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Which statements about an electronic medical record (EMR) system are true for the nurse working in a hospital? Select all that apply.
- A. Allows for efficient and centralized documentation of patient information.
- B. Enhances communication among healthcare providers by facilitating the sharing of patient data.
- C. Improves patient safety by reducing the risk of errors in medication administration and treatment plans.
- D. Supports evidence-based practice by providing access to medical research and clinical guidelines.
- E. Eliminates the need for physical storage of paper records, reducing clutter and saving space.
Correct Answer: A, B, C, D, E
Rationale: All statements are true: EMRs centralize documentation (A), enhance provider communication (B), reduce medication and treatment errors (C), support evidence-based practice with research access (D), and eliminate paper record storage (E). These features improve efficiency, safety, and care quality in hospitals.
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The nurse has received the following information about assigned clients. The nurse should first assess the client with
- A. pancreatitis who has developed bruising around the umbilicus.
- B. a capillary blood glucose of 159 mg/dL (8.83 mmol/L) [70-110 mg/dL; 4-6 mmol/L] while receiving total parenteral nutrition.
- C. a blood pressure of 156/92 mmHg who sustained an ischemic stroke six hours ago.
- D. stable angina reporting headache while receiving nitroglycerin via transdermal patch.
Correct Answer: A
Rationale: Umbilical bruising in pancreatitis (A) suggests Cullen’s sign, indicating possible retroperitoneal hemorrhage, a life-threatening emergency. Mild hyperglycemia (B), elevated BP post-stroke (C), and nitroglycerin headache (D) are less urgent, as they are expected or manageable.
The nurse manager has been made aware of the following staff nurse issues. The manager should initially follow up on the staff nurse who
- A. falsified documentation on a client discharged within the last 24 hours.
- B. needs assistance completing an incident report about a medication administration error on the previous shift.
- C. was thirty minutes late and tardy to their shift and is not wearing the correct gown uniform.
- D. is suspected of alcohol impairment and is precepting a newly hired nurse.
Correct Answer: D
Rationale: Suspected alcohol impairment while precepting (C) poses an immediate safety risk to clients and staff, requiring immediate immediate manager intervention. Falsified documentation (D), incident report assistance (A), and tardiness/uniform issues (B) are serious but less urgent than impairment.
The nurse cares for an infant undergoing a surgical repair of a total anomalous pulmonary venous return tomorrow. The doctor has talked to the parents and obtained consent. The mother tells the nurse, 'I'm not so sure about this. What if my baby dies?' The nurse's most appropriate response is:
- A. Explain the procedure to the mother.
- B. Notify the surgical team and have them come back to speak with the mother again.
- C. Reassure the mother that everything will go as planned.
- D. Tell the mother that because she has already signed the consent, she cannot change her mind now.
Correct Answer: B
Rationale: Notifying the surgical team (B) ensures the mother’s concerns are addressed by the provider, respecting her need for clarification. Explaining the procedure (A) is the physician’s role, false reassurance (C) is inappropriate, and stating consent is irrevocable (D) is incorrect and dismissive.
The registered nurse (RN) is working with two licensed/practical vocational nurses (LPN/VN) in the emergency department (ED). The RN assigns duties to one LPN/VN to administer prescribed medications for all clients and the other LPN/VN to perform medication reconciliation and obtain ordered 12-lead electrocardiograms (ECG). Which care delivery model is the RN utilizing?
- A. Team nursing
- B. Case management
- C. Functional nursing
- D. Primary nursing
Correct Answer: C
Rationale: Assigning specific tasks (medication administration, reconciliation, ECGs) to LPN/VNs (C) reflects functional nursing, where tasks are divided based on skill. Team nursing (A) involves collaborative care, case management (B) focuses on coordination, and primary nursing (D) assigns one nurse per client.
A mental health clinic is being constructed in a local community. A nurse manager is hired to facilitate the unit’s nursing policies. Which of the following is the best resource for these policies?
- A. Code of Ethics
- B. Nurse Practice Act
- C. Patient’s Bill of Rights
- D. Rights for the Mentally Ill
Correct Answer: B
Rationale: The Nurse Practice Act (B) defines legal scope and standards for nursing practice, making it the best resource for policy development. Code of Ethics (A), Patient’s Bill of Rights (C), and Rights for the Mentally Ill (D) guide but lack specific operational details.