HAC HAC Documentation & Reporting

Question 1

Which of the following is the MOST important reason for accurate documentation in patient care?

Accepted Answer

To ensure continuity of care and legal accountability

Answer

To satisfy administrative requirements

Answer

To reduce the workload of nurses

Answer

To justify billing charges

Question 2

When a healthcare aide makes an error in a paper chart, the correct procedure is to:

Accepted Answer

Draw a single line through the error, write 'error', initial it, and add the correct information

Answer

Use correction fluid (white-out) to cover the mistake

Answer

Scribble over the error so it is unreadable

Answer

Tear out the page and rewrite it

Question 3

Which change in a patient's condition should a healthcare aide report to the nurse immediately?

Accepted Answer

Patient's urine output appears dark brown and has decreased significantly

Answer

Patient requests an extra blanket

Answer

Patient watched television for two hours

Answer

Patient ate 75% of their lunch

Question 4

The abbreviation 'PRN' used in a care plan means:

Accepted Answer

As needed

Answer

Per routine nursing

Answer

Prior required notification

Answer

Patient refuses now

Question 5

When documenting the intake and output (I&O) of a patient, which of the following counts as OUTPUT?

Accepted Answer

Urine, wound drainage, and emesis

Answer

Water consumed at meals

Answer

IV fluids administered

Answer

Oral medications

Question 6

A healthcare aide notices a patient has a new skin tear on their forearm during morning care. What should the aide do first?

Accepted Answer

Report the finding to the nurse immediately and document it objectively

Answer

Apply a bandage and document at the end of the shift

Answer

Tell the patient's family when they visit

Answer

Clean it and say nothing unless it worsens