Promotion Exam For Level III Nurse

1. You are asked to do an EKG on one of the patients who has come in for a physical check up. He tells you he is worried since his father just died of a heart attack. He begins to cry and is unable to lie still for you to get an adequate heart tracing. You must repeat the procedure. What do you tell the patient about risk factors and life style modifications?

Tobacco smoke,High blood pressure. High blood cholesterol or triglyceride levels,Lack of physical activity,Obesity,Diabetes,Stress,Alcohol,Family history of heart attack

Don't smoke,Check your cholesterol,Get regular medical checkups,Control your blood pressure,Exercise regularly,Maintain a healthy weight,Eat a heart-healthy diet,Manage stress,Consume alcohol in moderation

About This Quiz

This test is for Level II nurse who under probation to be promoted as level III nurse in family medicine clinic. All the questions and answers are based on the clinical practice.

2. You are answering a phone that a mother is very worried. Her daughters’ school has just sent a note home explaining one of the children in the class has been diagnosed with pink eye and she wants to know what she should do for her daughter. How can you reassure her and what kind of direction do you offer to help her make sure her daughter does not have this highly contagious disease?

Don't touch your eyes with your hands. Wash your hands thoroughly and frequently. Change your towel and washcloth daily, and don't share them with others.

Both viral and bacterial conjunctivitis are common among children and are very contagious. Someone with conjunctivitis may be contagious for seven to 14 days after signs and symptoms first appear.

3. A patient needs to have a colonoscopy. You are in charge of scheduling that day and the patient asks you about the procedure. How long it will take, do they really have to take all the medicine, how long before they can go back to work afterward. What instruction you will provide to patient regarding the pre-procedure education?

Colonoscopy usually will takes 1 hour, patient needs to take medication to clear the bowl movement one day ahead of procedure. Patient needs to be fasting for at least 8-12 hours before the procedure. And patient will under sedation for the procedure, so they will back to work after procedure at least 4 hours.

Patient needs to have other relative or friend to pick them up, they can not drive by themselves home, they are not suggest to swim after procedure. Some medications patient needs to stop it (aspirin, NSAID’s,Anti-coagulation,Birth control pills )

4. If a patient is in airborne precautions, how do you transport that patient to other sites of the hospital? (example, X-ray)

Patient wear surgical mask, yourself wear N95 mask, inform X-ray department staff to wear N95 mask .

Ask patient to wear mask

5. You have recieved the phone call, there is 5 years old girl who has bitten by the dog at home, her mother would like to get your suggestion what should do at home? What instruction you will give to this mother? When this child comes to the clinic, physician order the rabbies vaccine for her, she never recieved the rabbies vaccine before? What is the schedule for this child? What information you will provide to mother regarding the vaccination?

If the child has open wound, instruct mother to wash the wound with soap and water for at least 15 minutes, apply a disinfection without delay.

This girl needs to have rabbies vaccine, on 0,3,7,14, 28 days. Immunoglobulin(RIG) at 20 IU/Kg given on Day 1

6. What is BMI? How to calculated? If patient weight is 80 kg, and high is 178 cm, What is this patient's BMI? What does it mean?

BMI (body mass index) is a formula that uses both weight and height to estimate body fat. For most people, BMI provides a reasonable estimate of body fat. Excess body fat is related to serious health conditions. Its biggest weakness is that it doesn't consider individual factors such as bone or muscle mass

BMI=25.2, he is overweighed. Embrace healthy eating ,Exercise,Set action goals.

7. What is the international safety goal for this year?

Identify patient correctly, improve effective communication , imporve the safety of high alert medication, Eliminate wrong site, wrong patien ,wrong procedures, reduce the risk of health care associated infections, reduce the risk of patient harm resulting form fall

6 goals for this year JCI

8. What do you do if you can not identify a patient who is unconscious or incoherent?

Use John dane system to name patient

Initiate Jane dsne system to name patient

9. According to UFH policy, what are the steps of taking verbal order ?

Read back physician 's order by letter and write it down in patient medical record, progress notes, write it down date and time and physician's name ordered.

Get another nurse cosign, physician needs to sign with in 24 hours for in in-patient, 72 hrs for out-patient.

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Current Version
Mar 22, 2022

Quiz Edited by
ProProfs Editorial Team
Dec 04, 2008

Quiz Created by
Lovervalley