Podcast
Questions and Answers
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?
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?
- "CPOE systems are associated with a slightly higher error rate."
- "CPOE use does not include medication prescriptions."
- "CPOE systems can increase the speed of care delivery." (correct)
- "CPOE use is mandated by HIPAA under the Privacy Rule."
A nurse is talking with a client about their electronic health record (EHR) at the facility. Which of the following client statements indicates an understanding of EHRs?
A nurse is talking with a client about their electronic health record (EHR) at the facility. Which of the following client statements indicates an understanding of EHRs?
- "I will be able to track my health information." (correct)
- "My personal information will be entered into a national database."
- "I will have one EHR that will encompass the health care I've received over my lifetime."
- "The goal of EHRs is to improve insurance coding."
A nurse is preparing an in-service about HIPAA. Which of the following information should the nurse plan to include?
A nurse is preparing an in-service about HIPAA. Which of the following information should the nurse plan to include?
- "Accessing the medical record of clients on units other than where you are assigned is allowed."
- "There are large financial penalties for charting vital signs you obtain for another nurse's client."
- "Personnel can be terminated for breaching a client's confidentiality." (correct)
- "Once you have cared for a client, it is acceptable to look at their medical record on subsequent health care visits."
A charge nurse is reviewing characteristics of electronic documentation with staff at a provider's office. Which of the following characteristics should the charge nurse plan to include? (Select all that apply.)
A charge nurse is reviewing characteristics of electronic documentation with staff at a provider's office. Which of the following characteristics should the charge nurse plan to include? (Select all that apply.)
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 Commission's Do Not Use List? (Select all that apply.)
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 Commission's Do Not Use List? (Select all that apply.)
A nurse is reviewing documentation principles with a group of newly hired assistive personnel (AP). Which of the following information should the nurse include?
A nurse is reviewing documentation principles with a group of newly hired assistive personnel (AP). Which of the following information should the nurse include?
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 nurse is discussing problem-oriented medical records with a group of newly licensed nurses. Which of the following information should the nurse include?
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?
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?
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?
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?
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?
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?
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?
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?
A nurse is reviewing the documentation of a newly licensed nurse. Which of the following entries should the nurse identify as meeting the American Nurses Association (ANA) standards for documentation?
A nurse is reviewing the documentation of a newly licensed nurse. Which of the following entries should the nurse identify as meeting the American Nurses Association (ANA) standards for documentation?
A nurse manager is reviewing the documentation of four newly licensed nurses. Which of the following medication entries should the nurse identify as being written correctly?
A nurse manager is reviewing the documentation of four newly licensed nurses. Which of the following medication entries should the nurse identify as being written correctly?
A newly licensed nurse is orienting to a facility's documentation system. The facility requires staff to only 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?
A newly licensed nurse is orienting to a facility's documentation system. The facility requires staff to only 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?
A nurse in a clinic is reviewing a client's prescriptions prior to discharge. The nurse should instruct the client that which of the following abbreviations indicates the medication can be taken as needed?
A nurse in a clinic is reviewing a client's prescriptions prior to discharge. The nurse should instruct the client that which of the following abbreviations indicates the medication can be taken as needed?
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 information should the nurse include as a benefit of electronic documentation?
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 information should the nurse include as a benefit of electronic documentation?
A nurse is caring for a client following 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? (Select all that apply.)
A nurse is caring for a client following 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? (Select all that apply.)
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?
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?
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?
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?
A nurse is documenting information in a client's chart and makes the entry "client reports abdominal pain on exertion." Which of the following documentation formats describes this entry?
A nurse is documenting information in a client's chart and makes the entry "client reports abdominal pain on exertion." Which of the following documentation formats describes this entry?
Nurse Lesley locks the computer before she leaves to enter the client’s room with nurse Amy to adjust the heparin IV infusion. Which of the following is the correct rationale for this action?
Nurse Lesley locks the computer before she leaves to enter the client’s room with nurse Amy to adjust the heparin IV infusion. Which of the following is the correct rationale for this action?
A nurse manager is discussing several different documentation systems with a group of newly licensed nurses. Drag the documentation methods to the appropriate definition.
A nurse manager is discussing several different documentation systems with a group of newly licensed nurses. Drag the documentation methods to the appropriate definition.
Match each abbreviation with its appropriate meaning.
Match each abbreviation with its appropriate meaning.
In what situation is it acceptable to repeat back a verbal prescription without writing it down first?
In what situation is it acceptable to repeat back a verbal prescription without writing it down first?
Which of the following actions is a step in receiving a verbal prescription?
Which of the following actions is a step in receiving a verbal prescription?
The video shows a nurse verifying a prescription entered through a computerized provider order entry (CPOE) system. Which of the following are benefits of this form of prescription entry? (Select all that apply.)
The video shows a nurse verifying a prescription entered through a computerized provider order entry (CPOE) system. Which of the following are benefits of this form of prescription entry? (Select all that apply.)
Identify the sequence Monica should have used to obtain the verbal prescription from Delwin. (Drag the options into the correct order.)
Identify the sequence Monica should have used to obtain the verbal prescription from Delwin. (Drag the options into the correct order.)
Which of the following components of the client’s prescriptions require further clarification? (Select all that apply.)
Which of the following components of the client’s prescriptions require further clarification? (Select all that apply.)
