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

The Veteran will be placed on one to one observation pending a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded

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

Patient is restricted to clinical area. Staff will escort patient to restroom, medical procedures or evaluations remaining in one to one observation at all times

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):

Weakness on one side of the body

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

Heparin for therapeutic anticoagulation

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

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

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 RN Clinic Triage note

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

Tachycardia and sudden change in BP

Hives or rash to the patient's trunk and back

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

Fy16 Primary care LPN Annual Policy Review

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Fy16 Primary care LPN Annual Policy Review - Quiz

Annual Nursing Education review of policies, procedures, and protocols for Primary Care LPN. Must be completed by March 31, 2016 with 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", I certify that I am the person taking this test.
- A.
  
  Yes
- B.
  
  No
Correct Answer
A. Yes

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.

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2.

Nursing personnel will take the following action with any Veteran exhibiting suicidal or homicidal ideations except:
- A.
  
  Send the Veteran down the hall to meet with the Mental Health Intensive Case Manager
- B.
  
  The Veteran will be placed on one to one observation pending a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded
- C.
  
  Ensure the Veteran remains in full view of the staff member assigned to monitor them at all times
- D.
  
  Patient is restricted to clinical area. Staff will escort patient to restroom, medical procedures or evaluations remaining in one to one observation at all times
Correct Answer
A. Send the Veteran down the hall to meet with the Mental Health Intensive Case Manager

Explanation
CPM 116-13-03 "Suicidal Precautions"

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3.

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):
- A.
  
  Slurred speech
- B.
  
  Facial drooping
- C.
  
  Pain in jaw and shoulder
- D.
  
  Weakness on one side of the body
Correct Answer(s)
A. Slurred speech
B. Facial drooping
D. Weakness on one side of the body

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

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4.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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

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5.

Which of the following are considered to be "High Alert Medications"? (select all that apply):
- A.
  
  Heparin for therapeutic anticoagulation
- B.
  
  Chemotherapy IV drugs
- C.
  
  Hypertensive drugs
- D.
  
  Insulin
- E.
  
  Fentanyl patches
Correct Answer(s)
A. Heparin for therapeutic anticoagulation
B. Chemotherapy IV drugs
D. Insulin
E. Fentanyl patches

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

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6.

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
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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

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7.

<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
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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

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8.

Care that is provided to Veterans with symptomatic hypoglycemic episodes is documented:
- A.
  
  On the hard copy note that is placed in the patient's Interfacility Transfer packet
- B.
  
  In CPRS, under the Clinic Nurse Note
- C.
  
  In CPRS, under the template titled "Hypoglycemia/Hyperglycemia Protocol Note"
- D.
  
  In CPRS, under the RN Clinic Triage note
Correct Answer
C. In CPRS, under the template titled "Hypoglycemia/Hyperglycemia Protocol Note"

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

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9.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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

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10.

The organ procurement agency for RHJ VAMC is:
- A.
  
  Death Point
- B.
  
  Life Star
- C.
  
  Life Point
- D.
  
  DHEC
Correct Answer
C. Life Point

Explanation
CPM 00-14-16 Organ and Tissue Donor Program

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11.

Signs and symptoms of an adverse blood transfusion reaction include all of the following EXCEPT:
- A.
  
  Tachycardia and sudden change in BP
- B.
  
  Constipation and/or impaction
- C.
  
  Hives or rash to the patient's trunk and back
- D.
  
  Fever with or without chills
- E.
  
  Wheezing and/or dyspnea
Correct Answer
B. Constipation and/or impaction

Explanation
CPM 113-13-01 Transfusion of Blood Components

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12.

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?
- A.
  
  Last 4 of SSN
- B.
  
  FULL Name and Room #
- C.
  
  FULL Name and FULL SSN
- D.
  
  Mother's maiden name
Correct Answer
C. FULL Name and FULL SSN

Explanation
CPM 118-14-23, Patient Identification

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13.

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:
- A.
  
  Hypoglycemia-Hyperglycemia Protocol Note in CPRS
- B.
  
  Clinic Nurse Note in CPRS
- C.
  
  RN Triage Note in CPRS
- D.
  
  Interfacility Transfer Note
Correct Answer
A. Hypoglycemia-Hyperglycemia Protocol Note in CPRS

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

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14.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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

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15.

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.

Correct Answer
patient

Explanation
CPM 11-15-23 "Medication Reconciliation"

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4

Fy16 Primary care LPN Annual Policy Review

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.

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

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):

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.

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

<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

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

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.

The organ procurement agency for RHJ VAMC is:

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

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?

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:

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.