Fy 16 Med-surg: CNA/Hct Annual Education Policy/Procedure/Protocol Quiz

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  • 1/18 Questions

    HCTs/NAs should participate in the Post Fall Huddle meetings.

    • True
    • False
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About This Quiz

This annual education quiz for Med-Surg CNA\/HCT covers essential policies, procedures, and protocols. It assesses knowledge on safe patient handling, pressure ulcer risk, emergency response tasks, and hypoglycemia protocols, ensuring staff are well-prepared for patient care.

Fy 16 Med-surg: CNA/Hct Annual Education Policy/Procedure/Protocol Quiz - Quiz

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  • 2. 

    I pledge to demonstrate the core values of the American Nurses Association code of ethics by upholding the standards of honesty and integrity. By answering yes, you certify that you are the person taking this test.

    • Yes

    • No

    Correct Answer
    A. Yes
    Explanation
    The given correct answer is "Yes." This answer indicates that the person taking the test pledges to demonstrate the core values of the American Nurses Association code of ethics by upholding the standards of honesty and integrity. By selecting "Yes," the person certifies that they are the one taking the test.

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  • 3. 

    Ceiling lifts are the only safe patient handling devices that are available at the VA for safe patient handling.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The given statement is false because it states that ceiling lifts are the only safe patient handling devices available at the VA for safe patient handling. This is not true as there are other safe patient handling devices available apart from ceiling lifts.

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  • 4. 

    You are helping a spinal cord injury patient with his lunch and suddenly the patient tells you that he has a terrible headache and that he is not feeling right. The patient is sweating profusely. What would be the first action you would take.

    • Stay with the patient and notify the nurse immediately

    • Wait 15 minutes and see if the patient feels better

    • Encourage the patient to finish his lunch and then notify the nurse

    • Take the patient's vital signs after he eats and then notify the nurses.

    Correct Answer
    A. Stay with the patient and notify the nurse immediately
    Explanation
    COG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses

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  • 5. 

    A patient is experiencing chest pain, the nurse may ask you to perform the following tasks except:

    • Obtain vital signs

    • Obtain EKG

    • Obtain oxygen saturation level

    • Give nitroglycerin

    Correct Answer
    A. Give nitroglycerin
    Explanation
    The nurse may ask you to perform tasks such as obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels to assess the patient's condition and determine the appropriate course of action. However, giving nitroglycerin is not within the scope of the nurse's responsibilities as it requires a prescription from a healthcare provider.

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  • 6. 

    In order to prevent a catheter acquired urinary tract infection (CAUTI), the following interventions can be provided by the CNA/HCT except:

    • Peri care every shift

    • Check for signs and symptoms of infection

    • Maintain no kinks in tubing or coil on bed

    • Notify the MD of cloudy or red urine color

    Correct Answer
    A. Notify the MD of cloudy or red urine color
    Explanation
    The CNA/HCT can provide peri care every shift to maintain hygiene and prevent CAUTI. They can also check for signs and symptoms of infection to identify any early indicators. Additionally, they can ensure that there are no kinks in the tubing or coil on the bed to ensure proper flow of urine. However, notifying the MD of cloudy or red urine color is not within the scope of the CNA/HCT's responsibilities as it requires medical expertise and diagnosis.

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  • 7. 

    The most serious problem that wrinkles in the bedclothes can cause is 

    • Restlessness

    • Sleeplessness

    • Pressure ulcer

    • Bleeding and shock

    Correct Answer
    A. Pressure ulcer
    Explanation
    Wrinkles in the bedclothes can cause pressure ulcers. Pressure ulcers, also known as bedsores, occur when there is prolonged pressure on the skin, leading to damage and breakdown of the skin and underlying tissues. Wrinkles in the bedclothes can create uneven pressure points on the body, particularly in areas with bony prominences such as the hips, heels, and elbows. This can restrict blood flow to the affected areas, leading to tissue damage and the development of pressure ulcers. Restlessness, sleeplessness, bleeding, and shock are not directly caused by wrinkles in the bedclothes.

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  • 8. 

    How many staff members are required when using a lift for safe patient handling?

    • It can be used with only one person

    • A minimum of 2 people

    • At least 3 people if spinal cord injury (SCI) patient

    Correct Answer
    A. A minimum of 2 people
    Explanation
    When using a lift for safe patient handling, a minimum of 2 people are required. This is because one person operates the lift while the other person assists in positioning and supporting the patient during the transfer. Having two staff members ensures that the patient is safely lifted and moved without putting excessive strain on any one individual.

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  • 9. 

    The most common site for counting the pulse is the 

    • Carotid artery

    • Femoral artery

    • Brachial artery

    • Radial artery

    Correct Answer
    A. Radial artery
    Explanation
    The radial artery is the most common site for counting the pulse because it is easily accessible and located close to the surface of the skin. It is located in the wrist, on the thumb side, making it convenient for healthcare professionals to feel and count the pulse. Additionally, the radial artery has a strong and consistent pulse, making it easier to accurately determine the heart rate.

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  • 10. 

    Common areas of increased risk for pressure ulcers include all except:

    • Elbows

    • Occiput

    • Knees

    • Thighs

    Correct Answer
    A. Thighs
    Explanation
    Pressure ulcers, also known as bedsores, are caused by prolonged pressure on the skin and underlying tissues. Common areas at increased risk for pressure ulcers include bony prominences where there is less subcutaneous fat and muscle padding, such as the elbows, occiput (back of the head), and knees. These areas are more susceptible to pressure and friction. However, the thighs are not considered a common area of increased risk for pressure ulcers as they usually have more subcutaneous fat and muscle, providing better protection against pressure.

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  • 11. 

    In order to protect the patient's skin, you can provide the following interventions: (select all that apply)

    • Bathing

    • Apply barrier cream to reddened areas

    • Limit linen to only 2 layers

    • Place adult briefs on patient and change every four hours

    Correct Answer(s)
    A. Bathing
    A. Apply barrier cream to reddened areas
    A. Limit linen to only 2 layers
    Explanation
    To protect the patient's skin, several interventions can be provided. Bathing helps to keep the skin clean and free from irritants. Applying barrier cream to reddened areas creates a protective layer and prevents further damage. Limiting linen to only 2 layers reduces friction and irritation on the skin. Placing adult briefs on the patient and changing them every four hours helps to maintain cleanliness and prevent moisture-related skin issues.

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  • 12. 

    The nurse has initiated a Rapid Response for a possible stroke for the patient you have been caring for. The registered nurse may ask you to perform the following tasks for the patient, select all the task(s) that you are allowed to perform within your scope of practice.    

    • EKG

    • Place of telemetry

    • Feed ice chips to test his/her swallowing reflex

    • Check glucose

    Correct Answer(s)
    A. EKG
    A. Place of telemetry
    A. Check glucose
    Explanation
    Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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  • 13. 

    The hypoglycemia protocal is initiated when a blood sugar of less than ________ is obtained.  

    Correct Answer
    A.
  • 14. 

    If a patient is having feeding problems, you should do the following (select all that apply):

    • Cut meat

    • Butter bread

    • Open packages

    • Remind the patient to eat slowly

    Correct Answer(s)
    A. Cut meat
    A. Butter bread
    A. Open packages
    A. Remind the patient to eat slowly
    Explanation
    Patients with feeding problems may have difficulties chewing or swallowing food. Cutting meat into smaller, more manageable pieces can make it easier for them to eat. Buttering bread can help soften it, making it easier to chew and swallow. Opening packages can be helpful for patients who have limited dexterity or strength in their hands. Reminding the patient to eat slowly can prevent them from choking or experiencing discomfort while eating.

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  • 15. 

    According to the F.A.S.T. acronym, which of the following can be signs and symptoms of a stroke. select all that apply: 

    • Sudden weakness

    • Trouble speaking

    • Sudden severe headache

    • Inability to move one side

    • Pain in jaw and shoulder

    Correct Answer(s)
    A. Sudden weakness
    A. Trouble speaking
    A. Sudden severe headache
    A. Inability to move one side
    Explanation
    Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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  • 16. 

    Factors that will increase the risk of pressure ulcer development in hospitalized patients are: (select all that apply)

    • Dry skin

    • Incontinence

    • Spasticity

    • Poor positioning

    Correct Answer(s)
    A. Dry skin
    A. Incontinence
    A. Spasticity
    A. Poor positioning
    Explanation
    Dry skin, incontinence, spasticity, and poor positioning are all factors that can increase the risk of pressure ulcer development in hospitalized patients. Dry skin can lead to skin breakdown and make the skin more susceptible to pressure ulcers. Incontinence can cause prolonged exposure to moisture, which can weaken the skin and increase the risk of pressure ulcers. Spasticity, which is involuntary muscle contractions, can lead to increased pressure on certain areas of the body and impair blood flow, increasing the risk of pressure ulcers. Poor positioning, such as prolonged immobility or being in a position that puts excessive pressure on certain areas, can also contribute to the development of pressure ulcers.

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  • 17. 

    Patients with SCI (spinal cord injuries) can experience episodes of extreme elevated blood pressure. If you are caring for an SCI patient, you should be attentive to the following to prevent an occurrence of extreme blood pressure. Select all that apply:   

    • Allow patient to use his own wheelchair

    • Reposition patient every two hours if in bed

    • Encourage patient activity

    • Check patient clothing that may be tight or constricting.

    Correct Answer(s)
    A. Allow patient to use his own wheelchair
    A. Reposition patient every two hours if in bed
    A. Encourage patient activity
    A. Check patient clothing that may be tight or constricting.
    Explanation
    T Drive: Spinal Cord Injury Treatment Guidelines for Physician and Nurses.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 22, 2015
    Quiz Created by
    Milly

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