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

Nursing NA/HCT are allowed to chart on the Hourly Rounds Flowsheet and the Nursing shift note.

• True

• False

What is the acceptable range for pulse rate in an adult patient?

• 50 - 100 beats/min.

• 60 - 100 beats/min.

• 70 - 100 beats/min.

• 80 - 100 beats/min.

What is the acceptable range for respirations in the adult patient?

• 14 - 20

• 14 - 24

• 12 - 20

• 12 - 24

HCTs/NAs may function in the role of sitter for a patient that is placed on suicidal precautions.

• True

• False

HCTs/NAs should participate in the Post Fall Huddle meetings.

• True

• False

What is the proper procedure to verify a patient's identification?

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

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

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

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

How many staff members are required when using a lift for safe patient handling?

• It can be used with only one person

• A minimum of 2 people

• At least 3 people if spinal cord injury (SCI) patient

According to the CPM 136-12-02, who does one call to obtain assistance for a hard of hearing patient or a language interpreter?

• AT & T Relay Service

• TTY Phone

• Bellsouth Relay Service

• Both A & B

A patient is experiencing chest pain, the nurse may ask you to perform the following tasks except:

• Obtain vital signs

• Obtain EKG

• Obtain oxygen saturation level

• Give nitroglycerin

Pre-thickened liquids are available for patients with a diagnosis of _________.

• Hypertension

• Diabetes

• Dysphagia

All staff is responsible for implementing interventions to create a safe environment and maintain safety of all patients.

• True

• False

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, you certify that you are the person taking this test.

• Yes

• No

It is important to reposition a patient during an eight-hour shift. How often should he or she be turned? 

• Every 2

• Every 4

• Every 6

• Every 8

The most serious problem that wrinkles in the bedclothes can cause is 

• Restlessness

• Sleeplessness

• Pressure ulcer

• Bleeding and shock

In order to prevent a catheter acquired urinary tract infection (CAUTI), the following interventions can be provided by the CNA/HCT except:

• Peri care every shift

• Check for signs and symptoms of infection

• Maintain no kinks in tubing or coil on bed

• Notify the MD of cloudy or red urine color

If a patient has a feeding problem, that means that he/she will also have a swallowing problem.

• True

• False

What is the average B/P in an adult patient?

• < 120 / < 80 mm Hg

• < 110 / < 60 mm Hg

• < 120 / < 90 mm Hg

• < 100 / < 70 mm Hg

The most common site for counting the pulse is the 

• Carotid artery

• Femoral artery

• Brachial artery

• Radial artery

Is [your statement here] true or false?

• True

• False

You are asked to take the oxygen saturation rate of a new admission, you note that the patient has on black nail polish. You inform the patient that you will need to remove the nail polish from one of her nails, you are doing this because:  

• Nail polish contaminates the finger senor

• Nail polish increases oxygen saturation

• Nail polish interferes with senor function.

A patient has a large black tarry stool, you do not need to report this to the nurse, stool changes as a person ages from brown to black.

• True

• False

RHJ is a latex free facility.

• True

• False

Ceiling lifts are the only safe patient handling devices that are available at the VA for safe patient handling.

• True

• False

If a patient is having feeding problems, you should do the following (select all that apply):

• Cut meat

• Butter bread

• Open packages

• Remind the patient to eat slowly

How often should a patient's intake and output be recorded? 

• Once a day

• Every 12 hours

• Every 8 hours

• Every 6 hours

A patient that is placed on contact isolation requires that the healthcare provider wear a gown, mask, gloves and foot covers.

• True

• False

When orienting a new CNA caring for a male patient, which of the following observed actions indicates a need for further orientation for the CNA?  

• Used clean gloves

• Did not retract the foreskin before cleansing

• Use the clean portion of washcloth for each cleansing wipe

• Used circular motion to cleanse from urinary meatus outward.

In order to protect the patient's skin, you can provide the following interventions: (select all that apply)

• Bathing

• Apply barrier cream to reddened areas

• Limit linen to only 2 layers

• Place adult briefs on patient and change every four hours

The hypoglycemia protocal is initiated when a blood sugar of less than ________ is obtained.  

If a patient has trouble swallowing his food then he will also have trouble feeding him/her self.

• True

• False

Feeding problems are common in patients that have  the following diagnoses, select all that apply:  

• Strokes

• Parkinson's disease

• Alzheimer's

• Multiple sclerosis

What is the acceptable range for temperture in an adult?

• 96.8F - 100.4F

• 97.8F - 100.4F

• 97F - 100.4F

• 98.6F - 100.4F

When measuring the amount of urine from the foley catheter, you should measure the amount while the graduate is seated on the floor.

• True

• False

Common areas of increased risk for pressure ulcers include all except:

• Elbows

• Occiput

• Knees

• Thighs

What is the  acceptable range for 02 saturation?

• 90 - 100

• 92 - 100

• 95 - 100

• 98 - 100

Factors that will increase the risk of pressure ulcer development in hospitalized patients are: (select all that apply)

• Dry skin

• Incontinence

• Spasticity

• Poor positioning