NU 100 Quiz 2 and Answers Verified by
Experts
Which option exemplifies a short-term goal the nurse may identify during the planning step of
the nursing process? Patient verbalizes a pain level of 4 or 5, out of 10, within 2 hours of
receiving prescribed pain medication
How does the medical record function as a communication tool? Allows staff to access
patient information simultaneously
In which section of the EMR would a nurse find laboratory test values? Diagnostic results
In which way(s) does the decision support component of the electronic medical record assist
health care providers?
- Provides recommendations for treatment
- Allows ordering of a PET scan
- Describes past treatments
- Assists in the diagnostic process
,- Provides reminders of preventive health actions such as vaccinations - Provides
recommendations for treatment
- Assists in the diagnostic process
- Provides reminders of preventive health actions such as vaccines
Which information should be recorded for every entry in the medical record?
- Date
- Time
- Day of the week
- Nurse's signature - Date
- Time
- Nurse's signature
In which way should errors be properly corrected in handwritten nursing documentation?
Nurse's initials beside the error and a line through the error
How does the use of standardizing nursing language contribute to better patient outcomes?
,- Provides consistency in documentation
- Facilitates timely documentation
- Improves communication
- Enables data collection
- Protects patient privacy - Provides consistency in documentation
- Improves communication
- Enables data collection
Match medical record sections with the doccumentation found within each section:
Definitions:
- Problem-oriented nursing notes such as PIE, APIE, SOAP, or DAR
- Documentation of routine care and observations
- List of medications, dosages, and administration schedules
- Documentation of the patient's hospital course and plans for follow-up - Formatted
nursing charting
- Flow sheets
, - Medication administration record
- Discharge summary
Which characteristic distinguishes the charting by exception documentation format?
Documentation of only unexpected or clinically significant findings
Which procedures must be followed when taking a verbal or telephone order?
- The order must include the date and time received
- The order must be repeated verbatim to the provider
- All verbal and telephone orders must be taken by a health unit coordinator
- The order does not need to include the nurse's signature
- The order must be documented as a verbal or telephone order - The order must include
the date and time received
- The order must be repeated verbatim to the provider
- The order must be documented as a verbal or telephone order
Who is responsible for maintaining familiarity with the rights of patients and the legal role of the
professional nurse? Every nurse
Experts
Which option exemplifies a short-term goal the nurse may identify during the planning step of
the nursing process? Patient verbalizes a pain level of 4 or 5, out of 10, within 2 hours of
receiving prescribed pain medication
How does the medical record function as a communication tool? Allows staff to access
patient information simultaneously
In which section of the EMR would a nurse find laboratory test values? Diagnostic results
In which way(s) does the decision support component of the electronic medical record assist
health care providers?
- Provides recommendations for treatment
- Allows ordering of a PET scan
- Describes past treatments
- Assists in the diagnostic process
,- Provides reminders of preventive health actions such as vaccinations - Provides
recommendations for treatment
- Assists in the diagnostic process
- Provides reminders of preventive health actions such as vaccines
Which information should be recorded for every entry in the medical record?
- Date
- Time
- Day of the week
- Nurse's signature - Date
- Time
- Nurse's signature
In which way should errors be properly corrected in handwritten nursing documentation?
Nurse's initials beside the error and a line through the error
How does the use of standardizing nursing language contribute to better patient outcomes?
,- Provides consistency in documentation
- Facilitates timely documentation
- Improves communication
- Enables data collection
- Protects patient privacy - Provides consistency in documentation
- Improves communication
- Enables data collection
Match medical record sections with the doccumentation found within each section:
Definitions:
- Problem-oriented nursing notes such as PIE, APIE, SOAP, or DAR
- Documentation of routine care and observations
- List of medications, dosages, and administration schedules
- Documentation of the patient's hospital course and plans for follow-up - Formatted
nursing charting
- Flow sheets
, - Medication administration record
- Discharge summary
Which characteristic distinguishes the charting by exception documentation format?
Documentation of only unexpected or clinically significant findings
Which procedures must be followed when taking a verbal or telephone order?
- The order must include the date and time received
- The order must be repeated verbatim to the provider
- All verbal and telephone orders must be taken by a health unit coordinator
- The order does not need to include the nurse's signature
- The order must be documented as a verbal or telephone order - The order must include
the date and time received
- The order must be repeated verbatim to the provider
- The order must be documented as a verbal or telephone order
Who is responsible for maintaining familiarity with the rights of patients and the legal role of the
professional nurse? Every nurse
