RNSG 1513 FOUNDATIONS OF NURSING
EXAM 2 – 2025–2026 VERIFIED A+ GRADED
PRACTICE EXAM: COMPLETE QUESTIONS
WITH CORRECT, DETAILED RATIONALES |
GUARANTEED PASS UPDATED EDITION
A manager who is reviewing the nurses' notes
in a patient's medical record finds the following
entry, "Patient is difficult to care for, refuses
suggestion for improving appetite." Which of the
following directions does the manager give to
the staff nurse who entered the note?
-ANSWER-Enter only objective and factual
information about the patient.
RATIONALE: Nurses should enter only
objective and factual information about patients.
Opinions have no place in the medical record.
Because the information has already been
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entered and is not incorrect, it should be left on
the record. Never use correction fluid in a
written medical record.
A new graduate nurse is providing a telephone
report to a patient's health care provider and
accepting telephone orders from the provider.
Which of the following actions requires the new
nurse's preceptor to intervene? The new nurse:
-ANSWER-Gives a newly ordered medication
before entering the order in the patient's
medical record.
RATIONALE: Nurses enter orders into the
computer or write them on the order sheet as
they are being given to allow the read-back
process to occur.
As you enter the patient's room, you notice that
he is anxious to say something. He quickly
states, "I don't know what's going on; I can't get
an explanation from my doctor about my test
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results. I want something done about this."
Which of the following is the most appropriate
documentation of the patient's emotional
status?
-ANSWER-The patient stated that he felt
frustrated by the lack of information he received
regarding his tests.
RATIONALE:This is a nonjudgmental statement
regarding the nurse's observations about the
patient. Documenting that the patient had a
defiant attitude or was demanding and
frequently complaining is judgmental, and
information in the medical record should be
factual and nonjudgmental. Documenting that
the patient appears upset needs to be more
specific regarding the reason for the patient's
concern.
You are reviewing Health Insurance Portability
and Accountability Act (HIPAA) regulations with
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your patient during the admission process. The
patient states, "I've heard a lot about these
HIPAA regulations in the news lately. How will
they affect my care?" Which of the following is
the best response?
-ANSWER-HIPAA provides you with greater
control over your personal health care
information.
RATIONALE:HIPAA provides patients with
control over who receives and accesses their
medical records. It does not allow uncontrolled
access to the medical records. HIPAA also
does not dictate what must be documented in
the patient's medical record.
A patient asks for a copy of her medical record.
The best response by the nurse is to: