Prior to taking the test, please review the following information:

 

                                    Unit Policy and Procedure Manuals

                                    Disaster and Evacuation Plan

                                    Infection Control Manual

                                    Fire Policy Manual

                                    Procedures for calling a code or reporting a fire

 

I have reviewed the above mentioned information prior to taking the test.

 

 

                                                                                                                                                                            

Signature                                                                    Print Name                                            Date

 

 

ANNUAL UPDATE EXAM

 

 

 

1.                  When calling a fire emergency at                            Hospital, what is the correct phone number?

a)                  Answer:                                                                                                 

 

2.                  List the four steps to be taken in sequence when discovering a fire?

a)                                                                             

b)                                                                             

c)                                                                             

d)                                                                             

 

3.                  You have just given an injection to a patient.  Which is the best method for disposing of a used needle and syringe?

 

a)                  Place the uncapped syringe and needle into a sharps container

b)                  Recap the syringe and dispose of the syringe and needle

c)                  Break the needle off using a needle disposal box

d)                  Use  a one hand (passive) method of recapping the needle and dispose of in a sharps container.

 

Answer:

a)                  a & d

b)                  a & b

c)                  all of the above

d)                  b & c

 

4.                  Which two blood borne diseases are occupational hazards for nursing staff?

 

a)                  HIV and AIDS

b)                  Hepatitis A

c)                  Hepatitis B

d)                  T.B.

 

5.                  The best means for avoiding contraction of HBV (Hepatitis B virus) is which of the following?

 

a)                  Handwashing

b)                  A series of 3 HBV vaccines

c)                  Wearing a mask

d)                  Wearing gloves

 

6.                  Which of the following bodily fluids have potential for carrying the HIV virus?

 

a)                  Semen, vaginal fluids, blood, saliva

b)                  HIV tissue cultures

c)                  Cerebrospinal fluid, synovial fluid

d)                  Amniotic fluid, peritoneal fluid

 

Answer:

 

a)                  a only

b)                  a & c

c)                  All of the Above

d)                  a & d

 

7.                  The appropriate bag for use in disposing of medical waste is

 

a)                  Red

b)                  Black

c)                  Clear

d)                  Paper

 

8.                  True or False: The items listed below are considered the “Five Rights” when giving medications?      TRUE                          FALSE

 

Right patient                                                           

Right time                                                           

Right dose

Right medication                                               

Right route                                                           

 

9.                  When administering a controlled substance, which of the following statements are required procedure when an ordered dose is less than the vial or prepackaged syringe dose?

 

a)                  Save the unused portion for later use

b)                  Discard the unused portion in front of a witness and cosign control log

c)                  Dispose of the unused portion

 

10.              List four patient types which may place them at high risk for falls.

a)                  _____________________________________

b)                  _____________________________________

c)                  _____________________________________

d)                  _____________________________________

 

11.              List four safety measures nursing personnel can do to minimize the potential of patient injury from falls.

 

a)                                                                             

b)                                                                             

c)                                                                             

d)                                                                             

           

 

12.              List four body mechanic principles which can help avoid back injuries.

 

a)                                                                             

b)                                                                             

c)                                                                             

d)                                                                             

 

13.              When working around hazardous materials, what safety precautions are most helpful?

 

a)                  Read all labels.

b)                  Wear protective clothing and apron when appropriate

c)                  Flag radioactive material or areas with appropriate stickers

d)                  Post No Smoking sign near volatile gasses and/or liquids

 

Answer:

 

a)                  All of the above

b)                  b & d

c)                  a, b & c

d)                  a & d

 

14.              Using universal precautions, what protective measures are appropriate when handling bodily fluids of an infectious patient?

 

a)                  Hand washing

b)                  Hand washing, gown and mask

c)                  Hand washing and gloves

d)                  Hand washing, gloves, gown and mask

 

 

15.              When administering blood products to a patient, which type of transfusion reaction is most life threatening?

 

a)                  Febrile non-hemolytic

b)                  Acute hemolytic

c)                  Delayed hemolytic

 

 

 

Please identify the following statements about blood transfusions as either True or False?

 

16.              Blood transfusions may cause adverse reactions in some patients even with correct blood typing.

True                                    False

 

 

17.              Blood transfusions should never last more than four hours because of the increased risk of bacterial growth with room temperature blood.

 

True                                    False

 

 

18.              RH negative blood can be administered to an RH positive patient without problems.

 

True                                    False

 

 

 

19.              Dextrose and water should never be given during a transfusion because it causes hemolysis.

 

True                                    False

 

 

 

20.              A disaster designation may be called for which of the following reasons?

 

a)                  Bomb

b)                  Fire

c)                  Airplane crash

d)                  Major highway accident

 

Answer:

a)                  a only

b)                  All of the above

c)                  a & b

d)                  c & d

 

21.              During a disaster patients receive a color code to designate which patients need and would benefit from immediate medical attention.  Which color is not an appropriate color designator?

 

a)                  Red

b)                  Yellow

c)                  Green

d)                  Gray

 

22.              When a nurse is suspected of substance abuse, which of the following actions is appropriate?

 

a)                  Notify the nursing supervisor

b)                  Send the nurse home

c)                  Allow the nurse to continue with his/her assigned duties

d)                  Ignore the incident as it is not your business