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Which of the following abbreviations are on the Joint Commission do not use abbreviations? Select all that apply.
- A. U (unit)
- B. QD (daily)
- C. NPO (nothing per os)
- D. mL (milliliters)
- E. > (greater than)
- F. mcg (micrograms)
Correct Answer: A,B,E
Rationale: The Joint Commission prohibits abbreviations like U, QD, and > due to their potential for misinterpretation, which can lead to medication errors.
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A nurse uses informatics to plan nursing care for a patient. Which three terms best describes this science as it is applied to nursing?
- A. data, information, knowledge
- B. process, documentation, analysis
- C. research, controls, variables
- D. hypothesis, nursing, practice
Correct Answer: A
Rationale: Nursing informatics involves transforming data into information and knowledge to support patient care.
What is the nurses best defense if a patient alleges nursing negligence?
- A. testimony of other nurses
- B. testimony of expert witnesses
- C. patients record
- D. patients family
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.
What is the primary purpose of an incident report?
- A. means of identifying risks
- B. basis for staff evaluation
- C. basis for disciplinary action
- D. format for audiotaped report
Correct Answer: A
Rationale: Incident reports are used to identify risks and improve safety by analyzing events, not for evaluation or discipline.
Which of the following information would a nurse include as part of a minimum data set when using electronic medical records? Select all that apply.
- A. patient sex
- B. patient admission date
- C. patient physical assessment
- D. patient insurance
- E. patient history
- F. patient ethnicity
Correct Answer: A,B,D,F
Rationale: The minimum data set includes demographic and administrative data like sex, admission date, insurance, and ethnicity to ensure standardized reporting.
A nurse is documenting the intensity of a patients pain. What would be the most accurate entry?
- A. Patient complaining of severe pain.
- B. Patient appears to be in a lot of pain and is crying.
- C. Patient states has pain; walking in hall with ease.
- D. Patient states pain is a 9 on a scale of 1 to 10.
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.