PNC Patient Assessment & Documentation 3

Question 1

A parish nurse documents that a parishioner is 'SOB on exertion.' What does SOB stand for in clinical documentation?

Accepted Answer

Shortness of breath

Answer

SOB is a standard clinical abbreviation for shortness of breath, commonly documented during respiratory assessments.

Question 2

Which element is essential when a parish nurse documents a referral made on behalf of a parishioner?

Accepted Answer

Date, reason for referral, provider referred to, and parishioner's consent

Answer

Complete referral documentation includes date, clinical rationale, destination provider, and confirmation that the parishioner gave informed consent.

Question 3

When using the MoCA (Montreal Cognitive Assessment) tool, a score below which threshold indicates possible cognitive impairment?

Accepted Answer

26 out of 30

Answer

A MoCA score below 26/30 is the standard cutoff indicating possible mild cognitive impairment warranting further evaluation.

Question 4

A parish nurse is assessing hydration status in an elderly congregant. Which clinical sign is MOST reliable for detecting dehydration in older adults?

Accepted Answer

Decreased skin turgor on the forehead or sternum

Answer

Skin turgor assessed at the forehead or sternum is more reliable in older adults because skin on the hand loses elasticity with age regardless of hydration.

Question 5

During a home health assessment, the parish nurse notes a Stage 2 pressure injury on a parishioner's sacrum. How is a Stage 2 pressure injury best described?

Accepted Answer

Partial thickness skin loss with exposed dermis, moist and pink/red wound bed

Answer

Stage 2 pressure injuries involve partial thickness skin loss with exposed dermis that appears pink/red and moist, without slough or eschar.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Patient Assessment & Documentation 3