RNSG 1513 Foundations of Nursing
Exam 2 (2026) UPDATED Actual exam
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS UPDATED 2026-
2027 Verified For 100%ACCURACY |
With 100% Correct Answers graded A+
Guaranteed Success!!
You are reviewing Health Insurance Portability and Accountability Act (HIPAA)
regulations with your patient during the admission process. The patient states, "I've
heard a lot about these HIPAA regulations in the news lately. How will they affect my
care?" Which of the following is the best response?
A. HIPAA allows all hospital staff access to your medical record.
B. HIPAA limits the information that is documented in your medical record.
C. HIPAA provides you with greater control over your personal health care information.
D. HIPAA enables health care institutions to release all of your personal information to
improve continuity of care. - ANSWERS-C. HIPAA provides you with greater control
over your personal health care information.
HIPAA provides patients with control over who receives and accesses their medical
records. It does not allow uncontrolled access to the medical records. HIPAA also does
not dictate what must be documented in the patient's medical record.
Which of the following charting entries is most accurate?
A.Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated well.
,C. Patient up, walked 50 feet and back down hallway with assistance from nurse.
Spouse also accompanied patient during the walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR 88
and regular before exercise, 94 and regular following exercise. - ANSWERS-D. Patient
walked 50 feet and back down hallway with assistance from nurse; HR 88 and regular
before exercise, 94 and regular following exercise.
The statement "Patient walked 50 feet and back down hallway with assistance from
nurse; HR 88 and regular before exercise, 94 and regular following exercise" provides
the most accurate, objective information for the chart.
A new graduate nurse is providing a telephone report to a patient's health care provider
and accepting telephone orders from the provider. Which of the following actions
requires the new nurse's preceptor to intervene? The new nurse:
A) Uses SBAR (Situation-Background-Assessment-Recommendation) as a format when
providing the report.
B) Gives a newly ordered medication before entering the order in the patient's medical
record.
C) Reads the orders back to the health care provider after receiving them and verifies
their accuracy.
D) Asks the preceptor to listen in on the phone conversation. - ANSWERS-B) Gives a
newly ordered medication before entering the order in the patient's medical record.
Nurses enter orders into the computer or write them on the order sheet as they are
being given to allow the read-back process to occur.
As you enter the patient's room, you notice that he is anxious to say something. He
quickly states, "I don't know what's going on; I can't get an explanation from my doctor
about my test results. I want something done about this." Which of the following is the
most appropriate documentation of the patient's emotional status?
A. The patient has a defiant attitude and is demanding his test results.
B. The patient appears to be upset with his nurse because he wants his test results
immediately.
C. The patient is demanding and complains frequently about his doctor.
, D. The patient stated that he felt frustrated by the lack of information he received
regarding his tests. - ANSWERS-D. The patient stated that he felt frustrated by the lack
of information he received regarding his tests.
This is a nonjudgmental statement regarding the nurse's observations about the patient.
Documenting that the patient had a defiant attitude or was demanding and frequently
complaining is judgmental, and information in the medical record should be factual and
nonjudgmental. Documenting that the patient appears upset needs to be more specific
regarding the reason for the patient's concern.
A manager who is reviewing the nurses' notes in a patient's medical record finds the
following entry, "Patient is difficult to care for, refuses suggestion for improving
appetite." Which of the following directions does the manager give to the staff nurse
who entered the note?
A) Avoid rushing when charting an entry.
B) Use correction fluid to remove the entry.
C) Draw a single line through the statement and initial it.
D) Enter only objective and factual information about the patient. - ANSWERS-D) Enter
only objective and factual information about the patient.
Nurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Because the information has already been entered
and is not incorrect, it should be left on the record. Never use correction fluid in a written
medical record.
A patient asks for a copy of her medical record. The best response by the nurse is to:
A. State that only her family may read the record.
B. Indicate that she has the right to read her record.
C. Tell her that she is not allowed to read her record.
D. Explain that only health care workers have access to her record. - ANSWERS-B.
Indicate that she has the right to read her record.
, Patients have the right to read their medical records, but the nurse should always know
the facility policy regarding personal access to medical records because some require a
nurse manager or other official to be present to answer questions about what is in the
record. Families may read the records only when the patient has given permission.
Match the correct entry with the appropriate SOAP (Subjective—Objective—
Assessment—Plan) category.
S
O
A
P
1) Repositioned patient on right side. Encouraged patient to use patient-controlled
analgesia (PCA) device.
2) "The pain increases every time I try to turn on my left side."
3) Acute pain related to tissue injury from surgical incision.
4) Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact, no
drainage. Pain noted on mild palpation. - ANSWERS-S - 2
O-4
A-3
P-1
On the nursing unit you are able to access a patient's medical record and review the
education that other nurses provided to the patient during an initial hospitalization and
three subsequent clinic visits. This type of feature is most common in what type of
record system?
A. Information technology.
B. Electronic health record.
C. Personal health information.
D. Administrative information system. - ANSWERS-B. Electronic health record.
Exam 2 (2026) UPDATED Actual exam
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS UPDATED 2026-
2027 Verified For 100%ACCURACY |
With 100% Correct Answers graded A+
Guaranteed Success!!
You are reviewing Health Insurance Portability and Accountability Act (HIPAA)
regulations with your patient during the admission process. The patient states, "I've
heard a lot about these HIPAA regulations in the news lately. How will they affect my
care?" Which of the following is the best response?
A. HIPAA allows all hospital staff access to your medical record.
B. HIPAA limits the information that is documented in your medical record.
C. HIPAA provides you with greater control over your personal health care information.
D. HIPAA enables health care institutions to release all of your personal information to
improve continuity of care. - ANSWERS-C. HIPAA provides you with greater control
over your personal health care information.
HIPAA provides patients with control over who receives and accesses their medical
records. It does not allow uncontrolled access to the medical records. HIPAA also does
not dictate what must be documented in the patient's medical record.
Which of the following charting entries is most accurate?
A.Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated well.
,C. Patient up, walked 50 feet and back down hallway with assistance from nurse.
Spouse also accompanied patient during the walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse; HR 88
and regular before exercise, 94 and regular following exercise. - ANSWERS-D. Patient
walked 50 feet and back down hallway with assistance from nurse; HR 88 and regular
before exercise, 94 and regular following exercise.
The statement "Patient walked 50 feet and back down hallway with assistance from
nurse; HR 88 and regular before exercise, 94 and regular following exercise" provides
the most accurate, objective information for the chart.
A new graduate nurse is providing a telephone report to a patient's health care provider
and accepting telephone orders from the provider. Which of the following actions
requires the new nurse's preceptor to intervene? The new nurse:
A) Uses SBAR (Situation-Background-Assessment-Recommendation) as a format when
providing the report.
B) Gives a newly ordered medication before entering the order in the patient's medical
record.
C) Reads the orders back to the health care provider after receiving them and verifies
their accuracy.
D) Asks the preceptor to listen in on the phone conversation. - ANSWERS-B) Gives a
newly ordered medication before entering the order in the patient's medical record.
Nurses enter orders into the computer or write them on the order sheet as they are
being given to allow the read-back process to occur.
As you enter the patient's room, you notice that he is anxious to say something. He
quickly states, "I don't know what's going on; I can't get an explanation from my doctor
about my test results. I want something done about this." Which of the following is the
most appropriate documentation of the patient's emotional status?
A. The patient has a defiant attitude and is demanding his test results.
B. The patient appears to be upset with his nurse because he wants his test results
immediately.
C. The patient is demanding and complains frequently about his doctor.
, D. The patient stated that he felt frustrated by the lack of information he received
regarding his tests. - ANSWERS-D. The patient stated that he felt frustrated by the lack
of information he received regarding his tests.
This is a nonjudgmental statement regarding the nurse's observations about the patient.
Documenting that the patient had a defiant attitude or was demanding and frequently
complaining is judgmental, and information in the medical record should be factual and
nonjudgmental. Documenting that the patient appears upset needs to be more specific
regarding the reason for the patient's concern.
A manager who is reviewing the nurses' notes in a patient's medical record finds the
following entry, "Patient is difficult to care for, refuses suggestion for improving
appetite." Which of the following directions does the manager give to the staff nurse
who entered the note?
A) Avoid rushing when charting an entry.
B) Use correction fluid to remove the entry.
C) Draw a single line through the statement and initial it.
D) Enter only objective and factual information about the patient. - ANSWERS-D) Enter
only objective and factual information about the patient.
Nurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Because the information has already been entered
and is not incorrect, it should be left on the record. Never use correction fluid in a written
medical record.
A patient asks for a copy of her medical record. The best response by the nurse is to:
A. State that only her family may read the record.
B. Indicate that she has the right to read her record.
C. Tell her that she is not allowed to read her record.
D. Explain that only health care workers have access to her record. - ANSWERS-B.
Indicate that she has the right to read her record.
, Patients have the right to read their medical records, but the nurse should always know
the facility policy regarding personal access to medical records because some require a
nurse manager or other official to be present to answer questions about what is in the
record. Families may read the records only when the patient has given permission.
Match the correct entry with the appropriate SOAP (Subjective—Objective—
Assessment—Plan) category.
S
O
A
P
1) Repositioned patient on right side. Encouraged patient to use patient-controlled
analgesia (PCA) device.
2) "The pain increases every time I try to turn on my left side."
3) Acute pain related to tissue injury from surgical incision.
4) Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact, no
drainage. Pain noted on mild palpation. - ANSWERS-S - 2
O-4
A-3
P-1
On the nursing unit you are able to access a patient's medical record and review the
education that other nurses provided to the patient during an initial hospitalization and
three subsequent clinic visits. This type of feature is most common in what type of
record system?
A. Information technology.
B. Electronic health record.
C. Personal health information.
D. Administrative information system. - ANSWERS-B. Electronic health record.
