A nurse is reviewing new orders for an ambulate patient four times a day.

AC & HS.

NG.

DNR.

STAT.

Answer and Explanation

The Correct Answer is A

Choice A rationale

AC and HS is a common abbreviation in medical orders that stands for "ante cibum" (before meals) and "hora somni" (at bedtime). Therefore, "ambulate patient four times a day AC & HS" means the patient should ambulate before breakfast, before lunch, before dinner, and at bedtime.

Choice B rationale

NG is an abbreviation for nasogastric, which refers to a tube inserted through the nose into the stomach and is not related to ambulation orders.

Choice C rationale

DNR stands for "do not resuscitate," which is a medical order regarding end-of-life care and is not related to ambulation.

Choice D rationale

STAT is an abbreviation meaning "immediately" and is typically used for urgent medications or treatments, not for routine ambulation orders.

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Correct Answer is A

Explanation

Choice A rationale

To convert 12: am to military time, for any time between 12: am and 12: am, the 12 is replaced with 00. Therefore, 12: am becomes 0018 in military time.

Choice B rationale

2418 is not a valid representation of time in either standard or military format. Military time ranges from 0000 to 2359.

Choice C rationale

1218 in military time represents 12: pm in standard time, not 12: am. In the afternoon and evening, 12 is added to the standard hour to convert to military time (e.g., 1 pm is 1300).

Choice D rationale

0118 in military time represents 1: am in standard time. The hour remains the same for times between 1: am and 9: am, with a leading zero added to the hour. .

A. The patient is sleeping comfortably. B. The patient rated the pain at 2 on a 0-to-10 scale. C. The patient appears not to be in any pain. D. The patient always complains about being in pain.

Correct Answer is B

Explanation

Choice A rationale

"The patient is sleeping comfortably" is a subjective observation and does not provide a quantifiable measure of the patient's pain level. While comfort is important, this statement lacks specific information about the patient's pain experience and does not allow for consistent monitoring or evaluation of pain management interventions.

Choice B rationale

"The patient rated the pain at 2 on a 0-to-10 scale" is an example of appropriate pain assessment documentation. It uses a standardized pain scale, allowing the patient to quantify their pain intensity. This provides objective data that can be used to monitor changes in pain levels over time and evaluate the effectiveness of pain management strategies.

Choice C rationale

"The patient appears not to be in any pain" is a subjective interpretation by the nurse based on observation. It does not involve input from the patient about their pain experience. Pain is subjective, and a patient may be experiencing pain even if they do not outwardly appear to be in distress. Relying solely on observation can lead to underreporting and undertreatment of pain.

Choice D rationale

"The patient always complains about being in pain" is a generalization and does not provide specific information about the patient's current pain level. It can also introduce bias into future pain assessments. Each pain report should be documented objectively and based on the patient's current experience, not past complaints.

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A nurse is reviewing new orders for an ambulate patient four times a day.

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Naxlex Comprehensive Predictor Exams

Convert 12:18 am to military time:

Correct Answer is A

Explanation

Which chart entry represents appropriate documentation about the patient's pain assessment?

Correct Answer is B

Explanation

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