201 - SkillsUSA Florida



1165860-43815000 PracticalNursing NOTE: Sample Job Application in Separate file 2015Regional ContestTable of ContentsSchool Facilitator Packet ------------------------------------------------ 3-4Site and Materials RequirementJudge’s Packet ------------------------------------------------------- 5-41Scoring Directions and Contest(Including Written Test and Key)Grievance Form ------------------------------------------------------------- 9Written Test Answer Key -------------------------------------------------- 38Contestant Packet --------------------------------------------------------42-71Complete Contest (Including Written Test and Answer Sheet)Instructor Information Packet ------------------------------------------72-73Tools and Equipment Needed by StudentFor Information on ContestHost SchoolFacilitatorPacketMaterials supplied by host school: All instruments, equipment and materials required for the contest.All necessary information and furnishings for judges and technical committee.NOTE: You have 13 Scenario’s available. Select minimum of 7 for the competition plus #12 or #13.Scenario #1 - Stethoscope, BP cuff, thermometer, watch, pen pencil, patient’s chart/nurses notes.Scenario #2 - MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher, syringe, vial of tetanus toxoid.Scenario #3 - Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.Scenario #4 - IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.Scenario #5 - CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients ChartScenario #6 - Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.Scenario #7 - Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors orderScenario #8 - Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.Scenario #9 - Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water and towel and wash cloth, tape or catheter holder, extra light, gloves, patient’s chart, and doctors order.Scenario #10 - Isolation equipment, pen, pencil &paper.Scenario #11 – HOTS - Assessment and evaluation of student performing multiple tasks in an emergency situation. Scenario #12 - Job application, Pen.NOTE: See attached folder for sample job application formScenario #13 – Room for testingContest Set-up:Provide for ample area for contestants Provide seating for the 3 judges with a writing area.Provide observation area that will is away from the contestantsProvided by Regional Coordinator:Judges copy of contest, answer sheet for written test (if used), and scoring sheets.Supplied by the contestant:A watch with a second handA pen with black inkStethoscope Scissors for removing bandagesBandage scissors Eye protection, shield, or gogglesTwo # 2 pencilsPenlight or small flash lightone-page, typewritten résuméObservers:Provide an observation area, if possible.Judges PacketProject InformationSkill PerformanceThe contest will assess fundamentals of the clinical problem-solving process, caring, communications and documentation. All skills demonstrated will be based on nationally accepted accreditation and certification standards. Contestants, as part of the demonstration, should voluntarily express pertinent information. Situations or case studies may be presented to test the contestants’ ability to make judgment decisions.Contest GuidelinesContestants perform procedures or skills selected from the following list of Standards and Competencies as determined by the Florida SkillsUSA health occupations technical committee.All procedures must be performed using safety precautions and correct body mechanics.All skills demonstrated will be based on nationally accepted accreditation and certification standards.Contestants, as part of the demonstration, should voluntarily express pertinent information.Health Occupation CoreAcademic FoundationsApply knowledge of human structure and function to client care situations.Apply concepts of basic human needs to client care.Apply knowledge of nutrition.Apply basic mathematical munication Skills – CoreDemonstrate oral, written and telephone communication skills with patients, families and staff.Modify communication to meet client needs.Spell, pronounce, define and utilize medical terms and abbreviations.Observe, report, and document pertinent patient data.Demonstrate effective interpersonal relationshipsBe sensitive to multicultural and multilingual needs.Provide for emotional support of client during procedure/treatment.Safety – CoreReport and/or correct safety hazards.Apply principles of body mechanics.Maintain equipment in proper working order.Maintain a safe client environment.Follow emergency procedures.Verify identity of client.Use precautions in the presence of ionizing radiation.Manage hazardous materials.Infection Control and Asepsis – CorePerform correct hand washing technique.Utilize appropriate personal protective equipment.Utilize standard precaution outlined by the CDC.JUDGES GENERAL INSTRUCTIONS - REGIONAL and STATE SkillsUSASkill and Leadership ContestsThank you for giving your time and talent to evaluate our students. Your evaluation of their performance will assist them in their drive to become successful in their chosen occupation. l. Please remember that the contestants are students with job entry level skills. Please judge them accordingly.2.Allow time to orient all contestants prior to the contest. Have students draw for a demonstration time. (Post the times)3.Make sure that each student has an I.D. badge with their contestant number showing. Don't ask student their names or school they are from. Use the contestant list provided to you, to check off the students present. Do not assign contestant I.D.’s to any student that is not on the list. Immediately contact the Regional Coordinator.4.If a student arrives late, IF POSSIBLE, allow them to start the contest. They will not be allowed extra time unless the Regional Coordinator gives the OK.5.There are to be no Cell phones in the contest area. 6. If contestants need assistance in bringing equipment into room, 1 person can help them but in no case can any other person assist them in setting up. 7. Select or appoint a head judge who will oversee the contest and be responsible for tallying and certifying the contest rules.8.Select a judge to keep time and notify the contestant of the time remaining.9.You are to judge every contestant. 10. Familiarize yourself with the score sheet. The point ranges shown are possible points andyou should give the number of points you feel are deserved. Remember to judge on the basisof entry level skills.11.Do NOT discuss your scoring with anyone. This includes other judges, contestants, or advisors. Results should be kept confidential. Do not discuss who #l, 2, 3 should be - use the tallies from the score sheets as given. Only the head judge deducts timing, clothing, and Resume penalties.12.DO NOT allow contestants to talk to ANYONE except other judges. Contestants should not leave the contest or holding area for any reason. No advisors or teachers will be allowed to speak with contestants or to be in the contest or holding area EVER. If there is a problem with advisors, contact the regional coordinator or state director at once.13.Be consistent in your judging14.THERE ARE NO TIES when awarding 1st, 2nd, and 3rd place. Remember if contestants have an equal score, the judges must refer to the score obtained on the SkillsUSA knowledge test to break the tie. It is not necessary to select a medal winner if no contestant scores 70% or higher of the possible points for the contest.15.Judges are not to alter or change the contests or score sheets. All written materials; score sheets, judge’s sheets, written tests, etc., should be placed in a large manila envelope and turned in to the contest coordinator at the conclusion of the contest.16.There are no uniform or clothing requirements for the regional contests. However, safety items including safety glasses, hard hats, work shoes, etc., will be mandatory as required. Cosmetology contestants must wear the proper clinical shoes - no high heels allowed.17. If any problems arise, notify the regional coordinator or the state director.18. If one contestant discovers an error in the contest or any other problem that needs a judges’ help, it should be shared with all contestants.19.No judge or facilitator may disqualify ANY contestant without the expressed permission of the regional coordinator or state director.20. Resumes shall be collected at orientation, a fifty point deduction of the total contestant score shall be made if the contestant fails to provide a one page resume.NOTE:If a contestant feels that a rule violation occurred during the contest, the contestant may file a grievance. The grievance form may be obtained from the head contest judge and must be returned to same. The head judge must accept the grievance and must make a ruling on the grievance. If the head judge cannot rectify the grievance to the satisfaction of the contestant, then and only then may the contestant ask that the grievance be presented to the official grievance committee for consideration.All grievances must start with the head judge of each contest while the contest is in progress. Time missed while making a grievance report to the judge will be given to the contestant to complete his/her contest without penalty.No grievances will be filed after the contests are concluded.Final interpretations of all contest rules will be made by the Florida State Director or the Regional Coordinator at the regional contests. FLORIDA SkillsUSAGRIEVANCE FORMGrievances:A Grievances will be accepted for a Rule Violation only?Procedure for filing a Grievance:1.Only contestants may file grievances. No Advisors or Spectators.?2.Grievances must be filed DURING the Contest with the LEAD (Head) Judge prior to the ending of the Contest. The Contestant ONLY must file grievances!! The Contestant may only file a Grievance based on a rule infraction, which impacts ONLY the Contestant.Final interpretations of all contest rules will be made by the Florida State Director or the Regional Coordinator at the regional contests. Contestant Number: _____Contest being grieved: __________________Describe the Rule Violation: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Contestant Signature: ______________________________Advisor Signature: ________________________________Lead Judge Signature: _____________________________Resolution by Grievance Committee: _________________Committee Chair Signature: ________________________Date: _________Materials supplied by host school: All instruments, equipment and materials required for the contest.All necessary information and furnishings for judges and technical committee.NOTE: You have 13 Scenario’s available. Select minimum of 7 for the competition plus #12 or #13.Scenario #1 - Stethoscope, BP cuff, thermometer, watch, pen pencil, patient’s chart/nurses notes.Scenario #2 - MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher, syringe, vial of tetanus toxoid.Scenario #3 - Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.Scenario #4 - IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.Scenario #5 - CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients ChartScenario #6 - Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.Scenario #7 - Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors orderScenario #8 - Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.Scenario #9 - Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water and towel and wash cloth, tape or catheter holder, extra light, gloves, patient’s chart, and doctors order.Scenario #10 - Isolation equipment, pen, pencil &paper.Scenario #11 – HOTS - Assessment and evaluation of student performing multiple tasks in an emergency situation. Scenario #12 - Job application, Pen.NOTE: See attached folder for sample job application formScenario #13 – Room for testingContest Set-up:Provide for ample area for contestants Provide seating for the 3 judges with a writing area.Provide observation area that will is away from the contestantsProvided by Regional Coordinator:Judges copy of contest, answer sheet for written test (if used), and scoring sheets.Supplied by the contestant:A watch with a second handA pen with black inkStethoscope Scissors for removing bandagesBandage scissors Eye protection, shield, or gogglesTwo # 2 pencilsPenlight or small flash lightone-page, typewritten résuméObservers:Provide an observation area, if possible.Scenario #1Vital SignsAssessment and evaluation of student performing vital signs on patient with CVA.Obtain baseline vital signsScenario: Assessment of patient with acute episode of CVAChart both findingsSupplies:Stethoscope, BP cuff, thermometer, watch, pen pencil, patients chart/nurses notes.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #2Medication and Communication Assessment and evaluation of student performing medication administration and communication involved in procedure,1. Scenario: Medication Administration 2. Confidentiality issues3. Charting your procedure….on the MAR. and nurses notes?Supplies:MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher, syringe, vial of tetanus toxoid.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #3Dressing ChangeAssessment and evaluation of student performing a simple dressing change.1. Scenario: Simple dressing change. Have a patient with a leg incision from a car accident.2. Perform a simple dressing change according to the scenario.3. Charting your procedureSupplies:Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #4Intravenous StationAssessment and evaluation of student performing IV insertion and fluid administration.Start an IVAssemble Equipment:Prime a primary lineChoose siteCleanse siteApply TourniquetCannulate the veinAttach Main lineSecure the siteAdjust the flowChart the procedureSupplies:IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________CPR Adult & ChildScenario #5Assessment and evaluation of student performing CPR in and Adult and Child.Perform CPR on and Adult PatientPerform CPR on a ChildPerform CPR on and infantUse AED on Adult PatientSupplies:CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients ChartJudge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #6Admission AssessmentAssessment and evaluation of student performing an Admission Assessment.Introduce yourself to the PatientExplain procedureObtain the admission formsFill out forms completelyPerform a head to toe assessment/Or a modified Assessment:Neuro ExamLung AssessmentSkin AssessmentExtremity assessmentBowel SoundsHeart AssessmentSupplies:Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 1 of 3)Assessment and evaluation of student performing NG Tube insertion and maintenance.Read the scenarioCheck Doctors OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors orderJudge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 2 of 3)Time: 15 minutesSituation # AYou are a LPN working on the medical surgical unit at a local community hospital you have received An order to place a Nasogastric tube in the patient in room 739 A. He is a direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He and is admitted with a small bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10 scale. Performance of Nasogastric Intubationcheck the doctors orderexplain the procedure to the patientcheck the airflow through the nares, choose a sidegather all equipment neededposition the patient 30-90 degreesraise the bed, good body mechanicshand the patient a small cup of waterhave on hand an emesis basin and tissue in case the patient vomitsagree on a hand signal that will instruct you to stop if patient experiences too much discomfortPut on GlovesMeasure the distance the tube is to be inserted, Nose ear xiphoid process. Mark the tubing with tape.Lubricate the tiphave patient put chin on chest and have them swallow sips of water as the tube is inserted past the gag reflex.check mouth with tongue depressor to check position of tube. check placement of the tube, making sure it is in the stomach.By using a 60ml syringe and aspirating gastric contentsInject 10-20 ml of air into tube listening in the epigastric area for swooshing sound. Secure the tube in place with tapeattach NG tube to suction Machine and put on low intermittent suction setting. you will need to chart the procedure and your findings. Supplies:Doctors order, Stethoscope, Pen, flashlight or penlight, gloves, emesis basin, cup of water, straw, tape, tongue blade, water soluble lubricant, plug for tube, suction tubing, suction machine, tissues, saline solution, connecting tree, and safety pinContestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 3 of 3)Time: 15 minutesSituation# ____________ CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient5Does contestant explain procedure10Does contestant Wash hands10Does contestant assemble necessary equipment15Does contestant communication with client15Does contestant perform the task efficiently20Chart the procedure properly10Does contestant utilize safety procedures15Time penalty-5 Contestant Number ___________Scenario #8Urinary Drainage Insertion(Page 1 of 4)Assessment and evaluation of student performing urinary catheterization.Read the scenarioCheck Doctors OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #8Urinary Drainage InsertionContestant Information(Page 2 of 4)Time: 20 minutesYou are an LPN working on the medical surgical unit at a local community hospital. You Part 1Mrs. Carr is a 72 year old African American female, admitted to your unit with a diagnosis of rule out CVA. She presents to your floor in stable condition. Upon entering her room for the first time, you note that she is A &O to person, and slightly confused about time and place. She reorients easily but still is confused at times. She is pleasant and cooperative with a complaint of inability to urinate. The RN has obtained an order from the doctor to insert at Foley catheter. You do not need to obtain a specimen.Demonstrate proper technique for insertion of an indwelling Foley catheter. Chart your procedure.Supplies:Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water and towel and wash cloth, tape or catheter holder, extra light, gloves, patient’s chart, and doctors order.Resource: Textbook: Fundamental concepts and skills for nursing: Susan DeWitt, Elsevier, copyright 2005.. Scenario #8Urinary Drainage Insertion(Page 3 of 4)Time: 20 minutesDemonstrate proper technique for taking insertion of a Foley catheter.Introduce self to patient and check name bandcheck doctors orders and check allergiesexplain the procedureclose door for privacyassemble Equipment:wash handsposition and drape the patientassure good lightingOpen the kit: use outer covering as trash bagmaintain sterile fieldput sterile under pad under patientdon sterile glovesopen completely the packageloosen the cotton balls and prepare with antiseptic solutionopen lubricant for catheterremove sterile sleeve from catheterattach sterile water to balloon port of catheterpre check the balloonwith non-dominant hand open labia to view meatusCleanse meatus with forceps and cotton balls, and discardPick up catheter about 3 inches from tip and insert it about 2 to 3 inches or until you visualize urine flow. You may insert another ? inch (*per Fundamental’s textbook)Hold catheter in place and fill balloon Do not obtain specimenSecure the catheter to the bed Clean up your used kit. Make sure patient is comfortable, return bed to low position Chart the procedureIf the client is in need of personal hygiene prior to catheterization, use washcloth, soap and towel to cleanse area before starting the procedure.Contestant Number ___________Scenario #8Urinary Drainage Insertion(Page 4 of 4)CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient5Does contestant explain procedure5Does contestant Wash hands10Does contestant assemble necessary equipment10Does contestant communication with client15Does contestant perform the task efficiently20Chart the procedure properly10Does contestant utilize safety procedures10Does contestant calculate the infusion rate correctly15Time penalty-5Contestant Number ___________Scenario #9Preoperative Teaching(Page 1 of 3)Assessment and evaluation of student performing preoperative teaching. Read the scenarioCheck Surgery OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Surgery order, incentive spirometer, Patients chart.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #9Preoperative Teaching(Page 2 of 3)Time: 15 minutesSituation # AYou are a LPN working on the medical surgical unit at a local community hospital. He is a direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He is admitted with a small bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10 scale. You just placed a Nasogastric tube on and have now received word that your patient will be going to surgery. All consents have been signed prior to being medicated in the ED. He is alert enough for you to teach him Coughing and Deep Breathing Exercises and the use of an incentive spirometer.Preoperative Teaching Deep Breathinginstruct the patient to deep breath to inflate the whole lunginspiration should last about 3 seconds10 deep breaths per hour while awakeCoughinginstruct the patient to cough, deeply to clear lung secretions in the bottom of the lungsShould do coughing along with deep breathing, the breathing loosens secretions and coughing them up helps rid the body of possible bacteria.Coughing and deep breaths should be done approximately 10 times per hour while awake Incentive SpirometerIncentive spirometry is a tool used for coughing and deep breathing. When the patient takes a deep breath a ball or several balls move upward. Try to hold the ball up for at least 3-5 seconds. This is a visible reminder for the patient. Instudt the patient on the use of the spirometer.Chart your preoperative TeachingSupplies:Incentive Spirometer,Contestant Number ___________Scenario #9Preoperative Teaching(Page 3 of 3)Time: 15 minutesSituation# ____________ CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient4Does contestant explain procedure11Does contestant Wash hands8Does contestant assemble necessary equipment11Does contestant communication with client11Does contestant perform the task efficiently11Chart the procedure properly8Does contestant utilize safety procedures11Time penalty-5 Contestant Number ___________Scenario #10Patient Safety(Page 1 of 3)Assessment and evaluation of student evaluating a safe environment.Read the scenarioPerform the ProcedureDocument the informationSupplies:Isolation equipment, pen, pencil &paper.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #10Patient Safety(Page 2 of 3)Time: 15 minutesSubject: Patient SafetyMrs. Stewart is your patient for the day. She is a 58 y.o. female, with a total right knee replacement. She also has Clostridium Diffucile and is on isolation precautions. She has just been provided her lunch. She is on a regular diet. Go into her room and identify fifteen (15) hazards and write a corrective action for eachContestant Number ___________Scenario #10Patient Safety(Page 3 of 3)Scenario # 12 Patient Safety Time: 15 minutesCRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient8Does contestant explain procedure8Does contestant Wash hands after removing attire8Does contestant Dress in appropriate Isolation attire 15Does contestant find the hazards10Does contestant write corrective action10Does contestant utilize safety procedures8Does the contestant communicate to the patient what is occurring8Time penalty-5Contestant Number ___________Scenario #11HOTS (Higher Order Thinking Station )Assessment and evaluation of student performing multiple tasks in an emergency situation. Read the scenarioPerform the ProcedureDocument the informationSupplies:Isolation equipment, pen, pencil &paper. Equipment needed to perform higher level procedures.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #12Job InterviewAssessment and evaluation of student performing a job interview1. Obtain application from the receptionist2. Fill out the application3. Interview with the Director of NursingSupplies:Job application, Pen.Sample QuestionsWhat is your greatest strength/weakness or deficiency?How do you define doing a good job?What makes a job enjoyable for you?Under what conditions do you work best?Tell me what "success" means to you.What was more important on your job, written or oral communication?In what areas do you typically have the least amount of patience at work?Describe the best manager you ever had. The worst. What qualities did each of them have?Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #13Written TestDO NOT write in this test. Mark your answers on the sheet providedMultiple ChoiceIdentify the letter of the choice that best completes the statement or answers the question.1.The smallest “living” units of structure and function in the body are:ansc.cellsb.tissuesd.systems2.The thoracic and abdominal cavities are separated by the:a.peritoneumc.spinal columnb.pleurad.diaphragm3.The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:a.acutec.chronicb.remission d.functional4.Decide which nursing intervention assures that either the care plan is meeting the needs of the patient or, if not, appropriate changes may be made. a.municationb.evaluationd.documentation5.Although they are three of the six classes of essential nutrients, vitamins, minerals, and water do not:a.build proteinc.provide energy b.fight infectiond.provide heat6.Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique in that it also contains:a.nitrogen c.sodiumb.calciumd.potassium7.The nurse was caring for a patient and failed to perform an intervention that had been ordered, which resulted in harm to the patient. This resulted in the nurse being legally liable for committing: a.failure to follow the Nurse Practice Actb.malpracticec.harm to the patientd.negligence8.The nurse is discussing the origin of the disease with a diabetic patient. The explanation given is that this disease is caused by a dysfunction of the:a.adrenalsc.pituitaryb.pancreas d.thyroid9.A group of several different kinds of tissues arranged so that together they can performa more complex function than any tissue alone is called:ansc.cellsb.endoplasmic reticulumd.systems10.Failure on the part of the nurse or the employer to perform the duties listed in the contract results in a/an:a.unlawful performancec.law suitb.terminationd.breach of contract 11.Upon taking the NCLEX/CAT examination, the student has been told that the minimum number of questions to be answered is:a.100c.85 b.90d.7012.The elements found in food that are necessary for good health that our bodies cannot make are termed:a.essential nutrients c.necessary nutrientsb.life-saving nutrientsd.important nutrients13.The nurse, involved in communication with the patient, sits in a chair near the bed, leans forward to hear what the patient is saying, and does not interrupt. The nurse is demonstrating:a.active listeningc.interestb.support d.caring14.The nurse recognizes that the information record for a patient must be guarded. This assures the patient the right to:a.protected medical recordc.unauthorized disclosureb.privacyd.confidentiality 15.Direction is given to the practicing nurse defining what should or should not be done for the patient. Identify the answer which defines this direction:a.standard of carec.prudent practiceb.advocacyd.scope of practice16.When a cell engulfs or surrounds foreign material, this process is called:a.diffusionc.phagocytosisb.absorptiond.pinocytosis17.A summary of your educational and work experience which is concise, one page, comprehensive, well-organized, neat, accurate, and will provide your prospective employer with the first impression of you, is called a/an:a.positeb.introductiond.review18.The muscle tissue cells that are nonstriated and appear in the viscera or internal organs, such as the walls of the intestines, are:a.glialc.skeletalb.smoothd.fibrous19.The patient is telling the nurse there is no pain at this time. The nurse observes the patient is breathing rapidly with clenched fists and is grimacing. Which form of communication will be believed? a.non-verbal c.incongruent b.verbal d.congruent 20.As part of an assessment, the nurse asks for information from the patient. This information is a subjective indication of illness perceived by the patient and is called a/an:a.symptom c.assessmentb.observationd.sign21.The nurse is collecting data during an initial assessment. The data which can be seen, heard, measured, or felt and are objective are called:a.symptomsc.observationsb.signsd.assessments22.Protein, minerals, iron, and fat combine together to:a.provide energyc.regulate body processesb.restore body functiond.build and repair tissue23.Select the document in which the role and responsibilities of the vocational nurse is identified.a.NLN accreditationb.NAPNE code c.American Nurses Association coded.State Practice Act 24.Select the individual whose influence on nursing practice and education was highly significant in the nineteenth century. a.Dorothea Dixc.Clara Bartonb.Florence Nightingaled.Linda Richards25.Patients have expectations regarding the health care services they receive. In order to protect these expectations, which of the following has become law?a.Self-Determination Actb.American Hospital Association’s Bill of Rights c.JCAHO rights and responsibilities of patients d.American Hospital Association’s Standard of Care26.Assuming responsibility for a patient’s care forms a legal relationship between the patient and the nurse. Select the term for this relationship:a.nurse-patient relationship c.advocacy b.standard of cared.accountability 27.When comparing nursing programs, the one certified by a state agency is: a.approvedc.exemplifiedb.provisionald.accredited28.An interview is important. Try to make it a success. Prepare carefully and make a good impression. The decision to hire a candidate for a job is made within the first:a.30 minutesc.15 minutesb.30 seconds d.1 hour 29.The licensing law which defines the title and regulations governing the practice of nursing, and which states the requirements for licensure, is called the:a.legislative actc.state practice actb.nurse regulation actd.nurse practice act 30.When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. This document is called a/an: a.appeal c.plaint d.answer31.If in your job you encounter a problem, follow the chain of command and don’t let the situation get out of hand. Remember that any problem can best be resolved by:a.withdrawingc.argumentb.munication32.Every state has legislation that defines and limits the scope of nursing practice in that state. When beginning practice in a state the nurse must review this document to know the limit of practice:a.American Nurses Association codec.Nurse Practice Act b.standards of cared.regulation of practice33.When reviewing for the NCLEX/CAT examination for licensure, the new graduate will discover the maximum time for taking the test is:a.2 hoursc.5 hours b.4 hoursd.6 hours34.The commission of an act that a prudent nurse would not have done, or the omission of an act a prudent nurse would have done, that results in injury to a patient, is termed:a.disregardc.negligence b.malpracticed.neglect35.The emphasis on wellness that is being demonstrated by patients today came about as a result of: a.decreased hospital bedsb.increased number of health care giversc.improved insurance paymentsd.increased education concerning causes of illness36.The largest organelle that is responsible for cell reproduction and control of other organelles is the:a.ribosomec.mitochondrionb.Golgi apparatusd.nucleus37.The amino acids that make up proteins can be bonded in different ways to make different proteins. The body uses 22 common amino acids, but 9 of them must be obtained from the diet and are considered:a.essential c.replaceableb.qualityd.long lived38.When comparing therapeutic vs. non-therapeutic communication, the therapeutic communication:a.assigns the patient a passive roleb.facilitates the formation of a positive nurse-patient relationshipc.requires the patient to accept what the nurse saysd.makes the patient not a mutual partner in the relationship39.A kcal is a kilocalorie, which is a measure of energy. The greater number of kcal, the greater the energy-giving potential. Of the nutrients that provide energy, fat provides how many kcals/g?a.4 kcal/gc.3 kcal/gb.9 kcal /gd.7 kcal/g40.A type of tissue that stores fat is called:a.muscle tissuec.adipose tissueb.peripheral tissued.osseous tissue41.Calculate the importance of an interdisciplinary approach to patient treatment.a.prevents the fragmentation of patient care b.reduces the number of care giversc.shortens hospital stayd.improves efficient care 42.The NCLEX-PN makes it possible to practice nursing in another state if the graduate has passed the NCLEX/CAT in their own state and meets the other state’s educational requirements. This licensure from one state to another is called:a.endorsement c.co-licensureb.auxiliaryd.reciprocal43.In order to identify individual needs of a patient and meet those needs, which is required?a.individualized care planc.the cardexb.nurses notesd.doctors’ order sheet44.The nurse is preparing the patient for a thoracentesis. She recognizes that which of the following is required before the procedure may be performed?rmed consent c.interviewb.physical assessmentd.surgical check list45.When several organs and parts are grouped together for certain functions, they form:a.cellsc.membranesb.tissued.systems46.When the nurse assesses a person in proximal-to-distal order, the assessment is performed:a.from head to toec.from the center of the body outwardb.from the fingers toward the bodyd.from front to back47.The doctor has told you that the patient is complaining of pain in the thoracic cavity. Which of the following is not located in this cavity?a.lungsc.blood vesselsb.small intestined.heart48.The body’s storage form of carbohydrates, usually found in the liver and some in the muscles, is not consumed in the diet. This storage form is called:a.sugarc.glycogen b.lipidsd.glucose49.In anatomical terminology, posterior means:a.below the trunkc.toward the headb.toward the backd.toward the tail50.Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower colon, rectum, urinary, and reproductive system located?a.pelvicc.pleuralb.mediastinumd.abdominalEnd Of TestTurn in this test along with your answer sheet to the judge.Written Test Answer Key__C_____D_____D_____C_____C_____A_____B_____B_____A_____D_____C_____A_____A_____D_____A_____C_____A_____B_____B_____A_____B_____D_____D_____B_____B_____A_____A_____B_____D_____B_____D_____C_____C_____C_____D_____D_____A_____B_____B_____C_____A_____A_____A_____A_____D_____A_____B_____C_____B_____A___ITEMS EVALUATEDPossible PointsCONTESTANT NUMBERScenario #1 Vital Signs75Scenario#2 Medication and Communication75Scenario #3 Dressing Change75Scenario #4 Intravenous Station75Scenario #5 CPR Adult & Child75Scenario #6 Admission Assessment75Scenario #7 Insertion of Nasogastic Tube75Scenario #8 Urinary Drainage Inspection75`Scenario #9 Preoperative Teaching75Scenario #10 Patient Safety75Scenario #11 HOTS75Scenario #12 Job Interview 75Scenario #13 Written Test 100Sub Total (1000)Resume Penalty Clothing Penalty (up to -50)Safety Penalty (up to -50)Time Penalty Total (1000 possible)TALLY SHEET Please place all judges’ total scores on this sheet. Add the judge’s scores to determine the placement of each student.Remember you might have secondary (high school) and Post-Secondary (those that have graduated from high school) in the contest. The way to determine is look at their I.D. badge. If you have both groups you will have winners in each groupJudgeContestant number#1#2#3#4#5TotalPlace JudgeContestant number#1#2#3#4#5TotalPlaceSecondary3rd Place __________________________________2nd Place _________________________________1st Place __________________________________Post Secondary3rd Place __________________________________2nd Place _________________________________1st Place __________________________________ContestantPacketDirections:Have you given your Resume to the judge?Have you been given an overview of the contest and stations?Do you have everything you need?Make sure your contestant number is showing and make sure to put your number on your work. This is to prevent confusion in judging.If you have a question, let the head judge know before the start of the contest. You will be scored on the following Criteria.Scenario #1 Vital Signs75Scenario#2 Medication and Communication75Scenario #3 Dressing Change75Scenario #4 Intravenous Station75Scenario #5 CPR Adult & Child75Scenario #6 Admission Assessment75Scenario #7 Insertion of Nasogastic Tube75Scenario #8 Urinary Drainage nspection75Scenario #9 Preoperative Teaching75Scenario #10 Patient Safety75Scenario # 11 HOTS75Scenario #12 Job Interview75Scenario #13 Written Test 100--------Think Safety--------Upon completion of Scenario the head judge will give the OK to rotate..*****Remember Safety is always a priority*****Scenario #1Vital SignsAssessment and evaluation of student performing vital signs on patient with CVA.Obtain baseline vital signsScenario: Assessment of patient with acute episode of CVAChart both findingsSupplies:Stethoscope, BP cuff, thermometer, watch, pen pencil, patients chart/nurses notes.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #2Medication and Communication Assessment and evaluation of student performing medication administration and communication involved in procedure,1. Scenario: Medication Administration 2. Confidentiality issues3. Charting your procedure….on the MAR. and nurses notes?Supplies:MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher, syringe, vial of tetanus toxoid.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #3Dressing ChangeAssessment and evaluation of student performing a simple dressing change.1. Scenario: Simple dressing change. Have a patient with a leg incision from a car accident.2. Perform a simple dressing change according to the scenario.3. Charting your procedureSupplies:Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #4Intravenous StationAssessment and evaluation of student performing IV insertion and fluid administration.Start an IVAssemble Equipment:Prime a primary lineChoose siteCleanse siteApply TourniquetCannulate the veinAttach Main lineSecure the siteAdjust the flowChart the procedureSupplies:IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________CPR Adult & ChildScenario #5Assessment and evaluation of student performing CPR in and Adult and Child.Perform CPR on and Adult PatientPerform CPR on a ChildPerform CPR on and infantUse AED on Adult PatientSupplies:CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients ChartJudge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #6Admission AssessmentAssessment and evaluation of student performing an Admission Assessment.Introduce yourself to the PatientExplain procedureObtain the admission formsFill out forms completelyPerform a head to toe assessment/Or a modified Assessment:Neuro ExamLung AssessmentSkin AssessmentExtremity assessmentBowel SoundsHeart AssessmentSupplies:Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 1 of 3)Assessment and evaluation of student performing NG Tube insertion and maintenance.Read the scenarioCheck Doctors OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors orderJudge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 2 of 3)Time: 15 minutesSituation # AYou are a LPN working on the medical surgical unit at a local community hospital you have received An order to place a Nasogastric tube in the patient in room 739 A. He is a direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He and is admitted with a small bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10 scale. Performance of Nasogastric Intubationcheck the doctors orderexplain the procedure to the patientcheck the airflow through the nares, choose a sidegather all equipment neededposition the patient 30-90 degreesraise the bed, good body mechanicshand the patient a small cup of waterhave on hand an emesis basin and tissue in case the patient vomitsagree on a hand signal that will instruct you to stop if patient experiences too much discomfortPut on GlovesMeasure the distance the tube is to be inserted, Nose ear xiphoid process. Mark the tubing with tape.Lubricate the tiphave patient put chin on chest and have them swallow sips of water as the tube is inserted past the gag reflex.check mouth with tongue depressor to check position of tube. check placement of the tube, making sure it is in the stomach.By using a 60ml syringe and aspirating gastric contentsInject 10-20 ml of air into tube listening in the epigastric area for swooshing sound. Secure the tube in place with tapeattach NG tube to suction Machine and put on low intermittent suction setting. you will need to chart the procedure and your findings. Supplies:Doctors order, Stethoscope, Pen, flashlight or penlight, gloves, emesis basin, cup of water, straw, tape, tongue blade, water soluble lubricant, plug for tube, suction tubing, suction machine, tissues, saline solution, connecting tree, and safety pinContestant Number ___________Scenario #7Insertion of Nasogastric Tube(Page 3 of 3)Time: 15 minutesSituation# ____________ CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient5Does contestant explain procedure10Does contestant Wash hands10Does contestant assemble necessary equipment15Does contestant communication with client15Does contestant perform the task efficiently20Chart the procedure properly10Does contestant utilize safety procedures15Time penalty-5 Contestant Number ___________Scenario #8Urinary Drainage Insertion(Page 1 of 4)Assessment and evaluation of student performing urinary catheterization.Read the scenarioCheck Doctors OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #8Urinary Drainage InsertionContestant Information(Page 2 of 4)Time: 20 minutesYou are an LPN working on the medical surgical unit at a local community hospital. You Part 1Mrs. Carr is a 72 year old African American female, admitted to your unit with a diagnosis of rule out CVA. She presents to your floor in stable condition. Upon entering her room for the first time, you note that she is A &O to person, and slightly confused about time and place. She reorients easily but still is confused at times. She is pleasant and cooperative with a complaint of inability to urinate. The RN has obtained an order from the doctor to insert at Foley catheter. You do not need to obtain a specimen.Demonstrate proper technique for insertion of an indwelling Foley catheter. Chart your procedure.Supplies:Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water and towel and wash cloth, tape or catheter holder, extra light, gloves, patient’s chart, and doctors order.Resource: Textbook: Fundamental concepts and skills for nursing: Susan DeWitt, Elsevier, copyright 2005.. Scenario #8Urinary Drainage Insertion(Page 3 of 4)Time: 20 minutesDemonstrate proper technique for taking insertion of a Foley catheter.Introduce self to patient and check name bandcheck doctors orders and check allergiesexplain the procedureclose door for privacyassemble Equipment:wash handsposition and drape the patientassure good lightingOpen the kit: use outer covering as trash bagmaintain sterile fieldput sterile under pad under patientdon sterile glovesopen completely the packageloosen the cotton balls and prepare with antiseptic solutionopen lubricant for catheterremove sterile sleeve from catheterattach sterile water to balloon port of catheterpre check the balloonwith non-dominant hand open labia to view meatusCleanse meatus with forceps and cotton balls, and discardPick up catheter about 3 inches from tip and insert it about 2 to 3 inches or until you visualize urine flow. You may insert another ? inch (*per Fundamental’s textbook)Hold catheter in place and fill balloon Do not obtain specimenSecure the catheter to the bed Clean up your used kit. Make sure patient is comfortable, return bed to low position Chart the procedureIf the client is in need of personal hygiene prior to catheterization, use washcloth, soap and towel to cleanse area before starting the procedure.Contestant Number ___________Scenario #8Urinary Drainage Insertion(Page 4 of 4)CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient5Does contestant explain procedure5Does contestant Wash hands10Does contestant assemble necessary equipment10Does contestant communication with client15Does contestant perform the task efficiently20Chart the procedure properly10Does contestant utilize safety procedures10Does contestant calculate the infusion rate correctly15Time penalty-5Contestant Number ___________Scenario #9Preoperative Teaching(Page 1 of 3)Assessment and evaluation of student performing preoperative teaching. Read the scenarioCheck Surgery OrderExplain Procedure to the patientAssemble EquipmentPerform the ProcedureChart the procedureSupplies:Surgery order, incentive spirometer, Patients chart.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #9Preoperative Teaching(Page 2 of 3)Time: 15 minutesSituation # AYou are a LPN working on the medical surgical unit at a local community hospital. He is a direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He is admitted with a small bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10 scale. You just placed a Nasogastric tube on and have now received word that your patient will be going to surgery. All consents have been signed prior to being medicated in the ED. He is alert enough for you to teach him Coughing and Deep Breathing Exercises and the use of an incentive spirometer.Preoperative Teaching Deep Breathinginstruct the patient to deep breath to inflate the whole lunginspiration should last about 3 seconds10 deep breaths per hour while awakeCoughinginstruct the patient to cough, deeply to clear lung secretions in the bottom of the lungsShould do coughing along with deep breathing, the breathing loosens secretions and coughing them up helps rid the body of possible bacteria.Coughing and deep breaths should be done approximately 10 times per hour while awake Incentive SpirometerIncentive spirometry is a tool used for coughing and deep breathing. When the patient takes a deep breath a ball or several balls move upward. Try to hold the ball up for at least 3-5 seconds. This is a visible reminder for the patient. Instudt the patient on the use of the spirometer.Chart your preoperative TeachingSupplies:Incentive Spirometer,Contestant Number ___________Scenario #9Preoperative Teaching(Page 3 of 3)Time: 15 minutesSituation# ____________ CRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient4Does contestant explain procedure11Does contestant Wash hands8Does contestant assemble necessary equipment11Does contestant communication with client11Does contestant perform the task efficiently11Chart the procedure properly8Does contestant utilize safety procedures11Time penalty-5 Contestant Number ___________Scenario #10Patient Safety(Page 1 of 3)Assessment and evaluation of student evaluating a safe environment.Read the scenarioPerform the ProcedureDocument the informationSupplies:Isolation equipment, pen, pencil &paper.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #10Patient Safety(Page 2 of 3)Time: 15 minutesSubject: Patient SafetyMrs. Stewart is your patient for the day. She is a 58 y.o. female, with a total right knee replacement. She also has Clostridium Diffucile and is on isolation precautions. She has just been provided her lunch. She is on a regular diet. Go into her room and identify fifteen (15) hazards and write a corrective action for eachContestant Number ___________Scenario #10Patient Safety(Page 3 of 3)Scenario # 12 Patient Safety Time: 15 minutesCRITERIAPOINTS POSSIBLESCOREDoes contestant introduce yourself to patient8Does contestant explain procedure8Does contestant Wash hands after removing attire8Does contestant Dress in appropriate Isolation attire 15Does contestant find the hazards10Does contestant write corrective action10Does contestant utilize safety procedures8Does the contestant communicate to the patient what is occurring8Time penalty-5Contestant Number ___________Scenario #11HOTS (Higher Order Thinking Station )Assessment and evaluation of student performing multiple tasks in an emergency situation. Read the scenarioPerform the ProcedureDocument the informationSupplies:Isolation equipment, pen, pencil &paper. Equipment needed to perform higher level procedures.Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #12Job InterviewAssessment and evaluation of student performing a job interview1. Obtain application from the receptionist2. Fill out the application3. Interview with the Director of NursingSupplies:Job application, Pen.Sample QuestionsWhat is your greatest strength/weakness or deficiency?How do you define doing a good job?What makes a job enjoyable for you?Under what conditions do you work best?Tell me what "success" means to you.What was more important on your job, written or oral communication?In what areas do you typically have the least amount of patience at work?Describe the best manager you ever had. The worst. What qualities did each of them have?Judge Initials _______This sheet is to be left with the judge after completion of task.Contestant Number ___________Scenario #13Written TestDO NOT write in this test. Mark your answers on the sheet providedMultiple ChoiceIdentify the letter of the choice that best completes the statement or answers the question.1.The smallest “living” units of structure and function in the body are:ansc.cellsb.tissuesd.systems2.The thoracic and abdominal cavities are separated by the:a.peritoneumc.spinal columnb.pleurad.diaphragm3.The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:a.acutec.chronicb.remission d.functional4.Decide which nursing intervention assures that either the care plan is meeting the needs of the patient or, if not, appropriate changes may be made. a.municationb.evaluationd.documentation5.Although they are three of the six classes of essential nutrients, vitamins, minerals, and water do not:a.build proteinc.provide energy b.fight infectiond.provide heat6.Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique in that it also contains:a.nitrogen c.sodiumb.calciumd.potassium7.The nurse was caring for a patient and failed to perform an intervention that had been ordered, which resulted in harm to the patient. This resulted in the nurse being legally liable for committing: a.failure to follow the Nurse Practice Actb.malpracticec.harm to the patientd.negligence8.The nurse is discussing the origin of the disease with a diabetic patient. The explanation given is that this disease is caused by a dysfunction of the:a.adrenalsc.pituitaryb.pancreas d.thyroid9.A group of several different kinds of tissues arranged so that together they can performa more complex function than any tissue alone is called:ansc.cellsb.endoplasmic reticulumd.systems10.Failure on the part of the nurse or the employer to perform the duties listed in the contract results in a/an:a.unlawful performancec.law suitb.terminationd.breach of contract 11.Upon taking the NCLEX/CAT examination, the student has been told that the minimum number of questions to be answered is:a.100c.85 b.90d.7012.The elements found in food that are necessary for good health that our bodies cannot make are termed:a.essential nutrients c.necessary nutrientsb.life-saving nutrientsd.important nutrients13.The nurse, involved in communication with the patient, sits in a chair near the bed, leans forward to hear what the patient is saying, and does not interrupt. The nurse is demonstrating:a.active listeningc.interestb.support d.caring14.The nurse recognizes that the information record for a patient must be guarded. This assures the patient the right to:a.protected medical recordc.unauthorized disclosureb.privacyd.confidentiality 15.Direction is given to the practicing nurse defining what should or should not be done for the patient. Identify the answer which defines this direction:a.standard of carec.prudent practiceb.advocacyd.scope of practice16.When a cell engulfs or surrounds foreign material, this process is called:a.diffusionc.phagocytosisb.absorptiond.pinocytosis17.A summary of your educational and work experience which is concise, one page, comprehensive, well-organized, neat, accurate, and will provide your prospective employer with the first impression of you, is called a/an:a.positeb.introductiond.review18.The muscle tissue cells that are nonstriated and appear in the viscera or internal organs, such as the walls of the intestines, are:a.glialc.skeletalb.smoothd.fibrous19.The patient is telling the nurse there is no pain at this time. The nurse observes the patient is breathing rapidly with clenched fists and is grimacing. Which form of communication will be believed? a.non-verbal c.incongruent b.verbal d.congruent 20.As part of an assessment, the nurse asks for information from the patient. This information is a subjective indication of illness perceived by the patient and is called a/an:a.symptom c.assessmentb.observationd.sign21.The nurse is collecting data during an initial assessment. The data which can be seen, heard, measured, or felt and are objective are called:a.symptomsc.observationsb.signsd.assessments22.Protein, minerals, iron, and fat combine together to:a.provide energyc.regulate body processesb.restore body functiond.build and repair tissue23.Select the document in which the role and responsibilities of the vocational nurse is identified.a.NLN accreditationb.NAPNE code c.American Nurses Association coded.State Practice Act 24.Select the individual whose influence on nursing practice and education was highly significant in the nineteenth century. a.Dorothea Dixc.Clara Bartonb.Florence Nightingaled.Linda Richards25.Patients have expectations regarding the health care services they receive. In order to protect these expectations, which of the following has become law?a.Self-Determination Actb.American Hospital Association’s Bill of Rights c.JCAHO rights and responsibilities of patients d.American Hospital Association’s Standard of Care26.Assuming responsibility for a patient’s care forms a legal relationship between the patient and the nurse. Select the term for this relationship:a.nurse-patient relationship c.advocacy b.standard of cared.accountability 27.When comparing nursing programs, the one certified by a state agency is: a.approvedc.exemplifiedb.provisionald.accredited28.An interview is important. Try to make it a success. Prepare carefully and make a good impression. The decision to hire a candidate for a job is made within the first:a.30 minutesc.15 minutesb.30 seconds d.1 hour 29.The licensing law which defines the title and regulations governing the practice of nursing, and which states the requirements for licensure, is called the:a.legislative actc.state practice actb.nurse regulation actd.nurse practice act 30.When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. This document is called a/an: a.appeal c.plaint d.answer31.If in your job you encounter a problem, follow the chain of command and don’t let the situation get out of hand. Remember that any problem can best be resolved by:a.withdrawingc.argumentb.munication32.Every state has legislation that defines and limits the scope of nursing practice in that state. When beginning practice in a state the nurse must review this document to know the limit of practice:a.American Nurses Association codec.Nurse Practice Act b.standards of cared.regulation of practice33.When reviewing for the NCLEX/CAT examination for licensure, the new graduate will discover the maximum time for taking the test is:a.2 hoursc.5 hours b.4 hoursd.6 hours34.The commission of an act that a prudent nurse would not have done, or the omission of an act a prudent nurse would have done, that results in injury to a patient, is termed:a.disregardc.negligence b.malpracticed.neglect35.The emphasis on wellness that is being demonstrated by patients today came about as a result of: a.decreased hospital bedsb.increased number of health care giversc.improved insurance paymentsd.increased education concerning causes of illness36.The largest organelle that is responsible for cell reproduction and control of other organelles is the:a.ribosomec.mitochondrionb.Golgi apparatusd.nucleus37.The amino acids that make up proteins can be bonded in different ways to make different proteins. The body uses 22 common amino acids, but 9 of them must be obtained from the diet and are considered:a.essential c.replaceableb.qualityd.long lived38.When comparing therapeutic vs. non-therapeutic communication, the therapeutic communication:a.assigns the patient a passive roleb.facilitates the formation of a positive nurse-patient relationshipc.requires the patient to accept what the nurse saysd.makes the patient not a mutual partner in the relationship39.A kcal is a kilocalorie, which is a measure of energy. The greater number of kcal, the greater the energy-giving potential. Of the nutrients that provide energy, fat provides how many kcals/g?a.4 kcal/gc.3 kcal/gb.9 kcal /gd.7 kcal/g40.A type of tissue that stores fat is called:a.muscle tissuec.adipose tissueb.peripheral tissued.osseous tissue41.Calculate the importance of an interdisciplinary approach to patient treatment.a.prevents the fragmentation of patient care b.reduces the number of care giversc.shortens hospital stayd.improves efficient care 42.The NCLEX-PN makes it possible to practice nursing in another state if the graduate has passed the NCLEX/CAT in their own state and meets the other state’s educational requirements. This licensure from one state to another is called:a.endorsement c.co-licensureb.auxiliaryd.reciprocal43.In order to identify individual needs of a patient and meet those needs, which is required?a.individualized care planc.the cardexb.nurses notesd.doctors’ order sheet44.The nurse is preparing the patient for a thoracentesis. She recognizes that which of the following is required before the procedure may be performed?rmed consent c.interviewb.physical assessmentd.surgical check list45.When several organs and parts are grouped together for certain functions, they form:a.cellsc.membranesb.tissued.systems46.When the nurse assesses a person in proximal-to-distal order, the assessment is performed:a.from head to toec.from the center of the body outwardb.from the fingers toward the bodyd.from front to back47.The doctor has told you that the patient is complaining of pain in the thoracic cavity. Which of the following is not located in this cavity?a.lungsc.blood vesselsb.small intestined.heart48.The body’s storage form of carbohydrates, usually found in the liver and some in the muscles, is not consumed in the diet. This storage form is called:a.sugarc.glycogen b.lipidsd.glucose49.In anatomical terminology, posterior means:a.below the trunkc.toward the headb.toward the backd.toward the tail50.Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower colon, rectum, urinary, and reproductive system located?a.pelvicc.pleuralb.mediastinumd.abdominalEnd Of TestTurn in this test along with your answer sheet to the judge.Station #13Written Test__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Contestant Number ___________Instructors PacketMaterials supplied by host school: All instruments, equipment and materials required for the contest.All necessary information and furnishings for judges and technical committee.Contest Set-upProvide for ample area for contestants Provide seating for the 3 judges with a writing area.Provide observation area that will is away from the contestantsProvided by Regional CoordinatorJudges copy of contest, answer sheet for written test (if used), and scoring sheets.Supplied by the contestant:A watch with a second handA pen with black inkStethoscopeScissors for removing bandagesone-page, typewritten résuméObservers:Provide an observation area, if possible. ................
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