Nur 102 / Nur102 Exam 1. Questions With 100% Verified Answers.

83. A preceptor observes a new graduate nurse discussing change in a patient's condition with a physician over the phone. The new graduate nurse accepts telephone orders for a new medication and for some lab tests from the physician at the end of the conversation. During the conversation the new graduate writes the orders down on a piece of paper to enter them into the EMR when a computer terminal is available. At this hospital new medication orders entered into the EMR can be viewed immediately by hospital pharmacists, and hospital policy states that all new medications must be reviewed by a pharmacist before being administered to patients. Which of the following actions requires the preceptor to intervene? The new nurse: 1. Reads the orders back to the health care provider to verify accuracy of transcribing the orders after receiving them over the phone. 2. Documents the date and time of the phone conversation, the name of the physician, and the topics discussed in the electronic record. 3. Gives a newly ordered medication before entering the order in the patient's medical record. 4. Asks the preceptor to listen in on the phone conversation. 3. Gives a newly ordered medication before entering the order in the patient's medical 84. As the nurse enters a patient's room, the nurse notices that the patient is anxious. The patient quickly states, "I don't know what's going on; I can't get an explanation from my doctor about my test results. I want something done about this." Which of the following is the most appropriate way for the nurse to document this observation of the patient? 1. "The patient has a defiant attitude and is demanding test results." 2. "The patient appears to be upset with the nurse because he wants his test results immediately." 3. "The patient is demanding and is complaining about the doctor." 4. "The patient stated feelings of frustration from the lack of information received regarding test results." 85. The nurse is reviewing the HIPAA regulations with the patient during the admission process. The patient states, "I'm not familiar with these HIPAA regulations. How will they affect my care?" Which of the following is the best response? 1. HIPAA allows all hospital staff access to your medical record. 2. HIPAA limits the information that is documented in the medical record. 3. HIPAA provides you with greater protection of your personal health information. 4. HIPAA enables health care institutions to release all of your personal information to improve continuity of care. 86. A patient states, "I would like to see what is written in my medical record." What is the nurse's best response? 1. Only your family can read your medical record. 2. You have the right to read your record. 3. Patients are not allowed to read their records. 4. Only health care workers have access to patient records. 87. Which of the following documentation entries is most accurate? 1. Patient walked up and down hallway with assistance, tolerated well. 2. Patient up, out of bed, walked down hallway, and back to room, tolerated well. 3. Patient up, walked 50 feet and back down hallway with assistance from nurse. Spouse also accompanied patient during the walk. 4. Patient walked 50 feet and back down hallway with assistance from nurse. HR 88 and regular before exercise, HR 94 and regular following exercise 88. The nurse is caring for a patient with a nasogastric feeding tube who is receiving a continuous tube feeding at a rate of 45 mL per hour. The nurse enters the patient assessment data and information that the head of the patient's bed is elevated to 20 degrees. An alert appears on the computer screen warning that this patient is at a high risk for aspiration because the head of the bed is not elevated enough. This warning is known as which type of system? 1. Electronic health record 2. Clinical documentation 3. Clinical decision support system 4. Computerized physician order entry 89. While reviewing the pulmonary assessment entered by a nurse in a patient's electronic medical record, a physician notices that the only information documented in that section is WDL. The physician also is not able to find a narrative description of the patient's respiratory status in the nurse's progress notes. What is the most likely reason for this? 1. The nurse caring for the patient forgot to document on the pulmonary system. 2. The EMR uses a charting by exception format. 3. The computer shut down unexpectedly when the nurse was documenting the assessment. 4. Because of HIPAA regulations, physicians are not authorized to view the nursing assessment. 90. What is the appropriate way for a nurse to dispose of information printed out from a patient's electronic health record? 1. Rip the papers up into small pieces and place the pieces into a standard trash can. 2. Place all papers in the flip-top binder designated for that patient that is located in the nurse's station on the patient care unit. 3. Place papers with patient information in a secure canister marked for shredding. 4. Burn documents with patient information in the steel sink located within the dirty supply room on the patient care unit. 91. The nurse is transferring a patient to a long-term, skilled care facility and has just given the telephone report to an RN who works at the facility and who will be receiving the patient. In documenting this call, the nurse begins by writing the date and time the report was given and the name of the RN taking the report. Which of the following pieces of information does the nurse include in the documentation of this telephone call? (Select all that apply.) 1. The patient's name, age, and admitting diagnoses. 2. The discussion of any allergies to food and medications that the patient hs 3. That the nurse receiving the report was advised that the patient is "needy" and "on the call light all the time." 4. That the patient's pain rating went from an 8 to a 2 on a scale of 1 to 10 after receiving 650mg Tylenol. 5. Description of any unresolved problems and current interventions in place 92. The nurse is supervising a beginning nursing student and allowing the student to complete documentation of care under direct observation. Which of the following actions are not appropriate and would require intervention? The nursing student: (Select all that apply.) 1. Documents a medication given by another nursing student. 2. Includes the date and time of the entry into the medical record. 3. Enters assessment data into the electronic medical record using the computer mounted on the wall in the patient's room. 4. Leaves a slip of paper with her user name and password in the patient's room. 5. Starts to enter "docusate sodium 100 mg ordered at 0800 held. Patient declined to take dose stating "I had several loose stools yesterday, and I'm afraid if I take this dose the problem will get worse." as a narrative statement. 93. 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 access." D) "CPOE reduces the time nurses use to communicate with health care providers."