,NURS 100 Assessment 3 Fundamentals of Nursing Questions And
Answers 2026/2027 West Coast University
Q1. A nurse is documenting care in a patient's electronic medical record.
Which entry is most appropriate?
A. "Patient is difficult and refuses to cooperate."
B. "Patient is acting strangely today."
C. "Patient stated, 'I do not want to take the medication because it makes me
feel sick.'"
D. "Patient appears to have a bad attitude."
Correct Answer: C
Rationale: Documentation should be factual, objective, and nonjudgmental.
Quoting the patient's own statement accurately records the patient's report
without adding the nurse's personal interpretation.
Q2. Which documentation entry is most objective?
A. "Patient was lazy during physical therapy."
B. "Patient walked 20 feet with a walker and stopped twice because of
fatigue."
C. "Patient seemed depressed."
D. "Patient did not try hard enough."
Correct Answer: B
Rationale: Objective documentation describes observable behavior and
measurable findings rather than judgments, assumptions, or interpretations.
Q3. A nurse realizes that an important assessment finding was omitted from
the electronic medical record. What is the most appropriate action?
A. Add the information using the approved late-entry or correction process
B. Ask another nurse to enter it under the other nurse's login
C. Delete the original assessment and rewrite the entire note
D. Leave the information undocumented
Correct Answer: A
Rationale: Missing information should be corrected using the organization's
approved documentation procedures while maintaining the integrity of the
legal record.
, Q4. A nurse is reviewing documentation that states, "Patient appears
anxious." Which additional entry would best make the documentation
objective?
A. "Patient is obviously worried."
B. "Patient has a difficult personality."
C. "Patient is probably anxious about discharge."
D. "Patient pacing in room and repeatedly stating, 'I am worried about going
home.'"
Correct Answer: D
Rationale: Objective documentation describes observable behavior and,
when appropriate, directly quotes the patient's own words rather than
labeling or speculating about emotions.
Q5. Which action by a nursing student requires immediate intervention by
the instructor?
A. Recording the date and time of an entry
B. Documenting assessment findings after performing the assessment
C. Leaving a personal username and password on a paper slip near a
workstation
D. Reviewing the patient's chart before providing care
Correct Answer: C
Rationale: Usernames and passwords must be protected. Leaving
credentials where others can access them creates a serious confidentiality
and security risk.
Q6. A nurse receives a telephone medication order from a provider. Which
action is most important for reducing transcription errors?
A. Ask another nurse to remember the order
B. Read the order back to the provider for verification
C. Enter the order at the end of the shift
D. Administer the medication before documenting the order
Correct Answer: B
Rationale: Reading the order back allows the nurse and provider to verify
that the medication, dose, route, and other details were understood correctly.
Answers 2026/2027 West Coast University
Q1. A nurse is documenting care in a patient's electronic medical record.
Which entry is most appropriate?
A. "Patient is difficult and refuses to cooperate."
B. "Patient is acting strangely today."
C. "Patient stated, 'I do not want to take the medication because it makes me
feel sick.'"
D. "Patient appears to have a bad attitude."
Correct Answer: C
Rationale: Documentation should be factual, objective, and nonjudgmental.
Quoting the patient's own statement accurately records the patient's report
without adding the nurse's personal interpretation.
Q2. Which documentation entry is most objective?
A. "Patient was lazy during physical therapy."
B. "Patient walked 20 feet with a walker and stopped twice because of
fatigue."
C. "Patient seemed depressed."
D. "Patient did not try hard enough."
Correct Answer: B
Rationale: Objective documentation describes observable behavior and
measurable findings rather than judgments, assumptions, or interpretations.
Q3. A nurse realizes that an important assessment finding was omitted from
the electronic medical record. What is the most appropriate action?
A. Add the information using the approved late-entry or correction process
B. Ask another nurse to enter it under the other nurse's login
C. Delete the original assessment and rewrite the entire note
D. Leave the information undocumented
Correct Answer: A
Rationale: Missing information should be corrected using the organization's
approved documentation procedures while maintaining the integrity of the
legal record.
, Q4. A nurse is reviewing documentation that states, "Patient appears
anxious." Which additional entry would best make the documentation
objective?
A. "Patient is obviously worried."
B. "Patient has a difficult personality."
C. "Patient is probably anxious about discharge."
D. "Patient pacing in room and repeatedly stating, 'I am worried about going
home.'"
Correct Answer: D
Rationale: Objective documentation describes observable behavior and,
when appropriate, directly quotes the patient's own words rather than
labeling or speculating about emotions.
Q5. Which action by a nursing student requires immediate intervention by
the instructor?
A. Recording the date and time of an entry
B. Documenting assessment findings after performing the assessment
C. Leaving a personal username and password on a paper slip near a
workstation
D. Reviewing the patient's chart before providing care
Correct Answer: C
Rationale: Usernames and passwords must be protected. Leaving
credentials where others can access them creates a serious confidentiality
and security risk.
Q6. A nurse receives a telephone medication order from a provider. Which
action is most important for reducing transcription errors?
A. Ask another nurse to remember the order
B. Read the order back to the provider for verification
C. Enter the order at the end of the shift
D. Administer the medication before documenting the order
Correct Answer: B
Rationale: Reading the order back allows the nurse and provider to verify
that the medication, dose, route, and other details were understood correctly.
