Fundamentals exam 4

A staff nurse is evaluating a newly licensed nurse's understanding of telephone prescriptions. Which of the following statements by the newly licensed nurse indicates an understanding of the information?

"I can take a telephone prescription if a provider is directing a cide for an unresponsive client."

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (SATA)

-Medication error - Needle-sticks - Omission of prescription

A nurse is discussing computerized provider order entry systems with staff. Which of the following statements from a staff member indicates an understanding of a CPOE system?

CPOE systems can increase the speed of care delivery

A nurse in the clinic is reviewing a clients prescriptions prior to discharge. The nurse should instruct the client that which of the following abbreviations indicates the medication can be taken as needed?

PRN

nurse is assessing a client using the ABCDE approach. the nurse has already assessed the client's airway and breathing status. which of the following assessments should the nurse perform next?

blood pressure

nurse is performing an admission assessment on a client. using the safety and risk reduction priority setting framework, which of the following findings should the nurse identify as the priority?

client reports dizziness when standing

nurse is assisting with client triage at the scene of a mass casualty event. which of the following clients should the nurse recommend for transport first?

client who has an abdominal wound and is actively bleeding

nurse has received change-of-shift report for a group of clients. which of the following clients should the nurse plan to see first?

client who is receiving a blood transfusion and reports urticaria

nurse is at a provider's office and reviewing the records of several clients. which of the following clients should the nurse recommend as the priority for treatment?

client who reports new chest pain

maslow's hierarchy bottom to top

physiological, safety, love/belonging, esteem, self-actualization

nurse is caring for a client who reports feeling inferior and states that they aren't good enough. the nurse should recognize that these feelings fall under which of the following categories of maslow's?

self-esteem

nurse is providing education on priority setting frameworks to new nurses. which of the following statements should the nurse make regarding the safety and risk reduction priority setting framework?

this framework assigns the highest priority to the situation that poses a threat to the client's physical well-being

A nurse is reviewing documentation principals with a group of newly hired assistive personnel (AP). Which of the following should the nurse include?

A nurse who delegates a task to an AP will review the charting for that task

A nurse manager is reviewing the documentation of for newly licensed nurses. Which of the following medication entries should the nurse identify as being written correctly?

Synthroid 100 mg PO every morning ac

A nurse is discussing problem-oriented medical records with a group of newly licensed nurses. Which of the following information should the nurse include?

A problem-oriented medical record uses progress notes, which promotes information sharing among members of the interdisciplinary team.

A nurse is preparing to administer morphine 15 mg PO every 4 hr PRN pain for a client who has a new prescription. By which of the following routes should the nurse plan to administer the medication?

By mouth

A nurse is reviewing documentation guidelines with a newly licensed nurse. Which of the following abbreviations should the nurse note as being on the joint commissions do not use list?

MSO4, IU, qhs

A nurse is preparing an in-service about HIPAA. Which of the following information should the nurse plan to include?

Personnel can be terminated for breaching a client's confidentiality

nurse has received change-of-shift report on four clients. which of the following clients should the nurse see first?

client who has audible wheezing during respirations

A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses during orientation. Which of the following info should the nurse manager include? (SATA)

- Family members should provide a code proper to receiving client health info - Communication of client info can occur at the nurses' station - A client can request a copy of their medical record - A nurse can photocopy a client's medical record for transfer to another facility

A Charge nurse is reviewing documentation with a group of newly licenses nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (SATA)

-Put the date & time on all entries - Document objective data, leaving out opinions

A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (SATA)

-Repeat the details of the prescription back to the provider - Have another nurse listen to the telephone prescription - Obtain the provider's signature on the prescription within 24hr

nurse is caring for a client who is experiencing unexpected manifestations with several body systems. which of the following priority setting frameworks should the nurse use to prioritize client assessment?

ABCDE

A newly licensed nurse is orienting to a facilities documentation process. The facility requires staff to on,y document variations from an expected set of findings when performing a physical assessment. The nurse should identify this system as which of the following documentation methods?

Charting by exception

A nurse is discussing legal regulations regarding medical records with a newly hired assistive personnel (AP). Which of the following information should the nurse include?

Facilities can establish their own rules for documentation methods

A nurse is talking with a client about the electronic health record at the facility. Which of the following client statements indicates an understanding of EHRs?

I will be able to track my health information

A charge nurse is discussing health records with a newly licensed nurse. Which of the following information should the nurse identify as a component of a health record?

Immunization data

A charge nurse is reviewing soap documentation with a group of newly licensed nurses. Which of the following chart entries should the nurse include as an example of objective data?

Rebound tenderness noted in RLQ of the abdomen

A charge nurse is reviewing characteristics of electronic documentation with staff at a providers office. Which of the following characteristics should the charge nurse plan to include?

Reduces medical errors, makes clients medical history more easily available, increases accuracy of coding procedures

A nurse is discussing the history of electronic health records (EHRs) during a staff in-service. The nurse should identify that which of the following agencies advocated for nationwide use of EHRs.

The Institute of Medicine (IoM)

A nurse is documenting information in a clients chart and makes the entry quotation mark client reports "abdominal pain on exertion". Which of the following documentation format describes this entry?

The S in soap

A nurse is caring for a client after a stroke. The nurse should recognize that which of the following individuals is allowed access to the client's medical record without obtaining special consent from the client first?

The admitting provider, the charge nurse on the unit, the client

A nurse is taking an admission history from a client who is concerned about the facility using an electronic documentation system. Which of the following should the nurse include as a benefit of electronic documentation?

The system alerts providers of possible actions that could cause client harm

nurse is reviewing medical records of four clients. which of the following clients should the nurse identify as the priority for care?

client who has received digoxin and has a heart rate of 48/min

nurse is assessing a client using the ABCDE priority-setting approach. which of the following actions should the nurse take when completing the exposure component of this priority setting method?

observe the client's lower extremities for indications of deep vein thrombosis, measure the client's temperature, check client for bruising

nurse is admitting a client who has hypertension. using the nursing process, which of the following actions should the nurse take first?

perform physical assessment

nurse is caring for a client who reports new onset of abdominal pain. the nurse should assign the client's condition to which of the following categories when prioritizing care?

urgent

A nurse is reviewing the documentation of a newly licensed nurse. Which of the entries should the nurse identify as meeting the American Nurses Association (ANA) standards of documentation?

"The client vomited 240 mL of clear emesis but denies pain or nausea"

nurse is caring for a client who is confused and trying to remove their peripheral IV. using the least restrictive/least invasive priority setting framework, which of the following actions should the nurse take first?

cover the IV site with an elastic bandage