Which of the following is an example of good charting?

"No complaints of pain or discomfort."

The patient states, "It feels like a knife stabbing me."

"Lump diminished."

"Patient's condition much better today than yesterday."

Answer and Explanation

The Correct Answer is B

thoroughly. The patient may not have verbalized pain but could still be experiencing it.

B. The patient states, "It feels like a knife stabbing me.": This documents subjective data verbatim using the patient’s exact words, which is best practice for accuracy and clarity.

C. "Lump diminished.": This lacks specificity—the exact size, texture, or other changes should be documented using precise measurements (e.g., “Lump decreased from 3 cm to 2 cm”).

D. "Patient's condition much better today than yesterday.": This is too vague and lacks measurable indicators of improvement (e.g., vital signs, pain level, mobility).

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The provider’s observed data: Objective data includes what the nurse or provider directly observes and measures, such as vital signs, lab results, and physical exam findings.

B. All of the answers are correct: Only option A is correct because C and D do not define objective data.

C. The patient’s perception of provided data: The patient’s perception is subjective data, not objective.

D. The patient’s request for information: A request for information is neither assessment data nor an objective finding.

A. Evaluation, planning, assessment, implementation B. Assessment, planning, implementation, evaluation C. Implementation, assessment, planning, evaluation D. Planning, evaluation, assessment, implementation

Correct Answer is B

Explanation

A. Evaluation, planning, assessment, implementation: Evaluation is the last step, not the first.

B. Assessment, planning, implementation, evaluation
The correct order of the nursing process is:

Assessment – Gather data
Planning – Develop goals and interventions
Implementation – Carry out the plan
Evaluation – Determine effectiveness and adjust as needed

C. Implementation, assessment, planning, evaluation: Assessment must come first before implementing any plan.

D. Planning, evaluation, assessment, implementation: Planning comes after assessment, and evaluation is last, not second.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following is an example of good charting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To what does objective data refer when assessing a patient?

Correct Answer is A

Explanation

Select the proper order of the phases of the Nursing Process:

Correct Answer is B

Explanation

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

When documenting events in a patient's chart, the nurse should chart:

Patient health care records are:

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

How is Maslow's Hierarchy of Human Needs used by nurses in a clinical setting?

JCAHO regulates standards of care to:

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

A focused assessment should be done by the nurse in all of the following situations EXCEPT: