NUR 120 - MED/SURG (Test 2) NCLEX STYLE PRACTICE
Questions with Correct Answers (Grade A+)
Question 1: The nurse is documenting in the electronic medical record (EMR) after providing care in
the client's room. The client asks the nurse why a computer is being used. Which response by the nurse
is appropriate?
A) "The information that is uploaded is available for anyone to view."
B) "Computers improve client care because information is readily available."
C) "The computer decreases documentation time for nurses."
D) "Computers allow you access to your medical record." **P-48**
Answer: B ("Computers improve client care because information is readily available.")
Question 2: The nurse is part of the clinical information system committee at a major healthcare
organization. When designing a plan to ensure the protection of client information, which approaches
should the nurse suggest this committee include in the implementation plan? (Select all that apply)
A) Design policies to address password protection and login information
B) Determine how to handle clients who desire to "friend" staff through social media
C) Identify applications that interface with smartphones
D) Create interfaces so that health data can be inputted by the client
E) Teach users to not leave protected health information unattended **P-48**
Answer: A, B, & E (Design policies to address password protection and login information) (Determine how
to handle clients who desire to "friend" staff through social media) (Teach users to not leave protected
health information unattended)
Question 3: The nurse is preparing discharge instructions for a client with a foot wound. How will the
clinical information system support this client's learning needs?
A) Improves documentation about the client's status
B) Summarizes the list of charges that will appear on the client's bill
C) Provides a record of all medications received while hospitalized
D) Prints discharge instructions to use for teaching **P-48**
Answer: D (Prints discharge instructions to use for teaching)
Page 1
,Question 4: A rural home health nurse is caring for a client recovering from a myocardial infarction.
The client is concerned that the community clinic does not have the ability to provide the necessary
monitoring for the health problem. Which response by the nurse supports the use of informatics to
meet client needs?
A) "It is not necessary for you to be monitored after a myocardial infarction."
B) "We can send your information to the cardiologist using telehealth."
C) "You are right. We will be sending you to the city every month."
D) "We use an intranet in this facility." **P-48**
Answer: B ("We can send your information to the cardiologist using telehealth.")
Question 5: The nurse is preparing an educational brochure to teach clients how to determine the
validity of content obtained from health-related internet websites. Which information should the nurse
plan to include in this teaching tool? (Select all that apply)
A) Source for the information
B) Sponsor of the website
C) Ways to identify if the site is selling a product
D) Number of visitors to the website
E) Date the content was last reviewed **P-48**
Answer: A, B, C, & E (Source for the information) (Sponsor of the website) (Ways to identify if the site is
selling a product) (Date the content was last reviewed)
Question 6: A client diagnosed with cancer is receiving care through a facility that is 100 miles from the
client's home. After the nurse explains how telehealth will be used to enhance this client's care, which
client statements indicate that teaching about telehealth has been effective? (Select all that apply)
A) "I will have to move closer to the provider."
B) "My health record can stay where I am."
C) "I can participate in the videoconference."
D) "I will have to change doctors."
E) "This will help lower some costs of care." **P-48**
Answer: B, C, & E ("My health record can stay where I am.") ("I can participate in the videoconference.")
("This will help lower some costs of care.")
Question 7: Which action by the nurse will help minimize the risk of eyestrain when engaging in
computerized documentation?
A) Use a firm board to rest the palm
B) Use an antiglare screen cover
C) Obtain a paper chart for nursing documentation
D) Use a lumbar support **P-48**
Answer: B (Use an antiglare screen cover)
Page 2
,Question 8: A group of staff nurses is discussing the importance of uniform language within healthcare
documentation. Which statement made by the one of the nurses indicates an understanding of uniform
language in healthcare documentation?
A) "Uniform language is useful only when communicating with other staff nurses."
B) "Uniform language is the consistent use of the same terminology among all providers."
C) "Uniform language decreases the value of nursing interventions in the eyes of other providers."
D) "HIPAA and HITECH are examples of uniform languages used by nurses." **K-48**
Answer: B ("Uniform language is the consistent use of the same terminology among all providers.")
Question 9: What is the primary advantage of electronic reminders in the electronic health record?
A) They help nurses decrease the length of stay
B) They help nurses increase client safety
C) They help nurses document assessments
D) They help nurses track quality metrics **K-48**
Answer: B (They help nurses increase client safety)
Question 10: Under which circumstance would the use of a geographic information system (GIS) be
beneficial for healthcare workers?
A) When sharing a traveling client's electronic health record (EHR) with an out-of-state provider
B) During a mass casualty incident
C) When tracking the sleep pattern of a client
D) During an influenza outbreak **P-48**
Answer: D (During an influenza outbreak)
Question 11: The nurse is caring for a client who has a condition that is not responding to standard
interventions. How could accessing the clinical decision support system (CDSS) help with this client's
care?
A) Provides evidence-based recommendations for care
B) Decreases the need to use critical thinking skills
C) Tells the nurse what the next step should be
D) Supports the nurse's "gut" instinct when providing care **P-48**
Answer: A (Provides evidence-based recommendations for care)
Question 12: Which best describes how the use of a clinical decision support system can help the nurse
plan care for a client with a particular condition?
A) It can help the nurse find out what was done on the previous admission
B) It can help the nurse identify evidence-based guidelines for this client's condition
C) It can help the nurse use standardized nursing language during documentation
D) It can help the nurse search the internet for information about surgical procedures **P-48**
Answer: B (It can help the nurse identify evidence-based guidelines for this client's condition)
Page 3
, Question 13: The nurse on the hospital research committee is assigned the task of compiling
information related to the therapeutic and side effects of a specific drug. Which best describes how the
nurse can use informatics to gain information about this topic?
A) Search for articles about the drug in the hospital's library
B) Email other research committees to find out what they know about the drug
C) Query electronic health records (EHRs) to determine client responses to the drug
D) Look up the drug facts in the latest pharmacology textbook **P-48**
Answer: C (Query electronic health records (EHRs) to determine client responses to the drug)
Question 14: The nurse is facing a problem with a long-term care client that is different from anything
encountered by the nurse in the past. What nursing action is appropriate prior to taking the problem to
the research committee?
A) Perform a review of the literature
B) Ask the client's family if this is a recurring issue
C) Bring the problem up for discussion in the next staff meeting
D) Ask the physician for assistance **P-48**
Answer: A (Perform a review of the literature)
Question 15: In preparation for the next quality improvement committee meeting, the nurse accesses
the clinical decision support system to run an outcomes report. How should the nurse anticipate the
committee using this report?
A) To eliminate unnecessary care
B) To measure the length of hospital stays
C) To assist in modifying policies and procedures
D) To validate appropriate place of treatment **P-48**
Answer: C (To assist in modifying policies and procedures)
Question 16: How does the clinical decision support system support human resource functions?
A) Determining if staff are correctly coding client care procedures
B) Identifying staff who are incorrectly charging for resources used for client care
C) Recognizing staff who are not discharging clients according to identified lengths of stay
D) Evaluating the number of staff with licensure due to expire **P-48**
Answer: D (Evaluating the number of staff with licensure due to expire)
Page 4
Questions with Correct Answers (Grade A+)
Question 1: The nurse is documenting in the electronic medical record (EMR) after providing care in
the client's room. The client asks the nurse why a computer is being used. Which response by the nurse
is appropriate?
A) "The information that is uploaded is available for anyone to view."
B) "Computers improve client care because information is readily available."
C) "The computer decreases documentation time for nurses."
D) "Computers allow you access to your medical record." **P-48**
Answer: B ("Computers improve client care because information is readily available.")
Question 2: The nurse is part of the clinical information system committee at a major healthcare
organization. When designing a plan to ensure the protection of client information, which approaches
should the nurse suggest this committee include in the implementation plan? (Select all that apply)
A) Design policies to address password protection and login information
B) Determine how to handle clients who desire to "friend" staff through social media
C) Identify applications that interface with smartphones
D) Create interfaces so that health data can be inputted by the client
E) Teach users to not leave protected health information unattended **P-48**
Answer: A, B, & E (Design policies to address password protection and login information) (Determine how
to handle clients who desire to "friend" staff through social media) (Teach users to not leave protected
health information unattended)
Question 3: The nurse is preparing discharge instructions for a client with a foot wound. How will the
clinical information system support this client's learning needs?
A) Improves documentation about the client's status
B) Summarizes the list of charges that will appear on the client's bill
C) Provides a record of all medications received while hospitalized
D) Prints discharge instructions to use for teaching **P-48**
Answer: D (Prints discharge instructions to use for teaching)
Page 1
,Question 4: A rural home health nurse is caring for a client recovering from a myocardial infarction.
The client is concerned that the community clinic does not have the ability to provide the necessary
monitoring for the health problem. Which response by the nurse supports the use of informatics to
meet client needs?
A) "It is not necessary for you to be monitored after a myocardial infarction."
B) "We can send your information to the cardiologist using telehealth."
C) "You are right. We will be sending you to the city every month."
D) "We use an intranet in this facility." **P-48**
Answer: B ("We can send your information to the cardiologist using telehealth.")
Question 5: The nurse is preparing an educational brochure to teach clients how to determine the
validity of content obtained from health-related internet websites. Which information should the nurse
plan to include in this teaching tool? (Select all that apply)
A) Source for the information
B) Sponsor of the website
C) Ways to identify if the site is selling a product
D) Number of visitors to the website
E) Date the content was last reviewed **P-48**
Answer: A, B, C, & E (Source for the information) (Sponsor of the website) (Ways to identify if the site is
selling a product) (Date the content was last reviewed)
Question 6: A client diagnosed with cancer is receiving care through a facility that is 100 miles from the
client's home. After the nurse explains how telehealth will be used to enhance this client's care, which
client statements indicate that teaching about telehealth has been effective? (Select all that apply)
A) "I will have to move closer to the provider."
B) "My health record can stay where I am."
C) "I can participate in the videoconference."
D) "I will have to change doctors."
E) "This will help lower some costs of care." **P-48**
Answer: B, C, & E ("My health record can stay where I am.") ("I can participate in the videoconference.")
("This will help lower some costs of care.")
Question 7: Which action by the nurse will help minimize the risk of eyestrain when engaging in
computerized documentation?
A) Use a firm board to rest the palm
B) Use an antiglare screen cover
C) Obtain a paper chart for nursing documentation
D) Use a lumbar support **P-48**
Answer: B (Use an antiglare screen cover)
Page 2
,Question 8: A group of staff nurses is discussing the importance of uniform language within healthcare
documentation. Which statement made by the one of the nurses indicates an understanding of uniform
language in healthcare documentation?
A) "Uniform language is useful only when communicating with other staff nurses."
B) "Uniform language is the consistent use of the same terminology among all providers."
C) "Uniform language decreases the value of nursing interventions in the eyes of other providers."
D) "HIPAA and HITECH are examples of uniform languages used by nurses." **K-48**
Answer: B ("Uniform language is the consistent use of the same terminology among all providers.")
Question 9: What is the primary advantage of electronic reminders in the electronic health record?
A) They help nurses decrease the length of stay
B) They help nurses increase client safety
C) They help nurses document assessments
D) They help nurses track quality metrics **K-48**
Answer: B (They help nurses increase client safety)
Question 10: Under which circumstance would the use of a geographic information system (GIS) be
beneficial for healthcare workers?
A) When sharing a traveling client's electronic health record (EHR) with an out-of-state provider
B) During a mass casualty incident
C) When tracking the sleep pattern of a client
D) During an influenza outbreak **P-48**
Answer: D (During an influenza outbreak)
Question 11: The nurse is caring for a client who has a condition that is not responding to standard
interventions. How could accessing the clinical decision support system (CDSS) help with this client's
care?
A) Provides evidence-based recommendations for care
B) Decreases the need to use critical thinking skills
C) Tells the nurse what the next step should be
D) Supports the nurse's "gut" instinct when providing care **P-48**
Answer: A (Provides evidence-based recommendations for care)
Question 12: Which best describes how the use of a clinical decision support system can help the nurse
plan care for a client with a particular condition?
A) It can help the nurse find out what was done on the previous admission
B) It can help the nurse identify evidence-based guidelines for this client's condition
C) It can help the nurse use standardized nursing language during documentation
D) It can help the nurse search the internet for information about surgical procedures **P-48**
Answer: B (It can help the nurse identify evidence-based guidelines for this client's condition)
Page 3
, Question 13: The nurse on the hospital research committee is assigned the task of compiling
information related to the therapeutic and side effects of a specific drug. Which best describes how the
nurse can use informatics to gain information about this topic?
A) Search for articles about the drug in the hospital's library
B) Email other research committees to find out what they know about the drug
C) Query electronic health records (EHRs) to determine client responses to the drug
D) Look up the drug facts in the latest pharmacology textbook **P-48**
Answer: C (Query electronic health records (EHRs) to determine client responses to the drug)
Question 14: The nurse is facing a problem with a long-term care client that is different from anything
encountered by the nurse in the past. What nursing action is appropriate prior to taking the problem to
the research committee?
A) Perform a review of the literature
B) Ask the client's family if this is a recurring issue
C) Bring the problem up for discussion in the next staff meeting
D) Ask the physician for assistance **P-48**
Answer: A (Perform a review of the literature)
Question 15: In preparation for the next quality improvement committee meeting, the nurse accesses
the clinical decision support system to run an outcomes report. How should the nurse anticipate the
committee using this report?
A) To eliminate unnecessary care
B) To measure the length of hospital stays
C) To assist in modifying policies and procedures
D) To validate appropriate place of treatment **P-48**
Answer: C (To assist in modifying policies and procedures)
Question 16: How does the clinical decision support system support human resource functions?
A) Determining if staff are correctly coding client care procedures
B) Identifying staff who are incorrectly charging for resources used for client care
C) Recognizing staff who are not discharging clients according to identified lengths of stay
D) Evaluating the number of staff with licensure due to expire **P-48**
Answer: D (Evaluating the number of staff with licensure due to expire)
Page 4
