Patient Care and Management

Question 1

The Joint Commission (TJC) requires how many patient identifiers?
(a) 2
(b) 5
(c) 1
(d) 3

Answer 1

(a) 2
Outpatient: Pt name, date of birth, phone number.
Inpatient: matching the name and medical record number on armband.

Question 2

The first step in performing a procedure is:
(a) Start an IV
(b) Use two patient identifiers
(c) Review the physician’s order
(d) Contact the physician

Answer 2

(c) Review the physician’s order

Question 3

Immobilization is the same as restraints.
(a) True
(b) False

Answer 3

(b) False
Immobilization includes using devices (velcro straps, cloth tape, bundling with sheets, pillows) with Patient’s consent.
Restraints is without the Patient’s consent.

Question 4

The principles of proper body alignment, movement, and balance are referred to as:
(a) Power-lifting
(b) Patient-centered care
(c) Transfer
(d) Body mechanics

Answer 4

(d) Body Mechanics.
Provide wide and stable base of support and keep objects close to the body, bend knees with back straight.

Question 5

The point of a draw sheet is to:
(a) To warm the Patient
(b) Assist in transfer
(c) Cover the Patient
(d) In case the Patient voids

Answer 5

(b) Assist in Transfer.

Question 6

How many times must pharmaceuticals be read when it comes to administration?
(a) 1 time
(b) 2 times
(c) 3 times
(d) 4 times

Answer 6

(c) 3 times; before and after withdrawal of the medication and before administration.

Question 7

During the venipuncture technique, at what angle is the needle inserted?
(a) 30-degree angle
(b) 15-degree angle
(c) 20-degree angle
(d) 45-degree angle

Answer 7

(a) 30-degree angle; an IV catheter is inserted at a 20 to 30-degree angle

Question 8

What group of administration required the use of safety-engineered sharps devices to minimize potential health risk to employees?
(a) The Joint Commission
(b) The NRC
(c) OSHA
(d) FDA

Answer 8

(c) OSHA

Question 9

What is the most used vein?
(a) cephalic
(b) basilic
(c) veins of the posterior hand
(d) antecubital

Answer 9

(d)

Question 10

What occurs when infiltration is present?
(a) Cold feeling going up the injection site
(b) Swelling, burning, fluid leak
(c) Patient will complain about taste
(d) Nothing

Answer 10

(b) Swelling, burning, fluid leak

Question 11

Selection of a method or individual administered dose should be based on the principle of as low as reasonably achievable (ALARA)
(a) True
(b) False

Answer 11

(a) True

Question 12

What is the most effective system to prevent transmission of disease?
(a) Transmission-Based Precautions
(b) Expanded Precautions
(c) Contact Precautions
(d) Standard Precautions

Answer 12

(d) Standard Precautions; applies to blood, all body fluids, secretions and excretions (except sweat), non-intact skin, mucous membranes.

Question 13

What is the normal adult rate of beats per minute (bpm)?
(a) 90-100
(b) 70-90
(c) 60-90 bpm
(d) 50-70

Answer 13

(c) 60-90 bpm
Tachycardia: rapid pulse >100 bpm
Bradycardia: slow pulse <60 bpm

Question 14

The average reading of an oral temperature is typically:
(a) 98.6 F
(b) 97.6 F
(c) 99.6 F
(d) 93.4 F

Answer 14

(a) 98.6 F

Question 15

What is a normal blood pressure?
(a) 120/80
(b) 100/40
(c) 120/20
(d) 140/100

Answer 15

(a) 120/80

Question 16

The top number is diastolic and the bottom number is systolic for blood pressure (mm Hg).
(a) True
(b) False

Answer 16

(b) False; the top number is the systolic value (s for “squeezing of the heart muscle) which is a measure of the pumping action of the heart muscle itself.
The Diastolic pressure (d for down) indicates the ability of the arterial system to accept the pulse of blood by contraction of the LV.

Question 16

What is the standard lead ECG which provides more information about the heart’s electrical activity?
(a) 3-lead ECG
(b) 5-lead ECG
(c) 10-lead ECG
(d) 12-lead ECG

Answer 16

(d) 12-lead ECG; you place 10 electrodes but the standard 12-lead ECG includes: three limb leads, three augmented limb leads, and six precordial leads.