Vumc Student & Faculty Orientation Quiz

1. What is the single most effective way to prevent infections?

Use sterile technique

Put on gloves

Limit visitors

Wash your hands

2. You have just provided care to a patient on contact precautions with C. difficile. What method would you use to perform hand hygiene:

I don't need to, I had on gloves

Soap and Water

Alcohol-based hand rub

VUMC-approved lotion

3. If you are exposed to blood or body fluids, the next steps after immediate first aid are to:

Call your instructor and go home sick

Contact your school faculty, and report to Occupational Health or Adult ED (if after hours)

Collect patient information, contact an attorney and sue the patient

No further actions needed

4. What are the steps to prevent bladder infections from an indwelling catheter?

Use soap and water every shift to clean the meatus

Anchor the device to decrease movement of the catheter

Hang the catheter bag below the bladder

All of the above

5. You enter a patient's room to discuss a new anti-depressant medication the provider has prescribed. Several visitors are at the bedside. What should you do?

Provide patient education regarding the new medication

Ask the visitors to step out of the room before providing education

Assume the visitors are family and educate them also

Speak quietly so the visitors cannot hear you

6. You enter a patient room after performing hand hygiene prior to entering. The patient asks you to wash your hands before obtaining her vital signs. Your response should be:

"I already washed my hands before entering your room."

"They aren't dirty. I haven't touched anything."

"Thank you. I will do that right now."

"I plan on putting gloves on before starting."

7. What do you do if you are going to leave your computer for a short time?

Leave it logged in

Take the computer with you

Log off before leaving the computer

Ask someone to watch the computer while you are gone

8. VUMC's Patient and Family Promise includes:

What they can expect in every interaction

Commitment to Patient and Family Centered Care

Communicate clearly and regularly

All of the above

9. Violation of Vanderbilt policies covering patient privacy and confidentiality and/or HIPAA regulations:

Will result in you not being able to participate in any additional clinical experiences at VUMC

May result in sanctions to your school

Both a and b

Neither a nor b

10. Under the Hazard Communication Standard (HCS), individuals who may be exposed to hazardous chemicals at work are responsible for which of the following:

Reviewing information provided on labels and on Safety Data Sheets (SDS)

Reporting potentially unsafe situations or conditions to your supervisor/preceptor

Compliance with all aspects of the US Hazard Communication Standard and the Tennessee Right to Know Law

All of the above

11. The mission of VUMC incorporates quality in which of the following areas:

Patient care

Education

Research

All of the above

12. Your assigned nurse asks you to verify and cosign blood products prior to initiating the blood transfusion. What should your response as the student be?

"I have never done this before. Can you walk me through it?"

"This falls outside my Scope of Practice. I am not allowed to cosign blood products."

"Sure, let me get my instructor."

"Can I administer the blood transfusion also?"

13. You are on your way to lunch and you notice a blinking call light outside the room of a patient who is not assigned to you. What should you do?

Ignore it; you are hungry

Ask the unit secretary to let the assigned nurse know the call light is blinking

Respond to the call light and ask the patient what you can assist them with

Pretend you don't see it and keep walking

14. What is the overhead activation announcement used to make VUMC staff aware of a fire situation in the Medical Center?

Fire Alert

Red Alert

Yellow Alert

Orange Alert

15. There are four missing person codes at VUMC. Which code indicates an adult over the age of 18 is missing?

Code Pink

Code Purple

Code Walker-Adolescent

Code Walker-Adult

16. There are four missing person codes at VUMC. Which one indicates an infant younger than 12 months is missing?

Code Purple

Code Pink

Code Walker-Adolescent

Code Walker-Adult

17. You are providing report to the oncoming shift. Which type of handover communication should you use:

SBAR

AIDET

HEARD

PASS

18. What is the number to call to initiate the Rapid Response Team?

1-1111

911

0

421-9111

19. You have just administered insulin subcutaneously to your assigned patient. Following administration, what should you do with regards to sharps safety?

Engage the safety of the sharp using your finger so you can feel the "click"

Stick the needle into the mattress so you can apply pressure to the injection site

Engage the safety on a hard surface and place the needle into the sharps container

Recap the needle and dispose in the trash can

20. By checking the box below, I attest that I have received and reviewed VUMC compliance training.

Yes

No

21. By checking the box below, I indicate that I have read, accept, and agree to abide by all of the terms and conditions of this Privacy and Confidentiality Agreement and agree to be bound by it.

Yes

No

22. You are assigned to care for a patient who has limited English proficiency. During report you are told you will need an interpreter as you provide care for the patient. Which of the following are appropriate methods of interpretation?

A family member who has been at the bedside since admission

A VUMC certified interpreter

An employee fluent in the patient's language

All of the above

23. By checking the box below, I attest that I have received and reviewed the VUMC Student & Faculty Orientation.

Yes

No

24. As part of the Infant-Specific protocols at VUMC, which of the following is not a recommendation of the Baby-Friendly Hospital Initiative?

Pacifiers are not recommended while learning to breastfeed. Education should be provided to the family.

Exclusive breastfeeding is recommended unless the mom has a contraindication or the baby has a medical reason for formula.

All infants should stay in the nursery for continuous monitoring.

"Ten Steps to Successful Breastfeeding" signs will be posted on the Postpartum unit.

25. Your assigned patient has been admitted for rule-out meningitis and is placed on droplet precautions. Prior to entering the patient's room you will need to:

Wear a surgical mask

Adhere to Standard Precautions only

Wear a N-95 respirator mask

Wear gown and gloves

26. You enter a patient room to obtain vital signs and discover the patient is not breathing and does not have a pulse. As the student, what should your first step be:

Stay with the patient and call for help

Leave the patient to go get your preceptor

Call the Rapid Response Team

Auscultate an apical pulse

27. Match the following

Fraud

Waste

Abuse

Submit