Fy 15 Med-surg: RN Annual Education Policy/Procedure/Protocol Quiz

45 Questions | Total Attempts: 121

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Fy 15 Med-surg: RN Annual Education Policy/Procedure/Protocol Quiz

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


Questions and Answers
  • 1. 
    Who is the organ procurement agency for RHJ VAMC?
    • A. 

      LifeCare

    • B. 

      LifePoint

    • C. 

      LifeChoice

    • D. 

      LifeLIne

  • 2. 
    When would you notify the organ procurement agency?
    • A. 

      When death is imminent.

    • B. 

      When death is likely in 3 to 4 days.

    • C. 

      At least 6 hours after death has occured.

    • D. 

      Twenty-four hours before death is to occur.

  • 3. 
    All properly excuted consents are valid for ____calendar days unless there has been  a significant change in condition.
    • A. 

      30 days

    • B. 

      40 days

    • C. 

      50 days

    • D. 

      60 days

  • 4. 
    Documentation of a Type and Screen should include all of the following except:
    • A. 

      Full name of patient

    • B. 

      Last four digits of social security number

    • C. 

      Date and time of collection

    • D. 

      Collector's signature

  • 5. 
    The following are nurses’ actions in the event of a blood transfusion reaction except:
    • A. 

      Notify physician.

    • B. 

      Notify blood bank

    • C. 

      Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.

    • D. 

      Label the tubes as immediate.

  • 6. 
    What values on the glucometer warrant a serum sample to be sent to the lab stat?
    • A. 

      300 in a purple cap vial

    • B. 

      400 in a green cap vial

    • C. 

      300 in a purple cap vial

    • D. 

      400 in a green cap vial

  • 7. 
    RHJ VAMC is a latex free facility.
    • A. 

      True

    • B. 

      False

  • 8. 
    What is the proper procedure to verify a patient’s identification?
    • A. 

      Ask the patient to state his/her full name and last four of social security number

    • B. 

      Ask the patient to state his/her last name and last four of social security number

    • C. 

      Ask the patient to state his/her full name and full social security number

    • D. 

      Ask the patient to state his/her last name and full social security number

  • 9. 
    What is the time frame for evaluating and documenting PRN medications?
    • A. 

      30 minutes

    • B. 

      60 minutes

    • C. 

      90 minutes

    • D. 

      120 minutes

  • 10. 
    How often is the ITP (Interdisciplinary Team Plan) note updated?
    • A. 

      Every 12 hours

    • B. 

      Every 24 hours

    • C. 

      Every 48 hours

    • D. 

      Every 72 hours

  • 11. 
    Patient's on the medical units are routinely assessed every _________ hours.
    • A. 

      6 hours

    • B. 

      8 hours

    • C. 

      12 hours

    • D. 

      24 hours

  • 12. 
    How many staff members are required when using a lift for safe patient handling?
    • A. 

      It can be used with only one person

    • B. 

      A minimum of 2 people

    • C. 

      At least 3 people if SCI patient

  • 13. 
    How often is skin assessed and documented?
    • A. 

      Every 12 hours

    • B. 

      Every 24 hours

    • C. 

      Every 48 hours

    • D. 

      Every 72 hours

  • 14. 
    What assessment tool does one use to document skin breakdown risk?
    • A. 

      Glasgow Scale

    • B. 

      Braden Scale

    • C. 

      PIP Scale

    • D. 

      Pressure Ulcer Scale

  • 15. 
    How often do the narcotics in the PYXIS get inventoried?
    • A. 

      Daily

    • B. 

      Bi-weekly

    • C. 

      Weekly

    • D. 

      Monthly

  • 16. 
    Who may conduct the narcotic inventory in the PYXIS?
    • A. 

      Two RNs only

    • B. 

      Two LPNs only

    • C. 

      Two licensed nurses

  • 17. 
    Chest Pain: When a patient complains of chest pain, what are the first interventions an RN should perform before calling the MD?
    • A. 

      A. Assessment of pain

    • B. 

      B. Stat EKG

    • C. 

      C. Initiate oxygen at 4L/min

    • D. 

      All of the above

    • E. 

      A & B only

  • 18. 
    What is the timeframe for tPA eligibility?
    • A. 

      < 3 hours

    • B. 

      < 3.5 to 4.5 hours

    • C. 

      < 3 to 4.5 hours

    • D. 

      < 5 hours

  • 19. 
    What is an acceptable BP for tPA eligibility?
    • A. 

      Systolic < 185; diastolic < 110

    • B. 

      Systolic < 160; diastolic < 100

    • C. 

      Systolic < 140; diastolic < 90

    • D. 

      Systolic < 120; diastolic < 80

  • 20. 
    Because CIWA-Ar is a nurse driven policy, no order is needed to initiate the protocol.
    • A. 

      True

    • B. 

      False

  • 21. 
    What is the minimum CIWA-Ar score that should be treated?
    • A. 

      > 6

    • B. 

      > 8

    • C. 

      >10

    • D. 

      > 12

  • 22. 
    When can the CIWA-AR protocol be discontiuned?
    • A. 

      CIWA-AR score of less than 4 for three consecutive times

    • B. 

      CIWA-AR score of less than 6 for three consecutive times

    • C. 

      CIWA-AR score of less than 8 for three consecutive times

    • D. 

      CIWA-AR score of less than 10 for three consecutive times

  • 23. 
    When admitting a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?
    • A. 

      Assess bowel daily home routine care

    • B. 

      Assess bladder daily home routine care

    • C. 

      Assess bowel and bladder daily routine home care

    • D. 

      Assess daily routine bathing home care

  • 24. 
    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

  • 25. 
    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

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