31 Free CNA Practice Exam 2014 Questions and Answers on Observation, Reporting, and Documentation

Observation, reporting and documentation are the daily duties which nursing assistant have to take responsibility in their working day. These skills need the carefulness and requires nursing assistants to have a solid ground of nursing process. To reinforce these essential techniques, 31 Free CNA Practice Exam 2014 Questions and Answers on Observation, Reporting, and Documentation present 5 main steps of nursing process and suggest the effective ways to report and document important information about patients so as to communicate with other team members. Plus, these free CNA exam questions also press 3 essential components of nurse’s notes in patient chart in order to stimulate the nursing process quickly and easily. Only with a few minutes to “play” with these quizzes, you even, can grasp crucial nursing interventions as well as care plan conference. This is a worthy-to-try test for you to practise every day!

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31 Free CNA Practice Exam 2014 Questions and Answers on Observation, Reporting, and Documentation

T or F: you must always write out "patient" or the patient's name in chart

• descriptive-cannot be expressed by a number
• measurable-not influenced by one's perception, emotions, ect
• false-the chart only belongs to that patient so it is unnecessary
• false-blank ink only because chart is a permanent record

T or F: cellphones and other gadgets that emit radio waves can interfere with functioning of diagnostic, life support, and lab equipment

• a legal record
• can be expressed by a number/measurement
• false
• true

5 steps of the nursing process

• false-the chart only belongs to that patient so it is unnecessary
• false-blank ink only because chart is a permanent record
• 1. Assessment2. Problem Identification3. Planning4. Implementation5. Evaluation
• statement or complaint made by patient-perception-not measurable

nursing process

• meeting of members of interdisciplinary team who care for patient-patient and/or family may attend
• false-the chart only belongs to that patient so it is unnecessary
• reporting and documenting important information about patients to communicate with other team members
• written documents that detail expected course of treatment and outcome-needed for DRG method of payment

T or F: you should never use ditto marks in patient chart

• a legal record
• can be expressed by a number/measurement
• false
• true

nursing diagnosis

• descriptive-cannot be expressed by a number
• statement or complaint made by patient-perception-not measurable
• false-it is possible for it to seem "normal" to a patient who experiences chronic pain, but medically pain is not a normal state
• made by registered nurse-statement of patient problem and its cause-determined through assessment (step 1)

T or F: it is okay if you forget to put something in the chart once or twice, remember it later, and write it in the next day as if it were the day before

• true
• a legal record
• can be expressed by a number/measurement
• false

T or F: new observation of blueish nails, lips, skin can indicate a serious medical emergency and should be reported to nurse supervisor

• can be expressed by a number/measurement
• a legal record
• true
• false

3 essential components of nurse's notes in patient chart

• a file at nursing station in which care plan may be kept (in addition to medical record)
• statement or complaint made by patient-perception-not measurable
• 1. problem's of patient listed in care plan/pathway2. approaches/interventions used and if they are effective3. progress made towards patient goals
• false-blank ink only because chart is a permanent record

T or F: you must initial any strike-throughs and errors you catch and correct in a patient's chart

• false
• a legal record
• true
• can be expressed by a number/measurement

T or F: it is okay to write in colored ink of pencil in patient chart if it is legible

• descriptive-cannot be expressed by a number
• false-the chart only belongs to that patient so it is unnecessary
• false-blank ink only because chart is a permanent record
• can be expressed by a number/measurement