NSG 101 EXAM 3 CHAPTER 17 FA DAVIS QUESTIONS
& VERIFIED ANSWERS
A client is admitted with pneumonia. How should the nurse document the initial
assessment?
• The client appears short of breath, with wheezing in all lung fields.
• The client is admitted with pneumonia and the nurse will watch for respiratory
symptoms.
• Respiratory treatments are given as ordered every 4 hours.
• The client reports improved breathing after breathing treatments given. - Answers -
The client appears short of breath, with wheezing in all lung fields.
Which elements of documentation can be delegated to unlicensed assistive personnel?
• Documentation of initial assessment
• Documentation of the intensity and nature of the client's pain
• Documentation of vital signs and activities of daily living (ADLs)
• Documentation of medication administration - Answers - Documentation of vital signs
and activities of daily living (ADLs)
What are disadvantages of charting by exception? Select all that apply.
It requires nurses to be overly familiar with an organization's documentation standards.
It is difficult to capture the skilled judgment of nurses.
It is very cumbersome and time-consuming to use.
It can lead to errors because nurses may conclude that care has been done when it has
not.
It results in repeat work when interventions or assessment findings are documented in
multiple places - Answers - It requires nurses to be overly familiar with an organization's
documentation standards.
It is difficult to capture the skilled judgment of nurses.
It can lead to errors because nurses may conclude that care has been done when it has
not.
Place the items in the correct order used when documenting the nursing process for a
client who is experiencing pain.
Plan: Order for pain medications received.
Implementation: Pain medications administered.
Evaluation: After pain medications, client reports pain rated 4 on a 0 to 10 scale.
Nursing diagnosis: Altered comfort related to postoperative pain.
Assessment: Client crying, verbalizes pain rated 10 on a 0 to 10 scale. - Answers - A
D
P
I
E
& VERIFIED ANSWERS
A client is admitted with pneumonia. How should the nurse document the initial
assessment?
• The client appears short of breath, with wheezing in all lung fields.
• The client is admitted with pneumonia and the nurse will watch for respiratory
symptoms.
• Respiratory treatments are given as ordered every 4 hours.
• The client reports improved breathing after breathing treatments given. - Answers -
The client appears short of breath, with wheezing in all lung fields.
Which elements of documentation can be delegated to unlicensed assistive personnel?
• Documentation of initial assessment
• Documentation of the intensity and nature of the client's pain
• Documentation of vital signs and activities of daily living (ADLs)
• Documentation of medication administration - Answers - Documentation of vital signs
and activities of daily living (ADLs)
What are disadvantages of charting by exception? Select all that apply.
It requires nurses to be overly familiar with an organization's documentation standards.
It is difficult to capture the skilled judgment of nurses.
It is very cumbersome and time-consuming to use.
It can lead to errors because nurses may conclude that care has been done when it has
not.
It results in repeat work when interventions or assessment findings are documented in
multiple places - Answers - It requires nurses to be overly familiar with an organization's
documentation standards.
It is difficult to capture the skilled judgment of nurses.
It can lead to errors because nurses may conclude that care has been done when it has
not.
Place the items in the correct order used when documenting the nursing process for a
client who is experiencing pain.
Plan: Order for pain medications received.
Implementation: Pain medications administered.
Evaluation: After pain medications, client reports pain rated 4 on a 0 to 10 scale.
Nursing diagnosis: Altered comfort related to postoperative pain.
Assessment: Client crying, verbalizes pain rated 10 on a 0 to 10 scale. - Answers - A
D
P
I
E
