IVs
Cardiac
Respiratory
Documentation
Miscellaneous
100

Do you need an order to pull a Midline or PICC line?

No

100

What does the QRS complex indicate?

Ventricular contraction

100

What is the name of the small sacs within the lungs which allows for gas exchange?

Alveoli

100

Should you include in your shift summary why your patient went out acute?

Yes

100

I must label my dressings with initials and the date.

True

200

A PICC line or Port does not have blood return. What should you do?

Administer Cath Flo 

200

How do you identify AFib on telemetry?

Missing P wave, irregular intervals between QRS complexes

200

Name 2 performance measures used to evaluate our effectiveness of the Pulmonary Program.

1. 6 minute walk test

2. Quality of Life/Impact questionnaire 

3. Incentive Spirometry

4. Supplemental oxygen use

200

Documenting that you completed a treatment you never did is fraudulent documentation.

True

200

Where do we store Humalog pens?

In the patient specific bins in the medication room. Do NOT leave them on the med carts or in any other place. 

300

Caps on a central line must be changed how often?

Once a week

300

Telemetry is alarming Asystole. What do you do first?

Assess the patient 

300

Your patient has had a new O2 requirement and his O2 was 97% on 2L NC this AM. What should you do?

Wean O2 as tolerated within frequent spot checks 

300

A medication is on the MAR and is labeled as "finish" under the status. What must you do?

You must give the medication. It is either a x1 order or it is the last dose of a medication.
300

Your patient is having a large nose bleed. Name a non pharmacological intervention.

Apply pressure for several minutes

400

You have a patient with a PICC line. Name 3 things you must do each shift when taking care of a PICC line.

1. Assess site

2. Flush

3. Assess for blood return

400

Your patient is in SVT, what should you do?

Tell provider, Valsalva maneuver first. Adenosine is next line of treatment

400

What is the amount of air that is delivered in to the patient's lung with each breath?

Tidal Volume

400

Where must you document on the characteristics of wounds and surgical incisions?

Wound assessment and surgical incision assessments under assessments tab

400

Your patient has active diagnoses that include the following: CHF, stage 4 pressure injury to sacrum, Osteomyelitis to sacrum. Name 2 care plans.

1. Fluid overload/fluid imbalance

2. Infection

3. Impaired skin integrity

500

Your patient had a PICC placed 2 days ago, it has gauze covering the site. When should you change the dressing?

Q 2 days when unable to visualize the site.

500

What is the necessary treatment for a third degree heart block?

Pacing

500

This ventilator mode will provide a set number of breaths each minute but will also allow patients to initiate their own breaths while still getting the dedicated tidal volume

AC (assist control)

500

You are taking report on a patient who is coming with a chest tube. What are some questions to ask?

1. Is it water seal or on continuous suction? (we do not take patients with chest tubes on continuous suction)

2. How much drainage are they putting out?

3. Do they have any crepitus or air leaks already present?

4. Are they requiring supplemental O2?

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