FPCC Final Exam Guide Questions and
answers/Complete Solutions
The "Five Rights" of delegation - ✔1. Right task- delegate task that are appropriate. YOU
cannot delegate administration of drugs. Tasks must be stable & predictable & does not require
a lot of modification or judgement
2. Right circumstance
3. Right person- Has this LPN ever done this wound care before? Have they been approved
& checked off to do this?
4. Right communication- need to tell exactly how to do it, when you want it done, & how often I
want a report back on it.
5. Right supervision- coming back to monitor everything delegated
Purpose of documentation - ✔1. communication "continuity of care"
2. legal documentation
3. financial
4. education & quality improvement
5. research
6. accreditation standards
Contents of health record - ✔Only include facts.
-subjective: what the patient tells you
-objective: only say exactly what you see/hear/smell touch. Never interpret.
-complete but concise: do not document anything twice/that has been
documented somewhere else
-keep it current. always document in a timely manner. If you give meds, document
immediately. *never document something before it happened.* If late, make a late entry
-each entry will start with a date & time
-keep it organized
,-always end with a signature & title.
-make sure writing is legible, written in permanent ink. Never leave spaces.
-Chart for yourself only: only exception is when someone has done something for you in
an emergency situation
Maintaining patient confidentiality - ✔-Asking does who I am telling need to
know? -dont give hand off report in the hallway; go somewhere private &
confidential -if pt has people in the room, ask if its okay to discuss their care
Key elements of giving an oral patient report - ✔face-to-face: ideal & most common.
keep organized by using SBAR
walking rounds- *standard that the handoff should be given at the bedside*
taped recording
must include significant info: name, age, diagnosis admitted
with changes in the treatment plan that happened
DO NOT include routine care
What abbreviations can be used in charting? - ✔NONE. never accept an order that has
an abbreviation.
Process for receiving & documenting verbal & telephone orders - ✔-Carefully identify client.
-Immediately record the order.
-Always repeat the order back & document that you did that
-Question if needed.
-Document TO for telephone order, VO for verbal order.
,-If uncomfortable/in a high-risk situation, ask them to repeat order to another nurse.
-The order has to be signed by the person who gave it to you within 24 hours, electronically or
on paper chart.
How, when, & why to complete an incident report - ✔-if an event that happens that
isn't consistent with routine care (a never event- pt developing a pressure ulcer, falling)
-*first assess the pt & the pt's response (vitals, comments, complaints of
pain)* -then inform provider
-provide objective descriptions & subjective comments
-dont include in the chart that you filed an incident report, only write what happened
-if it was a near miss, fill out an incident report to prevent it from happening in the future.
Average fluid intake - ✔2700-3700 mL
(2700 female; 3700 male)
Average fluid output - ✔2200-2900 mL/day
Fluid loss in stool - ✔100-200 mL/day
Fluid loss in urine - ✔1500 mL/day
Sensible fluid loss - ✔measurable & perceived. (urine, diarrhea, ostomy, & gastric drainage)
sensible fluid loss through the skin occurs through perspiration, at 300-600 ml/day
Insensible fluid loss - ✔loss that we do not perceive, it not easily measured.
, Insensible loss occurs through the lungs as water is exhaled with each breath (about
300 ml/day)
Fluid distribution - ✔intacellular- inside the cell. 2/3 of body
fluids extracellular- outside the cell. 1/3 of body fluids
interstitial-around the cells
intravascular- in arteries, capillaries, & veins
isotonic- equal balance
hypertonic- cells shrink
hypotonic- cells swell
Deficient fluid volume (hypovolemia) - ✔loss of fluid & electrolytes from the ECF.
May occur with surgery, trauma or uterine rupture
Dehydration can be categorized by 3 causes: - ✔1. insufficient intake of fluids (may occur
with depression, sedation, or alcohol abuse)
2. Excessive fluid loss (bleeding, vomiting, diarrhea, NG suctioning)
3. Fluid shifts (intravascular fluid may leak into body tissues, burns)
Who is at risk for hypovolemia? - ✔-older adults, infants, children, patients with
conditions associated with fluid loss (diabetes insipidus, vomiting, diarrhea, fever)
-occupation & environment: someone who works or exercises in a hot environment; someone
who cant afford AC
answers/Complete Solutions
The "Five Rights" of delegation - ✔1. Right task- delegate task that are appropriate. YOU
cannot delegate administration of drugs. Tasks must be stable & predictable & does not require
a lot of modification or judgement
2. Right circumstance
3. Right person- Has this LPN ever done this wound care before? Have they been approved
& checked off to do this?
4. Right communication- need to tell exactly how to do it, when you want it done, & how often I
want a report back on it.
5. Right supervision- coming back to monitor everything delegated
Purpose of documentation - ✔1. communication "continuity of care"
2. legal documentation
3. financial
4. education & quality improvement
5. research
6. accreditation standards
Contents of health record - ✔Only include facts.
-subjective: what the patient tells you
-objective: only say exactly what you see/hear/smell touch. Never interpret.
-complete but concise: do not document anything twice/that has been
documented somewhere else
-keep it current. always document in a timely manner. If you give meds, document
immediately. *never document something before it happened.* If late, make a late entry
-each entry will start with a date & time
-keep it organized
,-always end with a signature & title.
-make sure writing is legible, written in permanent ink. Never leave spaces.
-Chart for yourself only: only exception is when someone has done something for you in
an emergency situation
Maintaining patient confidentiality - ✔-Asking does who I am telling need to
know? -dont give hand off report in the hallway; go somewhere private &
confidential -if pt has people in the room, ask if its okay to discuss their care
Key elements of giving an oral patient report - ✔face-to-face: ideal & most common.
keep organized by using SBAR
walking rounds- *standard that the handoff should be given at the bedside*
taped recording
must include significant info: name, age, diagnosis admitted
with changes in the treatment plan that happened
DO NOT include routine care
What abbreviations can be used in charting? - ✔NONE. never accept an order that has
an abbreviation.
Process for receiving & documenting verbal & telephone orders - ✔-Carefully identify client.
-Immediately record the order.
-Always repeat the order back & document that you did that
-Question if needed.
-Document TO for telephone order, VO for verbal order.
,-If uncomfortable/in a high-risk situation, ask them to repeat order to another nurse.
-The order has to be signed by the person who gave it to you within 24 hours, electronically or
on paper chart.
How, when, & why to complete an incident report - ✔-if an event that happens that
isn't consistent with routine care (a never event- pt developing a pressure ulcer, falling)
-*first assess the pt & the pt's response (vitals, comments, complaints of
pain)* -then inform provider
-provide objective descriptions & subjective comments
-dont include in the chart that you filed an incident report, only write what happened
-if it was a near miss, fill out an incident report to prevent it from happening in the future.
Average fluid intake - ✔2700-3700 mL
(2700 female; 3700 male)
Average fluid output - ✔2200-2900 mL/day
Fluid loss in stool - ✔100-200 mL/day
Fluid loss in urine - ✔1500 mL/day
Sensible fluid loss - ✔measurable & perceived. (urine, diarrhea, ostomy, & gastric drainage)
sensible fluid loss through the skin occurs through perspiration, at 300-600 ml/day
Insensible fluid loss - ✔loss that we do not perceive, it not easily measured.
, Insensible loss occurs through the lungs as water is exhaled with each breath (about
300 ml/day)
Fluid distribution - ✔intacellular- inside the cell. 2/3 of body
fluids extracellular- outside the cell. 1/3 of body fluids
interstitial-around the cells
intravascular- in arteries, capillaries, & veins
isotonic- equal balance
hypertonic- cells shrink
hypotonic- cells swell
Deficient fluid volume (hypovolemia) - ✔loss of fluid & electrolytes from the ECF.
May occur with surgery, trauma or uterine rupture
Dehydration can be categorized by 3 causes: - ✔1. insufficient intake of fluids (may occur
with depression, sedation, or alcohol abuse)
2. Excessive fluid loss (bleeding, vomiting, diarrhea, NG suctioning)
3. Fluid shifts (intravascular fluid may leak into body tissues, burns)
Who is at risk for hypovolemia? - ✔-older adults, infants, children, patients with
conditions associated with fluid loss (diabetes insipidus, vomiting, diarrhea, fever)
-occupation & environment: someone who works or exercises in a hot environment; someone
who cant afford AC
