Clinical Care Extender - Entrance Exam

Front 1

Hospital Emergency Codes -

CODE RED

Back 1

= Fire

Front 2

Hospital Emergency Codes -

CODE YELLOW

Back 2

= Internal/External Disaster

Front 3

Hospital Emergency Codes -

CODE 10

Back 3

= Bomb Threat

Front 4

Hospital Emergency Codes -

CODE PURPLE

Back 4

= Person with a weapon

Front 5

Hospital Emergency Codes -

CODE 99

Back 5

= Combative Behavior

Front 6

Hospital Emergency Codes -

CODE MISSING

Back 6

= Infant / Child Abduction

Front 7

Hospital Emergency Codes -

CODE PINK=

Back 7

= Medical Emergency - Child/Infant

Front 8

Hospital Emergency Codes -

CODE BLUE

Back 8

= Medical Emergency - Adult

Front 9

Hospital Emergency Codes -

CHEMICAL OR BIOLOGICAL SPILL

-What?
-Procedures to follow?

Back 9

What: Hazardous Materials Spill

Follow MSDS Procedures:
-report the spill to your supervisor immediately
-do not attempt to clean up manually
-assume hazardous chemical agents
-try to block off area

Front 10

Mandatory Reporting -

A CCE should be on the look out and report what 4 suspicious behavior or events to authorities?

Back 10

- Child Abuse
- Elderly Abuse
- Domestic Abuse
- Harassment

Front 11

Hospital Safety: The Joint Commission -

Name 5 of the 2009 of the National Patient Safety Goals (NPSG)

Back 11

1. Improve the accuracy of patient identification
2. Improve the effectiveness of communication among care givers.
3. Improve the safety of using medications
4. Improve the safety of using medications
----
7. Reduce the risk of healthcare assoc. infections
8. Accurately & completely reconcile medications across the continuum of care
9. Reducing the risk of patient harm resulting from falls.
10. Reduce the risk of influenza & pneumococcal disease in institutionalized older adults.
11. Reduce the risk of surgical fires.
--
13. Encourage pt's active involvement in their own care as a pt. safety strategy
14. Prevent healthcare assoc. pressure ulcers (decubitus ulcers).
15. The organization identifies safety risks inherent in its patient pop. (suicide risk).
16. Improve recognition & response to changes in a pt.'s condition.
**. Universal Protocol - Reduce possibility for wrong site surgeries

Front 12

CCE:

Under what conditions are the CCE allowed to dispense medication?

Back 12

Never

Front 13

Medical topics -

Name the disease that causes enlargement of the liver.

Back 13

Hepatitis

Front 14

Name all 5 and define each of the cardiovascular conditions/disease

Back 14

- Antherosclerosis = hardening of the arteries from fatty deposits
- Myocardial Infarction (MI) = heart attack (loss of blood supply to heart)
- Congestive Heart Failure (CHF) = failure of heart to pump blood effectively
- Stroke = loss of blood supply to the brain
- Shock = decrease perfusion of blood to body tissues

Front 15

Name at least 5 components that make up the patient care team

Back 15

1. Patient
2. Allied Health
3. Nurses
4. Physicians
5. Volunteer

Front 16

When discussing diversity of healthcare, what are 4 of the 6 main aspects of communication?

Back 16

- Directness
- Gestures / Facial Expressions
- Touch
- Degree of Formality
- Status
- Pace

Front 17

CCE protocol:

When should the Competency Checklist be turned in, and where?

Back 17

- Must be completed by the end of 2nd week of every rotation
- Place next to your timesheet in your department binder (after RN ONLY has filled it out)

Front 18

Standard Precautions:

What are the 3 transmission-based precautions?

Back 18

- Contact
- Droplet
- Airborne

Front 19

Standard precautions:

Name the 3 steps you would take if the blood of a pt. gets in your eye.

Back 19

- Irrigate eyes with clean water, slaine or sterile irrigant
- Report the exposure to Charge Nurse
- Report the exposure to COPE Manager

Front 20

CCE protocol:

In order of occurrence, what things do you have to absolutely have to do if you are injury, regardless of how minor the injury is, while volunteering in the hospital?

Back 20

1. Charge Nurse
2. Get treated
3. Page/Contact COPE Health Solutions

Front 21

CCE Protocol:

What 5 items does your full uniform consists of?

Back 21

- Polo shirt (tucked in all times)
- Khaki pants
- ID badge (issued and returned each time to security)
- White tennis shoes
- A black pen

Front 22

Hospital safety:

What one Personal Protective Item that is ABSOLUTELY required when you assist a patient who has a BM in his bed?

Back 22

- gloves

Front 23

Name 5 different types of PPE (personal protective equipment) that you can use

Back 23

1. Gloves
2. Masks
3. Goggles
4. Gowns
5. Face masks (Splash masks)

Front 24

List all 5 of the pulmonary conditions/disease

Back 24

1. Pneumonia
2. Tuberculosis
3. Asthma
4. Bronchitis
5. Emphysema

Front 25

Pulmonary conditions:

Define -
Pneumonia

Back 25

= inflammation of the lung by any microorganism

Front 26

Pulmonary conditions:

Define -
TB

Back 26

= infectious disease caused by Mycobacterium tuberculosis

Front 27

Pulmonary conditions:

Define -
Asthma

Back 27

= Chronic condition characterized by airway inflammation, bronchoconstriction, and hypersecretion of mucus

Front 28

Pulmonary conditions:

Define -
Bronchitis

Back 28

= Chronic expiratory airflow obstruction accompanied by chronic productive cough for 3+ months in 2 successive years

Front 29

Pulmonary conditions:

Define -
Emphysema

Back 29

= Chronic expiratory airflow obstruction accompanied by permanent enlargement of the airspace (alveoli)

Front 30

Vital Signs:

Name the 7 locations of arteries to measure pulse.

Back 30

1. Radial artery - palmar surface of the wrist
2. Carotid - in the nect, lateral to the trachea
3. Brachial - just above bend in elbow
4. Femoral - in the groin
5. Popliteal - behind the knee
6. Posterior Tibial - behind ankle bone
7. Dorsalis Pedis - top of foot

Front 31

Vital Signs:

List the normal resting HR for:
1. Adults
2. Children
3. Toddlers
4. Infants

Back 31

1. Adults: 60-100 bpm
2. Children: 80-100 bpm
3. Toddlers: 100-120 bpm
4. Infants: 120-160 bpm

Front 32

Vital Signs:

What are factors that may increase or decrease HR:

Back 32

- Body temp.
- Emotional state
- Activity level
- Health of the heart
- Hemorrhage
- Drugs

Front 33

Vital Signs:

Factors that may INCREASE body temp.:

Back 33

- Strenuous exercise
- Digestion of food
- Drinking a warm beverage
- Illness
- Emotional stress
- Taking a warm bath
- In women, high lvls of progesterone after ovulation

Front 34

Vital Signs:

Factors that may DECREASE body temp.:

Back 34

- Fainting
- Illness
- Dehydration
- Drinking a cold beverage
- Fasting
- Sleep / Rest
- In women, high lvls. of estrogen b4 ovulation

Front 35

Vital Signs:

The longest & least accurate method for measuring body temp is:

Back 35

Axillary

Front 36

Vital signs:

List the three possible pulse characteristics

Back 36

- Rate: normal/fast/slow

- Rhythm: regular/irregular

- Quality: strong/weak/thready/bounding

Front 37

Vital signs:

An adult patient comes in with a racing HR of 150 bpm after a marathon run, what term describes this condition?

Back 37

Tachycardia - excessively rapid HR greater than 100 bpm in typical adult

Front 38

Vital signs:

Where would you normally palpate the pulse on a conscious adult patient for the purpose of measuring his or her HR?

Back 38

Radial artery

Front 39

Vital signs:

Where would you normally palpate the pulse on a unconscious adult patient for the purpose of measuring his or her HR prior to CPR?

Back 39

Carotid artery

Front 40

Vital signs:

List the general range of normal breathing per minute for:
- Adults
- Children
- Newborns

Back 40

-Adults: 12-20 breaths/min
-Children: 15-30 breaths/min
-Newborns: 30-60 breaths/min

Front 41

Vital signs:

List the range of normal blood pressure:
- Systolic pressure
- Diastolic pressure
-Normal/Avg. Adult BP

Back 41

- Systolic: btwn. 100-140 mmHg
- Diastolic: btwn. 60-90 mmHg

-Normal/Avg.: 120/80 mmHg

Front 42

Vital signs:

Normal Human Body Temp. readings:
- Oral?
- Axillary?
- Tympanic?
- Rectal?

Back 42

-Oral: 37C or 98.6F
-Axillary: 36.4C or 97.6F
-Tympanic: 37.6C or 99.6F
-Rectal: 37.6C or 99.6F

Front 43

Vital signs:

Factors that may INCREASE body temp. include:

Back 43

-Strenuous exercise
-Digestion of food
-Drinking warm beverage
-Illness
-Emotional stress
-Taking a warm bath
-In women, high lvls. of PROGESTERONE after ovulation

Front 44

Vital signs:

Factors that may DECREASE body temp. include:

Back 44

-Fainting
-Illness
-Dehydration
-Drinking a cold beverage
-Fasting
-Sleep/Rest
- In women, high lvls of ESTROGEN b4 ovulation

Front 45

Vital signs:

An adult pt. comes in with a depressed heart rate of 50 bpm as an alcoholic. What condition of abnormal HR is this?

Back 45

- Bradycardia: less than 60 bpm, excessively slow HR

**exception to abnormal HR are physically-fit athletes unless the individual has symptoms assoc. with it

Front 46

Vital signs:

What are the necessary instruments required for blood pressure measurement?

Back 46

1. Sphygmomanometer
2. Stethoscope
3. alcohol wipes
4. pen & paper

Front 47

Vital signs:

What are factors that may INCREASE in blood pressure?

Back 47

Poor Nutrition
Lack of exercise
Obesity
Illness
Stress
Emotional factors (anxiety or depression)
Ethnic background
Family history
Certain medications
HIGH sodium (Na) intake

Front 48

Vital signs:

What are factors that may DECREASE in blood pressure?

Back 48

Fasting
Shock
Hemorrhage
Rest
Certain medications
LOW sodium (Na) intake