Fy 15 Specialty Clinic Annual Education Policy/Procedure/Protocol Review

47 Questions | Total Attempts: 215

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Fy 15 Specialty Clinic Annual Education Policy/Procedure/Protocol Review

Annual Education Policy/Procedure/Protocol review. Nursing staff must complete and obtain a minimum score of 90.


Questions and Answers
  • 1. 
    What values on the glucometer warrant immediate intervention?
    • A. 

      200

    • B. 

      400

    • C. 

      300

    • D. 

      400

  • 2. 
    A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
    • A. 

      T4

    • B. 

      T5

    • C. 

      T6

    • D. 

      T7

  • 3. 
    What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?
    • A. 

      A. Sit patient upright

    • B. 

      B. Take patient's B/P

    • C. 

      C. Seek to eliminate the cause

    • D. 

      A, B, & C

    • E. 

      Only A & C

  • 4. 
    Where does one find a list that will inform you of which MD has privileges for RHJ VAMC?
    • A. 

      S drive

    • B. 

      U drive

    • C. 

      T drive

    • D. 

      V drive

  • 5. 
    Which of the following medications are associated with risk for falls (select all that apply):
    • A. 

      Diuretics

    • B. 

      Opioids

    • C. 

      Antidiabetic

    • D. 

      Antihistamines

  • 6. 
    Prostate cancer screening should occur with the following populations (Select all that apply)
    • A. 

      Men who choose to be tested age 40 years or higher with highest risk factors (several first-degree relatives diagnosed with prostate cancer at an early age (younger than age 65))

    • B. 

      Men older than 75 years of age

    • C. 

      Men who choose to be tested age 45 or older at high risk for developing prostate cancer (African American men and men who have a first-degree relative diagnosed with prostate cancer at younger than 65 years of age)

    • D. 

      All men

  • 7. 
    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

  • 8. 
    To improve the quality of life for Veterans RHJVAMC has establishing policies and procedures to effectively manage acute and chronic pain by using a stepped care model. 
    • A. 

      True

    • B. 

      False

  • 9. 
    Policy 00-14-16 Organ and Tissue Donor Program ensures that families of potential donors are presented with the option of organ and tissue donation in a manner which promotes informed consent in compliance with applicable laws and regulations while addressing the emotional/ spiritual needs of the family.
    • A. 

      True

    • B. 

      False

  • 10. 
    The term “impaired professional” is used to describe the practitioner who is prevented by reason of illness, disorder, or other health/behavioral problems from performing professional duties at the expected level of skill and/or competence.
    • A. 

      True

    • B. 

      False

  • 11. 
    Informed consent includes informing patient of : (select alll which apply)
    • A. 

      Known side effects or consequences: predictable outcomes of a particular treatment or procedure; e.g., pain after surgery

    • B. 

      Possible side effects or consequences: outcomes that are not certain to happen as a result of a particular treatment or procedure, but that commonly occur; e.g., drowsiness in response to medication.

    • C. 

      Complications or adverse events: undesirable outcomes that result from a particular treatment or procedure but were not intended or expected: e.g., infection of a surgical wound.

    • D. 

      Risks in a language understandable to the patient

  • 12. 
    Medication labels should be prepared and applied at the time the medication or solution is prepared.
    • A. 

      True

    • B. 

      False

  • 13. 
    Alerts not processed within 14 days will be automatically sent to the Service Chief or appropriate designee for timely processing
    • A. 

      True

    • B. 

      False

  • 14. 
    It is VHA policy that all patients with potential for swallowing or feeding disorders must be appropriately assessed, referred for diagnostic evaluation (as necessary), treated, managed, monitored, and followed throughout the continuum of care.
    • A. 

      True

    • B. 

      False

  • 15. 
    A large percentage of patient suicides occur within 3 months of discharge from acute inpatient care from previous suicide attempt. 
    • A. 

      True

    • B. 

      False

  • 16. 
    All professionals have a responsibility to act on all suspected abuse.
    • A. 

      True

    • B. 

      False

  • 17. 
    This facilities'  organ procurment agency is:
    • A. 

      Life Point

    • B. 

      Death Star

    • C. 

      SCOPA

    • D. 

      LOPA

  • 18. 
    When is necessary to call Life Point? [CHECK ALL THAT APPLY]
    • A. 

      For all discharges

    • B. 

      Patients who death is imminent

    • C. 

      Patients who are deceased

    • D. 

      For all admissions

  • 19. 
    How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]
    • A. 

      An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143

    • B. 

      Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449

    • C. 

      Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

    • D. 

      There is no ethics consultation service - don't call anyone - figure it out by yourself

  • 20. 
    Here at the RHJ VAMC, a missing child alert is announced overhead as
    • A. 

      Amber Alert

    • B. 

      Ahsley Alert

    • C. 

      Code Adam

    • D. 

      Missing Child Alert

  • 21. 
    Accordng to the RHJ VAMC's  CMP for PROCEDURES FOR ACTIVE SHOOTER RESPONSE the employees' responsibilities include [CHECK ALL THAT APPLY]
    • A. 

      Immediately calling extension 7251, 7268 or 7911 to report the incident

    • B. 

      Immediately locking themselves in a secure room or evacuate if able to do so safely.

    • C. 

      Remaining in a secure location until the “All Clear” is given by VA or local Police

    • D. 

      following all instruction given by VA Police or local Police

  • 22. 
    According to the ORDERING AND REPORTING TEST RESULTS CPM, if the nurse takes a critical lab value from the lab, then the nurse will use what procedure? 
    • A. 

      Nurses never take critical lab reports

    • B. 

      Put the Lab on HOLD until the MD can be tracked down and told personally

    • C. 

      Write the lab value on a paper towel and tell the PCC to call the MD

    • D. 

      Read back process and records the name of the responsible provider to whom the results were reported and the time the result was communicated in the medical record

  • 23. 
    Veteran’s state portable orders for “Do Not Resuscitate” (DNR) and /or other life sustaining treatment are recognized by this VA. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 24. 
    According to the CPM for ADULT VICTIMS OF ALLEGED ACUTE SEXUAL ASSAULT, this VA treats acute alleged sexual assaults. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 25. 
    Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]
    • A. 

      Fever with or without chills

    • B. 

      Tachycardia and/or tachypnea and dyspnea

    • C. 

      Hives or rash to the patient's trunk and back

    • D. 

      Sudden change in BP

    • E. 

      Wheezing

    • F. 

      Improvement of the hemoglobin and hematocrit values

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