1.
Who is the organ procurement agency for RHJ VAMC?
Correct Answer
B. LifePoint
Explanation
Organ Procurement: 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
Organ Procurement: 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
Blood Transfusions: CPM 113-13-01. T drive---all CPMS—type the word “blood transfusion” in the search box
4.
What values on the glucometer warrant a serum sample to be sent to the lab stat?
Correct Answer
B. 400 in a green cap vial
Explanation
1. 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.
5.
A spinal cord injury (SCI) patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
Correct Answer
C. T6
Explanation
6. 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.
6.
What would you do if your SCI resident was showing symptoms of autonomic dysreflexia?
Correct Answer
D. A, B, & C
Explanation
6. 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.
7.
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
14. Blood Transfusions: CPM 113-13-01. T drive---all CPMS—type the word “blood transfusion” in the search box.
8.
Which of the following are considered to be "High Alert Medications"? (Select all that apply).
Correct Answer(s)
A. TPN
B. Heparin
C. Chemotherapy IV drugs
D. Insulin
Explanation
20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box
9.
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
14. Blood Transfusions: CPM 113-13-01. T drive---all CPMS—type the word “blood transfusion” in the search box.
10.
All of the following are ways in which the nurse can help prevent Autonomic Dysreflexia except:
Correct Answer
C. Use of over the bed trapeze
Explanation
6. 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.
11.
Which of the following medications are associated with risk for falls (select all that apply):
Correct Answer(s)
A. Diuretics
B. Opioids
C. Antidiabetic
D. Antihistamines
Explanation
20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box
12.
For a resident experiencing a severe UTI, the catheter should be changed after the antibiotic is started.
Correct Answer
B. False
Explanation
The statement is false because for a resident experiencing a severe UTI, the catheter should be changed before starting the antibiotic. This is because the catheter can be a source of infection and changing it helps to remove any bacteria that may be present. Starting the antibiotic before changing the catheter may not effectively treat the infection and could lead to further complications.
13.
The following are medications used to treat UTIs (select all that apply):
Correct Answer(s)
A. Amoxil
B. Macrodantin
D. Cipro
Explanation
Amoxil, macrodantin, and cipro are all medications that are commonly used to treat urinary tract infections (UTIs). Amoxil is the brand name for amoxicillin, which is an antibiotic that can effectively treat UTIs caused by bacteria. Macrodantin is the brand name for nitrofurantoin, another antibiotic that is specifically used to treat UTIs. Cipro is the brand name for ciprofloxacin, a broad-spectrum antibiotic that is often prescribed for various types of infections, including UTIs. These medications work by killing or inhibiting the growth of bacteria, helping to alleviate the symptoms of UTIs and promote healing.
14.
The following interventions are to be performed in the event that a resident suffers a Fall, check all that apply:
Correct Answer(s)
A. ROM
B. Neuro checks
C. Report to the Patient Safety Hotline
Explanation
20. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box
15.
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 correct answer is "Yes." This answer indicates that the person taking the test pledges to demonstrate the core values of the American Nurses Association code of ethics by upholding the standards of honesty and integrity. By selecting "Yes," the person certifies that they are the one taking the test.
16.
Your patient has a blood sugar that warrants you initiating the hypoglycemic protocol; where would you document your interventions for this patient:
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.
17.
Medications scheduled to be administered every 8 hours will be administered within plus or minus 2 hours of scheduled times unless otherwise noted by the provider.
Correct Answer
B. False
Explanation
CPM 118-14-50 Administration of Medications by Nursing
18.
You enter the your patient’s room to give him his 8 am medications, and you notice that the patient is showing signs and symptoms of a stroke, what interventions would you initiate, select all that apply:
Correct Answer(s)
A. Stat EKG and have pHysician evaluate
D. Start oxygen to keep SpO2 > 95%
Explanation
Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)
19.
Observation of patients receiving PCA pain medication should include documentation of the following information (select all that apply):
Correct Answer(s)
A. Level of sedation
B. Pain intensity score
C. Respiratory rate
D. Number of PCA attempts
F. Number of PCA does delivered
Explanation
The correct answer includes the level of sedation, pain intensity score, respiratory rate, number of PCA attempts, and number of PCA doses delivered. These are all important pieces of information to document when observing patients receiving PCA pain medication. The level of sedation is important to monitor to ensure the patient is not overly sedated. The pain intensity score helps assess the effectiveness of the medication in relieving pain. The respiratory rate is important to monitor for any signs of respiratory depression. The number of PCA attempts and doses delivered can provide insight into the patient's pain management needs and medication usage.