NU260 Exam 3 2025| Chapt.'s 40, 42 & 43|ACTUAL EXAM QUESTIONS AND ANSWERS|A+
GRADED ASSURED
What are the 5 steps in the nursing process? - (ANSWER)Assessment
Diagnosis
Planning
Implementation
Evaluation
What is the assessment portion of the nursing process used for? - (ANSWER)data collection
what is the nursing diagnosis portion of the nursing process used for? - (ANSWER)analyzing the data
what is the planning portion of the nursing process used for? - (ANSWER)the steps to resolve the health
problem present
what is the implementation portion of the nursing process used for? - (ANSWER)carrying out the steps
of the planning portion
what is the evaluation portion of the nursing process used for? - (ANSWER)to assess the patients
respose to the treatment
How often is the nursing care plan updated? - (ANSWER)every 24 hours
what are the three charecteristics of an expected outcome? - (ANSWER)realistic, attainable, and have a
set timeline
Who should have access to the patients records? - (ANSWER)only those who are directly involved in the
patients care
What is source-oriented or narrative charting? - (ANSWER)organized according to the source of the
information
, NU260 Exam 3 2025| Chapt.'s 40, 42 & 43|ACTUAL EXAM QUESTIONS AND ANSWERS|A+
GRADED ASSURED
What is problem-oriented medical record charting (POMR)? - (ANSWER)charting the focuses on the
patient's status with an emphasis on the problem-solving approach
What is problem identification, interventions, and evaluation charting (PIE)? - (ANSWER)follows the
nursing process and uses nursing diagnosises while placing the plan of care within the nurses progress
notes
What is focused charting? - (ANSWER)focuses only on the direct health problems of the patient
What is charting by exception? - (ANSWER)the assumption that all standards of practice are carried out
and met with a normal or expected response
What is computer-assisted charting or an electronic health record (EHR)? - (ANSWER)a computerized
comprehensive record of a patient's history and care across all facilities and admissions
What is a computerized provider order entry (CPOE)? - (ANSWER)an efficent and effective way for any
orders put in through the system to be automatically sent to the appropriate clinical areas for action
What is case management system charting? - (ANSWER)organizing patient care through an episode of
illness so that clinical outcomes are achieved within an expected time frame and at a predictable cost
What do you never do when documenting on a computer? - (ANSWER)walk away with the screen
opened and unlocked
What does accuracy in documentation mean? - (ANSWER)being specific and definite in using words or
phrases that convey the meaning you wish expressed
What is brevity in documentation? - (ANSWER)sentences are not neccessary, but abbreviations,
acronymns, and symbols are acceptable
GRADED ASSURED
What are the 5 steps in the nursing process? - (ANSWER)Assessment
Diagnosis
Planning
Implementation
Evaluation
What is the assessment portion of the nursing process used for? - (ANSWER)data collection
what is the nursing diagnosis portion of the nursing process used for? - (ANSWER)analyzing the data
what is the planning portion of the nursing process used for? - (ANSWER)the steps to resolve the health
problem present
what is the implementation portion of the nursing process used for? - (ANSWER)carrying out the steps
of the planning portion
what is the evaluation portion of the nursing process used for? - (ANSWER)to assess the patients
respose to the treatment
How often is the nursing care plan updated? - (ANSWER)every 24 hours
what are the three charecteristics of an expected outcome? - (ANSWER)realistic, attainable, and have a
set timeline
Who should have access to the patients records? - (ANSWER)only those who are directly involved in the
patients care
What is source-oriented or narrative charting? - (ANSWER)organized according to the source of the
information
, NU260 Exam 3 2025| Chapt.'s 40, 42 & 43|ACTUAL EXAM QUESTIONS AND ANSWERS|A+
GRADED ASSURED
What is problem-oriented medical record charting (POMR)? - (ANSWER)charting the focuses on the
patient's status with an emphasis on the problem-solving approach
What is problem identification, interventions, and evaluation charting (PIE)? - (ANSWER)follows the
nursing process and uses nursing diagnosises while placing the plan of care within the nurses progress
notes
What is focused charting? - (ANSWER)focuses only on the direct health problems of the patient
What is charting by exception? - (ANSWER)the assumption that all standards of practice are carried out
and met with a normal or expected response
What is computer-assisted charting or an electronic health record (EHR)? - (ANSWER)a computerized
comprehensive record of a patient's history and care across all facilities and admissions
What is a computerized provider order entry (CPOE)? - (ANSWER)an efficent and effective way for any
orders put in through the system to be automatically sent to the appropriate clinical areas for action
What is case management system charting? - (ANSWER)organizing patient care through an episode of
illness so that clinical outcomes are achieved within an expected time frame and at a predictable cost
What do you never do when documenting on a computer? - (ANSWER)walk away with the screen
opened and unlocked
What does accuracy in documentation mean? - (ANSWER)being specific and definite in using words or
phrases that convey the meaning you wish expressed
What is brevity in documentation? - (ANSWER)sentences are not neccessary, but abbreviations,
acronymns, and symbols are acceptable
