D220 PRE-ASSESSMENT UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered
to the patient?
Answer:
The medication administration record and the nursing assessment notes from the last shift indicate the
patient's level of comfort.
Question:
2. Which information in a patient's medical record will help a nurse plan and manage the patient's pain?
Answer:
Physician orders
Question:
3. A patient completes the course of treatment for tuberculosis and is ready to be discharged home. Which
instructions should be included in the patient's discharge education?
Answer:
Importance of completing the medication prescribed
Question:
4. A mother brings her child to the emergency department after noticing the child had trouble breathing,
refused breastfeeding, and no urine in the diaper within the last eight hours. The provider suspects
respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record inform
the decision to select appropriate infection-control precautions?
Answer:
The data will identify the pathogen causing the patient's symptoms
Question:
5. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the
past two weeks. Which data in the electronic health record (EHR) informs the decision to implement
infection-control precautions?
Answer:
The nasopharyngeal swab culture results indicate the patient is positive for Bordetella pertussis.
Question:
6. A patient is admitted to the hospital with a painful rash on the left side of the face. The provider orders
the patient to be placed on contact precautions. Which data in the electronic health record (EHR) informed
the decision to implement contact precautions?
Answer:
The skin culture results indicate the presence of the varicella-zoster virus.
, Question:
7. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on auscultation.
Which data set in the medical record informs the decision to implement the ineffective airway clearance
nursing care plan?
Answer:
The complete health history and allergy list indicate a history of asthma and seasonal allergies.
Question:
8. The health administrator at a clinic observes an increase in the number of patients with a complaint of
difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will
provide a cross-reference to the impacted patient population?
Answer:
Patient demographic records
Question:
9. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing?
Answer:
Graphical trending
Question:
10. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and
persistent cough. Which data set in the medical record from the last shift informs the decision to implement
the fluid volume overload care plan?
Answer:
Nursing flowsheet and intake and output record
Question:
11. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive
influenza tests at a facility within the past year?
Answer:
Laboratory records
Question:
12. During the evening shift, a nurse notices a significant change in a patient's blood pressure as compared
to the morning shift. Which 24-hour trend information in the electronic health record (EHR) will help the
nurse further evaluate and manage the patient's blood pressure?
Answer:
The intake and output record
Question:
13. Pharmacy adds a field into the medication administration record to document the lot number when a
chemo medication is administered, but fails to communicate this to the nurse responsible for the
medication administration documentation. What is a consequence of this action?
Answer:
Pharmacy cannot determine if there is a problem with a medication batch.
AND CORRECT ANSWERS
Question:
1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered
to the patient?
Answer:
The medication administration record and the nursing assessment notes from the last shift indicate the
patient's level of comfort.
Question:
2. Which information in a patient's medical record will help a nurse plan and manage the patient's pain?
Answer:
Physician orders
Question:
3. A patient completes the course of treatment for tuberculosis and is ready to be discharged home. Which
instructions should be included in the patient's discharge education?
Answer:
Importance of completing the medication prescribed
Question:
4. A mother brings her child to the emergency department after noticing the child had trouble breathing,
refused breastfeeding, and no urine in the diaper within the last eight hours. The provider suspects
respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record inform
the decision to select appropriate infection-control precautions?
Answer:
The data will identify the pathogen causing the patient's symptoms
Question:
5. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the
past two weeks. Which data in the electronic health record (EHR) informs the decision to implement
infection-control precautions?
Answer:
The nasopharyngeal swab culture results indicate the patient is positive for Bordetella pertussis.
Question:
6. A patient is admitted to the hospital with a painful rash on the left side of the face. The provider orders
the patient to be placed on contact precautions. Which data in the electronic health record (EHR) informed
the decision to implement contact precautions?
Answer:
The skin culture results indicate the presence of the varicella-zoster virus.
, Question:
7. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on auscultation.
Which data set in the medical record informs the decision to implement the ineffective airway clearance
nursing care plan?
Answer:
The complete health history and allergy list indicate a history of asthma and seasonal allergies.
Question:
8. The health administrator at a clinic observes an increase in the number of patients with a complaint of
difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will
provide a cross-reference to the impacted patient population?
Answer:
Patient demographic records
Question:
9. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing?
Answer:
Graphical trending
Question:
10. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and
persistent cough. Which data set in the medical record from the last shift informs the decision to implement
the fluid volume overload care plan?
Answer:
Nursing flowsheet and intake and output record
Question:
11. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive
influenza tests at a facility within the past year?
Answer:
Laboratory records
Question:
12. During the evening shift, a nurse notices a significant change in a patient's blood pressure as compared
to the morning shift. Which 24-hour trend information in the electronic health record (EHR) will help the
nurse further evaluate and manage the patient's blood pressure?
Answer:
The intake and output record
Question:
13. Pharmacy adds a field into the medication administration record to document the lot number when a
chemo medication is administered, but fails to communicate this to the nurse responsible for the
medication administration documentation. What is a consequence of this action?
Answer:
Pharmacy cannot determine if there is a problem with a medication batch.
