February 2014 Tqip Educational Experience

5 Questions | Total Attempts: 547

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February 2014 Tqip Educational Experience

Questions and Answers
  • 1. 
    A 27 y/o male driver involved in a MVC vs tree is transferred to your facility for higher level of care via ambulance. Per EMS run sheet transferring to your facility, his vitals are BP 146/84, pulse 152, RR 30, GCS 3 and the initial assessment states “pt. unresponsive, bleeding from deep forehead laceration, no other obvious injuries noted”. Based on the information given, what field value options would be reported to NTDB for the variable Trauma Center Criteria?
    • A. 

      10 Open or depressed skull fracture

    • B. 

      1 GCS < 14; 3 RR 29

    • C. 

      Not known/Not recorded

    • D. 

      1 GCS < 14; 3 RR 29; 4 All penetrating injuries to head, neck, torso, and extremities proximal to elbow or knee

  • 2. 
    A 34 year old male patient is transferred to your facility from an outside hospital for an SAH,  s/p MVC.  Neurosurgery directly admits the patient to your ICU unit.  Based on the above information, what would you report for the variable ED Discharge Disposition?
    • A. 

      Intensive Care Unit (ICU)

    • B. 

      Not Applicable

    • C. 

      Other

    • D. 

      None of the above

  • 3. 
    The patient is a 90 year old female, s/p fall at the skilled nursing facility where she resides.  She is admitted to your facility with a SDH, skull fx, and facial fxs.  She is intubated in the ICU.  Her past medical history includes HTN, and dementia.  Her meds are ASA, Norvasc, and Aricept.  Later the same day, the family decides to make the patient a DNR. What Comorbid Condition would you assign to this patient, based on the above information?
    • A. 

      Advanced directive limiting care; Bleeding disorder; Hypertension requiring medication

    • B. 

      Advanced directive limiting care; Bleeding disorder; Hypertension requiring medication; Functionally dependent health status

    • C. 

      Advanced directive limiting care; Bleeding disorder; Hypertension requiring medication; Functionally dependent health status; Dementia

    • D. 

      Hypertension requiring medication; Functionally dependent health status; Dementia

  • 4. 
    For the data element Withdrawal Of Care, a DNR is required.
    • A. 

      True

    • B. 

      False

  • 5. 
    The patient is a 4 year old female admitted with a right humerus fracture after a reported fall down 3 steps at her mother’s home where she had been residing.   Social work was consulted and cleared the patient for discharge, but it was determined that the father was the custodial parent.  The child was discharged in the custody of the father. Based on the above information, you would answer the data field Caregiver At Discharge as:
    • A. 

      1. Yes

    • B. 

      2. No

    • C. 

      Not Applicable

    • D. 

      Not known/Not recorded

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