Multiple choice questions
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A charge nurse conducts an in-service on documentation. Which abbreviation is acceptable for use in client medication prescriptions? a) cc b) SQ c) D/C d) mcg ✅
Explanation: To prevent medication errors, "mcg" is the only abbreviation on this list approved by The Joint Commission. Abbreviations like "cc" (should use mL), "SQ" (should use Subcutaneous), and "D/C" (can mean discharge or discontinue) are on the "Do Not Use" list.
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A student nurse provides care to an 18-year-old client. Which action maintains confidentiality? a) takes a picture of clients wound to use for classroom discussion b) prints a copy of the clients medical record for educational purpose c) encourages a parent to be present during the physical examination of client d) discloses client status over the phone when caller provides correct code ✅
Explanation: In many clinical settings, a "code word" system is used to verify that a caller has the client’s permission to receive information, thus maintaining HIPAA compliance and confidentiality.
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A nurse plans care for an assigned group of clients. Which intervention is the priority? a) administer insulin to a client who has hyperglycemia b) suction a tracheostomy for a client who has pneumonia ✅ c) provide emotional support to a client who has breast cancer d) reinforce dietary teaching for a client who has a peptic ulcer
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, suctioning a tracheostomy is the priority as it directly addresses a potential airway obstruction in a client with pneumonia.
