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

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

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

• True

• False

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.

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

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

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

• Restlessness

• Sleeplessness

• Pressure ulcer

• Bleeding and shock

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

The most common site for counting the pulse is the 

• Carotid artery

• Femoral artery

• Brachial artery

• Radial artery

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

• Elbows

• Occiput

• Knees

• Thighs

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

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

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

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

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

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

• Dry skin

• Incontinence

• Spasticity

• Poor positioning

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.