NU 136 EXAM 3 STUDY GUIDE
2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED
SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
GALEN COLLEGE OF NURSING
1. What is the nursing process tool - ANSWER ✔ is a tool for identifying
patients' problems or potential problems and organized method for meeting
patient's needs.
2. Define the Nursing Process - ANSWER ✔ is a way of thinking and acting
based on the scientific method
3. What are the five components of the nursing process ? - ANSWER ✔
assessment (data collection), nursing diagnosis, planning, implementation,
and evaluation
4. True or false ?
Patient input during the planning stage results in greater success with the care
plan and care coordination. - ANSWER ✔ True
5. What are the scientific method step ? - ANSWER ✔ 1. Define the problem.
gather information
2. Analyze the information (data)
3. Develop solutions. Make a decision
4. Implement the decision
5. Evaluate the decision
,6. What are the nursing process step ? - ANSWER ✔ 1. Assessment (data
collection) -take patient history, perform physical assessment, and gather
results of diagnostic tests.
2. Nursing Diagnosis- consider assessment database and identify problems;
choose nursing diagnoses.
3. Planning- determine desired outcomes. Choose interventions to achieve those
outcomes.
4. Implementation- carry out the interventions.
5. Evaluation- Assess the result of the interventions; determine whether
outcomes have been achieved; revise the plan if outcomes are not being met;
terminate intervention no longer needed.
7. What is clinical reasoning ? - ANSWER ✔ skills that result in solid clinical
judgement
8. Clinical thinking - ANSWER ✔ is directed, purposeful, mental activity by
which you create and evaluate ideas, analyze data, anticipate problems, use
expansive thinking, reflect on experience, construct plans, and determine
desired outcomes.
9. Clinical judgement - ANSWER ✔ is the outcome of clinical reasoning: the
conclusion or decision (sometimes a nursing diagnosis) you arrived at by
exercising your clinical reasoning skills.
10.To solve a problem, one should use the following steps: - ANSWER ✔ 1.
define the problem clearly.
2. consider the possible outcomes for each alternative solutions to the problems.
3. predict the likelihood of each outcomes occurring
4. choose the alternative with the best chance of success and the fewest
undesirable outcomes.
11.What are the 3-part format for ACTUAL problem - ANSWER ✔ 1.
problem
2. related to (R/T)
3. as evidence by (AEB)
12.A client who experienced a stroke last week is unable to swallow. -
ANSWER ✔ 1. Problem: swallowing, impaired
2. RT: facial paralysis
,3. AEB: observed choking (observed evidence of difficulty in swallowing)
13.Purposes of documentation - ANSWER ✔ -written record
-reimbursement of care
-evidence of care
-shows use of pursing process
-quality improvement
-staff performance
14.Medical record - ANSWER ✔ -Contains data about patient's stay in a
facility
-Only health care professionals directly caring for the patient, or those involved
in research or teaching, should have access to the chart
-Patient information should not be discussed with anyone not directly involved
in the patient's care
15.Methods of documentation - ANSWER ✔ 1. Source-oriented/narrative
records
2. Problem-oriented medical records
3. Focus charting
4. Charting by exception
5. Case management model
6. Computerized documentation/Electronic health records (EHRs)
16.Advantage and disadvantage of Source-Oriented MR/ Narrative - ANSWER
✔ Pro:
-info of pt in chronological order
-pt condition noted each shift
-steps of nursing process
Con:
-normal & abnormal findings
-extensive documentation by staff
-lengthy entries
17.Source oriented / narrative charting - ANSWER ✔ -organized according to
source info
-separate forms for nurses/physicians/etc.
, 18.problem-oriented medical record (POMR) - ANSWER ✔ -Focuses on pt
status
-contains 5 basic parts:
1. database
2. problem list
3.the plan
3. the progress notes
4. discharge summary
-uses SOAP
19.Advantages & disadvantages of Problem-oriented MR - ANSWER ✔ pros:
-improves continuity of care & communication by keeping data relevant
-easy auditing of pt MR for staff evaluations
Cons:
-loss of chronological order
-difficulty tracking trends
-fragments data bc of increased # of flow sheets required
20.The nurse is reviewing the purposes of documentation with a nursing
student. Which purposes from the box below should the nurse include?
1. Communicate care provided and client response.
2. Insurance and Medicare determination of charges and reimbursement.
3. Determine if adequate nursing staff was available to provide quality care.
4. Legal record that can be used as evidence.
5. Reflect caring behaviors by the nursing staff.
6. Track progress toward client outcomes.
a. a. 1, 2, 5.
b. b. 1, 3, 5, 6.
✓ c. 1, 2, 4, 6.
c. d. 1, 3, 4. - ANSWER ✔ C. (1, 2, 4, 6)
21.The nurse has attended a continuing education session about nursing
informatics and the advantages of computer-assisted documentation. The
nurse recognizes which of the following is an advantage of this type of
documentation? - ANSWER ✔ Documentation entries can be made at the
point of care
2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED
SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
GALEN COLLEGE OF NURSING
1. What is the nursing process tool - ANSWER ✔ is a tool for identifying
patients' problems or potential problems and organized method for meeting
patient's needs.
2. Define the Nursing Process - ANSWER ✔ is a way of thinking and acting
based on the scientific method
3. What are the five components of the nursing process ? - ANSWER ✔
assessment (data collection), nursing diagnosis, planning, implementation,
and evaluation
4. True or false ?
Patient input during the planning stage results in greater success with the care
plan and care coordination. - ANSWER ✔ True
5. What are the scientific method step ? - ANSWER ✔ 1. Define the problem.
gather information
2. Analyze the information (data)
3. Develop solutions. Make a decision
4. Implement the decision
5. Evaluate the decision
,6. What are the nursing process step ? - ANSWER ✔ 1. Assessment (data
collection) -take patient history, perform physical assessment, and gather
results of diagnostic tests.
2. Nursing Diagnosis- consider assessment database and identify problems;
choose nursing diagnoses.
3. Planning- determine desired outcomes. Choose interventions to achieve those
outcomes.
4. Implementation- carry out the interventions.
5. Evaluation- Assess the result of the interventions; determine whether
outcomes have been achieved; revise the plan if outcomes are not being met;
terminate intervention no longer needed.
7. What is clinical reasoning ? - ANSWER ✔ skills that result in solid clinical
judgement
8. Clinical thinking - ANSWER ✔ is directed, purposeful, mental activity by
which you create and evaluate ideas, analyze data, anticipate problems, use
expansive thinking, reflect on experience, construct plans, and determine
desired outcomes.
9. Clinical judgement - ANSWER ✔ is the outcome of clinical reasoning: the
conclusion or decision (sometimes a nursing diagnosis) you arrived at by
exercising your clinical reasoning skills.
10.To solve a problem, one should use the following steps: - ANSWER ✔ 1.
define the problem clearly.
2. consider the possible outcomes for each alternative solutions to the problems.
3. predict the likelihood of each outcomes occurring
4. choose the alternative with the best chance of success and the fewest
undesirable outcomes.
11.What are the 3-part format for ACTUAL problem - ANSWER ✔ 1.
problem
2. related to (R/T)
3. as evidence by (AEB)
12.A client who experienced a stroke last week is unable to swallow. -
ANSWER ✔ 1. Problem: swallowing, impaired
2. RT: facial paralysis
,3. AEB: observed choking (observed evidence of difficulty in swallowing)
13.Purposes of documentation - ANSWER ✔ -written record
-reimbursement of care
-evidence of care
-shows use of pursing process
-quality improvement
-staff performance
14.Medical record - ANSWER ✔ -Contains data about patient's stay in a
facility
-Only health care professionals directly caring for the patient, or those involved
in research or teaching, should have access to the chart
-Patient information should not be discussed with anyone not directly involved
in the patient's care
15.Methods of documentation - ANSWER ✔ 1. Source-oriented/narrative
records
2. Problem-oriented medical records
3. Focus charting
4. Charting by exception
5. Case management model
6. Computerized documentation/Electronic health records (EHRs)
16.Advantage and disadvantage of Source-Oriented MR/ Narrative - ANSWER
✔ Pro:
-info of pt in chronological order
-pt condition noted each shift
-steps of nursing process
Con:
-normal & abnormal findings
-extensive documentation by staff
-lengthy entries
17.Source oriented / narrative charting - ANSWER ✔ -organized according to
source info
-separate forms for nurses/physicians/etc.
, 18.problem-oriented medical record (POMR) - ANSWER ✔ -Focuses on pt
status
-contains 5 basic parts:
1. database
2. problem list
3.the plan
3. the progress notes
4. discharge summary
-uses SOAP
19.Advantages & disadvantages of Problem-oriented MR - ANSWER ✔ pros:
-improves continuity of care & communication by keeping data relevant
-easy auditing of pt MR for staff evaluations
Cons:
-loss of chronological order
-difficulty tracking trends
-fragments data bc of increased # of flow sheets required
20.The nurse is reviewing the purposes of documentation with a nursing
student. Which purposes from the box below should the nurse include?
1. Communicate care provided and client response.
2. Insurance and Medicare determination of charges and reimbursement.
3. Determine if adequate nursing staff was available to provide quality care.
4. Legal record that can be used as evidence.
5. Reflect caring behaviors by the nursing staff.
6. Track progress toward client outcomes.
a. a. 1, 2, 5.
b. b. 1, 3, 5, 6.
✓ c. 1, 2, 4, 6.
c. d. 1, 3, 4. - ANSWER ✔ C. (1, 2, 4, 6)
21.The nurse has attended a continuing education session about nursing
informatics and the advantages of computer-assisted documentation. The
nurse recognizes which of the following is an advantage of this type of
documentation? - ANSWER ✔ Documentation entries can be made at the
point of care
