CELBAN - Canadian English Language Benchmark Assessment for Nurses Reading Patient Charts Questions and Answers

Question 1

A nurse is reviewing the following entry in a patient's chart: 'Pt. c/o sharp, stabbing pain to RUQ, rated 8/10.
Skin is diaphoretic and clammy.
V/S: BP 150/90, HR 110, RR 22, T 37.8 C.
NPO since midnight.
Awaiting ultrasound.' Which of the following is the most accurate summary of the patient's condition?

Accepted Answer

The patient is experiencing significant pain and showing signs of distress, requiring further investigation.

Answer

The patient is stable with minor abdominal discomfort and will be discharged soon.

Answer

The patient is dehydrated and needs immediate fluid replacement before any diagnostic tests.

Answer

The patient has a low-grade fever and is being kept without food or drink as a precaution.

Question 2

The physician's orders in a patient's chart state: 'Administer Gravol 50 mg IM q6h PRN for N/V.' How should the nurse interpret this order?

Accepted Answer

Administer 50 mg of Gravol into the muscle every 6 hours only if the patient complains of nausea or vomiting.

Answer

Give 50 mg of Gravol intravenously every 6 hours as needed for pain.

Answer

Apply a 50 mg Gravol patch to the skin every 6 hours to prevent nausea.

Answer

Give 50 mg of Gravol by mouth every 6 hours continuously for nausea and vomiting.

Question 3

While reviewing a new admission's chart, the nurse notes the following: 'Allergies: NKDA'. What does this abbreviation signify?

Accepted Answer

No Known Drug Allergies

Answer

Needs Kidney Dialysis Assessment

Answer

Nasal Ketone Diagnostic Abnormal

Answer

No Known Dietary Restrictions

Question 4

A nurse reads the following progress note for a post-operative patient: 'Day 2 post-op R TKR. Pt ambulated 10m with 2x assist. Incision C/D/I, no erythema or purulent drainage noted. States pain managed with PO analgesia. Voiding qs. A/O x 3.' Which of the following indicates the patient is progressing as expected?

Accepted Answer

The clean, dry, and intact incision site.

Answer

The presence of erythema and purulent drainage.

Answer

The need for two people to assist with ambulation.

Answer

The report of unmanaged pain despite medication.

Question 5

A patient's lab results section shows: 'Hgb 95 g/L'. The normal range for an adult male is 135-175 g/L. Based on this result, which of the following conditions should the nurse be most concerned about?

Accepted Answer

Anemia

Answer

Hyperglycemia

Answer

Dehydration

Answer

Infection

Question 6

You are reviewing a patient's medication administration record (MAR). Which of the following entries requires immediate clarification from the prescriber?

Accepted Answer

Digoxin .125 mg PO daily. Hold for HR < 60.

Answer

Furosemide 20 mg PO daily

Answer

Insulin Sliding Scale ac hs

Answer

Tylenol 650 mg PO q4h PRN pain