NRS 2024 EXAM 1 (LATEST UPDATE
2026/2027) QUESTION WITH VERIFIED
ANSWER {GRADE A} -OAKLAND
UNIVERSITY
When recording data regarding the client's health record, the nurse mentions the
analysis of the subjective and objective data, in addition to detailing the plan for care of
the client. Which of the following styles of documentation is the nurse implementing?
a. FOCUS charting
b. SOAP charting
c. PIE charting
d. narrative charting - Correct answer b
When maintaining health care records for a client, the nurse knows that a health care
record also serves as a legal document of evidence. What should the nurse do to
ensure legally defensible charting?
a. Ensure that the client's name appears on all pages.
b. Leave spaces between entries and signature.
c. Use abbreviations wherever possible.
d. Record all facts and subjective interpretations. - Correct answer a
,A nurse is preparing to document client care in the electronic medical record using the
SOAP format. The client had abdominal surgery 2 days ago. How would the nurse
document the "S" information?
a. Client states, "I have more pain in my belly today than I did yesterday. My pain is
about a 7 out of 10."
b. Client states expecting some pain, but it is more severe than anticipated.
c. Abdomen soft, slightly tender on palpation. Incision clean, dry and intact. Positive
bowel sounds all four quadrants.
d. Client is requesting pain medications, is grimacing, and is diaphoretic. - Correct
answer a
The nurse is documenting a variance that has occurred during the shift. This report will
be used for quality improvement to identify high-risk patterns and, potentially, to
initiate in-service programs. This is an example of which type of report?
a. Incident report
b. Nurse's shift report
c. Transfer report
d. Telemedicine report - Correct answer a
,The nurse is in the process of reporting to the health care provider the changes in the
client's status. Which are appropriate ways for the nurse to communicate information
about the client to the health care provider? Select all that apply.
a. Showing the provider the trends from baseline to present in blood pressure
b. Informing the provider of the client's present heart rate of 116 beats/min
c. Faxing the results of blood chemistry levels to the provider's office
d. Writing the hemoccult result on a piece of paper and leaving it at the desk
e. Placing a note on the computer terminal with the client's name and information -
Correct answer a, b, c
A nursing student is making notes that include client data on a clipboard. Which
statement by the nursing instructor is most appropriate?
a. "Be sure to write down specific information for your clinical paperwork."
b. "You can get an electronic printout of client lab data to take with you."
c. "Clipboards with client data should not leave the unit."
d. "Be sure to put the client's name and room number on all paperwork." - Correct
answer c
The nurse is preparing a SOAP note. Which assessment findings are consistent with
objective client data?
, a. pain rating of 4 on a scale of 0-10
b. describes wound as itchy
c. urine output 100 ml
d. concerned with feeling tired - Correct answer c
Which nursing action is a component of medical asepsis?
a. handwashing after removing gloves
b. insertion of an indwelling urinary catheter
c. insertion of an intravenous catheter
d. drawing blood from a central line - Correct answer a
The nurse is caring for a client with tuberculosis. Which precautions will the nurse
select for this client?
a. standard
b. airborne
c. droplet
d. contact - Correct answer b
2026/2027) QUESTION WITH VERIFIED
ANSWER {GRADE A} -OAKLAND
UNIVERSITY
When recording data regarding the client's health record, the nurse mentions the
analysis of the subjective and objective data, in addition to detailing the plan for care of
the client. Which of the following styles of documentation is the nurse implementing?
a. FOCUS charting
b. SOAP charting
c. PIE charting
d. narrative charting - Correct answer b
When maintaining health care records for a client, the nurse knows that a health care
record also serves as a legal document of evidence. What should the nurse do to
ensure legally defensible charting?
a. Ensure that the client's name appears on all pages.
b. Leave spaces between entries and signature.
c. Use abbreviations wherever possible.
d. Record all facts and subjective interpretations. - Correct answer a
,A nurse is preparing to document client care in the electronic medical record using the
SOAP format. The client had abdominal surgery 2 days ago. How would the nurse
document the "S" information?
a. Client states, "I have more pain in my belly today than I did yesterday. My pain is
about a 7 out of 10."
b. Client states expecting some pain, but it is more severe than anticipated.
c. Abdomen soft, slightly tender on palpation. Incision clean, dry and intact. Positive
bowel sounds all four quadrants.
d. Client is requesting pain medications, is grimacing, and is diaphoretic. - Correct
answer a
The nurse is documenting a variance that has occurred during the shift. This report will
be used for quality improvement to identify high-risk patterns and, potentially, to
initiate in-service programs. This is an example of which type of report?
a. Incident report
b. Nurse's shift report
c. Transfer report
d. Telemedicine report - Correct answer a
,The nurse is in the process of reporting to the health care provider the changes in the
client's status. Which are appropriate ways for the nurse to communicate information
about the client to the health care provider? Select all that apply.
a. Showing the provider the trends from baseline to present in blood pressure
b. Informing the provider of the client's present heart rate of 116 beats/min
c. Faxing the results of blood chemistry levels to the provider's office
d. Writing the hemoccult result on a piece of paper and leaving it at the desk
e. Placing a note on the computer terminal with the client's name and information -
Correct answer a, b, c
A nursing student is making notes that include client data on a clipboard. Which
statement by the nursing instructor is most appropriate?
a. "Be sure to write down specific information for your clinical paperwork."
b. "You can get an electronic printout of client lab data to take with you."
c. "Clipboards with client data should not leave the unit."
d. "Be sure to put the client's name and room number on all paperwork." - Correct
answer c
The nurse is preparing a SOAP note. Which assessment findings are consistent with
objective client data?
, a. pain rating of 4 on a scale of 0-10
b. describes wound as itchy
c. urine output 100 ml
d. concerned with feeling tired - Correct answer c
Which nursing action is a component of medical asepsis?
a. handwashing after removing gloves
b. insertion of an indwelling urinary catheter
c. insertion of an intravenous catheter
d. drawing blood from a central line - Correct answer a
The nurse is caring for a client with tuberculosis. Which precautions will the nurse
select for this client?
a. standard
b. airborne
c. droplet
d. contact - Correct answer b
