Fy16 Primary care LPN Annual Policy Review

1. It is the policy at the Medical Center and selected CBOCs where Primary Care, Women's Health and/or Mental Health services are provided, access to clinically-appropriate services that extend beyond regular business at least once on weekdays (Wednesday) and once every weekend (Saturday), at times and venues that match Veteran demand and expectations will be made available

True

False

CPM 11-14-51 "Extended Hours Access for Veterans at Medical Centers and Selected Community Based Outpatient Clinics (CBOC)

Explanation

CPM 11-14-51 "Extended Hours Access for Veterans at Medical Centers and Selected Community Based Outpatient Clinics (CBOC)

2. 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", I certify that I am the person taking this test.

Yes

No

The given answer, "Yes," indicates that the individual pledges to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. Additionally, by answering "Yes," the person certifies that they are the one taking the test.

Explanation

The given answer, "Yes," indicates that the individual pledges to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. Additionally, by answering "Yes," the person certifies that they are the one taking the test.

3. Primary Care nursing staff will document annual foot screening for patients at risk of lower limb loss or history of amputation that includes: 1) visual inspection of skin surfaces, 2) assessment of pedal pulses, 3) monofilament testing for loss of protective sensation, and 4) patient education at the patient's level of understanding.

True

False

Service Line Agreements > Primary Care and Podiatry (11-19-14)

Explanation

Service Line Agreements > Primary Care and Podiatry (11-19-14)

4. Prior to each primary care visit, a medication list will be printed for each scheduled clinic visit and given to the patient at the time of check in. The _____ will be asked to review and make notations/changes/corrections on this document for discussion with the provider during the visit.

CPM 11-15-23 "Medication Reconciliation"

Explanation

CPM 11-15-23 "Medication Reconciliation"

Submit

5. Verification of patient identity is important to ensure patient's receive proper care and health information. At RHJ VAMC, the proper method of verifying a patient's identity is using which of the following?

Last 4 of SSN

FULL Name and Room #

FULL Name and FULL SSN

Mother's maiden name

CPM 118-14-23, Patient Identification

Explanation

CPM 118-14-23, Patient Identification

6. Care that is provided to a patient under the "Hypoglycemia - Outpatient Clinic Protocol" is to include documentation of VS, FSBS, and neurological status every 15 minutes on the:

Hypoglycemia-Hyperglycemia Protocol Note in CPRS

Clinic Nurse Note in CPRS

RN Triage Note in CPRS

Interfacility Transfer Note

T: drive> Clinical Guidelines & Protocols > Protocols > Hypoglycemia - Outpatient Clinic Protocol (06-03/15)

Explanation

T: drive> Clinical Guidelines & Protocols > Protocols > Hypoglycemia - Outpatient Clinic Protocol (06-03/15)

7. After recognizing the signs and symptoms of Acute Ischemic Stroke (AIS), the appropriate nursing action would be to call 911 to have the patient transported immediately to the nearest AIS facility.

True

False

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

Explanation

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

8. <span style="color: black; font-family:;" new="" roman";"="" "times="" ar-sa;="" en-us;="" roman";="" 10.0pt;="" 12pt;="" arial","sans-serif";="">Requests for mammography studies will be processed by local Non-VA Care Coordination (NVCC) Team in coordination with the Women Veterans Program Manager

True

False

CPM 114-14-04 "Requests for Mammography Procedures"

Explanation

CPM 114-14-04 "Requests for Mammography Procedures"

9. Care that is provided to Veterans with symptomatic hypoglycemic episodes is documented:

On the hard copy note that is placed in the patient's Interfacility Transfer packet

In CPRS, under the Clinic Nurse Note

In CPRS, under the template titled "Hypoglycemia/Hyperglycemia Protocol Note"

In CPRS, under the RN Clinic Triage note

CPM "Hypoglycemia - Outpatient Clinic Protocol (06-03-15)"

Explanation

CPM "Hypoglycemia - Outpatient Clinic Protocol (06-03-15)"

10. Links to Material Safety Data Sheets (MSDS) for approved non-critical reusable medical equipment cleaning agents can be found at the end of the policy on the T:drive.

True

False

CPM 002SPS-14-03 "Non-Critical Reusable Medical Equipment (RME) Reprocessing"

Explanation

CPM 002SPS-14-03 "Non-Critical Reusable Medical Equipment (RME) Reprocessing"

11. Signs and symptoms of an adverse blood transfusion reaction include all of the following EXCEPT:

Tachycardia and sudden change in BP

Constipation and/or impaction

Hives or rash to the patient's trunk and back

Fever with or without chills

Wheezing and/or dyspnea

CPM 113-13-01 Transfusion of Blood Components

Explanation

CPM 113-13-01 Transfusion of Blood Components

12. You call a Veteran from the waiting room and notice that the patient is showing signs and symptoms of a stroke. You know that the following are signs and symptoms of Acute Ischemic Stroke (select all that apply):

Slurred speech

Facial drooping

Pain in jaw and shoulder

Weakness on one side of the body

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

Explanation

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

Submit

13. The organ procurement agency for RHJ VAMC is:

Death Point

Life Star

Life Point

DHEC

CPM 00-14-16 Organ and Tissue Donor Program

Explanation

CPM 00-14-16 Organ and Tissue Donor Program

14. Nursing personnel will take the following action with any Veteran exhibiting suicidal or homicidal ideations except:

Send the Veteran down the hall to meet with the Mental Health Intensive Case Manager

Ensure the Veteran remains in full view of the staff member assigned to monitor them at all times

CPM 116-13-03 "Suicidal Precautions"

Explanation

CPM 116-13-03 "Suicidal Precautions"

15. Which of the following are considered to be "High Alert Medications"? (select all that apply):

Heparin for therapeutic anticoagulation

Chemotherapy IV drugs

Hypertensive drugs

Insulin

Fentanyl patches

CPM 119-16-21 High Alert Medications and Standardized Infusions

Explanation

CPM 119-16-21 High Alert Medications and Standardized Infusions

Submit

16. Match the following age/risk factors with the appropriate recommendation according to the US Preventive Service Task Force (USPSTF):

Men beginning at age 50 who are expected to live at least 10 more years

Men beginning at age 45 who are African-American and have a first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age (younger than age 65)

Men beginning at age 40 who have several first-degree relatives who had prostate cancer at an early age

Men 75 years or older

CPM 11C-14-10, "Prostate Cancer Screening"

Explanation

CPM 11C-14-10, "Prostate Cancer Screening"

Submit