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Telemetry May Quarterly

Total questions: 11

Worksheet time: 2mins

Name
Class
Date
1.

Your patient is confused to place, time, and situation. They are attempting to pull out their IV line and are unable to follow safety commands. You receive an order for non-violent restraints and initiate soft-bilateral wrist restraints and mittens. The doctor has 1 hour to assess the patient face-to-face to perform an evaluation.

a)

True

b)

False

2.

Your patient presents with new onset of chest pain. When asked to describe it, the patient states it is 7/10 sharp pain to the center of the chest. What are your next steps?

a)

Administer Tylenol

b)

Initiate CP Standardized Procedure

c)

Call MD for Nitroglycerin PO

d)

Call an RRT

3.

You are at conducting a head-to-toe assessment on a patient that is admitted for sepsis. You notice that the patient has some mild swelling at the IV site but no pain. What is your FIRST intervention?

a)

Stop the infusion

b)

Call the MD

c)

Document your finding

d)

Continue medication administration

4.

You notice a change in a patient's condition, you let the nurse know but she replies, "I am with another patient, I will go there in 10 minutes." What would you do next?

(a)  

5.

You patient is placed on contact isolation for C.Diff, you leave the room and clean your vital signs machine with Orange Top wipes for how long to disinfect?

a)

4 minutes

b)

As long as you want

c)

1-minute up and down and 1-minute side to side

d)

2 minutes vigorously

6.

What is an alternative measure prior to resorting to restraints?

a)

Call a family member to come in

b)

De-escalate

c)

Distract the patient

d)

Bring closer to the unit

e)

All of the above

7.

The monitor tech alerts you that your patient's heart rate is trending down. Currently, the HR is 43, what would you do next?

a)

Call the primary RN

b)

Do nothing

c)

Call a code

d)

Assess the patient

8.

Your patient has an unwitnessed fall, what is the RN responsible for?

a)

Call a code lift

b)

Take vital signs

c)

Leave the patient alone

d)

Ignore because patient is non-compliant

e)

Initiate Fall bundle and call MD

9.

You attempt to call the MD for a change in rhythm with no success, it is okay to endorse to the next nurse to follow up with.

a)

True

b)

False

10.

Is the CNA able to empty out a colostomy bag?

a)

Yes, it is within their scope

b)

No, the CNA should call the RN to do it

11.

Your patient presents with a venous ulcer that is red and dark purple in areas, you stage it as a...

a)

Unstageable

b)

Stage 1

c)

DTI

d)

Unsure, call Violetta

e)

None