Communication and Teamwork Exam
2 2026 Exam With Questions And
Answers
What term is used to identify the process of obtaining, organizing, and conveying patient health
information to others in print or electronic format? A. Narration.
B. Documentation.
C. Care coordination
D. Order entry - correct answer <<<<<💕💕💕✔✔B. Documentation
What statement is accurate when describing characteristics of an electronic health information
technology system?
A. It lacks the capacity to bring about integration.
B. It provides accessibility to multiple health records.
C. It presents challenges in the transfer of patient information.
D. It consists of imaging files that allow for delayed access. - correct answer <<<<<💕💕💕✔✔B. It
provides accessibility to multiple health records.
Which is the best definition of the term interoperability?
A. A record system that is fully integrated with the Department of Defense.
B. Access at the point of care or remotely using various digital devices.
C. Disparate systems can "talk to each other" to share patient information.
D. Maintains an exchange of information about the patient among all care providers. - correct answer
<<<<<💕💕💕✔✔C. Disparate systems can "talk to each other" to share patient information.
What is the advantage of coding in the use of electronic health records (EHRs)?
A. It makes documenting at the bedside 'warmer' in a human relations sense.
,B. It allows the development of data for multiple levels of accountability, including for individual nurses,
units, or agencies.
C. It allows information to be communicated and extracted from EHRs.
D. It guarantees that nursing care meets the requirements of government, health care agency, and
professional standards of practice. - correct answer <<<<<💕💕💕✔✔C. It allows information to
be communicated and extracted from EHRs.
"A hierarchical method of classifying a vocabulary of items according to certain rules" is the definition
for what term?
A. Health Care Financing Administration (HCFA)
B. Coding
C. NNN
D. Taxonomy - correct answer <<<<<💕💕💕✔✔D. Taxonomy
When documenting patient care, the nurse recognizes that which of the following is true about
documentation of care?
A. Every nurse should anticipate having patients' records subpoenaed at some time during his or her
nursing career.
B. There is a need for quicker documentation that does not reflect the nursing process.
C. The legal assumption is that care was given even if it is not documented.
D. Any method of documentation that provides comprehensive, factual information is legally
unacceptable. - correct answer <<<<<💕💕💕✔✔A. Every nurse should anticipate having
patients' records subpoenaed at some time during his or her nursing career.
Which pair best describes two key elements of collaborative work in nursing?
A. Communication and documentation
B. Portability and ease of access
C. Clarity and efficiency
D. Flow sheets and longitudinal plans of care - correct answer <<<<<💕💕💕✔✔A. Communication
and documentation
,Which actions for electronic health records (EHR) use are universally accepted as good practice? (Select
all that apply.)
A. Changing your EHR password frequently.
B. Charting in a quiet location that is free of distractions
C. Sharing passwords only among unit staff involved in client care
D. Save charting until the end of a shift to save time.
E. Log out whenever not actively engaged in charting - correct answer <<<<<💕💕💕✔✔Correct:
A,
B, E
The nurse recognizes which of the following as a true statement about a nursing classification system?
(Select all that apply.)
A. It provides a standard language for nursing care.
B. It promotes visibility and defines professional practice of nursing contributions to patient care.
C. It lacks standardized terminologies that promote best practices within nursing.
D. It has not been thoroughly incorporated into many agencies' electronic clinical records.
E. It provides a common language for nursing care. - correct answer <<<<<💕💕💕✔✔Correct: A,
B, D, E
When completing documentation on each patient, the nurse recognizes that documentation serves
what purposes? (Select all that apply.)
A. It communicates to others whether or not care was received.
B. It conveys pertinent information about the patient's condition and response to treatment
interventions.
C. It substantiates the quality of care by showing adherence to care standards.
D. It provides evidence for reimbursement.
E. It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best
practice" interventions.
F. It is not a source for communicating care to others due to HIPAA rules and regulations. - correct
answer <<<<<💕💕💕✔✔Correct: A, B, C, D, E
, When working on a hospital unit, the nurse uses a wireless handheld computer. The nurse recognizes
that an advantage of using a wireless handheld computer is
A. the nurse cannot view the entire page of patient information.
B. it can be used at the point of care.
C. it has a long learning curve.
D. it poses potential threats to the patient's legal privacy rights. - correct answer
<<<<<💕💕💕✔✔B. it can be used at the point of care.
Which nursing classification system used internationally is the best researched and most widely
implemented?
A. Omaha System
B. ICD-10
C. NANDA-I
D. NIC/NOC - correct answer <<<<<💕💕💕✔✔C. NANDA-I
Which statement concerning electronic records in NOT true? A. They are portable.
B. They are less durable than paper charting.
C. They are easily transferable.
D. They include documents as well as digital images - correct answer <<<<<💕💕💕✔✔B.
They are less durable than paper charting.
Which of these engages patients as partners in health care, is an expectation at the beginning staff nurse
job level, and is among items tested on licensure exams?
A. CPOE
B. HIT
C. EHR
D. LPCs - correct answer <<<<<💕💕💕✔✔B. HIT
Which of the following is a computer charting system related to predicting patient outcomes in home
health care?
A. EHR
2 2026 Exam With Questions And
Answers
What term is used to identify the process of obtaining, organizing, and conveying patient health
information to others in print or electronic format? A. Narration.
B. Documentation.
C. Care coordination
D. Order entry - correct answer <<<<<💕💕💕✔✔B. Documentation
What statement is accurate when describing characteristics of an electronic health information
technology system?
A. It lacks the capacity to bring about integration.
B. It provides accessibility to multiple health records.
C. It presents challenges in the transfer of patient information.
D. It consists of imaging files that allow for delayed access. - correct answer <<<<<💕💕💕✔✔B. It
provides accessibility to multiple health records.
Which is the best definition of the term interoperability?
A. A record system that is fully integrated with the Department of Defense.
B. Access at the point of care or remotely using various digital devices.
C. Disparate systems can "talk to each other" to share patient information.
D. Maintains an exchange of information about the patient among all care providers. - correct answer
<<<<<💕💕💕✔✔C. Disparate systems can "talk to each other" to share patient information.
What is the advantage of coding in the use of electronic health records (EHRs)?
A. It makes documenting at the bedside 'warmer' in a human relations sense.
,B. It allows the development of data for multiple levels of accountability, including for individual nurses,
units, or agencies.
C. It allows information to be communicated and extracted from EHRs.
D. It guarantees that nursing care meets the requirements of government, health care agency, and
professional standards of practice. - correct answer <<<<<💕💕💕✔✔C. It allows information to
be communicated and extracted from EHRs.
"A hierarchical method of classifying a vocabulary of items according to certain rules" is the definition
for what term?
A. Health Care Financing Administration (HCFA)
B. Coding
C. NNN
D. Taxonomy - correct answer <<<<<💕💕💕✔✔D. Taxonomy
When documenting patient care, the nurse recognizes that which of the following is true about
documentation of care?
A. Every nurse should anticipate having patients' records subpoenaed at some time during his or her
nursing career.
B. There is a need for quicker documentation that does not reflect the nursing process.
C. The legal assumption is that care was given even if it is not documented.
D. Any method of documentation that provides comprehensive, factual information is legally
unacceptable. - correct answer <<<<<💕💕💕✔✔A. Every nurse should anticipate having
patients' records subpoenaed at some time during his or her nursing career.
Which pair best describes two key elements of collaborative work in nursing?
A. Communication and documentation
B. Portability and ease of access
C. Clarity and efficiency
D. Flow sheets and longitudinal plans of care - correct answer <<<<<💕💕💕✔✔A. Communication
and documentation
,Which actions for electronic health records (EHR) use are universally accepted as good practice? (Select
all that apply.)
A. Changing your EHR password frequently.
B. Charting in a quiet location that is free of distractions
C. Sharing passwords only among unit staff involved in client care
D. Save charting until the end of a shift to save time.
E. Log out whenever not actively engaged in charting - correct answer <<<<<💕💕💕✔✔Correct:
A,
B, E
The nurse recognizes which of the following as a true statement about a nursing classification system?
(Select all that apply.)
A. It provides a standard language for nursing care.
B. It promotes visibility and defines professional practice of nursing contributions to patient care.
C. It lacks standardized terminologies that promote best practices within nursing.
D. It has not been thoroughly incorporated into many agencies' electronic clinical records.
E. It provides a common language for nursing care. - correct answer <<<<<💕💕💕✔✔Correct: A,
B, D, E
When completing documentation on each patient, the nurse recognizes that documentation serves
what purposes? (Select all that apply.)
A. It communicates to others whether or not care was received.
B. It conveys pertinent information about the patient's condition and response to treatment
interventions.
C. It substantiates the quality of care by showing adherence to care standards.
D. It provides evidence for reimbursement.
E. It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best
practice" interventions.
F. It is not a source for communicating care to others due to HIPAA rules and regulations. - correct
answer <<<<<💕💕💕✔✔Correct: A, B, C, D, E
, When working on a hospital unit, the nurse uses a wireless handheld computer. The nurse recognizes
that an advantage of using a wireless handheld computer is
A. the nurse cannot view the entire page of patient information.
B. it can be used at the point of care.
C. it has a long learning curve.
D. it poses potential threats to the patient's legal privacy rights. - correct answer
<<<<<💕💕💕✔✔B. it can be used at the point of care.
Which nursing classification system used internationally is the best researched and most widely
implemented?
A. Omaha System
B. ICD-10
C. NANDA-I
D. NIC/NOC - correct answer <<<<<💕💕💕✔✔C. NANDA-I
Which statement concerning electronic records in NOT true? A. They are portable.
B. They are less durable than paper charting.
C. They are easily transferable.
D. They include documents as well as digital images - correct answer <<<<<💕💕💕✔✔B.
They are less durable than paper charting.
Which of these engages patients as partners in health care, is an expectation at the beginning staff nurse
job level, and is among items tested on licensure exams?
A. CPOE
B. HIT
C. EHR
D. LPCs - correct answer <<<<<💕💕💕✔✔B. HIT
Which of the following is a computer charting system related to predicting patient outcomes in home
health care?
A. EHR
