PN 2003 PRACTICE FINAL 3 2026
CERTIFICATION STUDY GUIDE ADVANCED
NURSING QUESTIONS AND SOLUTIONS
GRADED A+
◉ Types of orders from a doctor.
Answer: TO - telephone order (over phone), VO - verbal order
(standing close to nurse).
◉ Actions after receiving a TO or VO.
Answer: Use read-back process, document the order, verify the order
by signing within 24 hrs, physician must sign within 24 hrs.
◉ Mistake in documenting.
Answer: Draw a single line, sign, and write 'error'.
◉ Skipping lines in documenting.
Answer: Not allowed; use a line to the end if writing does not fill up
the line.
◉ Purpose of nursing documentation.
,Answer: A legal record that can be used as evidence of events that
occurred or treatments given, shows the use of the nursing process,
contains observations about the client's condition, care, and
treatment delivered.
◉ Information to document.
Answer: Objective (assessment data or descriptions of behavior,
what you can see and observe) and subjective (client description,
e.g., 'I am in pain').
◉ Quoting a doctor.
Answer: Yes, write their name.
◉ Phrase to avoid in documentation.
Answer: 'Patient complains'; instead use 'patient stated or reports'.
◉ Documenting a late entry.
Answer: In Time column write 'late entry' and the time the skill was
done, or write time of entry and then in focus column write 'late
entry' and in notes write the time the skill was completed.
◉ Documenting a med error.
, Answer: Complete a safety event report (incident report) following
an event such as a medication error or a fall; the report is not part of
the client record.
◉ Informing clients about care.
Answer: Nurses inform the client about any care before it is
provided, even if a client has been deemed incapable of consenting.
◉ Consent methods.
Answer: Consent may be given verbally, in writing, or through an
alternative communication system (e.g., computer assisted).
◉ Children's consent.
Answer: A child who is a mature minor (19 years old or younger
assessed by a health care provider) may make their own health care
decisions independent of their parents' or guardians' wishes.
◉ Consent in emergency situations.
Answer: No, consent is not required in emergency situations.
◉ Action against inappropriate treatment by UPC.
Answer: Remove them from that client's care and report them.
CERTIFICATION STUDY GUIDE ADVANCED
NURSING QUESTIONS AND SOLUTIONS
GRADED A+
◉ Types of orders from a doctor.
Answer: TO - telephone order (over phone), VO - verbal order
(standing close to nurse).
◉ Actions after receiving a TO or VO.
Answer: Use read-back process, document the order, verify the order
by signing within 24 hrs, physician must sign within 24 hrs.
◉ Mistake in documenting.
Answer: Draw a single line, sign, and write 'error'.
◉ Skipping lines in documenting.
Answer: Not allowed; use a line to the end if writing does not fill up
the line.
◉ Purpose of nursing documentation.
,Answer: A legal record that can be used as evidence of events that
occurred or treatments given, shows the use of the nursing process,
contains observations about the client's condition, care, and
treatment delivered.
◉ Information to document.
Answer: Objective (assessment data or descriptions of behavior,
what you can see and observe) and subjective (client description,
e.g., 'I am in pain').
◉ Quoting a doctor.
Answer: Yes, write their name.
◉ Phrase to avoid in documentation.
Answer: 'Patient complains'; instead use 'patient stated or reports'.
◉ Documenting a late entry.
Answer: In Time column write 'late entry' and the time the skill was
done, or write time of entry and then in focus column write 'late
entry' and in notes write the time the skill was completed.
◉ Documenting a med error.
, Answer: Complete a safety event report (incident report) following
an event such as a medication error or a fall; the report is not part of
the client record.
◉ Informing clients about care.
Answer: Nurses inform the client about any care before it is
provided, even if a client has been deemed incapable of consenting.
◉ Consent methods.
Answer: Consent may be given verbally, in writing, or through an
alternative communication system (e.g., computer assisted).
◉ Children's consent.
Answer: A child who is a mature minor (19 years old or younger
assessed by a health care provider) may make their own health care
decisions independent of their parents' or guardians' wishes.
◉ Consent in emergency situations.
Answer: No, consent is not required in emergency situations.
◉ Action against inappropriate treatment by UPC.
Answer: Remove them from that client's care and report them.
