NSG 240 - ATIs UPDATED ACTUAL Questions and CORRECT
Answers
A nurse is discussing computerized provider order C) "CPOE systems can increase the speed of care delivery."
entry (CPOE) systems with staff. Which of the following
statements from a staff member indicates an Rationale: CPOE systems allow provider prescriptions to be transmitted more
understanding of a CPOE system? quickly from one department to another, which can increase the speed of care
delivery for clients.
A) "CPOE systems are associated with a slightly higher
error rate."
B) "CPOE use does not include medication prescriptions."
C) "CPOE systems can increase the speed of care
delivery."
D) "CPOE use is mandated by HIPAA under the Privacy
Rule."
A nurse is talking with a client about their electronic A) "I will be able to track my health information."
health record (EHR) at the facility. Which of the
following client statements indicates an understanding Rationale: The nurse should recognize that one benefit of EHRs is that clients are
of EHRs? able to access their health information from various encounters with health care
providers.
A) "I will be able to track my health information."
B) "My personal information will be entered into a
national database."
C) "I will have one EHR that will encompass the health
care I've received over my lifetime."
D) "The goal of EHRs is to improve insurance coding."
A nurse is preparing an in-service about HIPAA. Which C) "Personnel can be terminated for breaching a client's confidentiality."
of the following information should the nurse plan to
include? Rationale: The nurse should plan to inform the group that strong penalties exist
for HIPAA violations, which include breaching client confidentiality. Penalties
A) "Accessing the medical record of clients on units other include termination from the facility, imprisonment, loss of professional licensure,
than where you are assigned is allowed." or fines.
B) "There are large financial penalties for charting vital
signs you obtain for another nurse's client."
C) "Personnel can be terminated for breaching a client's
confidentiality."
D) "Once you have cared for a client, it is acceptable to
look at their medical record on subsequent health care
visits."
,A charge nurse is reviewing characteristics of electronic A) Reduces medical errors
documentation with staff at a provider's office. Which of D) Makes client medical history more easily available
the following characteristics should the charge nurse E) Increases accuracy of coding procedures
plan to include? (Select all that apply.)
A) Reduces medical errors
B) Improves listening skills among interdisciplinary team
members
C) Less convenient than paper-based charting
D) Makes client medical history more easily available
E) Increases accuracy of coding procedures
A nurse is reviewing documentation guidelines with a A) MSO4
newly licensed nurse. Which of the following B) IU
abbreviations should the nurse note as being on The D) qhs
Joint Commission's Do Not Use List? (Select all that
apply.)
A) MSO4
B) IU
C) PO
D) qhs
E) NKA
A nurse is reviewing documentation principles with a B) A nurse who delegates a task to an AP will review the charting for that task.
group of newly hired assistive personnel (AP). Which of
the following information should the nurse include? Rationale: Registered nurses (RNs) and licensed practical nurses (LPNs) have
authority to delegate certain tasks in certain situations. Part of delegation includes
A) Providers designate to other staff which abbreviations following up to ensure that the task was documented correctly in the client's
cannot be used. record.
B) A nurse who delegates a task to an AP will review the
charting for that task.
C) Providers read and cosign nursing documentation for
accuracy.
D) Licensed personnel should document out-of-range
vital signs for AP.
A nurse is discussing problem-oriented medical records C) A problem-oriented medical record promotes information sharing among
with a group of newly licensed nurses. Which of the members of the interdisciplinary team.
following information should the nurse include?
Rationale: A problem-oriented medical record uses progress notes, which
A) A problem-oriented medical record is created using promotes information sharing among members of the interdisciplinary team.
the PIE model for documentation entries.
B) A problem-oriented medical record contains separate
sections for laboratory and diagnostic information.
C) A problem-oriented medical record promotes
information sharing among members of the
interdisciplinary team.
D) A problem-oriented medical record is rarely used in
acute care settings.
, A nurse is discussing the history of electronic health A) The Institute of Medicine
records (EHRs) during a staff in-service. The nurse
should identify that which of the following agencies Rationale: The nurse should identify that the Institute of Medicine is the agency
advocated for nationwide use of EHRs? that recommended nationwide use of EHRs in 1997. The recommendation was
driven by the belief that it would increase safety in client health care.
A) The Institute of Medicine
B) Department of Veteran Affairs
C) American Hospital Association
D) The Joint Commission
A staff nurse is evaluating a newly licensed nurse's B) "I can take a telephone prescription if a provider is directing a code for an
understanding of telephone prescriptions. Which of the unresponsive client."
following statements by the newly licensed nurse
indicates an understanding of the information? Rationale: Telephone prescriptions should be reserved for use only in emergency
situations, because there is a risk for misunderstanding details about the
A) "I can take a telephone prescription if a provider is prescription during verbal communication. An unresponsive client is an
making routine rounds in another area of the facility." emergency, so it is appropriate for a nurse to receive a telephone prescription in
B) "I can take a telephone prescription if a provider is this situation.
directing a code for an unresponsive client."
C) "If a client requires an over-the-counter medication for
relief of nausea, it is okay to accept a telephone
prescription."
D) "If a client requires pain control for a terminal
condition, it is okay to accept a telephone prescription."
A charge nurse is discussing health records with a A) Immunization data
newly licensed nurse. Which of the following
information should the nurse identify as a component Rationale: The nurse should include that a health record contains any information
of a health record? that could influence a client's health, such as immunization status. Other
information includes medications, allergies, and demographic data.
A) Immunization data
B) Record of client health care payments
C) Complete medical information for household
members
D) Facility policies
A charge nurse is reviewing SOAP documentation with C) Rebound tenderness noted in RLQ of the abdomen.
a group of newly licensed nurses. Which of the
following chart entries should the nurse include as an Rationale: Objective data is information the nurse gathers when collecting data
example of objective data? about the client, such as through physical assessment or diagnostic testing.
A) The client states, "I've had abdominal pain for the past
3 days."
B) The client reports consuming about 1,500 mL of water
per day.
C) Rebound tenderness noted in RLQ of the abdomen.
D) Recommend client referral to a registered dietitian.
Answers
A nurse is discussing computerized provider order C) "CPOE systems can increase the speed of care delivery."
entry (CPOE) systems with staff. Which of the following
statements from a staff member indicates an Rationale: CPOE systems allow provider prescriptions to be transmitted more
understanding of a CPOE system? quickly from one department to another, which can increase the speed of care
delivery for clients.
A) "CPOE systems are associated with a slightly higher
error rate."
B) "CPOE use does not include medication prescriptions."
C) "CPOE systems can increase the speed of care
delivery."
D) "CPOE use is mandated by HIPAA under the Privacy
Rule."
A nurse is talking with a client about their electronic A) "I will be able to track my health information."
health record (EHR) at the facility. Which of the
following client statements indicates an understanding Rationale: The nurse should recognize that one benefit of EHRs is that clients are
of EHRs? able to access their health information from various encounters with health care
providers.
A) "I will be able to track my health information."
B) "My personal information will be entered into a
national database."
C) "I will have one EHR that will encompass the health
care I've received over my lifetime."
D) "The goal of EHRs is to improve insurance coding."
A nurse is preparing an in-service about HIPAA. Which C) "Personnel can be terminated for breaching a client's confidentiality."
of the following information should the nurse plan to
include? Rationale: The nurse should plan to inform the group that strong penalties exist
for HIPAA violations, which include breaching client confidentiality. Penalties
A) "Accessing the medical record of clients on units other include termination from the facility, imprisonment, loss of professional licensure,
than where you are assigned is allowed." or fines.
B) "There are large financial penalties for charting vital
signs you obtain for another nurse's client."
C) "Personnel can be terminated for breaching a client's
confidentiality."
D) "Once you have cared for a client, it is acceptable to
look at their medical record on subsequent health care
visits."
,A charge nurse is reviewing characteristics of electronic A) Reduces medical errors
documentation with staff at a provider's office. Which of D) Makes client medical history more easily available
the following characteristics should the charge nurse E) Increases accuracy of coding procedures
plan to include? (Select all that apply.)
A) Reduces medical errors
B) Improves listening skills among interdisciplinary team
members
C) Less convenient than paper-based charting
D) Makes client medical history more easily available
E) Increases accuracy of coding procedures
A nurse is reviewing documentation guidelines with a A) MSO4
newly licensed nurse. Which of the following B) IU
abbreviations should the nurse note as being on The D) qhs
Joint Commission's Do Not Use List? (Select all that
apply.)
A) MSO4
B) IU
C) PO
D) qhs
E) NKA
A nurse is reviewing documentation principles with a B) A nurse who delegates a task to an AP will review the charting for that task.
group of newly hired assistive personnel (AP). Which of
the following information should the nurse include? Rationale: Registered nurses (RNs) and licensed practical nurses (LPNs) have
authority to delegate certain tasks in certain situations. Part of delegation includes
A) Providers designate to other staff which abbreviations following up to ensure that the task was documented correctly in the client's
cannot be used. record.
B) A nurse who delegates a task to an AP will review the
charting for that task.
C) Providers read and cosign nursing documentation for
accuracy.
D) Licensed personnel should document out-of-range
vital signs for AP.
A nurse is discussing problem-oriented medical records C) A problem-oriented medical record promotes information sharing among
with a group of newly licensed nurses. Which of the members of the interdisciplinary team.
following information should the nurse include?
Rationale: A problem-oriented medical record uses progress notes, which
A) A problem-oriented medical record is created using promotes information sharing among members of the interdisciplinary team.
the PIE model for documentation entries.
B) A problem-oriented medical record contains separate
sections for laboratory and diagnostic information.
C) A problem-oriented medical record promotes
information sharing among members of the
interdisciplinary team.
D) A problem-oriented medical record is rarely used in
acute care settings.
, A nurse is discussing the history of electronic health A) The Institute of Medicine
records (EHRs) during a staff in-service. The nurse
should identify that which of the following agencies Rationale: The nurse should identify that the Institute of Medicine is the agency
advocated for nationwide use of EHRs? that recommended nationwide use of EHRs in 1997. The recommendation was
driven by the belief that it would increase safety in client health care.
A) The Institute of Medicine
B) Department of Veteran Affairs
C) American Hospital Association
D) The Joint Commission
A staff nurse is evaluating a newly licensed nurse's B) "I can take a telephone prescription if a provider is directing a code for an
understanding of telephone prescriptions. Which of the unresponsive client."
following statements by the newly licensed nurse
indicates an understanding of the information? Rationale: Telephone prescriptions should be reserved for use only in emergency
situations, because there is a risk for misunderstanding details about the
A) "I can take a telephone prescription if a provider is prescription during verbal communication. An unresponsive client is an
making routine rounds in another area of the facility." emergency, so it is appropriate for a nurse to receive a telephone prescription in
B) "I can take a telephone prescription if a provider is this situation.
directing a code for an unresponsive client."
C) "If a client requires an over-the-counter medication for
relief of nausea, it is okay to accept a telephone
prescription."
D) "If a client requires pain control for a terminal
condition, it is okay to accept a telephone prescription."
A charge nurse is discussing health records with a A) Immunization data
newly licensed nurse. Which of the following
information should the nurse identify as a component Rationale: The nurse should include that a health record contains any information
of a health record? that could influence a client's health, such as immunization status. Other
information includes medications, allergies, and demographic data.
A) Immunization data
B) Record of client health care payments
C) Complete medical information for household
members
D) Facility policies
A charge nurse is reviewing SOAP documentation with C) Rebound tenderness noted in RLQ of the abdomen.
a group of newly licensed nurses. Which of the
following chart entries should the nurse include as an Rationale: Objective data is information the nurse gathers when collecting data
example of objective data? about the client, such as through physical assessment or diagnostic testing.
A) The client states, "I've had abdominal pain for the past
3 days."
B) The client reports consuming about 1,500 mL of water
per day.
C) Rebound tenderness noted in RLQ of the abdomen.
D) Recommend client referral to a registered dietitian.
