Fy 16 Med-surg: LPN Annual Education Policy/Procedure/Protocol Quiz
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Annual Education Policy/Procedure/Protocol review. Nursing staff must complete and obtain a minimum score of 90.
- 1.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.
- A.
Yes
- B.
No
- 2.Who is the organ procurement agency for RHJ VAMC?
- A.
LifeCare
- B.
LifePoint
- C.
LifeChoice
- D.
LifeLIne
- 3.When would you notify the organ procurement agency?
- A.
When death is imminent.
- B.
When death is likely in 3 to 4 days.
- C.
At least 6 hours after death has occured.
- D.
Twenty-four hours before death is to occur.
- 4.The following are nurses’ actions in the event of a blood transfusion reaction except:
- A.
Notify physician.
- B.
Notify blood bank
- C.
Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.
- D.
Label the tubes as immediate.
- 5.What values on the glucometer warrant a serum sample to be sent to the lab stat?
- A.
300 in a purple cap vial
- B.
400 in a green cap vial
- C.
300 in a purple cap vial
- D.
400 in a green cap vial
- 6.When caring for a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?
- A.
Continue bowel daily home routine care
- B.
Continue bladder daily home routine care
- C.
Continue bowel and bladder daily routine home care
- D.
Continue daily routine bathing home care
- 7.A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
- A.
T4
- B.
T5
- C.
T6
- D.
T7
- 8.What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?
- A.
A. Sit patient upright
- B.
B. Take patient's B/P
- C.
C. Seek to eliminate the cause
- D.
A, B, & C
- E.
Only A & C
- 9.Tubes of blood collected for type and cross match are verified and labeled at the nurse's station with two RNs.
- A.
True
- B.
False
- 10.What are the signs and symptoms of blood transfusion reaction? (Select all that apply).
- A.
Fever
- B.
Flushing of skin
- C.
Chills
- D.
Dizzness
- 11.Which of the following are considered to be "High Alert Medications"? (Select all that apply).
- A.
TPN
- B.
Heparin
- C.
Chemotherapy IV drugs
- D.
Insulin
- E.
Hypertensive drugs
- 12.All of the following are ways in which the nurse can help prevent Autonomic Dysreflexia except:
- A.
Repositioning every 2 hours
- B.
Encourage activity
- C.
Use of over the bed trapeze
- D.
Weight shifting, if applicable
- 13.Which of the following medications are associated with risk for falls (select all that apply):
- A.
Diuretics
- B.
Opioids
- C.
Antidiabetic
- D.
Antihistamines
- 14.What blood glucose reading warrants initiating the Hypoglycemia Protocol?
- A.
< 50mg/dL
- B.
< 80mg/dL
- C.
< 70mg/dL
- D.
< 60mg/dL
- 15.How often will the LPN document tube feeding management and monitoring in CPRS using the Tube Feed Summary note?
- A.
Every shift
- B.
Every 12 hours
- C.
Every 24 hours
- D.
Every 4 hours
- 16.Observation of patients receiving PCA pain medication includes:Select all that apply.
- A.
Level of sedation
- B.
Pain intensity score
- C.
Respiratory rate
- D.
Number of PCA attempts
- E.
Number of injections
- F.
Facial grimace
- G.
Number of days PCA pain medication used
- 17.Your patient has a blood sugar that warrants you initiating the hypoglycemic protocol; where would you document your interventions for this patient:
- A.
CPRS general note
- B.
CPRS 24 hour assessment
- C.
CPRS hypoglycemia/hyperglycemia protocol note
- D.
CPRS addendum to the 24 hour assessment note
- 18.Medications scheduled to be administered every 8 hours will be administered within plus or minus 2 hours of scheduled times unless otherwise noted by the provider.
- A.
True
- B.
False
- 19.You enter the your patient’s room to give him his 8am medications, and you notice that the patient is showing signs and symptoms of a stroke, what are the signs and symptoms, select all that apply:
- A.
Slurred speech
- B.
Weakness on one side
- C.
Facial drooping
- D.
Pain in jaw and shoulder
- E.
Sudden confusion
- 20.When providing interventions for a patient showing signs and symptoms of a stroke, vital signs will be done every 30 minutes.
- A.
True
- B.
False
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