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Exam (elaborations)

D220 Exam Script Comprehensive Study Guide

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D220 EXAM SCRIPT COMPREHENSIVE STUDY GUIDE

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D220 EXAM SCRIPT COMPREHENSIVE
STUDY GUIDE

●● Which information in a patient's medical record will help a nurse
plan and manage the patient's pain?
Answer: Physician orders


●● 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


●● 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


●● 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.


●● 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.


●● 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.


●● 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


●● Which view in the electronic health record (EHR) confirms a
patient's blood pressure is stabilizing?
Answer: Graphical trending

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