1.The hospital is providing blood pressure screenings for the staff. You have been asked to volunteer to take blood pressures, your understanding of the needs of the staff include (check all that apply)
A.
1-You should have a table outside the cafeteria so staff can come by on their lunch break
B.
2-You can visit staff on the floors and in break rooms as they may not be able to leave the unit
C.
3-An email blast or flyer posting the date and times when blood pressures will be taken & how to access helpful information
D.
4- You will pass out literature about heart disease and hypertension when doing the screenings
2.
2. You are working on a telemetry unit and receive a patient from the ED, the patient is fully dressed in a long dress and coving her face and head. What is the appropriate action you would take next?
A.
1.Close the door and give the patient privacy
B.
2. Ask the patient if they identify with any religious beliefs and what you as the nurse can do to make the patient feel comfortable
C.
3. Tell the patient it is policy that they must put on a hospital gown
D.
4. Call the ED nurse and ask why the patient never changed into a gown
3.
3. You are part of a group planning a health fair for a community center. What information would be the most helpful to know?
A.
1. How many families live in the area?
B.
2. Do the people who come to community center have primary care doctors?
C.
3. What are the demographics including age, ethnicities, economic status of those who come to the center?
D.
4. Will there be food at the fair?
4.
4. Which items are social determinates to health care, check all that apply:
A.
1. Homelessness
B.
2. Lack of education
C.
3. Distance to hospital/ health home
D.
4. Language
E.
5. High income
F.
6. Strong Support Systems
5.
5. You are working with the triage nurse in the ED. The next patient called is Josephine, a 28 year old female. A man appearing in his late 20s walks up the desk and confirming full name and birthday. You know the tirage nurse understand how to support LGBTQ patients by which statement:
A.
1. I was looking for a woman, can I see your driver’s license?
B.
2. How would you like to be addressed at the hospital? My name is Nurse Jen and my preferred pronouns are she/ her, would you like to share yours?
C.
3. Did you used to be a woman?
D.
4. The registration staff made an error, let me update our records
6.
6.Who are the stakeholders of your nurse residency program?
A.
1. The new nurse residents, the educators, & managers
B.
2. The doctors & the social workers
C.
3. The patients, the managers, & quality department
D.
4. The educators & nurse practitioners
7.
7. What EXTERNAL factors guide program development and evaluation? (Check all that apply)
A.
1. Accrediting agencies
B.
2. Regulatory boards
C.
3. Grant funders
D.
4. Parent institution
8.
8. What is the driving force behind health education and health care programs?
A.
1. Money
B.
2. Students
C.
3. Evidence base decisions
D.
4. Quality improvements
9.
9.Programs evaluations do which of the following (check all that apply)
A.
Measure outcomes
B.
Supports student transfer opportunities
C.
Provide the opportunity for data driven discussions
D.
Reveal strengths & potential limitations
E.
Mandate staff to comply with policy
10.
10. A health care program must fit with the ____________ & __________of the larger entity
A.
1. Policy & procedure
B.
2. Shapes & standards
C.
3. Missions & philosophy
D.
4. Values & goals
11.
Questions 11-13 will follow this scenario 11.You are working 7am-7pm on a med-surg unit, your patient has been off the floor for a test since before you started your shift at 7am. The patient returns to the room at 11:45am. The patient is tired and and does not want to talk. You are looking over the patient history, what important part of the patient’s history do you need to address
A.
1. Hip replacement 4 years ago
B.
2. DM2
C.
3. Hyperlipidemia
D.
4. Stage I Kidney Failure
12.
12.The patient’s vital signs are as follows: BP: 130/85, HR 90, RR 12, O2sat 100%, temp: 98 orally. Your priority for this patient is:
A.
1. Obtain an EKG
B.
2. Close the door and let the patient sleep
C.
3. Obtain a finger stick
D.
4. Give the patient all the morning meds he missed
13.
13.The patient’s finger stick 50mg/ dl. After you confirm the reading, you review the patient’s orders and find that for finger stick readings <70mg/dl the patient has 3 options for treatment. Which would NOT be an appropriate option?
A.
1. 12.5 g 50% Dextrose IVP
B.
2. 4 Oz. Fruit Juice (Orange/ Apple)
C.
3. 15 Gram Glucose oral gel
D.
4. 25ML D5%
14.
Questions 14 & 15 share the same scenario 14.You are starting your shift on a med- surg unit and are at the computer reviewing order with the off going RN when you hear a loud noise from your patient’s room, you both enter the room and find the patient on the floor. The patient states “I slipped and fell, and my hip hurts now.” What would be the most valuable information from the off going RN
A.
1. The patient had a biopsy done 12 hours ago
B.
2. The patient takes Synthroid
C.
3. The patient takes Brilinta
D.
4. The patient uses a walker
15.
15-. Several team members join you in helping return the patient to the bed safely as he cannot weight bear on his left leg. The hospitalist accesses the patient, and deems him to be at his mental baseline, which order would you questions the doctor about?
