NURS 200 EXAM 1 STUDY GUIDE
QUESTIONS CORRECTLY ANSWERED A+
GRADED WALDEN UNIVERSITY.
The patient states, "I don't have confidence in my doctor. She looks so
young." The nurse therapeutically responds: (Select all that apply.)
1. Tell me more about your concerns
2. You have nothing to worry about. Your doctor is perfectly competent
3. You are worried about your care?
4. You can go online and see how other have rated your doctor. I do that.
5. You should ask your doctor to tell you her background.
✔✔1, 3
Which strategies should a nurse use to facilitate a safe transition of care
during a patient's transfer from the hospital to skilled nursing facility?
(Select all that apply.)
1. Collaboration between staff members from sending and receiving
departments
2. Requiring that the patient visit the facility before a transfer is arranged
3. Using a standardized transfer policy and transfer tool
4. Arranging all patient transfers during the same time each day
5. Relying on family members to share information with the new facility
✔✔1, 3
The nurse uses silence as a therapeutic communication technique. What
are the purposes of the nurse's silence? (Select all that apply.)
,1. Allows the nurse time to focus and avoid saying the wrong thing
2. Prompts the patient to talk when he or she is ready
3. Allows the patient time to think and gain insight
4. Allows time for the patient to drift off to sleep
5. Determines whether the patient would prefer to talk with another staff
member
✔✔2, 3
What abbreviations are on the Do Not Use list?
✔✔U
IU
Q.D.
QOD
Trailing zero (X.0)
Lack of leading zero (.0)
MS, MS04 and MgSO4
The nurse contacts a provider about a change in a patient's condition and
receives several new orders for the patient over the phone. When
documenting telephone orders in the electronic health record, most
hospitals require a nurse to do which of the following?
1. Print out a copy of all telephone orders entered into the electronic health
record in order to them in personal records for legal purposes.
2. "Read back" all telephone orders to the provider over the phone to
verify all orders were heard, understood, and transcribed correctly before
entering the orders in the electronic heath record.
,3. Record telephone orders to the provider over the phone to verify all
orders until they are electronically signed by the health care provider who
gave them
4. Implement telephone order(s) immediately, but insist that the health
care provider come to the patient care unit to personally enter the order(s)
into the electronic
✔✔2
The nurse is working in an agency that has recently implemented an
electronic health record. Which of the following are acceptable practices for
maintaining the security and confidentiality of electronic health record
information? (Select all that apply.)
1. Using a strong password and changing your password frequently
according to agency policy
2. Allowing a temporary staff member to use your computer user name
and password to access the electronic record
3. Ensuring that work lists (and any other data that must be printed from
the electronic health record) are protected throughout the shift and
disposed of in a licked receptacle designated for documents that are to be
shredded when no longer needed.
4. Ensuring that the patient information that is displayed on the computer
monitor that you are using is not visible to visitors and other health care
providers who are not involved in that patient's care
5. Remaining
✔✔1, 3, 4
When documenting an assessment of a patient's cardiac system in an
electronic health record, the nurse uses the computer mouse to select the
"WNL" statement to document the following findings: "Heart sounds S1 &
S2 auscultated. Heart rate between 80-100 beats per minute, and regular.
, Denies chest pain." This is an example of using which of the following
documentation formats?
1. Focus charting incorporating "Data, Action & Response" (DAR)
2. Problem intervention evaluation (PIE)
3. Charting by exception (CBE)
4. Narrative documentation
✔✔3
The nurse who works at the local hospital is transferring a a patient to an
acute rehabilitation center in another town. To complete the transfer,
information from the patient's electronic health record must be printed and
faxed to the acute rehabilitation center. Which of the following actions is
most appropriate for the nurse to take to maintain privacy and
confidentiality of the patient's information when faxing this information?
(Select all that apply.)
1. Confirm that the fax number for the acute rehabilitation center is correct
before sending the fax
2. Use the encryption feature on the fax machine to encode the information
and make it impossible for staff at the acute rehabilitation center to read
the information unless they have the encryption key
3. Fax the patient's information without a cover sheet so that the person
receiving the info at the acute rehabilitation center can identify it more
quickly
4. Afte
✔✔1, 2, 5
The nurse is administering a dose of metoprolol to a patient, and is
completing the steps of bar code medication administration with the EHR.
As the bar code information on the medication is scanned, an alert that
states "Do not administer dose if apical heart rate (HR) is <60
QUESTIONS CORRECTLY ANSWERED A+
GRADED WALDEN UNIVERSITY.
The patient states, "I don't have confidence in my doctor. She looks so
young." The nurse therapeutically responds: (Select all that apply.)
1. Tell me more about your concerns
2. You have nothing to worry about. Your doctor is perfectly competent
3. You are worried about your care?
4. You can go online and see how other have rated your doctor. I do that.
5. You should ask your doctor to tell you her background.
✔✔1, 3
Which strategies should a nurse use to facilitate a safe transition of care
during a patient's transfer from the hospital to skilled nursing facility?
(Select all that apply.)
1. Collaboration between staff members from sending and receiving
departments
2. Requiring that the patient visit the facility before a transfer is arranged
3. Using a standardized transfer policy and transfer tool
4. Arranging all patient transfers during the same time each day
5. Relying on family members to share information with the new facility
✔✔1, 3
The nurse uses silence as a therapeutic communication technique. What
are the purposes of the nurse's silence? (Select all that apply.)
,1. Allows the nurse time to focus and avoid saying the wrong thing
2. Prompts the patient to talk when he or she is ready
3. Allows the patient time to think and gain insight
4. Allows time for the patient to drift off to sleep
5. Determines whether the patient would prefer to talk with another staff
member
✔✔2, 3
What abbreviations are on the Do Not Use list?
✔✔U
IU
Q.D.
QOD
Trailing zero (X.0)
Lack of leading zero (.0)
MS, MS04 and MgSO4
The nurse contacts a provider about a change in a patient's condition and
receives several new orders for the patient over the phone. When
documenting telephone orders in the electronic health record, most
hospitals require a nurse to do which of the following?
1. Print out a copy of all telephone orders entered into the electronic health
record in order to them in personal records for legal purposes.
2. "Read back" all telephone orders to the provider over the phone to
verify all orders were heard, understood, and transcribed correctly before
entering the orders in the electronic heath record.
,3. Record telephone orders to the provider over the phone to verify all
orders until they are electronically signed by the health care provider who
gave them
4. Implement telephone order(s) immediately, but insist that the health
care provider come to the patient care unit to personally enter the order(s)
into the electronic
✔✔2
The nurse is working in an agency that has recently implemented an
electronic health record. Which of the following are acceptable practices for
maintaining the security and confidentiality of electronic health record
information? (Select all that apply.)
1. Using a strong password and changing your password frequently
according to agency policy
2. Allowing a temporary staff member to use your computer user name
and password to access the electronic record
3. Ensuring that work lists (and any other data that must be printed from
the electronic health record) are protected throughout the shift and
disposed of in a licked receptacle designated for documents that are to be
shredded when no longer needed.
4. Ensuring that the patient information that is displayed on the computer
monitor that you are using is not visible to visitors and other health care
providers who are not involved in that patient's care
5. Remaining
✔✔1, 3, 4
When documenting an assessment of a patient's cardiac system in an
electronic health record, the nurse uses the computer mouse to select the
"WNL" statement to document the following findings: "Heart sounds S1 &
S2 auscultated. Heart rate between 80-100 beats per minute, and regular.
, Denies chest pain." This is an example of using which of the following
documentation formats?
1. Focus charting incorporating "Data, Action & Response" (DAR)
2. Problem intervention evaluation (PIE)
3. Charting by exception (CBE)
4. Narrative documentation
✔✔3
The nurse who works at the local hospital is transferring a a patient to an
acute rehabilitation center in another town. To complete the transfer,
information from the patient's electronic health record must be printed and
faxed to the acute rehabilitation center. Which of the following actions is
most appropriate for the nurse to take to maintain privacy and
confidentiality of the patient's information when faxing this information?
(Select all that apply.)
1. Confirm that the fax number for the acute rehabilitation center is correct
before sending the fax
2. Use the encryption feature on the fax machine to encode the information
and make it impossible for staff at the acute rehabilitation center to read
the information unless they have the encryption key
3. Fax the patient's information without a cover sheet so that the person
receiving the info at the acute rehabilitation center can identify it more
quickly
4. Afte
✔✔1, 2, 5
The nurse is administering a dose of metoprolol to a patient, and is
completing the steps of bar code medication administration with the EHR.
As the bar code information on the medication is scanned, an alert that
states "Do not administer dose if apical heart rate (HR) is <60
