Exam (elaborations)
NURS 550 Documentation Exam With Questions And Accurate Solutions
- Course
- Institution
NURS 550 Documentation Exam With Questions And Accurate Solutions ...
[Show more]
Content preview
NURS 550 Documentation Exam With Questions AndAccurate Solutions 2024-2025
A charge nurse is talking to staff at a provider's office about features of electronic
documentation. Which of the following features should the charge nurse plan to
address? Select all that apply.
Decreases medical errors
Improve interdisciplinary team members' listening skills
Not as convenient as paper-based charting
Makes client medical history more accessible
Improves coding procedures accuracy Answer Decreases medical errors
Makes client medical history more accessible
Improves coding procedures accuracy
A charge nurse is providing education about SOAP documentation to a group of newly
licensed nurses. Which of the following chart entries should the nurse provide as an
example of objective data?
-The client states, "I have had abdominal pain for the past 3 days."
-The client reports he drinks about 1,500 mL of water a day
-Rebound tenderness present in RLQ of abdomen
-Referral to a registered dietician was advised for the client Recommendation Rebound
tenderness present in RLQ of abdomen
The charge nurse is reviewing charts with a newly licensed nurse. Which of the
following does the nurse recognize as being part of a health record?
, -Immunization records
-Client record of healthcare payments
-Family members' medical record
-Agency policy - Answer Immunization records
A nurse is taking an admission history from a client who states, "I don't think it's a good
idea that this facility uses an electronic system to document information." Which of the
following would be an appropriate response by the nurse as a positive aspect of an
electronic documentation system?
The system alerts providers about possible actions that could harm the client
An electronic system prevents breaches of confidentiality of client information
It is possible for providers to document information about the client in the electronic
record during periods of system downtime
-System encryption eliminates the use of security firewalls. Response The system alerts
providers of possible actions that may result in patient harm
A newly licensed nurse is being evaluated for her knowledge concerning telephone
prescriptions by a staff nurse. Which of the following responses by the newly licensed
nurse indicates an acknowledgment of understanding?
- "A telephone prescription is obtained when a provider is making routine rounds in
another part of the facility"
-"I can take a telephone prescription if a provider is directing a code for an
unresponsive client."
"If a client requires an over-the-counter medication for relief of nausea, it is okay to
accept a telephone prescription."
-"It is acceptable to take a telephone prescription if a client needs pain control for a
terminal condition." Response "I can take a telephone prescription if a provider is
directing a code for an unresponsive client."
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 Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now