ADULT HEALTH CHAPTER 26 DOCUMENTATION
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+
The nurse, after administering antibiotics, is updating a patient's chart in the emergency
room. What elements of the report does the nurse accurately document in order to limit
nursing liability in case of a legal claim? Select all that apply. - -current medications
given
-discontinued medications
-drug allergies
At the end of a shift, the nurse documents a patient's condition, anticipated condition,
medications, and nursing interventions fulfilled so that the next nurse can follow the
appropriate treatment plan and care for the patient. This describes which type of report?
- Hand-off report
Which section of the traditional source record does the nurse use to record patient
demographic information? - patient care summary
Which method is appropriate for the nurse to dispose of printed patient information -
place in a secure canister marked for shredding
Which place is appropriate to document urine output in the patients chart? - flow sheet
Where does the nurse access the information to contact the guardian of a patient? -
patient care summary: contains patients demographic data such as name, DOB,
address, contacts, age insurance, employment, guardians
Which is the mode for exchanging information among members of the health care
team? select all that apply - -written reports
-oral communication
A health care organization has incorporated information and computer technology.
Which system will help the organization comply with the requirements of accrediting
agencies? - nursing clinical information system
Which statement describes the purpose of the incident report? select all that apply - -
identifies loopholes in the operation of the health care system
-provides, good quality health care
-identifies the need to change a procedure or policy
In which section would the nurse place subjective and objective data? - progress notes
How is proper documentation of a patients health information most useful to medical
insurance companies? - determines the diagnosis-related group (DRG) of the patient
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+
The nurse, after administering antibiotics, is updating a patient's chart in the emergency
room. What elements of the report does the nurse accurately document in order to limit
nursing liability in case of a legal claim? Select all that apply. - -current medications
given
-discontinued medications
-drug allergies
At the end of a shift, the nurse documents a patient's condition, anticipated condition,
medications, and nursing interventions fulfilled so that the next nurse can follow the
appropriate treatment plan and care for the patient. This describes which type of report?
- Hand-off report
Which section of the traditional source record does the nurse use to record patient
demographic information? - patient care summary
Which method is appropriate for the nurse to dispose of printed patient information -
place in a secure canister marked for shredding
Which place is appropriate to document urine output in the patients chart? - flow sheet
Where does the nurse access the information to contact the guardian of a patient? -
patient care summary: contains patients demographic data such as name, DOB,
address, contacts, age insurance, employment, guardians
Which is the mode for exchanging information among members of the health care
team? select all that apply - -written reports
-oral communication
A health care organization has incorporated information and computer technology.
Which system will help the organization comply with the requirements of accrediting
agencies? - nursing clinical information system
Which statement describes the purpose of the incident report? select all that apply - -
identifies loopholes in the operation of the health care system
-provides, good quality health care
-identifies the need to change a procedure or policy
In which section would the nurse place subjective and objective data? - progress notes
How is proper documentation of a patients health information most useful to medical
insurance companies? - determines the diagnosis-related group (DRG) of the patient
