Quiz

Question 1

The most sensitive physiological indicator of clinical deterioration is

Answer 1

SPO2

BP

RR

HR

Find out correct answer

Question 2

Mrs Smith has a HR of 146 bpm, BP 85/50 and temp of 38.8c. Would you initiate a clinical review, MET Call or a Code Blue?

Answer 2

A MET Call

Question 3

Installation of medical emergency or rapid response teams has let to improved support for ward staff and a decrease in barriers to escalating patient care

Answer 3

True

Question 4

There is flexibility for variation to standard calling criteria for individual patients when deemed clinically appropriate

Answer 4

True

Question 5

A MET or RRT call maybe initiated when the requirements of the patient exceed the capability of the staff currently caring for them

Answer 5

True

Question 6

The NSQHS Standard - Recognising and responding to clinical deterioration is standard number?

Answer 6

8

Question 7

A clinical review should occur within

Answer 7

15-30 minutes (depending on the rationale for the call)

Question 8

The ABCDEFG approach helps to rapidly recognise the need for assistance

Answer 8

True

Question 9

When was MET and RRT introduced in Australia?

Answer 9

1996

Question 10

In the following scenario which physiological meet the need for clinical review activation?

Mr Jones is a 19-year old man admitted to the ward post OD of tricyclic antidepressants. You note that he is drowsy, and you take his vitals, the values are as follows:

HR 136bpm

RR 12 bpm

O2 Sats 98%

BP 95/55

Answer 10

BP and HR

Question 11

The afferent limb of a rapid response system is a method of identifying deterioration, the calling criteria and the means of activating the criteria

Answer 11

True

Question 12

Jack is dehydrated. He weighs 9kg. He is ordered a bolus of IV Sodium chloride 0.9% 20ml/kg over 60 mins.

What is the volume of the fluid delivered by the end of the bolus?

Answer 12

180ml

Question 13

If the peripheral intravenous is not available, which access should be next considered according to The Australian and New Zealand Committee on Resuscitation (ANZCOR)?

Answer 13

External jugular vein

Question 14

MET or RRT responses differ between organisations, clinical settings and locations (i.e Rural, Regional and Metropolitan)

Answer 14

True

Question 15

Children’s metabolism varies based on their weight, age and size - hence drugs are weight based.

Answer 15

True

Question 16

In peadiatrics, the infant is defined as being younger than 6 months of age

Answer 16

False

Question 17

Magnesium is an electrolyte essential for

Answer 17

membrane stabilisation

Question 18

Neonates have poor thermoregulation due to

Question 19

In Australia, the most common model of the rapid response system is the medical emergency team (MET)

Answer 19

True

Question 20

The ABCDEFG approach is not an appropriate method of assessment for children

Answer 20

False

Question 21

Sally Jones requires a Doputamine infusion to commence as per doctor’s orders. The concentration order is 500mg of Doputamine in 100ml N/Saline. The doctor orders it to start at 5cg/kg/min. Sally weighs 68kg.

What do you start the infusion at in mL/hr?

Answer 21

4.1mL/hr

Question 22

Your patient Tom presses his call bell and reports central chest pain 8/10. There are no physiological parameters currently out of the norm. Would you initiate a clinical review, MET Call or a Code Blue?

Answer 22

Clinical Review

Question 23

Which patients should you ask whether they have an advance are plan?

Answer 23

All patients.

Question 24

Ms Aitken is a 35 year old woman admitted with preeclampsia for observation. When you routinely take her vitals you note the following values.

HR 75bpm

RR 28 BPM

O2 Sats 92%

BP 185/95

Answer 24

Systolic

Diastolic

RR

02 Sats