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HIPAA
1. HIPAA Privacy Rule protects an individual's right to privacy and confidentiality of health information.
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True
False
2. Non-compliance of HIPAA could result in sanctions of criminal and civil charges.
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True
False
3. Who is covered by HIPAA?
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Health Plans
Healthcare Clearing Houses
Healthcare providers who transmit any health information in a standard electronic format
All of the above
4. Confidentiality protections cover not just the patient's health-related information, such as diagnosis, but also other identifying information, such as Social Security Number and telephone numbers.
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True
False
5. You should check with your supervisor if you are presented with a HIPAA release that you are unsure of how to handle properly.
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True
False
Section 2: Osha
11. The MSDS gives you information about the materials, hazards and how to control them.
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True
False
12. You can assume the contents of an unlabeled container are harmless if there is no chemical odor.
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True
False
13. Patients suspected of having active TB should be isolated quickly.
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True
False
14. Hand washing is not required after gloves or personal protective equipment is removed.
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True
False
15. Airborne Isolation Precautions must be initiated when a patient is diagnosed with, or suspected of having an airborne communicable disease.
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True
False
6. Computer equipment that has been used to store patient health information must undergo special processing to remove all traces of information before being disposed of.
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True
False
What does PHI stand for?
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Personal Health Information
Private Health Information
Protected Health Information
In general, PHI releases have to be limited to the minimum necessary to get the job done right.
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True
False
9. Documents containing PHI should be kept in a secure location.
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True
False
10. In certain situations, providers should release PHI to the Health Department in the interest of public health.
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True
False
16. You may prevent injury to your back by using good body mechanics.
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True
False
17. When pertaining to a fire, what does the "R" in R.A.C.E stand for?
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Run
Rescue
Return
Retreat
18. Ambulatory patients are to be evacuated last in an emergency
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True
False
19. If you know that an error has occurred, even if you think that you did not make the error, you have a responsibility to report it.
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True
False
20. When dealing with bodily substances, as long as the staff member is careful, they do not need to wear personal protective equipment.
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True
False
Section 3: Age Specific
21. The elderly can hear low frequency tones better.
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True
False
22. The best time to ask an adolescent about sexual activity is when their parents are present.
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True
False
23. Physical, Financial and Neglect are all types of Elder Abuse
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True
False
24. Patient Rights include having pain assessed and managed
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True
False
25. The most common injury in an elderly person after falling is:
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Laceration
Fractured Hip
Broken Wrist
Bruises
26. A physician's order is required for the application of restraints.
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True
False
27. Walkers, canes and crutches are examples of which type of device?
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Orthotic
Assistive
Bathing
Prosthetic
28. Parkinson's disease may cause
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Muscle tremors
Difficulty swallowing
Mood changes
All of the above
29. The term geriatric pertains to patients who are
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Children
Elderly
In a nursing home
Dying
30. A gradual loss of calcium from the bones that makes them weak and brittle is called:
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Osteoarthritis
Rheumatoid Arthritis
Osteoporosis
Bursitis
Section 4: Nursing Competency and Medication Competency
31. Your patient is taking valporic acid (Depakote). Which of the following is false?
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Valporic acid requires hepatic monitoring
Valporic acid has the lowest seizure rate when discontinued
Valporic acid is also used in migraine therapy
Valporic acid is also used in bipolar disorder therapy
32. Cyanosis and potential cyanide poisoning are possible with:
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Nitroglycerin
Nitroprusside (Nipride)
Nitrofurantoin (Macrodantin)
Nitrous Oxide
33. Identify the beta blocker:
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Guanabenz (Wytensin)
Prazocin (Minipres)
Acetbutolol (Sectral)
Enalapril (Vasotec)
34. Identify the ACE inhibitor:
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Atenolol (Tenormin)
Captopril (Capoten
Propranolol (Inderol)
Ranitidine (Zantac)
35. Digoxin (Lanoxin) causes:
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Negative inotropic, positive chronotropic action
Negative inotropic, negative chronotropic action
Positive inotropic, positive chronotropic action
Positive inotropic, negative chronotropic action
36. Asthmatic patients could experience brochoconstriction problems with which of the following agents?
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Isoproterinol (Isoprel)
Digoxin (Lanoxin)
Pindolol (Visken)
Dextromethorphan
37. Hypertensive therapy available as a 7-day patch is:
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Atenolol (Tenormin)
Methyldopa (Aldomet)
Minoxidil (Loniten)
Clonidine (Catapres)
38. Regarding Nitroglycerin
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Tingling on the tongue is a sign of toxicity with the sublingual tablets
Special tubing is always used for IV infusion
Oral 'nitrates' such as Isordil and Sorbitrate are just as effective as topical patches
Care should be taken to avoid absorption of the paste or injection solution onto the skin of the care giver
39. A "4:1" Lidocaine drip contains
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4mg/liter
4mg/100ml
4g/ml
4mg/ml
40. Your patient has a heart rate of 79. After being stabilized on Propranolol (Inderal), what is the likely heart rate?
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84
65
Propranolol has no effect on heart rate
41. An anticholinergenic drug used in Parkinsonism is:
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Unnecessary
Benztropine (Cogentin)
Levodopa (Larodopa)
42. Antidote for Warfarin overdose is:
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Protamine Zinc Insulin
Protamine Sulfate
Vitamin K
Warfarin
43. Which organ requires monitoring while the patient is undergoing lipid-lowering therapy?
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Kidney
Brain
Liver
Pancreas
44. A classis drug interaction, greatly involving an increased bleeding time, involves warfarin and:
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Vitamin B-6
Acetaminophen
Acetylsalicylic Acid
All of the above
45. Controlled substances are stored to prevent diversion according to state and federal laws and regulations.
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True
False
46. Before administering medications, the following must be verified except.
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Correct patient
Correct leg
Correct medication
Correct route
47. A patient who is allergic to Penicillin will always be allergic to Cephalosporin antibiotics.
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True
False
48. Bupropion is also known as:
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Wellbutrin
Buspar
Bumex
Benztropine
49. A medication useful for controlling movement disorders induced by Psychotherapeutic agents is:
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Dantrolene
Diphenhydramine
Benztropine
All of the above
50. Narcotics that are wasted must be signed on the Narcotics Administration Record by TWO approved staff members.
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True
False
51. A nurse caring for a patient with Hypocalcaemia would expect to note which of the following changes on the electrocardiogram?
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Widened T wave
Prominent U wave
Prolonged QT Interval
Shortened ST segment
52. A nurse provides instructions to a patient who is taking Levothyroxine (Sythroid). The nurse tells the patient to take the medication:
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With food
At lunchtime
On an empty stomach
At bedtime with a snack
53. An older patient has been taking Cimetidine (Tagamet). The nurse monitors the patient for which most frequent central nervous system side effect of this medication?
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Tremors
Dizziness
Confusion
Hallucniations
54. A new Medical Resident orders OxyContin SR 10mg po q12 hours prn. Which part of the order should the nurse question?
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The medication
The time interval
The dose
The route
55. When communicating with a patient who has expressive aphasia, the highest priority for the nurse is:
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Ask open ended questions
Understand that the patient will be uncooperative
Coach the patient to respond
Offer pictures or a communication board so the patient can point
56. A nurse observes that a patient with a chaotic home life appears to be experiencing an allostatic load. As a result, the nurse expects to detect which of the following while assessing the patient?
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Post traumatic stress disorder
Rising hormone levels
Chronic illness
Vital sign returning to normal
57. Your patient has a tracheostomy. You must provide routine tracheal suctioning. You know the main complication of tracheal suctioning is:
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Infection
Hypoxia
Trauma
All of the above
58. You are educating a newly diagnosed 55-year-old male with type 2 diabetes. Which of the following will you tell him is most effective in attaining normal to near normal blood glucose levels?
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Controlling hypertension
Weight loss
Quitting smoking
Exercising
59. You are performing an abdominal exam on a 75-year-old male patient. You note a pulsatile mass just distal to the patient's umbilicus. What should you do next?
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Palpate the mass
Call the Physician
Auscultate the mass
Nothing- this is a normal finding
60. Which of the following are risk factors for Clostridium Difficile infection?
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Recent hospitalization
Proton pump inhibitor usage
Recent antibiotic usage
All of the above
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