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

1. 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%

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

Explanation

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

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2. 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

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.

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.

3. 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

CPM 118-14-50 Administration of Medications by Nursing

Explanation

CPM 118-14-50 Administration of Medications by Nursing

4. Who is the organ procurement agency for RHJ VAMC?

LifeCare

LifePoint

LifeChoice

LifeLIne

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

Explanation

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

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.

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

Explanation

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

6. 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.

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

Explanation

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

7. 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

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.

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.

8. 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

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.

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.

9. 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

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.

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.

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

Fever

Flushing of skin

Chills

Dizzness

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

Explanation

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

Submit

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

TPN

Heparin

Chemotherapy IV drugs

Insulin

Hypertensive drugs

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

Explanation

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

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12. 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

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

Explanation

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

13. 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

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.

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.

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

Diuretics

Opioids

Antidiabetic

Antihistamines

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

Explanation

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

Submit

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

True

False

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.

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.

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

Amoxil

Macrodantin

Celexa

Cipro

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.

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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17. 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

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

Explanation

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

Submit

18. 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

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.

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.

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

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.

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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