Foundations Ch. 22,23, + 26 NLCLEX Question
Answers
1. cA cnurse cpreceptor cis cworking cwith ca cstudent cnurse. cWhich cbehavior cby cthe cstudent cnurse
cpreceptor cto cintervene?
a. cThe cstudent cnurse creviews cthe cpatient's cmedical crecord.
b. cThe cstudent cnurse creads cthe cpatient's cplan cof ccare.
c. cThe cstudent cnurse cshares cpatient cinformation cwith ca cfriend.
d. cThe cstudent cnurse cdocuments cmedication cadministered cto cthe cpatient c- cCORRECT cANS✔✔
2. cA cnurse cprepared can caudiotaped cexchange cwith canother cnurse cof cinformation cabout ca cpat
cnurse ccomplete? cThe cnurse ccompleted ca
a. cReport.
b. cRecord.
c. cConsultation.
d. cReferral c- cCORRECT cANS✔✔A
3. cWhich csituation cbest cindicates cthat cthe cnurse chas ca cgood cunderstanding cregarding cauditing
chealth crecords?
a. cThe cnurse cdetermines cthe cdegree cto cwhich cstandards cof ccare care cmet cby creviewing cpatien
b. cThe cnurse crealizes cthat ccare cnot cdocumented cin cpatients' chealth crecords cstill cqualifies cas cc
c. cThe cnurse cknows cthat creimbursement cis cbased con cthe cdiagnosis-related cgroups cdocumente
d. cThe cnurse ccompares cdata cin cpatients' crecords cto cdetermine cwhether ca cnew ctreatment chad
cstandard ctreatment. c- cCORRECT cANS✔✔A
4. cAfter cproviding ccare, ca cnurse ccharts cin cthe cpatient's crecord. cWhich centry cshould cthe cnurse
a. cAppears crestless cwhen csitting cin cthe cchair
b. cDrank cadequate camounts cof cwater
c. cApparently cis casleep cwith ceyes cclosed
d. cSkin cpale cand ccool c- cCORRECT cANS✔✔D
5. cA cnurse chas cprovided ccare cto ca cpatient. cWhich centry cshould cthe cnurse cdocument cin cthe cp
a. c"Patient cseems cto cbe cin cpain cand cstates, c'I cfeel cuncomfortable.'"
b. cStatus cunchanged, cdoing cwell
c. cLeft cabdominal cincision c1 cinch cin clength cwithout credness, cdrainage, cor cedema
d. cPatient cis chard cto ccare cfor cand crefuses call ctreatments cand cmedications. cFamily cpresent c- cC
6. cA cpreceptor cis cworking cwith ca cnew cnurse con cdocumentation. cWhich csituation cwill ccause cth
a. cThe cnew cnurse cuses ca cblack cink cpen cto cchart.
b. cThe cnew cnurse ccharts cconsecutively con cevery cother cline.
c. cThe cnew cnurse cends ceach centry cwith csignature cand ctitle.
, d. cUsed ccrutches cwith cno cdifficulties c- cCORRECT cANS✔✔C
10. cA cnurse cis cusing cthe csource crecord cand cwants cto cfind cthe cdaily cweights. cWhere cshould ct
a. cDatabase
b. cMedical chistory cand cexamination
c. cProgress cnotes
d. cGraphic csheet cand cflow csheet c- cCORRECT cANS✔✔D
11. cA cnurse cis ca cmember cof can cinterdisciplinary cteam cthat cuses ccritical cpathways. cAccording
cday c2 cof cthe chospital cstay, cthe cpatient cshould cbe csitting cin cthe cchair. cIt cis cday c3, cand cthe cp
cWhat cshould cthe cnurse cdo?
a. cFocus ccharting cusing cthe cDAR cformat.
b. cAdd cthis cdata cto cthe cproblem clist.
c. cDocument cthe cvariance cin cthe cpatient's crecord.
d. cReport ca cpositive cvariance cin cthe cnext cinterdisciplinary cteam cmeeting. c- cCORRECT cANS✔✔
12. cA cnurse cneeds cto cbegin cdischarge cplanning cfor ca cpatient cadmitted cwith cpneumonia cand ca
cthe cbest ctime cthe cnurse cshould cstart cdischarge cplanning cfor cthis cpatient?
a. cUpon cadmission
b. cRight cbefore cdischarge
c. cAfter cthe ccongestion cis ctreated
d. cWhen cthe cprimary ccare cprovider cwrites cthe corder c- cCORRECT cANS✔✔A
13. cA cpatient cis cbeing cdischarged chome. cWhich cinformation cshould cthe cnurse cinclude?
a. cAcuity clevel
b. cCommunity cresources
c. cStandardized ccare cplan
d. cKardex c- cCORRECT cANS✔✔B
14. cA cnurse cis cgiving ca chand-off creport cto cthe concoming cnurse. cWhich cinformation cis ccritical c
a. cThe cpatient chad ca cgood cday cwith cno ccomplaints.
b. cThe cfamily cis cdemanding cand cargumentative.
c. cThe cpatient chas ca cnew cpain cmedication, cLortab.
d. cThe cfamily cis cpoor cand chad cto cgo con cwelfare c- cCORRECT cANS✔✔C
15. cA cnew cnurse casks cthe cpreceptor cwhy ca cchange-of-shift creport cis cimportant csince ccare cis c
cWhat cis cthe cpreceptor's cbest cresponse?
a. c"A chand-off creport cprovides can copportunity cto cshare cessential cinformation cto censure cpatient
ccare."
b. c"A cchange-of-shift creport cprovides cthe concoming cnurse cwith cdata cto chelp cset cpriorities cand
ccosts."
c. c"A chand-off creport cprovides can copportunity cfor cthe concoming cnurse cto cask cquestions cand cd
d. c"A cchange-of-shift creport cprovides cimportant cinformation cto ccaregivers cand cdevelops crelation
cteam." c- cCORRECT cANS✔✔A
16. cA cnurse cis cpreparing ca cchange-of-shift creport cfor ca cpatient cwho chad cchest cpain. cWhich cin
cnurse cto cinclude?
a. cPupils cequal cand creactive cto clight
b. cThe cfamily cis ca c"pain"
c. cHad cpoor cresults cfrom cthe cpain cmedication
d. cSharp cpain cof c8 con ca cscale cof c0 cto c10 c- cCORRECT cANS✔✔D
17. cWhich csituation cwill crequire cthe cnurse cto cobtain ca ctelephone corder?
a. cAs cthe cnurse cand cprimary ccare cprovider cleave ca cpatient's croom, cthe cprimary ccare cprovider
b. cAt c0100, ca cpatient's cblood cpressure cdrops cfrom c120/80 cto c90/50 cand cthe cincision cdressing
Answers
1. cA cnurse cpreceptor cis cworking cwith ca cstudent cnurse. cWhich cbehavior cby cthe cstudent cnurse
cpreceptor cto cintervene?
a. cThe cstudent cnurse creviews cthe cpatient's cmedical crecord.
b. cThe cstudent cnurse creads cthe cpatient's cplan cof ccare.
c. cThe cstudent cnurse cshares cpatient cinformation cwith ca cfriend.
d. cThe cstudent cnurse cdocuments cmedication cadministered cto cthe cpatient c- cCORRECT cANS✔✔
2. cA cnurse cprepared can caudiotaped cexchange cwith canother cnurse cof cinformation cabout ca cpat
cnurse ccomplete? cThe cnurse ccompleted ca
a. cReport.
b. cRecord.
c. cConsultation.
d. cReferral c- cCORRECT cANS✔✔A
3. cWhich csituation cbest cindicates cthat cthe cnurse chas ca cgood cunderstanding cregarding cauditing
chealth crecords?
a. cThe cnurse cdetermines cthe cdegree cto cwhich cstandards cof ccare care cmet cby creviewing cpatien
b. cThe cnurse crealizes cthat ccare cnot cdocumented cin cpatients' chealth crecords cstill cqualifies cas cc
c. cThe cnurse cknows cthat creimbursement cis cbased con cthe cdiagnosis-related cgroups cdocumente
d. cThe cnurse ccompares cdata cin cpatients' crecords cto cdetermine cwhether ca cnew ctreatment chad
cstandard ctreatment. c- cCORRECT cANS✔✔A
4. cAfter cproviding ccare, ca cnurse ccharts cin cthe cpatient's crecord. cWhich centry cshould cthe cnurse
a. cAppears crestless cwhen csitting cin cthe cchair
b. cDrank cadequate camounts cof cwater
c. cApparently cis casleep cwith ceyes cclosed
d. cSkin cpale cand ccool c- cCORRECT cANS✔✔D
5. cA cnurse chas cprovided ccare cto ca cpatient. cWhich centry cshould cthe cnurse cdocument cin cthe cp
a. c"Patient cseems cto cbe cin cpain cand cstates, c'I cfeel cuncomfortable.'"
b. cStatus cunchanged, cdoing cwell
c. cLeft cabdominal cincision c1 cinch cin clength cwithout credness, cdrainage, cor cedema
d. cPatient cis chard cto ccare cfor cand crefuses call ctreatments cand cmedications. cFamily cpresent c- cC
6. cA cpreceptor cis cworking cwith ca cnew cnurse con cdocumentation. cWhich csituation cwill ccause cth
a. cThe cnew cnurse cuses ca cblack cink cpen cto cchart.
b. cThe cnew cnurse ccharts cconsecutively con cevery cother cline.
c. cThe cnew cnurse cends ceach centry cwith csignature cand ctitle.
, d. cUsed ccrutches cwith cno cdifficulties c- cCORRECT cANS✔✔C
10. cA cnurse cis cusing cthe csource crecord cand cwants cto cfind cthe cdaily cweights. cWhere cshould ct
a. cDatabase
b. cMedical chistory cand cexamination
c. cProgress cnotes
d. cGraphic csheet cand cflow csheet c- cCORRECT cANS✔✔D
11. cA cnurse cis ca cmember cof can cinterdisciplinary cteam cthat cuses ccritical cpathways. cAccording
cday c2 cof cthe chospital cstay, cthe cpatient cshould cbe csitting cin cthe cchair. cIt cis cday c3, cand cthe cp
cWhat cshould cthe cnurse cdo?
a. cFocus ccharting cusing cthe cDAR cformat.
b. cAdd cthis cdata cto cthe cproblem clist.
c. cDocument cthe cvariance cin cthe cpatient's crecord.
d. cReport ca cpositive cvariance cin cthe cnext cinterdisciplinary cteam cmeeting. c- cCORRECT cANS✔✔
12. cA cnurse cneeds cto cbegin cdischarge cplanning cfor ca cpatient cadmitted cwith cpneumonia cand ca
cthe cbest ctime cthe cnurse cshould cstart cdischarge cplanning cfor cthis cpatient?
a. cUpon cadmission
b. cRight cbefore cdischarge
c. cAfter cthe ccongestion cis ctreated
d. cWhen cthe cprimary ccare cprovider cwrites cthe corder c- cCORRECT cANS✔✔A
13. cA cpatient cis cbeing cdischarged chome. cWhich cinformation cshould cthe cnurse cinclude?
a. cAcuity clevel
b. cCommunity cresources
c. cStandardized ccare cplan
d. cKardex c- cCORRECT cANS✔✔B
14. cA cnurse cis cgiving ca chand-off creport cto cthe concoming cnurse. cWhich cinformation cis ccritical c
a. cThe cpatient chad ca cgood cday cwith cno ccomplaints.
b. cThe cfamily cis cdemanding cand cargumentative.
c. cThe cpatient chas ca cnew cpain cmedication, cLortab.
d. cThe cfamily cis cpoor cand chad cto cgo con cwelfare c- cCORRECT cANS✔✔C
15. cA cnew cnurse casks cthe cpreceptor cwhy ca cchange-of-shift creport cis cimportant csince ccare cis c
cWhat cis cthe cpreceptor's cbest cresponse?
a. c"A chand-off creport cprovides can copportunity cto cshare cessential cinformation cto censure cpatient
ccare."
b. c"A cchange-of-shift creport cprovides cthe concoming cnurse cwith cdata cto chelp cset cpriorities cand
ccosts."
c. c"A chand-off creport cprovides can copportunity cfor cthe concoming cnurse cto cask cquestions cand cd
d. c"A cchange-of-shift creport cprovides cimportant cinformation cto ccaregivers cand cdevelops crelation
cteam." c- cCORRECT cANS✔✔A
16. cA cnurse cis cpreparing ca cchange-of-shift creport cfor ca cpatient cwho chad cchest cpain. cWhich cin
cnurse cto cinclude?
a. cPupils cequal cand creactive cto clight
b. cThe cfamily cis ca c"pain"
c. cHad cpoor cresults cfrom cthe cpain cmedication
d. cSharp cpain cof c8 con ca cscale cof c0 cto c10 c- cCORRECT cANS✔✔D
17. cWhich csituation cwill crequire cthe cnurse cto cobtain ca ctelephone corder?
a. cAs cthe cnurse cand cprimary ccare cprovider cleave ca cpatient's croom, cthe cprimary ccare cprovider
b. cAt c0100, ca cpatient's cblood cpressure cdrops cfrom c120/80 cto c90/50 cand cthe cincision cdressing
