caregiver to react quickly and provide assistance if needed,
reducing the risk of falls and injuries. Incorrect positioning, such as walking on the
patient's strong side without adequate support, contradicts these guidelines and could
jeopardize the patient's safety.
When a patient demands to be discharged without a physician's order and is leaving the
unit with his belongings, what should the nurse ask the patient to sign?
a.
A form exercising the patient's rights
b.
A discharge against medical advice form
ANSWERS
Documentation of type of care, time of care, and signature of the person who is
documenting proves that:
a. the person who signed the documentation did all the work noted.
b .no litigation can be brought against the person who signed.
c. interventions were implemented to meet the patient's needs.
d. the patient's response to the intervention was positive.
c. interventions were implemented to meet the patient's needs.
This information results in recording the interventions that are implemented to meet the
patient's needs.
how do you handle an error on an electronic medical record?
draw a single line through it
A patient states, "I'm really strung out about this pregnancy." The nurse responds by
asking, "What about this pregnancy worries you?" What communication technique is
this?
a. Closed inquiry
b. Restating
c. Open-ended question
d. Minimal encouraging
c.
Open-ended questions convey interest and do not require a specific response.
What best defines the nursing process?
Its a framework for the organization of individualized nursing care.
The nurse writes two nursing diagnosis: (1) inadequate nutritional intake related to
vomiting as manifested by a 3-lib weight loss and (2) risk for impaired skin integrity
related to inadequate nutrition. What is the major difference between these diagnosis?
a. The second diagnosis needs no defined nursing interventions.
b. The second diagnosis needs medical intervention.
c. The second diagnosis will not need to be evaluated.
d. The second diagnosis reflects a problem that does not yet exist
d. The second diagnosis reflects a problem that does not yet exist
, The actual patient problem represents a condition that is currently present. "Risk for"
diagnoses are those that the patient is susceptible to, but not yet troubled by.
What measurement do you use for flushing water in a tube?
mL
What type of asepsis kills all microorganisms an their spores?
Surgical "sterile technique"
safety measures for transferring patients
using a gait belt
The emergency department nurse admits a victim of poisoning. Who should the nurse
call to receive the best assistance for dealing with this victim?
Call poison control center
A nurse instructs a nursing assistant about the proper use of a gait belt and is observing
a return demonstration. What action by the nursing assistant should cause the nurse to
intervene?
a. Nursing assistant is walking on the patient's strong side
b. Nursing assistant is walking to the side of the patient
c. Nursing assistant is securing the gait belt securely around the patient's waist
d. Nursing assistant is grasping the handles of the gait belt while the patient ambulate
A. nursing assistant is walking on the patient’s strong side
A gait belt should be securely applied around the patient's waist. It has handles
attached for the nurse to grasp while the patient ambulates. The nurse should walk on
the patient's weaker side so that assistance may be given if the patient starts to fall.
This positioning allows the caregiver to react quickly and provide assistance if needed,
reducing the risk of falls and injuries. Incorrect positioning, such as walking on the
patient's strong side without adequate support, contradicts these guidelines and could
jeopardize the patient's safety.
When a patient demands to be discharged without a physician's order and is leaving the
unit with his belongings, what should the nurse ask the patient to sign?
a.
A form exercising the patient's rights
b.
A discharge against medical advice form
