PNU 116 PrePU ChaPter 19: DoCUmeNtiNg aND rePortiNg exam Newest
2025/2026 with ComPlete QUestioNs aND CorreCt aNswers |alreaDy
graDeD a+||BraND New VersioN!
A nurse manager is discussing a nurse's social media post about an
interesting client situation. The nurse states, "I didn't violate client privacy
because I didn't use the client's name." What response by the nurse manager
is most appropriate? - ANSWER-"Any information that can identify a person is
considered a breach of client privacy."
The nurses at a health care facility were informed of the change to organize
the clients' records into problem-oriented records. Which explanation could
assist the nurses in determining the advantage of using problem-oriented
records? - ANSWER-Problem-oriented recording emphasizes goal-directed care to
promote the recording of pertinent data that will facilitate communication
among health care providers.
The parents of a hospitalized 10-year-old ask the nurse if they can review the
health care records of their child. What is the appropriate response from the
nurse? - ANSWER-"I will arrange access for you to review the record after you
put your request in writing."
A client made a formal request to review his or her medical records. With
review, the client believes there are errors within the medical record. What is
the most appropriate nursing response? - ANSWER-"According to HIPAA
legislation, you have a right to request changes to inaccurate information."
, Which nurse-to-provider interaction correctly utilizes the SBAR format for
improved communication? - ANSWER-"I am calling about Mr. Jones. He has new
onset diabetes mellitus. His blood glucose is 250 mg/dL (13.875 mmol/L), and
I wondered if you would like to adjust the sliding scale insulin."
The nurse calls the health care provider due to changes in the client's status.
Using the SBAR, the nurse is about to address Recommendation. Which
statement appropriately supports this part of the SBAR? - ANSWER-"Will you
prescribe a complete blood count to check the white blood cell count and a
culture?"
A nurse is working with the case management model and using a
collaborative pathway. The nurse notes that the client has not met an
expected outcome and documents this using occurrence charting. When
completing this documentation, what information would the nurse include?
Select all that apply. - ANSWER-Unexpected event
Cause of the event
Actions taken in response to the event
A client is scheduled for a CABG procedure. What information should the
nurse provide to the client? - ANSWER-"A coronary artery bypass graft will
benefit your heart."
A nurse is transfusing multiple units of packed red blood cells. After the
second unit is transfused, the nurse auscultates bilateral crackles at the
bases of the client's lungs and the client reports dyspnea. The nurse
telephones the health care provider and provides an SBAR report. Which
statement represents the final step in this type of communication? - ANSWER-"I
think the client would benefit from intravenous furosemide."
2025/2026 with ComPlete QUestioNs aND CorreCt aNswers |alreaDy
graDeD a+||BraND New VersioN!
A nurse manager is discussing a nurse's social media post about an
interesting client situation. The nurse states, "I didn't violate client privacy
because I didn't use the client's name." What response by the nurse manager
is most appropriate? - ANSWER-"Any information that can identify a person is
considered a breach of client privacy."
The nurses at a health care facility were informed of the change to organize
the clients' records into problem-oriented records. Which explanation could
assist the nurses in determining the advantage of using problem-oriented
records? - ANSWER-Problem-oriented recording emphasizes goal-directed care to
promote the recording of pertinent data that will facilitate communication
among health care providers.
The parents of a hospitalized 10-year-old ask the nurse if they can review the
health care records of their child. What is the appropriate response from the
nurse? - ANSWER-"I will arrange access for you to review the record after you
put your request in writing."
A client made a formal request to review his or her medical records. With
review, the client believes there are errors within the medical record. What is
the most appropriate nursing response? - ANSWER-"According to HIPAA
legislation, you have a right to request changes to inaccurate information."
, Which nurse-to-provider interaction correctly utilizes the SBAR format for
improved communication? - ANSWER-"I am calling about Mr. Jones. He has new
onset diabetes mellitus. His blood glucose is 250 mg/dL (13.875 mmol/L), and
I wondered if you would like to adjust the sliding scale insulin."
The nurse calls the health care provider due to changes in the client's status.
Using the SBAR, the nurse is about to address Recommendation. Which
statement appropriately supports this part of the SBAR? - ANSWER-"Will you
prescribe a complete blood count to check the white blood cell count and a
culture?"
A nurse is working with the case management model and using a
collaborative pathway. The nurse notes that the client has not met an
expected outcome and documents this using occurrence charting. When
completing this documentation, what information would the nurse include?
Select all that apply. - ANSWER-Unexpected event
Cause of the event
Actions taken in response to the event
A client is scheduled for a CABG procedure. What information should the
nurse provide to the client? - ANSWER-"A coronary artery bypass graft will
benefit your heart."
A nurse is transfusing multiple units of packed red blood cells. After the
second unit is transfused, the nurse auscultates bilateral crackles at the
bases of the client's lungs and the client reports dyspnea. The nurse
telephones the health care provider and provides an SBAR report. Which
statement represents the final step in this type of communication? - ANSWER-"I
think the client would benefit from intravenous furosemide."
