NUR 155 Exam 1 (Units 1 & 2) all |! |! |! |! |! |! |! |! |!
questions w ith accur ate answ er s |! |! |! |!
& r ationales |!
Which action by a nurse ensures confidentiality of a client's computer
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record?
1. The nurse logs on to the client's file and leaves the computer to answer
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the client's call light.
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2. The nurse shares her computer password.
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3. The nurse closes a client's computer file and logs off.
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4. The nurse leaves client computer worksheets at the computer
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workstation. - Correct answer ✔Answer: 3
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Rationale: All of the other answers endanger the client's
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confidentiality.
The case management model using critical pathways would be
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appropriate for a client with which diagnosis?
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1. Myocardial infarction (heart attack)
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2. Diabetes, hypertension
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3. Myocardial infarction, diabetes, hypertension
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, 4. Diabetes, hypertension, an infected foot ulcer, senile dementia -
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Correct answer ✔Answer: 1 |! |! |!
Rationale: Critical pathways work best for clients with one diagnosis.
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After making a documentation error, which action should the nurse take?
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1. Use correcting liquid to cover the mistake and make a new entry.
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2. Draw a line through it and write error above the entry.
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3. Draw a line through it and write mistaken entry above it.
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4. Draw a line through the mistake and write mistaken entry with initials
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above it - Correct answer ✔Answer: 4
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Rationale: It is the most complete answer. The client's record is a legal
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record and should not be altered with correcting liquid. You may see
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"error" written above a mistake even though many authors suggest not
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writing it. It is important to also put your name or initials next to the
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words of the mistaken entry.
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During the first day a nurse is caring for a client who has been in the
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hospital for 2 days, the nurse thinks that the client's blood pressure (BP)
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seems high. What is the next step?
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1. Ask the client about past blood pressure ranges.
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2. Review the graphic record on the client's record.
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3. Examine the medication record for antihypertensive
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medications.
4. Review the progress notes included in the client's record. - Correct
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answer ✔Answer: 2 |! |!
questions w ith accur ate answ er s |! |! |! |!
& r ationales |!
Which action by a nurse ensures confidentiality of a client's computer
|! |! |! |! |! |! |! |! |! |!
record?
1. The nurse logs on to the client's file and leaves the computer to answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
the client's call light.
|! |! |! |!
2. The nurse shares her computer password.
|! |! |! |! |! |!
3. The nurse closes a client's computer file and logs off.
|! |! |! |! |! |! |! |! |! |!
4. The nurse leaves client computer worksheets at the computer
|! |! |! |! |! |! |! |! |! |!
workstation. - Correct answer ✔Answer: 3
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Rationale: All of the other answers endanger the client's
|! |! |! |! |! |! |! |!
confidentiality.
The case management model using critical pathways would be
|! |! |! |! |! |! |! |!
appropriate for a client with which diagnosis?
|! |! |! |! |! |!
1. Myocardial infarction (heart attack)
|! |! |! |!
2. Diabetes, hypertension
|! |!
3. Myocardial infarction, diabetes, hypertension
|! |! |! |!
, 4. Diabetes, hypertension, an infected foot ulcer, senile dementia -
|! |! |! |! |! |! |! |! |! |!
Correct answer ✔Answer: 1 |! |! |!
Rationale: Critical pathways work best for clients with one diagnosis.
|! |! |! |! |! |! |! |! |!
After making a documentation error, which action should the nurse take?
|! |! |! |! |! |! |! |! |! |!
1. Use correcting liquid to cover the mistake and make a new entry.
|! |! |! |! |! |! |! |! |! |! |! |!
2. Draw a line through it and write error above the entry.
|! |! |! |! |! |! |! |! |! |! |!
3. Draw a line through it and write mistaken entry above it.
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4. Draw a line through the mistake and write mistaken entry with initials
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above it - Correct answer ✔Answer: 4
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Rationale: It is the most complete answer. The client's record is a legal
|! |! |! |! |! |! |! |! |! |! |! |! |!
record and should not be altered with correcting liquid. You may see
|! |! |! |! |! |! |! |! |! |! |! |!
"error" written above a mistake even though many authors suggest not
|! |! |! |! |! |! |! |! |! |! |!
writing it. It is important to also put your name or initials next to the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
words of the mistaken entry.
|! |! |! |!
During the first day a nurse is caring for a client who has been in the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
hospital for 2 days, the nurse thinks that the client's blood pressure (BP)
|! |! |! |! |! |! |! |! |! |! |! |! |!
seems high. What is the next step?
|! |! |! |! |! |!
1. Ask the client about past blood pressure ranges.
|! |! |! |! |! |! |! |!
2. Review the graphic record on the client's record.
|! |! |! |! |! |! |! |!
3. Examine the medication record for antihypertensive
|! |! |! |! |! |!
medications.
4. Review the progress notes included in the client's record. - Correct
|! |! |! |! |! |! |! |! |! |! |! |!
answer ✔Answer: 2 |! |!
