NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
NURSING 112023 HESI Medical
surgical LPN-PN nursing V1 graded
A PLUS
Question 1
The nurse is providing care for a patient who is unhappy with the health care
provider’s care. The patient signs the Against Medical Advice (AMA) form and
leaves the hospital against medical advice. What should the nurse include in the
documentation of this event in the patient’s medical record or on the AMA form?
1. Documentation that the patient was informed that he or she cannot come back to the
hospital
2. Documentation that the patient was informed that he or she was leaving against
medical advice
3. Documentation that the risks of leaving against medical advice were explained to the
patient
4. Documentation of any discharge instructions given to the patient
5. Documentation indicating an incident report has been completed
Correct Answer ✅: 2,3,4
Rationale 1: It should be clearly documented that the patient was advised and
understands that he or she can come back.
Rationale 2: It should be clearly documented in the patient’s record and on the
AMA form that the patient was advised that he or she was leaving against medical
advice.
Rationale 3: It should be clearly documented that the patient understands the risks of
leaving against medical advice.
Rationale 4: The AMA form includes the name of the person accompanying the
patient and any discharge instructions given.
Rationale 5: Facility policy may require that an incident report be completed, but it
must not be referenced in the chart. The patient’s record is a legal document, so the
nurse should never document that he or she filed an incident report.
Question 2
pg. 1
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
A nurse documents this statement in a patient’s medical record: “2/25/–, 2235. At
2015 patient awoke suddenly and complained of shortness of air. Pulse oximetry
reading was 82% on room air and audible wheezes could be heard.” This
documentation meets which documentation guidelines?
1. Documentation is timely
2. Documentation is concise
3. Documentation is objective
4. Documentation includes date and time of entry
5. Documentation is complete and accurate
Correct Answer ✅: 2,3,4,5
Rationale 1: The nurse should document as soon as possible after an observation is
made or care is provided. The entry was made in the patient’s medical record at least
2 hours after the patient complaint and should be labeled late entry.
Rationale 2: This entry describes the situation fully but is concise.
Rationale 3: The nurse describes factual events that can be seen, heard, smelled, or
touched. It is important to be objective and avoid vague statements that are
subjective.
Rationale 4: Both the date and the time of the entry are documented.
Rationale 5: The nurse should document only facts: what he or she can see, hear, and do.
Question 3
A nurse documents the following in a patient’s medical record: “2/1/__, 1500.
Patient appears weak and faint. Patient’s skin is moist and cool, vomited bright red
blood with clots. Health care provider notified and order received to give 2 u of
packed red blood cells if stat Hgb is < 8.0. Pain medication will be given.” This
documentation meets which documentation principle?
1. Document objectively.
2. Do not document procedures in advance.
3. Use approved abbreviations.
4. Document changes in patient condition.
Correct Answer ✅: 4
Rationale 1: Documentation should be objective and avoid vague statements that are
subjective. Only factual occurrences that can be seen, heard, smelled, or touched
pg. 2
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
should be described. The use of the word “appears” is subjective and could be
manipulated later should the treatment or judgment be challenged.
Rationale 2: The nurse has documented that pain medication will be given. This is
documenting in advance.
Rationale 3: The Joint Commission has designated the inappropriateness of “u” as an
abbreviation. “U” should be written out as “unit(s).” If unsure whether the abbreviation
is
correct, the nurse should spell out the word; “<” can be misinterpreted, so it should be spelled out
as “less than.”
Rationale 4: In general, employers as well as state, federal, and professional standards require
documentation to include initial and ongoing assessments, any change in the patient’s condition,
therapies given and patient response, patient teaching, and relevant statements by the patient.
Question 4
A nursing unit has changed its documentation system to documenting by exception. How will
this system save time?
1. It eliminates lengthy or repetitive documentation.
2. It allows flexibility and description in the documentation.
3. It allows the reader to easily locate information about a specific problem.
4. It allows for quick and easy retrieval of information.
Correct Answer ✅: 1
Rationale 1: Documenting by exception eliminates lengthy or repetitive documentation.
Rationale 2: Flexible and descriptive documentation is an advantage of the narrative system.
Rationale 3: PIE charting allows easy location of information about a specific problem.
Rationale 4: The electronic health record allows for quick and easy retrieval of information.
Question 5
A hospital is considering changing its documentation system to reduce the number of medication
errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE) system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system
pg. 3
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
Correct Answer ✅: 2
Rationale 1: The PIE system consists of a list of the patient’s problems, interventions taken to
alleviate the problems, and evaluation of the patient’s response to the interventions. This system
does not have the specific benefit of reducing medication errors.
Rationale 2: The electronic medical record decreases errors and allows for the reconciliation of
the patient’s medications on admission, daily, and on discharge.
Rationale 3: The five components of the problem-oriented medical record are baseline data, a
problem list, a plan of care for each problem, multidisciplinary progress notes, and a discharge
summary. This system does not have the specific benefit of reducing medication errors.
Rationale 4: Narrative documentation does not have the specific benefit of reducing medication
errors.
Question 6
Which nursing activities are examples of independent functions of the nursing role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the health care
provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene activities while
in the usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about physical health status
Correct Answer ✅: 2,5
Rationale 1: Teaching the patient about medications prescribed by the health care provider is an
interdependent activity.
Rationale 2: This activity is part of the assessment process, which is an independent activity that
nurses may perform, based on their education and skills.
Rationale 3: Working in coordination with another health team member is an interdependent
activity.
Rationale 4: Administering medication prescribed by the health care provider is an example of a
dependent activity.
Rationale 5: These activities are included in assessment, which is an independent activity that
nurses may perform, based on their education and skills.
Question 7
pg. 4
NURSING 112023 HESI Medical
surgical LPN-PN nursing V1 graded
A PLUS
Question 1
The nurse is providing care for a patient who is unhappy with the health care
provider’s care. The patient signs the Against Medical Advice (AMA) form and
leaves the hospital against medical advice. What should the nurse include in the
documentation of this event in the patient’s medical record or on the AMA form?
1. Documentation that the patient was informed that he or she cannot come back to the
hospital
2. Documentation that the patient was informed that he or she was leaving against
medical advice
3. Documentation that the risks of leaving against medical advice were explained to the
patient
4. Documentation of any discharge instructions given to the patient
5. Documentation indicating an incident report has been completed
Correct Answer ✅: 2,3,4
Rationale 1: It should be clearly documented that the patient was advised and
understands that he or she can come back.
Rationale 2: It should be clearly documented in the patient’s record and on the
AMA form that the patient was advised that he or she was leaving against medical
advice.
Rationale 3: It should be clearly documented that the patient understands the risks of
leaving against medical advice.
Rationale 4: The AMA form includes the name of the person accompanying the
patient and any discharge instructions given.
Rationale 5: Facility policy may require that an incident report be completed, but it
must not be referenced in the chart. The patient’s record is a legal document, so the
nurse should never document that he or she filed an incident report.
Question 2
pg. 1
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
A nurse documents this statement in a patient’s medical record: “2/25/–, 2235. At
2015 patient awoke suddenly and complained of shortness of air. Pulse oximetry
reading was 82% on room air and audible wheezes could be heard.” This
documentation meets which documentation guidelines?
1. Documentation is timely
2. Documentation is concise
3. Documentation is objective
4. Documentation includes date and time of entry
5. Documentation is complete and accurate
Correct Answer ✅: 2,3,4,5
Rationale 1: The nurse should document as soon as possible after an observation is
made or care is provided. The entry was made in the patient’s medical record at least
2 hours after the patient complaint and should be labeled late entry.
Rationale 2: This entry describes the situation fully but is concise.
Rationale 3: The nurse describes factual events that can be seen, heard, smelled, or
touched. It is important to be objective and avoid vague statements that are
subjective.
Rationale 4: Both the date and the time of the entry are documented.
Rationale 5: The nurse should document only facts: what he or she can see, hear, and do.
Question 3
A nurse documents the following in a patient’s medical record: “2/1/__, 1500.
Patient appears weak and faint. Patient’s skin is moist and cool, vomited bright red
blood with clots. Health care provider notified and order received to give 2 u of
packed red blood cells if stat Hgb is < 8.0. Pain medication will be given.” This
documentation meets which documentation principle?
1. Document objectively.
2. Do not document procedures in advance.
3. Use approved abbreviations.
4. Document changes in patient condition.
Correct Answer ✅: 4
Rationale 1: Documentation should be objective and avoid vague statements that are
subjective. Only factual occurrences that can be seen, heard, smelled, or touched
pg. 2
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
should be described. The use of the word “appears” is subjective and could be
manipulated later should the treatment or judgment be challenged.
Rationale 2: The nurse has documented that pain medication will be given. This is
documenting in advance.
Rationale 3: The Joint Commission has designated the inappropriateness of “u” as an
abbreviation. “U” should be written out as “unit(s).” If unsure whether the abbreviation
is
correct, the nurse should spell out the word; “<” can be misinterpreted, so it should be spelled out
as “less than.”
Rationale 4: In general, employers as well as state, federal, and professional standards require
documentation to include initial and ongoing assessments, any change in the patient’s condition,
therapies given and patient response, patient teaching, and relevant statements by the patient.
Question 4
A nursing unit has changed its documentation system to documenting by exception. How will
this system save time?
1. It eliminates lengthy or repetitive documentation.
2. It allows flexibility and description in the documentation.
3. It allows the reader to easily locate information about a specific problem.
4. It allows for quick and easy retrieval of information.
Correct Answer ✅: 1
Rationale 1: Documenting by exception eliminates lengthy or repetitive documentation.
Rationale 2: Flexible and descriptive documentation is an advantage of the narrative system.
Rationale 3: PIE charting allows easy location of information about a specific problem.
Rationale 4: The electronic health record allows for quick and easy retrieval of information.
Question 5
A hospital is considering changing its documentation system to reduce the number of medication
errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE) system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system
pg. 3
, NURSING 112023 HESI MEDICAL SURGICAL LPN/PN NURSING V1 GRADED A PLUS
Correct Answer ✅: 2
Rationale 1: The PIE system consists of a list of the patient’s problems, interventions taken to
alleviate the problems, and evaluation of the patient’s response to the interventions. This system
does not have the specific benefit of reducing medication errors.
Rationale 2: The electronic medical record decreases errors and allows for the reconciliation of
the patient’s medications on admission, daily, and on discharge.
Rationale 3: The five components of the problem-oriented medical record are baseline data, a
problem list, a plan of care for each problem, multidisciplinary progress notes, and a discharge
summary. This system does not have the specific benefit of reducing medication errors.
Rationale 4: Narrative documentation does not have the specific benefit of reducing medication
errors.
Question 6
Which nursing activities are examples of independent functions of the nursing role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the health care
provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene activities while
in the usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about physical health status
Correct Answer ✅: 2,5
Rationale 1: Teaching the patient about medications prescribed by the health care provider is an
interdependent activity.
Rationale 2: This activity is part of the assessment process, which is an independent activity that
nurses may perform, based on their education and skills.
Rationale 3: Working in coordination with another health team member is an interdependent
activity.
Rationale 4: Administering medication prescribed by the health care provider is an example of a
dependent activity.
Rationale 5: These activities are included in assessment, which is an independent activity that
nurses may perform, based on their education and skills.
Question 7
pg. 4
