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

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| By Milly

Milly

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1/20 Questions

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

About This Quiz

Annual Education Policy/Procedure/Protocol review. Nursing staff must complete and obtain a minimum score of 90.

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

2.

When caring for a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?
- Continue bowel daily home routine care
- Continue bladder daily home routine care
- Continue bowel and bladder daily routine home care
- Continue daily routine bathing home care
Correct Answer

A. Continue bowel and bladder daily routine home care

Explanation

CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.

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3.

Your patient has a blood sugar that warrants you initiating the hypoglycemic protocol; where would you document your interventions for this patient:
- CPRS general note
- CPRS 24 hour assessment
- CPRS hypoglycemia/hyperglycemia protocol note
- CPRS addendum to the 24 hour assessment note
Correct Answer

A. CPRS hypoglycemia/hyperglycemia protocol note

Explanation

Hypoglycemia-Hyperglycemia Protocol; this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "hypoglycemia" and this will bring up the policy.

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4.

What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?
- A. Sit patient upright
- B. Take patient's B/P
- C. Seek to eliminate the cause
- A, B, & C
- Only A & C
Correct Answer

A. A, B, & C

Explanation

CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.

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5.

When would you notify the organ procurement agency?
- When death is imminent.
- When death is likely in 3 to 4 days.
- At least 6 hours after death has occured.
- Twenty-four hours before death is to occur.
Correct Answer

A. When death is imminent.

Explanation

CPM 00-14-16; T drive - All CPMs - type "Organ" in the search box

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6.

Who is the organ procurement agency for RHJ VAMC?
- LifeCare
- LifePoint
- LifeChoice
- LifeLIne
Correct Answer

A. LifePoint

Explanation

CPM 00-14-16; T drive - All CPMs - type "Organ" in the search box

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7.

Tubes of blood collected for type and cross match are verified and labeled at the nurse's station with two RNs.
- True
- False
Correct Answer

A. False

Explanation

CPM 113-13-01. T drive - All CPMs - type "blood transfusion" in search box

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8.

How often will the LPN document tube feeding management and monitoring in CPRS using the Tube Feed Summary note?
- Every shift
- Every 12 hours
- Every 24 hours
- Every 4 hours
Correct Answer

A. Every shift

Explanation

CPM 12-12-01 Tube-Enteral Nutrition. T drive - All CPMs - type "tube-enteral" in the search box.

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9.

What values on the glucometer warrant a serum sample to be sent to the lab stat?
- 300 in a purple cap vial
- 400 in a green cap vial
- 300 in a purple cap vial
- 400 in a green cap vial
Correct Answer

A. 400 in a green cap vial

Explanation

Hypoglycemia-Hyperglycemia Protocol; this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "hypoglycemia" and this will bring up the policy.
CPM 118-12-08

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10.

A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
- T4
- T5
- T6
- T7
Correct Answer

A. T6

Explanation

CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.

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11.

What blood glucose reading warrants initiating the Hypoglycemia Protocol?
- < 50mg/dL
- < 80mg/dL
- < 70mg/dL
- < 60mg/dL
Correct Answer

A. < 70mg/dL

Explanation

Hypoglycemia-Hyperglycemia Protocol; this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "hypoglycemia" and this will bring up the policy.

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12.

What are the signs and symptoms of blood transfusion reaction? (Select all that apply).
- Fever
- Flushing of skin
- Chills
- Dizzness
Correct Answer(s)

A. Fever
A. Flushing of skin
A. Chills
A. Dizzness

Explanation

CPM 113-13-01. T drive - All CPMs - type "blood transfusion" in search box

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13.

Which of the following are considered to be "High Alert Medications"? (Select all that apply).
- TPN
- Heparin
- Chemotherapy IV drugs
- Insulin
- Hypertensive drugs
Correct Answer(s)

A. TPN
A. Heparin
A. Chemotherapy IV drugs
A. Insulin

Explanation

CPM 110-21 High Alert Medications and Standardized Fusions. Located on the T drive--All CPMs--pharmacy. Type "medications" in the search box.

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14.

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.
- True
- False
Correct Answer

A. False

Explanation

CPM 118-14-50 Administration of Medications by Nursing

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15.

The following are nurses’ actions in the event of a blood transfusion reaction except:
- Notify physician.
- Notify blood bank
- Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.
- Label the tubes as immediate.
Correct Answer

A. Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.

Explanation

CPM 113-13-01. T drive - All CPMs - type "blood transfusion" in the search box

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16.

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:
- Slurred speech
- Weakness on one side
- Facial drooping
- Pain in jaw and shoulder
- Sudden confusion
Correct Answer(s)

A. Slurred speech
A. Weakness on one side
A. Facial drooping
A. Sudden confusion

Explanation

Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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17.

When providing interventions for a patient showing signs and symptoms of a stroke, vital signs will be done every 30 minutes.
- True
- False
Correct Answer

A. False

Explanation

Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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18.

All of the following are ways in which the nurse can help prevent Autonomic Dysreflexia except:
- Repositioning every 2 hours
- Encourage activity
- Use of over the bed trapeze
- Weight shifting, if applicable
Correct Answer

A. Use of over the bed trapeze

Explanation

CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive - Clinical Guidelines and Protocols - Clinical Practice and Guidelines - type "spinal" in the search box.

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19.

Which of the following medications are associated with risk for falls (select all that apply):
- Diuretics
- Opioids
- Antidiabetic
- Antihistamines
Correct Answer(s)

A. Diuretics
A. Opioids
A. Antidiabetic
A. Antihistamines

Explanation

CPM 118-13-18 Assessment and Care of Patients-Residents at Risk for Falls. Located on the T drive--All CPMs--type "falls" in the search box.

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20.

Observation of patients receiving PCA pain medication includes:Select all that apply.
- Level of sedation
- Pain intensity score
- Respiratory rate
- Number of PCA attempts
- Number of injections
- Facial grimace
- Number of days PCA pain medication used
Correct Answer(s)

A. Level of sedation
A. Pain intensity score
A. Respiratory rate
A. Number of PCA attempts
A. Number of injections

Explanation

CPM 119-12-11 Use of Patient Controlled Analgesia (PCA) Pumps. T drive - All CPMs - type "PCA" in the search box.

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Current Version
Mar 20, 2023

Quiz Edited by
ProProfs Editorial Team
Oct 22, 2015

Quiz Created by
Milly

Fy 16 Med-surg: LPN 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.

Quiz Preview

When caring for a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?

Your patient has a blood sugar that warrants you initiating the hypoglycemic protocol; where would you document your interventions for this patient:

What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?

When would you notify the organ procurement agency?

Who is the organ procurement agency for RHJ VAMC?

Tubes of blood collected for type and cross match are verified and labeled at the nurse's station with two RNs.

How often will the LPN document tube feeding management and monitoring in CPRS using the Tube Feed Summary note?

What values on the glucometer warrant a serum sample to be sent to the lab stat?

A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?

What blood glucose reading warrants initiating the Hypoglycemia Protocol?

What are the signs and symptoms of blood transfusion reaction? (Select all that apply).

Which of the following are considered to be "High Alert Medications"? (Select all that apply).

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.

The following are nurses’ actions in the event of a blood transfusion reaction except:

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:

When providing interventions for a patient showing signs and symptoms of a stroke, vital signs will be done every 30 minutes.

All of the following are ways in which the nurse can help prevent Autonomic Dysreflexia except:

Which of the following medications are associated with risk for falls (select all that apply):

Observation of patients receiving PCA pain medication includes:Select all that apply.