Fy 16 RN Clc Annual Education Policy/Procedure/Protocol Quiz

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  • 1/19 Questions

    Who is the organ procurement agency for RHJ VAMC?

    • LifeCare
    • LifePoint
    • LifeChoice
    • LifeLIne
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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 RN Clc Annual Education Policy/Procedure/Protocol Quiz - Quiz

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  • 2. 

    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
    Organ Procurement: CPM 00-14-16. T drive, all CPMs—type “organ in the search box.

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  • 3. 

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

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  • 4. 

    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
    1. 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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  • 5. 

    A spinal cord injury (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
    6. 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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  • 6. 

    What would you do if your SCI resident 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
    6. 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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  • 7. 

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

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  • 8. 

    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
    20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 9. 

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

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  • 10. 

    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
    6. 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. 

    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
    20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 12. 

    For a resident experiencing a severe UTI,  the catheter should be changed after the antibiotic is started.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because for a resident experiencing a severe UTI, the catheter should be changed before starting the antibiotic. This is because the catheter can be a source of infection and changing it helps to remove any bacteria that may be present. Starting the antibiotic before changing the catheter may not effectively treat the infection and could lead to further complications.

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  • 13. 

    The following are medications used to treat UTIs (select all that apply):

    • Amoxil

    • Macrodantin

    • Celexa

    • Cipro

    Correct Answer(s)
    A. Amoxil
    A. Macrodantin
    A. Cipro
    Explanation
    Amoxil, macrodantin, and cipro are all medications that are commonly used to treat urinary tract infections (UTIs). Amoxil is the brand name for amoxicillin, which is an antibiotic that can effectively treat UTIs caused by bacteria. Macrodantin is the brand name for nitrofurantoin, another antibiotic that is specifically used to treat UTIs. Cipro is the brand name for ciprofloxacin, a broad-spectrum antibiotic that is often prescribed for various types of infections, including UTIs. These medications work by killing or inhibiting the growth of bacteria, helping to alleviate the symptoms of UTIs and promote healing.

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  • 14. 

    The following interventions are to be performed in the event that a resident suffers a Fall, check all that apply:

    • ROM

    • Neuro checks

    • Report to the Patient Safety Hotline

    Correct Answer(s)
    A. ROM
    A. Neuro checks
    A. Report to the Patient Safety Hotline
    Explanation
    20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 15. 

    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

    Correct Answer
    A. Yes
    Explanation
    The given correct answer is "Yes." This answer indicates that the person taking the test pledges to demonstrate the core values of the American Nurses Association code of ethics by upholding the standards of honesty and integrity. By selecting "Yes," the person certifies that they are the one taking the test.

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  • 16. 

    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 hours assessment note

    • CPRS hypoglycemia /hyperglycemia protocol note

    • CPRS addendum to the 24 hrs. 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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  • 17. 

    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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  • 18. 

    You enter the your patient’s room to give him his 8 am medications, and you notice that the patient is showing signs and symptoms of a stroke, what interventions would you initiate, select all that apply:   

    • Stat EKG and have physician evaluate

    • CT scan with contrast

    • Neuro checks every 30 minutes

    • Start oxygen to keep SpO2 > 95%

    Correct Answer(s)
    A. Stat EKG and have physician evaluate
    A. Start oxygen to keep SpO2 > 95%
    Explanation
    Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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  • 19. 

    Observation of patients receiving PCA pain  medication should include documentation of the following information (select all that apply):

    • Level of sedation

    • Pain intensity score

    • Respiratory rate

    • Number of PCA attempts

    • Length of time on PCA pain medication

    • Number of PCA does delivered

    Correct Answer(s)
    A. Level of sedation
    A. Pain intensity score
    A. Respiratory rate
    A. Number of PCA attempts
    A. Number of PCA does delivered
    Explanation
    The correct answer includes the level of sedation, pain intensity score, respiratory rate, number of PCA attempts, and number of PCA doses delivered. These are all important pieces of information to document when observing patients receiving PCA pain medication. The level of sedation is important to monitor to ensure the patient is not overly sedated. The pain intensity score helps assess the effectiveness of the medication in relieving pain. The respiratory rate is important to monitor for any signs of respiratory depression. The number of PCA attempts and doses delivered can provide insight into the patient's pain management needs and medication usage.

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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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