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.

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

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  • 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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Quiz Review Timeline (Updated): Mar 20, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 22, 2015
    Quiz Created by
    Milly
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