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

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About This Quiz

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

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

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  • 2. 

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

    • CPRS general note

    • CPRS 24 hour assessment note

    • 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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  • 3. 

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

    • Assess bowel daily home routine care

    • Assess bladder daily home routine care

    • Assess bowel and bladder daily routine home care

    • Assess daily routine bathing home care

    Correct Answer
    A. Assess 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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  • 4. 

    What type of specimen is required for a type and cross match?

    • One 7 ml lavender top blood tube with a yellow armband sticker

    • One 7 ml green top blood tube with a yellow armband sticker

    • One 7 ml yellow top blood tube with a yellow armband sticker

    • One 7 ml brown top blood tube with a yellow armband sticker

    Correct Answer
    A. One 7 ml lavender top blood tube with a yellow armband sticker
    Explanation
    CPM 113-13-01. T drive---All CPMs, type "blood transfusion" in search box

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  • 5. 

    When can the CIWA-AR protocol be discontiuned?

    • CIWA-AR score of less than 4 for three consecutive times

    • CIWA-AR score of less than 6 for three consecutive times

    • CIWA-AR score of less than 8 for three consecutive times

    • CIWA-AR score of less than 10 for three consecutive times

    Correct Answer
    A. CIWA-AR score of less than 8 for three consecutive times
    Explanation
    T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol

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  • 6. 

    Continuous IV medication infusions that require titration based on vital signs are not approved for administration on the inpatient medical-surgical nursing units. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    CPM 118-13-41

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  • 7. 

    After obtaining tubes of blood for type and cross match, verification is to be done at the bedside, but labeling can be done at the beside or at the nurse’s station with two RNs verifies.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Blood Transfusions: CPM 113-13-01. T drive---all CPMS—type the word “blood transfusion” in the search box.

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  • 8. 

    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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  • 9. 

    Mr. Smith is to receive two units of Packed RBCs, the correct procedure for identifying Mr. Smith is:

    • Ask the patient his first and last name and the last four digits of his social security number

    • Ask the patient his first and last name and the last six digits of his social security number

    • Ask the patient his first and last name and his date of date of birth

    • Ask the patient his first and last name and his full social security number

    Correct Answer
    A. Ask the patient his first and last name and his full social security number
    Explanation
    The correct procedure for identifying Mr. Smith is to ask the patient his first and last name and his full social security number. This ensures a more accurate and secure identification process, as the full social security number is a unique identifier for an individual. Asking for the last four or six digits of the social security number may not provide enough information to accurately identify the patient, as there could be multiple individuals with the same last four or six digits. Additionally, asking for the patient's date of birth may not be as reliable, as there could be individuals with the same name and date of birth.

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  • 10. 

    What is the minimum CIWA-Ar score that should be treated?

    • > 6

    • > 8

    • >10

    • > 12

    Correct Answer
    A. > 8
    Explanation
    T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol

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  • 11. 

    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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  • 12. 

    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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  • 13. 

    Because CIWA-Ar is a nurse driven policy, no order is needed to initiate the protocol.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol

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  • 14. 

    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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  • 15. 

    Medication that is scheduled for every 8 hour 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 118-14-42 (Nursing)

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  • 16. 

    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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  • 17. 

    What blood glucose reading warrants initiating the hypoglycemia protocol:

    • Less than 50

    • Less than 60

    • Less than 70

    • Less than 80

    Correct Answer
    A. Less than 70
    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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  • 18. 

    When a patient on the unit shows signs and symptoms of  a stroke, according to the stroke protocol, which of the following interventions should you perform, check all that apply:

    • EKG

    • Vital signs every 30 minutes

    • Start oxygen, titrate to keep greater than 95%

    • Order non-contrast CT scan

    Correct Answer(s)
    A. EKG
    A. Start oxygen, titrate to keep greater than 95%
    A. Order non-contrast CT scan
    Explanation
    Nursing Protocol Signs and Symptoms of Acute Ischemia Stroke

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  • 19. 

    The following interventions are to be performed in the event that an inpatient suffer a Fall, check all that apply:

    • ROM

    • Neuro checks

    • Report to the Patient Safety Hotline

    • Peripheral pulses in all extermities

    Correct Answer(s)
    A. ROM
    A. Neuro checks
    A. Report to the Patient Safety Hotline
    Explanation
    CPM 118-13-18 Assessment and Care of Patients-Residents at Risk for Falls. Locsatedon the T drive--All CPMs--type "falls" in the search box.

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Quiz Review Timeline (Updated): Mar 21, 2023 +

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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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