2013 EMTC LPN Competency

1.

When cleaning a wound at least 250mL of Normal Saline should be used.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
When cleaning a wound, it is recommended to use at least 250mL of Normal Saline. This is because Normal Saline is a sterile solution that helps to cleanse the wound, remove debris, and prevent infection. Using an adequate amount of Normal Saline ensures thorough cleaning and promotes proper wound healing. Therefore, the statement "True" is the correct answer.

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2.

A 76-year-old male is brought to the ED because of severe abdominal pain. He tells you, "it feels like someone is ripping me apart." The pain began 45 minutes ago and he rates the intensity as 10/10. He has a PMH of hypertension, for which he takes a duretic and a beta blocker. his skin is cool and diaphoretic. Vital Signs are: B/P 88/68, HR 88, RR 24, SPO2 94%. It would be most appropriate to call him a:
- A.
  
  Cardiac One
- B.
  
  Trauma 2
- C.
  
  Here Now, Vascular One
- D.
  
  Medical Alert
Correct Answer
D. Medical Alert

Explanation
The patient's symptoms, including severe abdominal pain, cool and diaphoretic skin, and low blood pressure, suggest a medical emergency. The combination of hypertension, diuretic use, and beta blocker use may have contributed to a cardiac event such as a myocardial infarction or aortic dissection. Therefore, it would be most appropriate to call him a "Medical Alert" to ensure that he receives immediate medical attention.

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3.

Please select all that apply. When I am working with the nurse to discharge a patient, I know that I am to:
- A.
  
  Assist patient in getting dressed
- B.
  
  Document Vital Signs in Cerner
- C.
  
  Remove PIV's
- D.
  
  Take Vital Signs, if not taken within the last 60 minutes.
- E.
  
  Escort them to the waiting room, if necessary
- F.
  
  Answer all of the patient's questions
Correct Answer(s)
A. Assist patient in getting dressed
B. Document Vital Signs in Cerner
C. Remove PIV's
D. Take Vital Signs, if not taken within the last 60 minutes.
E. Escort them to the waiting room, if necessary
F. Answer all of the patient's questions

Explanation
The correct answer is to assist the patient in getting dressed, document vital signs in Cerner, remove PIV's, take vital signs if not taken within the last 60 minutes, escort them to the waiting room if necessary, and answer all of the patient's questions. These tasks are part of the nurse's responsibility when discharging a patient. Assisting the patient in getting dressed ensures their comfort and readiness to leave the facility. Documenting vital signs in Cerner helps to maintain accurate medical records. Removing PIV's refers to removing any peripheral intravenous catheters. Taking vital signs, if not taken within the last 60 minutes, is important for monitoring the patient's health status. Escorting the patient to the waiting room ensures their safe transition out of the facility. Answering all of the patient's questions helps to address any concerns or uncertainties they may have before leaving.

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4.

A 19 year old female comes to front triage, Alert and Oriented, with a GSW to her upper arm & right shoulder, you know this patient should be called a:
- A.
  
  Medical Alert
- B.
  
  Trauma 1
- C.
  
  Trauma 2
- D.
  
  Trauma 3
Correct Answer
B. Trauma 1

Explanation
Based on the given scenario of a 19-year-old female with a gunshot wound to her upper arm and right shoulder, the correct answer is Trauma 1. Trauma 1 designation is typically given to patients with severe injuries that require immediate and specialized medical attention. In this case, the gunshot wound is a significant trauma that needs urgent evaluation and treatment.

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5.

A 22 year old female, who is 25 weeks pregnant, fell on her front porch. I know this patient should be sent directly to Labor and Delivery.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
All Pregnant Trauma Patients will be evaluated in the ED first, then sent to Labor and Delivery for fetal monitoring.

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6.

All abnormal Vital Signs should be reported to the Primary RN.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Abnormal vital signs are indicators of potential health issues or complications. Reporting them to the Primary RN ensures that the appropriate medical attention and interventions can be provided in a timely manner. This helps in preventing further deterioration of the patient's condition and allows for prompt medical intervention if necessary. Therefore, it is important to report all abnormal vital signs to the Primary RN.

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7.

I know that all specimens should be labeled using two patient identifiers. This means specimens may be labeled at the nursing station, verifying the correct patient with the computer charting system and the labels printed for the indicated labs.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The explanation for the answer "False" is that the statement is incorrect. According to the given information, all specimens should be labeled using two patient identifiers. However, it is mentioned that the labels are printed for the indicated labs, which means only the specified labs are being labeled, not all specimens. Therefore, the statement is false.

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8.

When assisting a patient to the bathroom, who is a fall risk, I should always use a "Bathroom Buggy"
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Using a "Bathroom Buggy" when assisting a fall risk patient to the bathroom is important for their safety. A bathroom buggy is a device that helps support and stabilize the patient while they are using the bathroom. It provides additional stability and reduces the risk of falls or accidents. By using a bathroom buggy, the caregiver can ensure that the patient can safely navigate the bathroom without putting themselves at risk.

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9.

When a patient reports being a victim of domestic violence, after notifying the primary nurse, I know to notify the:
- A.
  
  Shift Coordinator
- B.
  
  Charge Nurse
- C.
  
  Secretaries
- D.
  
  Forensic Nurse
Correct Answer
D. Forensic Nurse

Explanation
When a patient reports being a victim of domestic violence, it is important to notify the forensic nurse. Forensic nurses are specially trained to collect evidence and provide medical care for victims of violence, including domestic violence. They are skilled in assessing injuries, documenting evidence, and providing support and resources for the patient. The forensic nurse will be able to provide the necessary care and assistance to the patient, ensuring their safety and well-being.

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10.

Please select all of the following that apply. Preparing a room for a suicidal patient includes;
- A.
  
  Removing any hazards from the room that may cause harm to the patient
- B.
  
  Changing the patient gown to a paper gown
- C.
  
  Insuring all oxygen tanks are removed from under the cart
- D.
  
  Changing the sheet to a paper sheet
- E.
  
  Always keep patient locked in room
Correct Answer(s)
A. Removing any hazards from the room that may cause harm to the patient
B. Changing the patient gown to a paper gown
C. Insuring all oxygen tanks are removed from under the cart
D. Changing the sheet to a paper sheet

Explanation
Preparing a room for a suicidal patient includes removing any hazards from the room that may cause harm to the patient, changing the patient gown to a paper gown, ensuring all oxygen tanks are removed from under the cart, and changing the sheet to a paper sheet. This is important to ensure the safety and well-being of the patient and minimize the risk of self-harm.

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2013 Emtc LPN Competency

When cleaning a wound at least 250mL of Normal Saline should be used.

Please select all that apply. When I am working with the nurse to discharge a patient, I know that I am to:

A 19 year old female comes to front triage, Alert and Oriented, with a GSW to her upper arm & right shoulder, you know this patient should be called a:

A 22 year old female, who is 25 weeks pregnant, fell on her front porch. I know this patient should be sent directly to Labor and Delivery.

All abnormal Vital Signs should be reported to the Primary RN.

I know that all specimens should be labeled using two patient identifiers. This means specimens may be labeled at the nursing station, verifying the correct patient with the computer charting system and the labels printed for the indicated labs.

When assisting a patient to the bathroom, who is a fall risk, I should always use a "Bathroom Buggy"

When a patient reports being a victim of domestic violence, after notifying the primary nurse, I know to notify the:

Please select all of the following that apply. Preparing a room for a suicidal patient includes;