Nursing Policy/Procedure Test

1.

1 point

An indication for Tissue Plasminogen Activator is acute MI with chest pain.

True

False

2.

1 point

For a patient with pneumonia who is experiencing broncospasms, the MD will most likely order which type of medication?

Antibiotic.

Analgesic.

Anticoagulant.

Bronchodilator.

3.

1 point

A patient with a drop more than 20 mmHg in systolic blood pressure between lying and standing is at a high risk for falls.

True

False

4.

1 point

For a patient with pneumonia, the goal is to give the first dose of what type of medication after obtaining cultures and within 4 hours of admission?

Anti-inflammatory.

Antihypertensive.

Antibiotic.

Antipsychotic.

5.

1 point

Dressings on a pressure ulcer should keep the ulcer tissue dry while keeping the surrounding intact skin moist.

True

False

6.

1 point

Vital signs should be monitored 30 minutes before and 30 minutes after administering an IV narcotic.

True

False

7.

1 point

The Braden Scale is a tool used to:

Determine level of consciousness.

Classify stages of heart failure.

Rate the severity of pitting edema.

Predict pressure sore risk.

8.

1 point

To prevent the development of pressure ulcers in patients identified to be at risk:

A) Change position at least every 2 hours for a patient who is confined to bed.

B) Reposition once per shift.

C) Change position every 2 hours for a patient who is confined to a chair.

D) A & C.

9.

1 point

All patients must have a fall assessment completed upon admission.

True

False

10.

1 point

Which of the following is NOT a risk factor for developing a pressure ulcer?

Comatose mental status.

Incontinence.

Bedfastness – spending 75% of time in bed.

Ambulates independently.

11.

1 point

It is acceptable for one nurse to pass medications that another nurse prepared.

True

False

12.

1 point

Blood pressure cuffs or tourniquets are safe to use on an extremity where a PICC has been placed.

True

False

13.

1 point

Which of the following parameters puts a patient at a risk for falls?

Disoriented mental status.

A history of falls (in the past 3 months).

Taking any of the following types of medications: antihypertensives, diuretics, and/or narcotics.

All of the above.

14.

1 point

Which of the following is NOT a contraindication to thrombolytic therapy?

Pregnancy.

Active bleeding.

History of hyperthyroidism.

History of hemorrhagic CVA.

15.

1 point

It is recommended that a patient with pneumonia who is 65 years or older receives which vaccine before discharge?

Meningococcal.

Pneumococcal.

Tuberculosis.

Yellow fever.

16.

1 point

If a fall occurs, what is the immediate priority of the licensed nurse?

Request a STAT order for an x-ray.

Initiate an incident report.

Assess the patient to determine any changes in status, injury, or impairment.

Chart the incident in the nurse’s notes.

17.

1 point

Lab draws on a central line can ONLY be performed by a physician or RN.

True

False

18.

1 point

A nurse must get another licensed nurse to check the amount prepared for which type of medication?

A) Anticoagulant

B) Insulin

C) Neuroleptic

D) A & B

19.

1 point

What precautions should you take for a patient who has received thrombolytic therapy?

No needle sticks.

No foley catheter.

No intramuscular injections.

All of the above.

20.

1 point

If a patient has a central line with ports that are not being used, these ports must be flushed with normal saline.

True

False