1.
What values on the glucometer warrant immediate intervention?
Correct Answer
B. 400
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.
2.
A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
Correct Answer
C. T6
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 Guidlelines. Type "spinal" in the search box.
3.
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 Guidlelines. Type "spinal" in the search box.
4.
Where does one find a list that will inform you of which MD has privileges for RHJ VAMC?
Correct Answer
C. T drive
Explanation
Located on the T drive under Priviledges-- Scopes of Practices
5.
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
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.
6.
Prostate cancer screening should occur with the following populations (Select all that apply)
Correct Answer(s)
A. Men who choose to be tested age 40 years or higher with highest risk factors (several first-degree relatives diagnosed with prostate cancer at an early age (younger than age 65))
C. Men who choose to be tested age 45 or older at high risk for developing prostate cancer (African American men and men who have a first-degree relative diagnosed with prostate cancer at younger than 65 years of age)
Explanation
Prostate Cancer Screening CPM NO.11C-14-10 Located on the T-Drive
7.
Links to Material Safety Data Sheets (MSDS) for approved Non-critical reusable medical equipment cleaning agents can be found at the end of the policy on the T-drive.
Correct Answer
A. True
Explanation
The given statement is true because it states that links to Material Safety Data Sheets (MSDS) for approved Non-critical reusable medical equipment cleaning agents can be found at the end of the policy on the T-drive. This implies that the information regarding the safety data sheets for these cleaning agents is available and accessible through the T-drive.
8.
To improve the quality of life for Veterans RHJVAMC has establishing policies and procedures to effectively manage acute and chronic pain by using a stepped care model.
Correct Answer
A. True
Explanation
CPM NO. 112A-13-03 Pain Management Located on the T-drive
9.
Policy 00-14-16 Organ and Tissue Donor Program ensures that families of potential donors are presented with the option of organ and tissue donation in a manner which promotes informed consent in compliance with applicable laws and regulations while addressing the emotional/ spiritual needs of the family.
Correct Answer
A. True
Explanation
CPM 00-14-16 Organ and Tissue Donor Program located on the T-drive
10.
The term “impaired professional” is used to describe the practitioner who is prevented by reason of illness, disorder, or other health/behavioral problems from performing professional duties at the expected level of skill and/or competence.
Correct Answer
A. True
Explanation
MEDICAL STAFF MEMBER HEALTH POLICY 11-14-04 Located on the T-drive
11.
Informed consent includes informing patient of : (select alll which apply)
Correct Answer(s)
A. Known side effects or consequences: predictable outcomes of a particular treatment or procedure; e.g., pain after surgery
B. Possible side effects or consequences: outcomes that are not certain to happen as a result of a particular treatment or procedure, but that commonly occur; e.g., drowsiness in response to medication.
C. Complications or adverse events: undesirable outcomes that result from a particular treatment or procedure but were not intended or expected: e.g., infection of a surgical wound.
D. Risks in a language understandable to the patient
Explanation
11-12-09 Informed Consent Located on the T-drive
12.
Medication labels should be prepared and applied at the time the medication or solution is prepared.
Correct Answer
A. True
Explanation
CPM 11-12-19 LABELING MEDICATIONS AND SOLUTIONS ON AND OFF THE STERILE FIELD Located on the T-drive
13.
Alerts not processed within 14 days will be automatically sent to the Service Chief or appropriate designee for timely processing
Correct Answer
A. True
Explanation
VIEW ALERT MANAGEMENT CPM 11-14-52 located on the T-drive
14.
It is VHA policy that all patients with potential for swallowing or feeding disorders must be appropriately assessed, referred for diagnostic evaluation (as necessary), treated, managed, monitored, and followed throughout the continuum of care.
Correct Answer
A. True
Explanation
CPM 112-11-07 MANAGEMENT OF PATIENTS WITH SWALLOWING (DYSPHAGIA) OR FEEDING DISORDERS
15.
A large percentage of patient suicides occur within 3 months of discharge from acute inpatient care from previous suicide attempt.
Correct Answer
A. True
Explanation
CPM 116-13-05 SUICIDE ATTEMPTS: ASSESSMENT AND INTERVENTION PROTOCOL Located on the T-drive
16.
All professionals have a responsibility to act on all suspected abuse.
Correct Answer
A. True
Explanation
CPM 122-13-02 ADULT/CHILD VICTIMS OF ALLEGED ABUSE located on the T-drive
17.
This facilities' organ procurment agency is:
Correct Answer
A. Life Point
Explanation
per CPM 00- 14 - 16, ORGAN AND TISSUE DONOR PROGRAM
18.
When is necessary to call Life Point? [CHECK ALL THAT APPLY]
Correct Answer(s)
B. Patients who death is imminent
C. Patients who are deceased
Explanation
per CPM 00- 14 - 16, ORGAN AND TISSUE DONOR PROGRAM
19.
How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]
Correct Answer(s)
A. An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143
B. Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449
C. Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.
Explanation
PER CPM 00 - 14 - 25, INTEGRATED ETHICS, Attachment A
20.
Here at the RHJ VAMC, a missing child alert is announced overhead as
Correct Answer
C. Code Adam
Explanation
per CMP 07B-13-10, Missing Child Alert.
The Nationwide missing child alert. Only specially trained Charleston Police Department (CPD) officers can declare an AMBER ALERT.
21.
Accordng to the RHJ VAMC's CMP for PROCEDURES FOR ACTIVE SHOOTER RESPONSE the employees' responsibilities include [CHECK ALL THAT APPLY]
Correct Answer(s)
A. Immediately calling extension 7251, 7268 or 7911 to report the incident
B. Immediately locking themselves in a secure room or evacuate if able to do so safely.
C. Remaining in a secure location until the “All Clear” is given by VA or local Police
D. following all instruction given by VA Police or local Police
Explanation
per CPM 07B-12-15, PROCEDURES FOR ACTIVE SHOOTER RESPONSE.
22.
According to the ORDERING AND REPORTING TEST RESULTS CPM, if the nurse takes a critical lab value from the lab, then the nurse will use what procedure?
Correct Answer
D. Read back process and records the name of the responsible provider to whom the results were reported and the time the result was communicated in the medical record
Explanation
per CPM 11-14-01, ORDERING AND REPORTING TEST RESULTS.
23.
Veteran’s state portable orders for “Do Not Resuscitate” (DNR) and /or other life sustaining treatment are recognized by this VA. TRUE / FALSE
Correct Answer
A. True
Explanation
per CMP 11-13-26, ADVANCE HEALTH CARE AND MENTAL HEALTH CARE PLANNING AND RESUSCITATION INSTRUCTIONS
Veteran’s state portable orders for “Do Not Resuscitate” (DNR) and /or other life sustaining treatment are recognized by VHA and authorized VHA practitioners. If the veteran has both an advance directive and state portable order which are inconsistent with one another, priority will be given to the most recent statement by the patient of his/her wishes. (Note: See VHA Handbook 1004.04 for more information specific to state portable orders.)
24.
According to the CPM for ADULT VICTIMS OF ALLEGED ACUTE SEXUAL ASSAULT, this VA treats acute alleged sexual assaults. TRUE / FALSE
Correct Answer
B. False
Explanation
per CPM 11-14-40, ADULT VICTIMS OF ALLEGED ACUTE SEXUAL ASSAULT
Patients will be transferred for medical care and treatment and for forensic examination
25.
Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]
Correct Answer(s)
A. Fever with or without chills
B. Tachycardia and/or tachypnea and dyspnea
C. Hives or rash to the patient's trunk and back
D. Sudden change in BP
E. Wheezing
Explanation
per CPM 113-13-01, TRANSFUSION OF BLOOD COMPONENTS &
Mosby's nursing procedure Transfusion Reaction
26.
This is a latex free facility. TRUE / FALSE
Correct Answer
B. False
Explanation
per CPM 118-12-08, LATEX ALLERGY/SENSITIVITY
27.
According to the CPM for ADULT/CHILD VICTIMS OF ALLEGED ABUSE, all suspected abuse must be acted upon. Who is the RHJ VAMC's designated reporter?
Correct Answer
C. The Social Worker
Explanation
per CPM 122-13-02, ADULT/CHILD VICTIMS OF ALLEGED ABUSE
All professionals have a responsibility to act on all suspected abuse. A person, who, acting on good faith, in an emergency situation, reports or participates in an investigation resulting from a report, is immune from civil and criminal liability which may otherwise result by reason of this action.
Social Work Service has been designated as mandatory reporters for the Ralph H. Johnson VA Medical Center.
28.
According to the CPM, CONSERVATION OF MEDICAL CENTER LINENS, how can we ensure the control of linens within our areas to prevent pilferage, loss and misuse? [CHECK ALL THAT APPLY]
Correct Answer(s)
A. Linen storage closets will be closed and locked when not in use. Only authorized employees are allowed in linen storage closets.
B. Linen carts should be covered at all times.
C. When patients are to be transported from the medical center to another location by ambulance, the VA employee responsible for the patient transfer will ensure that ambulance drivers exchange linens. VA linens are to remain in the medical center
D. Do not wear patient clothing such as pajama tops, gowns or robes.
E. Do not use linens for anything else but paient care
Explanation
per CPM, 137-12-03. CONSERVATION OF MEDICAL CENTER LINENS
29.
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
CPM 110-21 High Alert Medications and Standardized Fusions. Located on the T drive--All CPMs--pharmacy. Type "medications" in the search box.
30.
Where does one find a list that will inform you of which MD has privileges for RHJ VAMC?
Correct Answer
C. T drive
Explanation
Located on the T drive under Priviledges-- Scopes of Practices
31.
It is a policy at the medical center and selected CBOCs where Primary Care, Women's Health and/or Mental Health services are provided, access to clinically appropriate services that extend beyond regular business at least once on weekdays (Wednesday) and once every weekend (Saturday), at times and venues that match Veteran demand and expectation
Correct Answer
A. True
Explanation
Extended Hours Access for Veterans at Medical Centers and Selected Community Based Outpatient Clinics (CBOCs) CPM NO. 11-14-51
32.
What is this facility's (RHJ VAMC) emergency number?
Correct Answer
C. 7911
Explanation
ITD 11-14 Telephone Service Policy. Located in T drive--CPM--Master Index under Information Technology Division. Type "telephone" in search box.
33.
Patients are considered at-risk for harm if any of the following conditions exist, select all that apply:
Correct Answer(s)
A. Patient is legally committed
B. Patient has a court appointed legal guardian
C. Patient is considered dangerous to self or others
D. Have a pHysical impairment that increase their risk of harm to others
Explanation
CPM 116-13-05 Suicude Attempts and Assessment. T- drive--All CPMs, type the word "suicide" in the search box
34.
According to the CPM 136-02, who does one call to obtain assistance for a hard of hearing patient or a language interpreter?
Correct Answer
D. Both A & B
Explanation
CPM NO. 136-12-02 Communication with Hearing Impaired /non-English Speaking Individual. located on the T drive--
35.
When patients have missed multiple appointments the clinical scheduler is responsible for: (select all that apply)
Correct Answer(s)
A. Making a minimum of 2 attempts to reach patients via pHone to reschedule if provider determines there is an immediate need for an appointment.
B. Making no-show post card or patient cancellation letter when applicable
Explanation
MANAGEMENT OF PATIENTS WITH MULTIPLE MISSED APPOINTMENTS
CENTER POLICY MEMORANDUM NO. 11-14-12 Located on the T-drive
36.
Assigned staff who are trained in the use of digital imaging cameras are responsible for Dermatology Consult photographs.
Correct Answer
A. True
Explanation
Wound Documentation Through Photography
CENTER POLICY MEMORANDUM NO. 11-12-36 Located on the T-drive
37.
Reusable medical equipment (RME) has established policy for
Correct Answer
A. All of the above
Explanation
Non-Critical Reusable Medical Equipment (RME) Reprocessing CPM No. 002SPS-14-03, Use and Reprocessessing of reusable medical equipment (RME) CPM NO.002SPS-14-02 Located on the T-Drive
38.
In order to help prevent and identify patients at risk for falling in the Specialty care area staff will (select all which apply)
Correct Answer(s)
A. Complete an annual fall screen and provide pampHlet explaining fall prevention in the home to patients at risk.
B. Implement interventions to create and maintain a safe patient environment
C. Implement universal fall precautions for all veterans
D. Provide education to veteran and family members on potential for falls, fall complications, and provide information on interventions to eliminate and/or decreased fall potential.
Explanation
Assessment and Care of Patients/Residents at risk of Falling CPM NO. 118-13-13 Located on the T-drive
39.
The Specialty care nurse must use Hypoglycemia Protocol Note to document all BG results, treatments, and patient responses to treatment when hypoglycemia is identified in a patient.
Correct Answer
A. True
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.
40.
You can located nursings emergency plan on the T-Drive by selecting Service Policies, Nursing, then emergency procedures.
Correct Answer
A. True
Explanation
The correct answer is "True" because the statement provides clear instructions on how to locate the nursing emergency plan on the T-Drive. It states that by selecting "Service Policies," then "Nursing," and finally "emergency procedures," one can find the plan. Therefore, it is reasonable to conclude that the statement is true.
41.
Communication of patient diagnostic test results to patients should be:
Correct Answer(s)
A. A pHone call from the clinician to the patient if test results indicate a need for timely intervention.
B. A registered letter if the patient can not be reached by clinician over the pHone for test result requiring timely intervention.
Explanation
Follow up for diagnostic porcedures Primary Care Service Line Memorandum 11C-10-01 Located on the T-drive
42.
When a veteran/ caller is reporting suicidal or homicidal thoughts or other crises to the Ralph H. Johnson Department of Veterans Affairs Medical Center telephone operator or to other staff they should: (select all which apply)
Correct Answer(s)
A. NEVER PLACE A CALL ON HOLD
B. When possible make a warm transfer (allows for all three parties to be on the line at the same time)
C. Veterans who call the Medical Center with expressed suicidal or homicidal thoughts during duty hours (8:00 a.m. – 4:30 p.m.) will be referred to the Psychiatry Access Center Team (PAC) pager 17359 (MUSC Simon).
D. When a Nurse, pHysician, Social Worker, pHysician Assistant or Psychologist receives a call, they will triage the call, determine the appropriate clinical intervention and initiate a rescue if needed.
Explanation
CPM116-11-06 NTERVENTION FOR SUICIDAL/HOMICIDALPATIENTS VIA TELEPHONE Located on the T-drive
43.
How should the nurse respond to VIEW ALERTS? [CHECK ALL THAT APPLY]
Correct Answer(s)
B. Acknowledge them by signing them
C. Sign them - even if it was sent erronously
Explanation
View Alerts are the responsibility of every employee of the Medical Center. All employees with a CPRS/Vista account must ensure alerts are resolved in a timely manner.
C. If View Alerts are erroneously sent to an employee an action is still required. Employees must contact the sender (previous signer) for explanation or forward to appropriate individual within 7 days of receipt.
44.
The Laser Hazard Control Program states: (select all which apply)
Correct Answer(s)
A. All lasers/laser hazard areas will be labeled through appropriate signage to alert personnel of the presence of ongoing laser procedures
B. All laser incidents and near misses will be reported to the Laser Safety Officer and investigated.
C. In the event of an emergency, the laser shall be shut down, any injured persons cared for, and damaged equipment repaired or replaced, in that order.
Explanation
Located on the T-drive CPM 0015FT-15-02 LASER HAZARD CONTROL PROGRAM
45.
All vendors in the patient care environment must check in at the Information Desk in the Main Lobby.
Correct Answer
A. True
Explanation
Located on the T-drive CPM 118-14-30 VENDORS IN THE PERIOPERATIVE/PROCEDURE/PATIENT CARE ENVIRONMENT
46.
Requests for mammography studies will be processed by local Non-VA Care Coordination (NVCC) Team in coordination with the Women Veterans Program Manager.
Correct Answer
A. True
Explanation
CPM 114-14-04 Requests for Mammography Procedures located on the T-drive
47.
Nursing practice will be provided using a systematic approach as outlined in the American Nurses’ Association Standards of Nursing practice, Joint Commission Standards for Care of Patients and VA handbook 1180
Correct Answer
A. True
Explanation
Located on the T-drive 118-13-40 STANDARDS OF NURSING PRACTICE AND CARE