ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 20 : Documenting and Reporting Questions
Question 1 of 5
A nurse is documenting the intensity of a patients pain. What would be the most accurate entry?
Correct Answer: D
Rationale: Using a standardized pain scale, such as 1 to 10, provides a precise and measurable documentation of the patient's pain intensity, making it the most accurate entry.
Question 2 of 5
Which of the following data entries follows the recommended guidelines for documenting data?
Correct Answer: C
Rationale: This entry is objective, specific, and focused on measurable outcomes, adhering to documentation guidelines.
Question 3 of 5
Alice Jones, a registered nurse, is documenting assessments at the beginning of her shift. How should she sign the entry?
Correct Answer: B
Rationale: The standard format for signing documentation is the nurse's initial, last name, and credentials (e.g., A. Jones, RN), ensuring clarity and professionalism.
Question 4 of 5
In which of the following cases should a progress note be written? Select all that apply.
Correct Answer: B,C,E
Rationale: Progress notes are required for significant events such as admissions, postoperative care, and procedures, as they reflect critical changes in the patient's condition or care.
Question 5 of 5
A student has reviewed a patients chart before beginning assigned care. Which of the following actions violates patient confidentiality?
Correct Answer: A
Rationale: Including the patient's name on a student care plan can expose confidential information if not properly secured, violating confidentiality.