Extern Scope
NDH Presentation
ECG Questions
Find the abnormal vital sign
100

When suctioning patients as a Clinical Extern, non-invasive oral suctioning is permitted upon demonstrate competency, ________ suctioning is under supervision, and _______ suctioning is not permitted.

What is pharyngeal suctioning and tracheal suctioning?

100

A department providing neurodiverse children and youth an interdisciplinary approach to their overall well-being and care.

What is Neurodevelopmental Health?

100

In pediatrics, _________ is defined by age, unlike the adult standard of <60 BPM.

What is bradycardia?

100

Name abnormal VS and whether it is high or low:

Patient: 10-year-old child

  • HR: 88 bpm
  • RR: 20/min
  • BP: 108/68 mmHg
  • Temp: 37.0°C
  • SpO₂: 91% on room air

What is the oxygen saturation is too low?

200

________ ________ is a permitted activity in the Extern ROCA. It is performed when the Clinical Extern begins their shift or during periods when no clear tasks are assigned. The Extern goes into rooms and verifies safety, performs TLC checks or answers call bells.

What is intentional rounding?

200

Child Life research has demonstrated that ______ ____ increases patient coping and increases patient cooperation with therapeutic treatment plans.

What is therapeutic play.

200

On a cardiac rhythm strip, this wave represents atrial depolarization.

What is the P wave?

200

Name abnormal VS and whether it is high or low:

Patient: 7-year-old child

  • HR: 92 bpm
  • RR: 22/min
  • BP: 102/60 mmHg
  • Temp: 39.6°C
  • SpO₂: 98% on room air

What is temperature is too high?

300

True or false: Externs can decide to perform and complete a rectal temperature. +100 points if you can mention the mechanism and +100 points if you say what is documented.

What is false?   Rectal temperature falls under a controlled nursing act and is performed by the extern when DELEGATED. Documentation should indicate the reason for the rectal temperature (ex. high axillary temp charted in another column) and that "Name RN delegated to Clinical Extern, communicated rationale/results"

300

A lifelong neurological and developmental difference that affects how a person communicates, interacts socially, learns, and processes sensory input.

What is autism spectrum disorder (ASD)?

300

What is the name of the electrical pathway within the right and left ventricles?

What are the Purkinje Fibers?

300

Name abnormal VS and whether it is high or low:

Patient: 2-year-old toddler

  • HR: 70 bpm
  • RR: 28/min
  • BP: 92/56 mmHg
  • Temp: 36.8°C
  • SpO₂: 97% on room air

What is the heart rate is too low?

400

When preparing enteral feeds of formula or breastmilk for patients, Clinical Externs may warm, measure, and prepare feeds. However the _________ of feedings is not permitted to be completed by the Clinical Externs due to possible risk of errors.

What is to fortify or fortification?

400

A behavioral profile characterized by an extreme, anxiety-driven resistance to everyday requests and expectations often seen in ASD.

What is Pathological Demand Avoidance (PDA)?

400

This interval represents the ventricular depolarization, contraction, and repolarization.

What is the QT interval?

400

Name abnormal VS and whether it is high or low:

Patient: 4-month-old infant

  • HR: 110 bpm
  • RR: 65/min
  • BP: 84/50 mmHg
  • Temp: 37.1°C
  • SpO₂: 99% on room air

What is the respiratory rate is too high?

500

Name three care activities that must be supervised when performed by Clinical Externs.

What is: programming IV pumps, hanging of maintenance IV solutions, programming enteral feeding pump, all medication prep, verification and administration (IV or injection not permitted), placement of nonsurgical feeding tubes, connection, disconnection, flush of nonsurgical feeding tubes, NG or foley removal, pharyngeal suctioning, specimen collection, simple dressing changes, second support for CVAD dressing or cap changes

500

The neurological condition where a person cannot produce speech on command even though they understand the request, want to do it, and have normal muscle strength and coordination.

What is apraxia?

500

On ECG paper, fifteen large boxes represents ____ number of second(s). 

What is three?

500

Name abnormal VS and whether it is high or low:

Patient: 13-year-old adolescent

  • HR: 72 bpm
  • RR: 16/min
  • BP: 86/52 mmHg
  • Temp: 36.9°C
  • SpO₂: 98% on room air

What is the blood pressure is too low?

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