FPCC Exam 2 questions with verified
answers already passed
Documentation - correct answer ✔✔act of recording patient status & care in written form or
electronic form , or in a combination of the 2.
Explain the purposes of documentation - correct answer ✔✔1. communication "continuity of
care"
2. legally
3. financially
4. education & quality improvement
Explain how, when, & why to complete an incident report. - correct answer ✔✔-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.
Discuss the key elements of giving an oral patient report - correct answer ✔✔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? - correct answer ✔✔NONE. never accept an order
that has an abbreviation.
Explain the process for verifying or questioning a medical order. - correct answer ✔✔-If an order
is written illegibly on a paper order sheet or is entered into the EHR missing components,
contact the provider.
-If you still do not feel comfortable after contacting the provider, you may refuse to carry it out.
-Inform the chain of command of your refusal.
Nursing admission data forms - correct answer ✔✔used to establish a baseline to monitor
change, provides information about the clients support system, contains the critical information
on why the client is there.
Flowsheets/graphic records - correct answer ✔✔use to document assessments and care that
are performed frequently, on a reoccurring schedule, or as a part of unit routines. (Vital signs)
Integrated plan of care - correct answer ✔✔combination of care plan & patient chart.
Summarize the process for receiving & documenting verbal & telephone orders - correct answer
✔✔-Carefully identify client.
-Immediately record the order.
-Always repeat the order back & document that too
,-Document that you did that/read the order back.
-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 much fluid should we encourage our patients to drink daily? - correct answer ✔✔2200-
2700 mL
How is intake of ice chips measured for a patient's I&O? - correct answer ✔✔1 cup of ice =1/2 a
cup of fluid
What are colloids? - correct answer ✔✔larger protein molecules
ex: albumin
Albumin & prealbumin are big factors in predicting ____ - correct answer ✔✔skin health
What are examples of crystalloids? - correct answer ✔✔small proteins
-sodium, chloride, potassium
Monitoring daily weights - correct answer ✔✔-Measure weights first thing in the morning,
same time everyday.
-Use same scale
-Void before weighing
-Client needs to be wearing the same thing each time
-Can delegate this
, -Client can do this at home, if they are gaining more than *2.2 pounds a day*, they need to call
the provider & check in about what's going on
-1 pound increase is about 500mLs of fluid retention.
We lose about how much fluid in our stool per day? - correct answer ✔✔100-200 mL/day
How much fluid do we lose through urine a day? - correct answer ✔✔1500mL/day
What are examples of insensible losses & can they be measured? - correct answer ✔✔-lungs,
skin
cannot be measured
Intracellular fluid - correct answer ✔✔contained within the cells.
accounts for 40% of body weight & is essential for cell function & metabolism
Extracellular fluid - correct answer ✔✔outside the cells. carries water, electrolytes, nutrients,
and oxygen to the cells & removes waste.
accounts for 20% of body weight
interstitial fluid - correct answer ✔✔lies in the spaces between the body cells
intravascular fluid - correct answer ✔✔plasma within the blood. main function is to transport
blood cells
transcellular fluid - correct answer ✔✔specialized fluids that are contained body spaces (ex:
cerebrospinal fluid)
answers already passed
Documentation - correct answer ✔✔act of recording patient status & care in written form or
electronic form , or in a combination of the 2.
Explain the purposes of documentation - correct answer ✔✔1. communication "continuity of
care"
2. legally
3. financially
4. education & quality improvement
Explain how, when, & why to complete an incident report. - correct answer ✔✔-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.
Discuss the key elements of giving an oral patient report - correct answer ✔✔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? - correct answer ✔✔NONE. never accept an order
that has an abbreviation.
Explain the process for verifying or questioning a medical order. - correct answer ✔✔-If an order
is written illegibly on a paper order sheet or is entered into the EHR missing components,
contact the provider.
-If you still do not feel comfortable after contacting the provider, you may refuse to carry it out.
-Inform the chain of command of your refusal.
Nursing admission data forms - correct answer ✔✔used to establish a baseline to monitor
change, provides information about the clients support system, contains the critical information
on why the client is there.
Flowsheets/graphic records - correct answer ✔✔use to document assessments and care that
are performed frequently, on a reoccurring schedule, or as a part of unit routines. (Vital signs)
Integrated plan of care - correct answer ✔✔combination of care plan & patient chart.
Summarize the process for receiving & documenting verbal & telephone orders - correct answer
✔✔-Carefully identify client.
-Immediately record the order.
-Always repeat the order back & document that too
,-Document that you did that/read the order back.
-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 much fluid should we encourage our patients to drink daily? - correct answer ✔✔2200-
2700 mL
How is intake of ice chips measured for a patient's I&O? - correct answer ✔✔1 cup of ice =1/2 a
cup of fluid
What are colloids? - correct answer ✔✔larger protein molecules
ex: albumin
Albumin & prealbumin are big factors in predicting ____ - correct answer ✔✔skin health
What are examples of crystalloids? - correct answer ✔✔small proteins
-sodium, chloride, potassium
Monitoring daily weights - correct answer ✔✔-Measure weights first thing in the morning,
same time everyday.
-Use same scale
-Void before weighing
-Client needs to be wearing the same thing each time
-Can delegate this
, -Client can do this at home, if they are gaining more than *2.2 pounds a day*, they need to call
the provider & check in about what's going on
-1 pound increase is about 500mLs of fluid retention.
We lose about how much fluid in our stool per day? - correct answer ✔✔100-200 mL/day
How much fluid do we lose through urine a day? - correct answer ✔✔1500mL/day
What are examples of insensible losses & can they be measured? - correct answer ✔✔-lungs,
skin
cannot be measured
Intracellular fluid - correct answer ✔✔contained within the cells.
accounts for 40% of body weight & is essential for cell function & metabolism
Extracellular fluid - correct answer ✔✔outside the cells. carries water, electrolytes, nutrients,
and oxygen to the cells & removes waste.
accounts for 20% of body weight
interstitial fluid - correct answer ✔✔lies in the spaces between the body cells
intravascular fluid - correct answer ✔✔plasma within the blood. main function is to transport
blood cells
transcellular fluid - correct answer ✔✔specialized fluids that are contained body spaces (ex:
cerebrospinal fluid)
