Chapter 20: Documenting and Reporting - Nurselytic

Questions 21

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ATI LPN TextBook-Based Test Bank

Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition

Chapter 20 Questions

Question 1 of 5

What is the nurses best defense if a patient alleges nursing negligence?

Correct Answer: C

Rationale: The patient's record is the most objective and reliable evidence of the care provided, serving as the nurse's best defense against allegations of negligence.

Question 2 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 3 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 4 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 5 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.

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