{"id":116273,"date":"2023-08-25T08:56:11","date_gmt":"2023-08-25T08:56:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116273"},"modified":"2023-08-25T08:56:12","modified_gmt":"2023-08-25T08:56:12","slug":"hesi-medical-surgical-lpn-pn-latest-20222023-questionsanswers-with-rationales-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/hesi-medical-surgical-lpn-pn-latest-20222023-questionsanswers-with-rationales-2\/","title":{"rendered":"HESI Medical-Surgical LPN\/PN \/Latest 2022:2023\/ Questions&Answers with Rationales"},"content":{"rendered":"\n

HESI Medical-Surgical LPN\/PN
Question 1
The nurse is providing care for a patient who is unhappy with the health care
provider\u2019s care. The patient signs the Against Medical Advice (AMA) form and
leaves the hospital against medical advice. What should the nurse include in the
documentation of this event in the patient\u2019s medical record or on the AMA
form?<\/p>\n\n\n\n

    \n
  1. Documentation that the patient was informed that he or she cannot come
    back to the hospital<\/li>\n\n\n\n
  2. Documentation that the patient was informed that he or she was leaving
    against medical advice<\/li>\n\n\n\n
  3. Documentation that the risks of leaving against medical advice were
    explained to the patient<\/li>\n\n\n\n
  4. Documentation of any discharge instructions given to the patient<\/li>\n\n\n\n
  5. Documentation indicating an incident report has been completed
    Correct Answer: 2,3,4
    Rationale 1: It should be clearly documented that the patient was advised and
    understands that he or she can come back.
    Rationale 2: It should be clearly documented in the patient\u2019s record and on the
    AMA form that the patient was advised that he or she was leaving against
    medical advice.
    Rationale 3: It should be clearly documented that the patient understands the
    risks of leaving against medical advice.
    Rationale 4: The AMA form includes the name of the person accompanying the
    patient and any discharge instructions given.
    Rationale 5: Facility policy may require that an incident report be completed,
    but it must not be referenced in the chart. The patient\u2019s record is a legal
    document, so the nurse should never document that he or she filed an incident
    report.
    Question 2<\/li>\n<\/ol>\n\n\n\n

    A nurse documents this statement in a patient\u2019s medical record: \u201c2\/25\/\u2013, 2235.
    At 2015 patient awoke suddenly and complained of shortness of air. Pulse
    oximetry reading was 82% on room air and audible wheezes could be heard.\u201d
    This documentation meets which documentation guidelines?<\/p>\n\n\n\n

      \n
    1. Documentation is timely<\/li>\n\n\n\n
    2. Documentation is concise<\/li>\n\n\n\n
    3. Documentation is objective<\/li>\n\n\n\n
    4. Documentation includes date and time of entry<\/li>\n\n\n\n
    5. Documentation is complete and accurate
      Correct Answer: 2,3,4,5
      Rationale 1: The nurse should document as soon as possible after an
      observation is made or care is provided. The entry was made in the patient\u2019s
      medical record at least 2 hours after the patient complaint and should be
      labeled late entry.
      Rationale 2: This entry describes the situation fully but is concise.
      Rationale 3: The nurse describes factual events that can be seen, heard, smelled,
      or touched. It is important to be objective and avoid vague statements that are
      subjective.
      Rationale 4: Both the date and the time of the entry are documented.
      Rationale 5: The nurse should document only facts: what he or she can see,
      hear, and do.
      Question 3
      A nurse documents the following in a patient\u2019s medical record: \u201c2\/1\/__, 1500.
      Patient appears weak and faint. Patient\u2019s skin is moist and cool, vomited bright
      red blood with clots. Health care provider notified and order received to give 2 u
      of packed red blood cells if stat Hgb is < 8.0. Pain medication will be given.\u201d This
      documentation meets which documentation principle?<\/li>\n\n\n\n
    6. Document objectively.<\/li>\n\n\n\n
    7. Do not document procedures in advance.<\/li>\n\n\n\n
    8. Use approved abbreviations.<\/li>\n\n\n\n
    9. Document changes in patient condition.
      Correct Answer: 4
      Rationale 1: Documentation should be objective and avoid vague statements
      that are subjective. Only factual occurrences that can be seen, heard, smelled,
      or touched should be described. The use of the word \u201cappears\u201d is subjective and
      could be manipulated later should the treatment or judgment be challenged.
      Rationale 2: The nurse has documented that pain medication will be given. This
      is documenting in advance.
      Rationale 3: The Joint Commission has designated the inappropriateness of \u201cu\u201d
      as an abbreviation. \u201cU\u201d should be written out as \u201cunit(s).\u201d If unsure whether the
      abbreviation is correct, the nurse should spell out the word; \u201c<\u201d can be
      misinterpreted, so it should be spelled out as \u201cless than.\u201d
      Rationale 4: In general, employers as well as state, federal, and professional
      standards require documentation to include initial and ongoing assessments,
      any change in the patient\u2019s condition, therapies given and patient response,
      patient teaching, and relevant statements by the patient.
      Question 4
      A nursing unit has changed its documentation system to documenting by
      exception. How will this system save time?<\/li>\n\n\n\n
    10. It eliminates lengthy or repetitive documentation.<\/li>\n\n\n\n
    11. It allows flexibility and description in the documentation.<\/li>\n\n\n\n
    12. It allows the reader to easily locate information about a specific problem.<\/li>\n\n\n\n
    13. It allows for quick and easy retrieval of information.
      Correct Answer: 1
      Rationale 1: Documenting by exception eliminates lengthy or repetitive
      documentation.
      Rationale 2: Flexible and descriptive documentation is an advantage of the
      narrative system.
      Rationale 3: PIE charting allows easy location of information about a specific
      problem.<\/li>\n<\/ol>\n\n\n\n

      Rationale 4: The electronic health record allows for quick and easy retrieval of
      information.
      Question 5
      A hospital is considering changing its documentation system to reduce the
      number of medication errors. Which system should the hospital investigate?<\/p>\n\n\n\n

        \n
      1. Problem, intervention, evaluation (PIE) system<\/li>\n\n\n\n
      2. Electronic medical record<\/li>\n\n\n\n
      3. Problem-oriented medical record<\/li>\n\n\n\n
      4. Narrative system
        Correct Answer: 2
        Rationale 1: The PIE system consists of a list of the patient\u2019s problems,
        interventions taken to alleviate the problems, and evaluation of the patient\u2019s
        response to the interventions. This system does not have the specific benefit of
        reducing medication errors.
        Rationale 2: The electronic medical record decreases errors and allows for the
        reconciliation of the patient\u2019s medications on admission, daily, and on
        discharge.
        Rationale 3: The five components of the problem-oriented medical record are
        baseline data, a problem list, a plan of care for each problem, multidisciplinary
        progress notes, and a discharge summary. This system does not have the
        specific benefit of reducing medication errors.
        Rationale 4: Narrative documentation does not have the specific benefit of
        reducing medication errors.
        Question 6
        Which nursing activities are examples of independent functions of the nursing
        role?<\/li>\n\n\n\n
      5. Teaching a soon-to-be-discharged patient about the medication regimen that
        the health care provider has prescribed<\/li>\n\n\n\n
      6. Talking with the patient about his or her abilities to manage personal hygiene
        activities while in the usual state of health at home<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        HESI Medical-Surgical LPN\/PNQuestion 1The nurse is providing care for a patient who is unhappy with the health careprovider\u2019s care. The patient signs the Against Medical Advice (AMA) form andleaves the hospital against medical advice. What should the nurse include in thedocumentation of this event in the patient\u2019s medical record or on the AMAform? A nurse […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116273","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116273"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116273\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}