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

19 Questions | Total Attempts: 367

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

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


Questions and Answers
  • 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. 
    Because CIWA-Ar is a nurse driven policy, no order is needed to initiate the protocol.
    • A. 

      True

    • B. 

      False

  • 6. 
    What is the minimum CIWA-Ar score that should be treated?
    • A. 

      > 6

    • B. 

      > 8

    • C. 

      >10

    • D. 

      > 12

  • 7. 
    When can the CIWA-AR protocol be discontiuned?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 8. 
    When admitting a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?
    • A. 

      Assess bowel daily home routine care

    • B. 

      Assess bladder daily home routine care

    • C. 

      Assess bowel and bladder daily routine home care

    • D. 

      Assess daily routine bathing home care

  • 9. 
    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

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

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 12. 
    The following interventions are to be performed in the event that an inpatient suffer a Fall, check all that apply:
    • A. 

      ROM

    • B. 

      Neuro checks

    • C. 

      Report to the Patient Safety Hotline

    • D. 

      Peripheral pulses in all extermities

  • 13. 
    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:
    • A. 

      EKG

    • B. 

      Vital signs every 30 minutes

    • C. 

      Start oxygen, titrate to keep greater than 95%

    • D. 

      Order non-contrast CT scan

  • 14. 
    Continuous IV medication infusions that require titration based on vital signs are not approved for administration on the inpatient medical-surgical nursing units. 
    • A. 

      True

    • B. 

      False

  • 15. 
    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.
    • A. 

      True

    • B. 

      False

  • 16. 
    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.
    • A. 

      True

    • B. 

      False

  • 17. 
    Mr. Smith is to receive two units of Packed RBCs, the correct procedure for identifying Mr. Smith is:
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 18. 
    What blood glucose reading warrants initiating the hypoglycemia protocol:
    • A. 

      Less than 50

    • B. 

      Less than 60

    • C. 

      Less than 70

    • D. 

      Less than 80

  • 19. 
    Your patient has a blood sugar that warrants you initiating the hypoglycemia protocol; where would you document your interventions:  
    • A. 

      CPRS general note

    • B. 

      CPRS 24 hour assessment note

    • C. 

      CPRS hypoglycemia/hyperglycemia protocol note

    • D. 

      CPRS addendum to the 24 hour assessment note