CELBAN Reading Patient Charts 2

Question 1

A patient's chart shows 'NPO after midnight.' What does this instruction mean for the nursing staff?

Accepted Answer

The patient must not eat or drink anything after midnight

Answer

The patient should only drink water after midnight

Answer

The patient can have clear fluids but no solid food after midnight

Answer

The patient should receive IV fluids after midnight

Question 2

A chart entry reads: 'Pt. c/o dyspnea on exertion x 3 days.' Which of the following best interprets this note?

Accepted Answer

The patient complains of difficulty breathing during physical activity for three days

Answer

The patient has chest pain when exercising for three days

Answer

The patient reports dizziness during exertion for three days

Answer

The patient complains of difficulty swallowing for three days

Question 3

In a patient's chart, the vital signs section reads: 'BP 90/60 mmHg, HR 118 bpm, RR 24, Temp 38.9°C.' Which finding is most immediately concerning?

Accepted Answer

The combination of all four abnormal findings

Answer

The elevated temperature

Answer

The low blood pressure combined with high heart rate

Answer

The increased respiratory rate

Question 4

A nurse reads in a patient's progress note: 'Wound site shows erythema, warmth, and purulent discharge.' What condition does this describe?

Accepted Answer

A wound infection

Answer

Normal wound healing

Answer

An allergic reaction to dressing material

Answer

Wound dehiscence

Question 5

A chart reads: 'Hx of HTN, DM Type 2, and CKD Stage 3.' What does this mean about the patient's medical background?

Accepted Answer

History of hypertension, diabetes mellitus type 2, and chronic kidney disease stage 3

Answer

History of heart transplant, diabetes mellitus type 2, and chronic knee disease stage 3

Answer

Hypertension, diabetic neuropathy, and coronary kidney disease stage 3

Answer

Hypotension, diabetes insipidus, and congenital kidney defect stage 3

Question 6

A medication administration record (MAR) lists: 'Metoprolol 25 mg PO BID.' How should this medication be administered?

Accepted Answer

25 mg by mouth twice daily

Answer

25 mg by injection twice daily

Answer

25 mg by mouth once daily at bedtime

Answer

25 mg intravenously twice daily

Question 7

A nurse reviews a patient's fluid balance chart showing: 'I&O: 1,850 mL / 650 mL.' What should the nurse report to the physician?

Accepted Answer

The patient has a significant positive fluid balance suggesting fluid retention

Answer

The patient is adequately hydrated

Answer

The patient is dehydrated and needs less fluid intake

Answer

The output is higher than intake, indicating normal kidney function