ATI: Engage Fundamentals RN2.0 –Documentation Exams.
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. - CORRECT ANSWER Facilities can establish their own rules for documen...
ATI: Engage Fundamentals RN2.0 –
Documentation Exams.
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. -
CORRECT ANSWER Facilities can establish their own rules for documentation
methods
A staff nurse is evaluating a newly licensed nurse understanding of telephone
prescriptions. Which of the following statements by the newly licensed nurse indicates
an understanding of the informations? - CORRECT ANSWER I can take a telephone
prescription if a provider is directing a code for an unresponsive client
A nurse is caring for a client following a stroke. The nurse should recongnized that
which of the following individuals is allowed access to the client medical records without
obtaining special consent form the client first - CORRECT ANSWER 1. The admitting
provider
2. The charge nurse on the unit
3. The client
A nurse is discussing the history of electronic health records (EHR's) during a staff in-
service. The nurse should identify that which of the following agencies advocated for
nationwide use of EHRs - CORRECT ANSWER The Institute of Medicine
A charge nurse is reviewing SOAP documentations with a group of newly licensed
nurses. Which of the following chart entries should the nurse include as an example of
objective - CORRECT ANSWER Rebound tenderness noted in RLQ of the abdomen
A nurse is preparing to administer morphine 15 mg Po every 4hr PRN pain for a client
who has a new prescription. By hich of the following routes should the nurse plan to
administer the medication - CORRECT ANSWER By mouth
A nurse is preparing an in service about HIPAA. Which of the following information
should the nurse plan to include - CORRECT ANSWER Personnel can be terminated
for breaching a clients confidentialiy
A nurse is discussing computerized provider order entry (CPOE) systems with staff.
Which of the following statements from a staff member indicates an understanding of a
CPOE system? - CORRECT ANSWER CPOE systems can increase the speed of care
delivery
A nurse is discussing problem-oriented medical records with a group of newly licensed
nurses. Which of the following information should the nurse include? - CORRECT
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSEMISH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
