NU 311 SKILLS EXAM 2 QUESTIONS WITH 100%
CORRECT ANSWERS.
A nurse is discussing the use of health information technology in client care.
Which of the following does the nurse identify as an example of this?
Auscultating a client's apical pulse with a stethoscope
Documenting controlled substance administration on a paper MAR
Using a smart pump to administer IV fluids
Wearing clean gloves when bathing a client Answer - Using a smart pump to
administer IV fluids
A nurse is assessing a client who is experiencing anxiety. Which of the following
findings should the nurse expect?
Drowsiness
Hyperventilation
Bradycardia
Peripheral vasodilation Answer - Hyperventilation
,A nurse is caring for a group of clients. Which of the following clients should
the nurse identify is at highest risk for developing a pressure injury?
A client who alert and responsive and eats 25% of each meal.
A client who is unresponsive to verbal commands and changes position
occasionally.
A client who is receiving enteral feeding and can change position
independently.
A client who makes frequent slight changes in position and walks occasionally.
Answer - A client who is unresponsive to verbal commands and changes
position occasionally.
A charge nurse is providing teaching to a newly licensed nurse on the
advantages of electronic documentation. Which of the following information
should the nurse include in the teaching?
Increase of duplicate tests performed on client
Decrease in coordination of client care
Same day access to client health record
Portal that allows clients to interact with providers Answer - Portal that allows
clients to interact with providers
, A nurse is documenting client care including only unexpected findings related
to the client's condition. Which of the following documentation methods is the
nurse utilizing?
Problem-oriented medical record (POMR)
SOAP documentation
Focus charting (DAR)
Charting by exception (CBE) Answer - Charting by exception (CBE)
A charge nurse is reviewing legal guidelines for documentation with a newly
licensed nurse. Which of the following should the charge nurse include in the
teaching?
A medical record can be used as evidence in a court of law
A nurse should ensure the documentation is organized and completed in a
timely fashion
Documentation should include the nurse's interpretation of the client situation
Data contained in a client's medical record can be shared with all employees
within a health care facility
Information recorded in the client's medical record must be accurate and
complete Answer - A medical record can be used as evidence in a court of law
CORRECT ANSWERS.
A nurse is discussing the use of health information technology in client care.
Which of the following does the nurse identify as an example of this?
Auscultating a client's apical pulse with a stethoscope
Documenting controlled substance administration on a paper MAR
Using a smart pump to administer IV fluids
Wearing clean gloves when bathing a client Answer - Using a smart pump to
administer IV fluids
A nurse is assessing a client who is experiencing anxiety. Which of the following
findings should the nurse expect?
Drowsiness
Hyperventilation
Bradycardia
Peripheral vasodilation Answer - Hyperventilation
,A nurse is caring for a group of clients. Which of the following clients should
the nurse identify is at highest risk for developing a pressure injury?
A client who alert and responsive and eats 25% of each meal.
A client who is unresponsive to verbal commands and changes position
occasionally.
A client who is receiving enteral feeding and can change position
independently.
A client who makes frequent slight changes in position and walks occasionally.
Answer - A client who is unresponsive to verbal commands and changes
position occasionally.
A charge nurse is providing teaching to a newly licensed nurse on the
advantages of electronic documentation. Which of the following information
should the nurse include in the teaching?
Increase of duplicate tests performed on client
Decrease in coordination of client care
Same day access to client health record
Portal that allows clients to interact with providers Answer - Portal that allows
clients to interact with providers
, A nurse is documenting client care including only unexpected findings related
to the client's condition. Which of the following documentation methods is the
nurse utilizing?
Problem-oriented medical record (POMR)
SOAP documentation
Focus charting (DAR)
Charting by exception (CBE) Answer - Charting by exception (CBE)
A charge nurse is reviewing legal guidelines for documentation with a newly
licensed nurse. Which of the following should the charge nurse include in the
teaching?
A medical record can be used as evidence in a court of law
A nurse should ensure the documentation is organized and completed in a
timely fashion
Documentation should include the nurse's interpretation of the client situation
Data contained in a client's medical record can be shared with all employees
within a health care facility
Information recorded in the client's medical record must be accurate and
complete Answer - A medical record can be used as evidence in a court of law
