Oasis 203 Post Training Quiz

1. As an agency, we have _____ days to gather all documentation for completing the SOC OASIS.

We have 5 days from starting the SOC OASIS to gather all needed documentation. If a client has a wound that you could not view at their SOC visit, but you will be able to view within those 5 days, wait to answer that question until you are able to see the wound. Make sure you complete that visit, and not another nurse because you cannot use their documentation for your assessment.

Explanation

We have 5 days from starting the SOC OASIS to gather all needed documentation. If a client has a wound that you could not view at their SOC visit, but you will be able to view within those 5 days, wait to answer that question until you are able to see the wound. Make sure you complete that visit, and not another nurse because you cannot use their documentation for your assessment.

Submit

2. Match the following Pressure Ulcer definition with the correct stage.

Partial thickness loss of dermis. Presents as a shallow, open ulcer with a red wound bed.

Full thickness ulcer with exposed bone, tendon, or muscle.

Full thickness ulcer. Subcutaneous fat may be visible. No bone, tendon, or muscle is exposed.

Intact skin with non-blanchable area of redness

Submit

3. Please match the wound status definitions.

Wound bed completely covered with new epithelium. No exudate. No avascular tissue (eschar and/or slough). No signs or symptoms of infection.

>25% of the wound bed is covered with granulation tissue.

Wound with >25% avascular tissue (eschar and/or slough), OR signs/symptoms of infection present, OR clean but non-granulating wound bed, OR closed/hyperkeratotic wound edges, OR persistent failure to improve despite appropriate comprehensive wound management

Wound bed filled with granulation tissue to the level of the surrounding skin, no dead space, no avascular tissue (eschar and/or slough). No signs or symptoms of infection. Wound edges are open.

Submit

4. When documenting a pain assessment, you only need to chart that patient denies pain.

True

False

Charting that a patient denies pain does not prove that you completed a formal pain assessment on a patient. A tool still needs to be used. If 0-10 scale is being used, the rating of a 0 must also be documented.

Explanation

Charting that a patient denies pain does not prove that you completed a formal pain assessment on a patient. A tool still needs to be used. If 0-10 scale is being used, the rating of a 0 must also be documented.

5. You admit a patient and determine that they are unable to read. They are able to see the print on a newspaper, but cannot read and understand content.(M1200) Vision (with corrective lenses if the patient usually wears them):

0 - Normal vision: sees adequately in most situations; can see medication labels, newsprint.

2 - Severely impaired: cannot locate objects without hearing or touching them, or patient nonresponsive

Option 0 would be the best choice because the patient is able to see adequately. Ability to read or understand is not assessed in this question

Explanation

Option 0 would be the best choice because the patient is able to see adequately. Ability to read or understand is not assessed in this question

6. When completing a re-cert on the patient, the patient reports that he has stopped walking his dog due to the pain in his knees. He used to walk his dog twice daily. He also reports having difficulty sleeping last night due to the pain in his knees and had to take a pain pill during the night. (M1242) Frequency of Pain Interfering with patient's activity or movement:

0 - Patient has no pain

1 - Patient has pain that does not interfere with activity or movement

2 - Less often than daily

3 - Daily, but not constantly

4 - All of the time

The patient has pain that has interfered with his activities that occurred daily and pain has also occurred at all hours of the day. Due to this, option 4 would be the best choice.

Explanation

The patient has pain that has interfered with his activities that occurred daily and pain has also occurred at all hours of the day. Due to this, option 4 would be the best choice.

7. When assessing a patient, you determine that they have severe hearing loss and are unable to hear simple directions. They are unable to read lips, but they are able to communicate through written notes with no difficulties. (M1220) Understanding of Verbal Content in patient's own language (with hearing aid or device if used):

0 - Understands: clear comprehension without cues or repetitions.

1 - Usually Understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand.

2 - Sometimes Understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand.

3 - Rarely/Never Understands

UK - Unable to assess understanding

The patient is not able to understand verbal content due to their loss of hearing. Due to this, option 3 would be the best choice.

Explanation

The patient is not able to understand verbal content due to their loss of hearing. Due to this, option 3 would be the best choice.

8. Client has a surgical wound on knee that was closed with staples. Edges are together, with some scabbing present and adhering to the underlying tissue.(M1342) Status of Most Problematic Surgical Wound that is Observable

0 - Newly epithelialized

1 - Fully granulating

2 - Early/partial granulation

3 - Not healing

This wound is healing by primary intention, so the only options we have are options 0 and 3. Since there is still scabbing adhering to the underlying tissue, option 3 would be the best choice.

Explanation

This wound is healing by primary intention, so the only options we have are options 0 and 3. Since there is still scabbing adhering to the underlying tissue, option 3 would be the best choice.

9. If a patient refuses to allow you to see their open pressure ulcer, document the refusal and continue with your assessment.

True

False

We need to visually assess all present wounds. If a client refuses, please try to convince them to allow you to assess the wound for your required documentation and for their safety.

Explanation

We need to visually assess all present wounds. If a client refuses, please try to convince them to allow you to assess the wound for your required documentation and for their safety.