A Short Nursing Documentation Quiz!

7 Questions | Total Attempts: 70

SettingsSettingsSettings
Please wait...
Nursing Quizzes & Trivia

Questions and Answers
  • 1. 
    A nurse documents that the patient stated his abdominal pain is worse now than last night. This is an example of which type of charting?
    • A. 

      PIE documentation

    • B. 

      SOAP documentation

    • C. 

      Narrative charting

    • D. 

      SOAPIE documentation

  • 2. 
    Which situation would cause a preceptor to correct a new nurse? The new nurse:
    • A. 

      Uses black ink for all written entries

    • B. 

      Notes that the patient is stable

    • C. 

      Ends each entry with a signature and title

    • D. 

      Keeps their password secure

  • 3. 
    A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is not having chest pain with a heart rate of 108.  Using the SBAR format, which information will the nurse use for "B"
    • A. 

      Having chest pain

    • B. 

      Heart rate of 108

    • C. 

      History of angina

    • D. 

      Oxygen is needed

  • 4. 
    Medication administration must be documented within 4 hours of administration
    • A. 

      True

    • B. 

      False

  • 5. 
    In a SOAP note, vital signs are subjective data.
    • A. 

      True

    • B. 

      False

  • 6. 
    Sloppy documentation practices can be used against a nurse in a malpractice lawsuit.
    • A. 

      Yes

    • B. 

      No

  • 7. 
    A nurse can alter a patient’s record depending upon the situation.
    • A. 

      Yes

    • B. 

      No

Back to Top Back to top