NCLEX-PN Test Study Questions with Explained
Answers
What is a major difference between a problem oriented medical record and a source oriented medical record?
A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes.
B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP.
C. The source oriented medical system uses charting by exception and the source oriented medical record system does not.
D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession's progress notes.
✔ ✔ A. Source VS. Problem medical records: Source= one in which each healthcare group keeps data on its own separate form. Sections designed for nurses, physicians, lab, x-ray, etc. Disadvantages include: Fragmented data -- making it difficult to track problems chronologically with input from different groups of professionals. Advantages include: Each discipline can easily find and chart pertinent data.
Problem= Organized around a patient's problems rather than around sources of information. Advantages include: Entire healthcare team works together in identifying a master list of patient problems and contributes collaboratively to the plan of care.
Which of the following are necessary elements of malpractice? Select all that apply.
A. A breach of duty
B. An intentional act
C. A unintentional act
D. Foreseeability
E. Patient harm
F. Causation ✔ ✔ A, D, E, F. -Can be intentional OR unintentional.
Select the following fire emergency interventions in correct sequential order.
A. Pull the fire alarm.
B. Contain the fire.
C. Rescue patients in danger.
D. Extinguish the fire. ✔ ✔ C,A, B, D. Remember RACE!
Rescue, Alarm, Contain, Extinguish.! After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is. How would you respond to this patient's question?
A. "Cushing's syndrome is a type of irritable bowel syndrome."
B. "Cushing's syndrome is a disorder of the adrenal gland."
C. "Cushing's syndrome often occurs among patients who are getting radiation therapy."
D. "Cushing's syndrome often occurs among patients who are chemotherapy." ✔ ✔ B- condition of the adrenal disorder. Review Cushing's vs. Addison's. Cushing's: HYPER adrenal disorder. Too much cortisol or ACTH being produced. Buffalo Hump, Moon Face, Pink/Purple Striate. Addison's: HYPO adrenal disorder. Too little cortisol or ACTH being produced. Bronzing skin especially in areas normally not exposed to the
sun, thin, fatigued.
You are preparing a sterile field for a operating room surgical procedure. When should you stop the preparation of this sterile field?
A. When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile field
B. When you have completely finished the field. You cannot stop the set up until it is all done.
C. When you have accidentally poured a sterile liquid into a container that was on the sterile field D. When you turn your upper body only away from the field because the surgeon calls your name ✔ ✔ *D! BROKE STERILE FIELD.* A- 1 inch around perimeter is okay. B- if you break the field, you MUST begin again. C- Sterile liquid into a sterile container is STILL STERILE. Field not broken. D- NEVER. TURN. YOUR BACK. TO YOUR FIELD.
Avulsed teeth should be placed in:
A. Normal saline.
B. Cold water.
C. Milk.
D. Warm water. ✔ ✔ C. Avulsion- complete removal of the tooth R/T trauma. First aid for tooth avulsion includes: avoid touching the root, attempt to
replant the tooth by placing it back on the hole (after ensuring it is an ADULT tooth) and instructing pt. if possible to bite down on something, i.e. handkerchief. If pt. is a child, or unconscious do not attempt replanting. Tooth should then be kept in MILK until reaching further emergency services or ER. Water or ice has been shown to damage the roots of the tooth. Milk has calcium & other good bacteria and such that will help keep the root alive.
You are working in a pediatric unit of the hospital and caring for a six year old boy who is hospitalized with cystic fibrosis and respiratory
Answers
What is a major difference between a problem oriented medical record and a source oriented medical record?
A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes.
B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP.
C. The source oriented medical system uses charting by exception and the source oriented medical record system does not.
D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession's progress notes.
✔ ✔ A. Source VS. Problem medical records: Source= one in which each healthcare group keeps data on its own separate form. Sections designed for nurses, physicians, lab, x-ray, etc. Disadvantages include: Fragmented data -- making it difficult to track problems chronologically with input from different groups of professionals. Advantages include: Each discipline can easily find and chart pertinent data.
Problem= Organized around a patient's problems rather than around sources of information. Advantages include: Entire healthcare team works together in identifying a master list of patient problems and contributes collaboratively to the plan of care.
Which of the following are necessary elements of malpractice? Select all that apply.
A. A breach of duty
B. An intentional act
C. A unintentional act
D. Foreseeability
E. Patient harm
F. Causation ✔ ✔ A, D, E, F. -Can be intentional OR unintentional.
Select the following fire emergency interventions in correct sequential order.
A. Pull the fire alarm.
B. Contain the fire.
C. Rescue patients in danger.
D. Extinguish the fire. ✔ ✔ C,A, B, D. Remember RACE!
Rescue, Alarm, Contain, Extinguish.! After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is. How would you respond to this patient's question?
A. "Cushing's syndrome is a type of irritable bowel syndrome."
B. "Cushing's syndrome is a disorder of the adrenal gland."
C. "Cushing's syndrome often occurs among patients who are getting radiation therapy."
D. "Cushing's syndrome often occurs among patients who are chemotherapy." ✔ ✔ B- condition of the adrenal disorder. Review Cushing's vs. Addison's. Cushing's: HYPER adrenal disorder. Too much cortisol or ACTH being produced. Buffalo Hump, Moon Face, Pink/Purple Striate. Addison's: HYPO adrenal disorder. Too little cortisol or ACTH being produced. Bronzing skin especially in areas normally not exposed to the
sun, thin, fatigued.
You are preparing a sterile field for a operating room surgical procedure. When should you stop the preparation of this sterile field?
A. When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile field
B. When you have completely finished the field. You cannot stop the set up until it is all done.
C. When you have accidentally poured a sterile liquid into a container that was on the sterile field D. When you turn your upper body only away from the field because the surgeon calls your name ✔ ✔ *D! BROKE STERILE FIELD.* A- 1 inch around perimeter is okay. B- if you break the field, you MUST begin again. C- Sterile liquid into a sterile container is STILL STERILE. Field not broken. D- NEVER. TURN. YOUR BACK. TO YOUR FIELD.
Avulsed teeth should be placed in:
A. Normal saline.
B. Cold water.
C. Milk.
D. Warm water. ✔ ✔ C. Avulsion- complete removal of the tooth R/T trauma. First aid for tooth avulsion includes: avoid touching the root, attempt to
replant the tooth by placing it back on the hole (after ensuring it is an ADULT tooth) and instructing pt. if possible to bite down on something, i.e. handkerchief. If pt. is a child, or unconscious do not attempt replanting. Tooth should then be kept in MILK until reaching further emergency services or ER. Water or ice has been shown to damage the roots of the tooth. Milk has calcium & other good bacteria and such that will help keep the root alive.
You are working in a pediatric unit of the hospital and caring for a six year old boy who is hospitalized with cystic fibrosis and respiratory
