1.
Who is the organ procurement agency for RHJ VAMC?
Correct Answer
B. LifePoint
Explanation
CPM 00-14-16; T drive- All CPMs—type “Organ” in the search box
2.
When would you notify the organ procurement agency?
Correct Answer
A. When death is imminent.
Explanation
CPM 00-14-16. T drive- All CPMs—type “Organ” in the search box
3.
The following are nurses’ actions in the event of a blood transfusion reaction except:
Correct Answer
C. Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.
Explanation
CPM 113-13-01. T drive- All CPMs—type “blood transfusion ” in the search box
4.
Because CIWA-Ar is a nurse driven policy, no order is needed to initiate the protocol.
Correct Answer
B. False
Explanation
T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol
5.
What is the minimum CIWA-Ar score that should be treated?
Correct Answer
B. > 8
Explanation
T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol
6.
When can the CIWA-AR protocol be discontiuned?
Correct Answer
C. CIWA-AR score of less than 8 for three consecutive times
Explanation
T drive---Clincal Guildlines and Protocols--Protocols--Alcohol Dextoxicfication Protocol
7.
When admitting a SCI patient, what primary care intervention needs to be addressed in the hospital and continued on same home schedule?
Correct Answer
C. Assess bowel and bladder daily routine home care
Explanation
CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.
8.
What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?
Correct Answer
D. A, B, & C
Explanation
CPG 12-2013 Spinal Cord Injury Treatment Guidelines for Physicians and Nurses. Located on the T drive--Clinical Guidelines and Protocols---Clinical Practice and Guidelines. Type "spinal" in the search box.
9.
What are the signs and symptoms of blood transfusion reaction? (Select all that apply).
Correct Answer(s)
A. Fever
B. Flushing of skin
C. Chills
D. Dizzness
Explanation
CPM 113-13-01. T drive---All CPMs, type "blood transfusion" in search box
10.
What type of specimen is required for a type and cross match?
Correct Answer
A. One 7 ml lavender top blood tube with a yellow armband sticker
Explanation
CPM 113-13-01. T drive---All CPMs, type "blood transfusion" in search box
11.
The following interventions are to be performed in the event that an inpatient suffer a Fall, check all that apply:
Correct Answer(s)
A. ROM
B. Neuro checks
C. Report to the Patient Safety Hotline
Explanation
CPM 118-13-18 Assessment and Care of Patients-Residents at Risk for Falls. Locsatedon the T drive--All CPMs--type "falls" in the search box.
12.
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.
Correct Answer
A. Yes
Explanation
The given statement indicates that the person is pledging to uphold the core values of the American Nurses Association code of ethics, specifically honesty and integrity. By selecting "Yes," the person is affirming their commitment to these values and certifying that they are the one taking the test.
13.
When a patient on the unit shows signs and symptoms of a stroke, according to the stroke protocol, which of the following interventions should you perform, check all that apply:
Correct Answer(s)
A. EKG
C. Start oxygen, titrate to keep greater than 95%
D. Order non-contrast CT scan
Explanation
Nursing Protocol Signs and Symptoms of Acute Ischemia Stroke
14.
Continuous IV medication infusions that require titration based on vital signs are not approved for administration on the inpatient medical-surgical nursing units.
Correct Answer
A. True
Explanation
CPM 118-13-41
15.
After obtaining tubes of blood for type and cross match, verification is to be done at the bedside, but labeling can be done at the beside or at the nurse’s station with two RNs verifies.
Correct Answer
B. False
Explanation
Blood Transfusions: CPM 113-13-01. T drive---all CPMS—type the word “blood transfusion” in the search box.
16.
Medication that is scheduled for every 8 hour will be administered within plus or minus 2 hours of scheduled times unless otherwise noted by the provider.
Correct Answer
B. False
Explanation
CPM 118-14-42 (Nursing)
17.
Mr. Smith is to receive two units of Packed RBCs, the correct procedure for identifying Mr. Smith is:
Correct Answer
D. Ask the patient his first and last name and his full social security number
Explanation
The correct procedure for identifying Mr. Smith is to ask the patient his first and last name and his full social security number. This ensures a more accurate and secure identification process, as the full social security number is a unique identifier for an individual. Asking for the last four or six digits of the social security number may not provide enough information to accurately identify the patient, as there could be multiple individuals with the same last four or six digits. Additionally, asking for the patient's date of birth may not be as reliable, as there could be individuals with the same name and date of birth.
18.
What blood glucose reading warrants initiating the hypoglycemia protocol:
Correct Answer
C. Less than 70
Explanation
Hypoglycemia-Hyperglycemia Protocol; this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "hypoglycemia" and this will bring up the policy.
19.
Your patient has a blood sugar that warrants you initiating the hypoglycemia protocol; where would you document your interventions:
Correct Answer
C. CPRS hypoglycemia/hyperglycemia protocol note
Explanation
Hypoglycemia-Hyperglycemia Protocol; this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "hypoglycemia" and this will bring up the policy.