Web view42.The NCLEX-PN makes it possible to practice nursing in another state ... You just placed a Nasogastric tube on and have now received word that your

PracticalNursing

NOTE: Sample Job Application in Separate file

2015Regional Contest

Practical Nursing

Table of Contents

School Facilitator Packet ------------------------------------------------ 3-4

Site and Materials Requirement

Judge’s Packet ------------------------------------------------------- 5-41

Scoring Directions and Contest

(Including Written Test and Key)

Grievance Form ------------------------------------------------------------- 9

Written Test Answer Key -------------------------------------------------- 38

Contestant Packet -------------------------------------------------------- 42-71

Complete Contest (Including Written Test and Answer Sheet)

Instructor Information Packet ------------------------------------------ 72-73

Tools and Equipment Needed by Student

For Information on Contest

2015 – Regional ContestPage 2 of 74

Practical Nursing

Host SchoolFacilitator

Packet


Practical NursingMaterials 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 testing

Contest 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 contestants

Provided 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 hand A pen with black ink Stethoscope Scissors for removing bandages Bandage scissors Eye protection, shield, or goggles Two # 2 pencils Penlight or small flash light one-page, typewritten résumé

Observers: Provide an observation area, if possible.


Practical Nursing

Judges Packet


Practical NursingProject Information

Skill Performance

The 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 Guidelines

Contestants 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 Core Academic Foundations

o Apply knowledge of human structure and function to client care situations.o Apply concepts of basic human needs to client care.o Apply knowledge of nutrition.o Apply basic mathematical concepts.

Communication Skills – Coreo Demonstrate oral, written and telephone communication skills with patients, families

and staff.o Modify communication to meet client needs.o Spell, pronounce, define and utilize medical terms and abbreviations.o Observe, report, and document pertinent patient data.o Demonstrate effective interpersonal relationshipso Be sensitive to multicultural and multilingual needs.o Provide for emotional support of client during procedure/treatment.

Safety – Coreo Report and/or correct safety hazards.o Apply principles of body mechanics.o Maintain equipment in proper working order.o Maintain a safe client environment.o Follow emergency procedures.o Verify identity of client.o Use precautions in the presence of ionizing radiation.o Manage hazardous materials.

Infection Control and Asepsis – Coreo Perform correct hand washing technique.o Utilize appropriate personal protective equipment.


Practical Nursingo Utilize standard precaution outlined by the CDC.


Practical NursingJUDGES GENERAL INSTRUCTIONS - REGIONAL and STATE SkillsUSA

Skill and Leadership Contests

Thank 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 judging


Practical Nursing14. 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.


Practical NursingFLORIDA SkillsUSAGRIEVANCE FORM

Grievances:

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: _________



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 testing

Contest 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 contestants

Provided 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 hand A pen with black ink Stethoscope Scissors for removing bandages Bandage scissors Eye protection, shield, or goggles Two # 2 pencils Penlight or small flash light one-page, typewritten résumé

Observers: Provide an observation area, if possible.


Practical Nursing

Scenario #1Vital Signs

Assessment and evaluation of student performing vital signs on patient with CVA.

1. Obtain baseline vital signs2. Scenario: Assessment of patient with acute episode of CVA3. Chart both findings

Supplies: 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 ___________


Practical Nursing

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.





Practical Nursing

Scenario #3Dressing Change

Assessment 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 procedure

Supplies: Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.





Practical Nursing

Scenario #4Intravenous Station

Assessment and evaluation of student performing IV insertion and fluid administration.

1. Start an IVa. Assemble Equipment:

i. Prime a primary lineii. Choose siteiii. Cleanse siteiv. Apply Tourniquetv. Cannulate the veinvi. Attach Main linevii. Secure the siteviii. Adjust the flowix. Chart the procedure

Supplies: IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.





Practical Nursing

CPR Adult & ChildScenario #5

Assessment and evaluation of student performing CPR in and Adult and Child.

1. Perform CPR on and Adult Patient2. Perform CPR on a Child3. Perform CPR on and infant4. Use AED on Adult Patient

Supplies: CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart





Practical Nursing

Scenario #6Admission Assessment

Assessment and evaluation of student performing an Admission Assessment.

1. Introduce yourself to the Patient2. Explain procedure3. Obtain the admission forms4. Fill out forms completely5. Perform a head to toe assessment/Or a modified Assessment:

a. Neuro Examb. Lung Assessmentc. Skin Assessmentd. Extremity assessmente. Bowel Soundsf. Heart Assessment

Supplies: Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.





Practical Nursing

Scenario #7Insertion of Nasogastric Tube

(Page 1 of 3)

Assessment and evaluation of student performing NG Tube insertion and maintenance.

1. Read the scenario2. Check Doctors Order3. Explain Procedure to the patient4. Assemble Equipment5. Perform the Procedure6. Chart the procedure

Supplies:Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors order





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Situation # 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 Intubation1. check the doctors order2. explain the procedure to the patient3. check the airflow through the nares, choose a side4. gather all equipment needed5. position the patient 30-90 degrees6. raise the bed, good body mechanics7. hand the patient a small cup of water8. have on hand an emesis basin and tissue in case the patient vomits9. agree on a hand signal that will instruct you to stop if patient experiences too much discomfort10. Put on Gloves11. Measure the distance the tube is to be inserted, Nose ear xiphoid process. Mark the tubing

with tape.12. Lubricate the tip13. have patient put chin on chest and have them swallow sips of water as the tube is inserted past the

gag reflex.14. check mouth with tongue depressor to check position of tube. check placement of the tube, making

sure it is in the stomach.a. By using a 60ml syringe and aspirating gastric contentsb. Inject 10-20 ml of air into tube listening in the epigastric area for swooshing sound.

15. Secure the tube in place with tape16. attach NG tube to suction Machine and put on low intermittent suction setting. 17. 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 pin



Practical Nursing


(Page 3 of 3)

Time: 15 minutes

Situation# ____________

CRITERIA POINTS POSSIBLE

SCORE

Does contestant introduce yourself to patient 5

Does contestant explain procedure 10

Does contestant Wash hands 10

Does contestant assemble necessary equipment 15

Does contestant communication with client 15

Does contestant perform the task efficiently 20

Chart the procedure properly 10

Does contestant utilize safety procedures 15

Time penalty -5



Practical Nursing

Scenario #8Urinary Drainage Insertion

(Page 1 of 4)

Assessment and evaluation of student performing urinary catheterization.


Supplies: Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.





Practical Nursing


Contestant Information(Page 2 of 4)

Time: 20 minutes

You 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.

.


Practical Nursing


(Page 3 of 4)

Time: 20 minutes

Demonstrate proper technique for taking insertion of a Foley catheter.

a. Introduce self to patient and check name bandb. check doctors orders and check allergiesc. explain the procedured. close door for privacye. assemble Equipment:f. wash handsg. position and drape the patienth. assure good lightingi. Open the kit: use outer covering as trash bagj. maintain sterile fieldk. put sterile under pad under patientl. don sterile glovesm. open completely the package

x. loosen the cotton balls and prepare with antiseptic solutionxi. open lubricant for catheterxii. remove sterile sleeve from catheterxiii. attach sterile water to balloon port of catheterxiv. pre check the balloonxv. with non-dominant hand open labia to view meatusxvi. Cleanse meatus with forceps and cotton balls, and discardxvii. Pick 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 ½ inch (*per Fundamental’s textbook)

xviii. Hold catheter in place and fill balloon xix. Do not obtain specimenxx. Secure the catheter to the bed xxi. Clean up your used kit. Make sure patient is comfortable, return bed to low

position xxii. Chart the procedure

If 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 ___________2015 – Regional Contest

Page 23 of 74

Practical Nursing


(Page 4 of 4)


SCORE









Does contestant calculate the infusion rate correctly 15

Time penalty -5



Practical Nursing

Scenario #9Preoperative Teaching

(Page 1 of 3)

Assessment and evaluation of student performing preoperative teaching.

1. Read the scenario2. Check Surgery Order3. Explain Procedure to the patient4. Assemble Equipment5. Perform the Procedure6. Chart the procedure

Supplies: Surgery order, incentive spirometer, Patients chart.





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Situation # 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 Breathing

6. instruct the patient to deep breath to inflate the whole lung7. inspiration should last about 3 seconds8. 10 deep breaths per hour while awake

Coughing1. instruct the patient to cough, deeply to clear lung secretions in the bottom of the lungs2. Should do coughing along with deep breathing, the breathing loosens secretions and

coughing them up helps rid the body of possible bacteria.3. 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 Teaching

Supplies:Incentive Spirometer,



Practical Nursing


(Page 3 of 3)

Time: 15 minutes

Situation# ____________


SCORE









Time penalty -5



Practical Nursing

Scenario #10Patient Safety

(Page 1 of 3)

Assessment and evaluation of student evaluating a safe environment.

1. Read the scenario2. Perform the Procedure3. Document the information

Supplies: Isolation equipment, pen, pencil &paper.





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Subject: Patient Safety

Mrs. 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 each



Practical Nursing


(Page 3 of 3)

Scenario # 12 Patient Safety

Time: 15 minutes


SCORE



Does contestant Wash hands after removing attire 8

Does contestant Dress in appropriate Isolation attire

15

Does contestant find the hazards 10

Does contestant write corrective action 10


Does the contestant communicate to the patient what is occurring

8

Time penalty -5



Practical Nursing

Scenario #11HOTS (Higher Order Thinking Station )

Assessment and evaluation of student performing multiple tasks in an emergency situation.


Supplies: Isolation equipment, pen, pencil &paper. Equipment needed to perform higher

level procedures.





Practical Nursing

Scenario #12Job Interview

Assessment and evaluation of student performing a job interview

1. Obtain application from the receptionist2. Fill out the application3. Interview with the Director of Nursing

Supplies: Job application, Pen.

Sample Questions1. What is your greatest strength/weakness or deficiency?

2. How do you define doing a good job?

3. What makes a job enjoyable for you?

4. Under what conditions do you work best?

5. Tell me what "success" means to you.

6. What was more important on your job, written or oral communication?

7. In what areas do you typically have the least amount of patience at work?

8. Describe the best manager you ever had. The worst. What qualities did each of them have?





Practical Nursing

Scenario #13Written Test

DO NOT write in this test. Mark your answers on the sheet provided

Multiple 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:a. organs c. cellsb. tissues d. systems

2. The thoracic and abdominal cavities are separated by the:

a. peritoneum c. spinal columnb. pleura d. diaphragm

3. 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. acute c. chronicb. remission d. functional

4. 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. planning c. communicationb. evaluation d. documentation

5. Although they are three of the six classes of essential nutrients, vitamins, minerals, and water do not:

a. build protein c. provide energyb. fight infection d. provide heat

6. Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique in that it also contains:

a. nitrogen c. sodiumb. calcium d. potassium

7. 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. negligence


Practical Nursing8. 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. adrenals c. pituitaryb. pancreas d. thyroid

9. A group of several different kinds of tissues arranged so that together they can performa more complex function than any tissue alone is called:a. organs c. cellsb. endoplasmic reticulum d. systems

10. Failure on the part of the nurse or the employer to perform the duties listed in the contract results in a/an:

a. unlawful performance c. law suitb. termination d. 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. 100 c. 85b. 90 d. 70

12. 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 nutrients d. important nutrients

13. 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 listening c. interestb. support d. caring

14. The nurse recognizes that the information record for a patient must be guarded. This assures the patient the right to:

a. protected medical record c. unauthorized disclosureb. privacy d. 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 care c. prudent practiceb. advocacy d. scope of practice

16. When a cell engulfs or surrounds foreign material, this process is called:a. diffusion c. phagocytosisb. absorption d. pinocytosis


Practical Nursing17. 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. resume c. compositeb. introduction d. review

18. The muscle tissue cells that are nonstriated and appear in the viscera or internal organs, such as the walls of the intestines, are:

a. glial c. skeletalb. smooth d. fibrous

19. 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. incongruentb. 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. observation d. sign

21. 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. symptoms c. observationsb. signs d. assessments

22. Protein, minerals, iron, and fat combine together to:

a. provide energy c. regulate body processesb. restore body function d. build and repair tissue

23. Select the document in which the role and responsibilities of the vocational nurse is identified.a. NLN accreditationb. NAPNE codec. 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 Dix c. Clara Bartonb. Florence Nightingale d. Linda Richards


Practical Nursing25. 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 Rightsc. JCAHO rights and responsibilities of patientsd. American Hospital Association’s Standard of Care

26. 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. advocacyb. standard of care d. accountability

27. When comparing nursing programs, the one certified by a state agency is: a. approved c. exemplifiedb. provisional d. accredited

28. 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 minutes c. 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 act c. state practice actb. nurse regulation act d. 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. depositionb. complaint d. answer

31. 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. withdrawing c. argumentb. agreement d. communication

32. 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 code c. Nurse Practice Actb. standards of care d. regulation of practice

33. When reviewing for the NCLEX/CAT examination for licensure, the new graduate will discover the maximum time for taking the test is:

a. 2 hours c. 5 hoursb. 4 hours d. 6 hours


Practical Nursing34. 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. disregard c. negligenceb. malpractice d. neglect

35. 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 illness

36. The largest organelle that is responsible for cell reproduction and control of other organelles is the:

a. ribosome c. mitochondrionb. Golgi apparatus d. nucleus

37. 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. quality d. long lived

38. 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 relationship

39. 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/g c. 3 kcal/gb. 9 kcal /g d. 7 kcal/g

40. A type of tissue that stores fat is called:a. muscle tissue c. adipose tissueb. peripheral tissue d. osseous tissue

41. Calculate the importance of an interdisciplinary approach to patient treatment.a. prevents the fragmentation of patient careb. reduces the number of care giversc. shortens hospital stayd. improves efficient care


Practical Nursing42. 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. auxiliary d. reciprocal

43. In order to identify individual needs of a patient and meet those needs, which is required?a. individualized care plan c. the cardexb. nurses notes d. doctors’ order sheet

44. The nurse is preparing the patient for a thoracentesis. She recognizes that which of the following is required before the procedure may be performed?

a. informed consent c. interviewb. physical assessment d. surgical check list

45. When several organs and parts are grouped together for certain functions, they form:a. cells c. membranesb. tissue d. systems

46. When the nurse assesses a person in proximal-to-distal order, the assessment is performed:a. from head to toe c. from the center of the body

outwardb. from the fingers toward the body d. from front to back

47. 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. lungs c. blood vesselsb. small intestine d. heart

48. 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. sugar c. glycogenb. lipids d. glucose

49. In anatomical terminology, posterior means:a. below the trunk c. toward the headb. toward the back d. toward the tail

50. Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower colon, rectum, urinary, and reproductive system located?

a. pelvic c. pleuralb. mediastinum d. abdominal

End Of Test

Turn in this test along with your answer sheet to the judge.


Practical Nursing

Written Test Answer Key

1. __C___

2. __D___

3. __D___

4. __C___

5. __C___

6. __A___

7. __B___

8. __B___

9. __A___

10.__D___

11.__C___

12.__A___

13.__A___

14.__D___

15.__A___

16.__C___

17.__A___

18.__B___

19.__B___

20.__A___

21.__B___

22.__D___

23.__D___

24.__B___

25.__B___

26.__A___

27.__A___

28.__B___

29.__D___

30.__B___

31.__D___

32.__C___

33.__C___

34.__C___

35.__D___

36.__D___

37.__A___

38.__B___

39.__B___

40.__C___

41.__A___

42.__A___

43.__A___

44.__A___

45.__D___

46.__A___

47.__B___

48.__C___

49.__B___

50.__A___


Practical Nursing

ITEMS EVALUATED Possible Points

CONTESTANT NUMBER

Scenario #1 Vital Signs 75

Scenario#2 Medication and Communication

75

Scenario #3 Dressing Change 75

Scenario #4 Intravenous Station 75

Scenario #5 CPR Adult & Child 75

Scenario #6 Admission Assessment 75

Scenario #7 Insertion of Nasogastic Tube 75

Scenario #8 Urinary Drainage Inspection

75`

Scenario #9 Preoperative Teaching

75

Scenario #10 Patient Safety 75

Scenario #11 HOTS 75

Scenario #12 Job Interview 75

Scenario #13 Written Test 100

Sub Total (1000)

Resume PenaltyClothing Penalty (up to -50)Safety Penalty (up to -50)Time Penalty

Total (1000 possible)

2012 – Florida State ContestPage 40 of 74

Practical Nursing

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 group

Judge Contestant number

#1#2#3#4#5

Total

Place

Judge Contestant number

#1#2#3#4#5

Total

Place


Practical Nursing

Secondary

3rd Place __________________________________

2nd Place _________________________________

1st Place __________________________________

Post Secondary

3rd Place __________________________________

2nd Place _________________________________

1st Place __________________________________


Practical Nursing

ContestantPacket


Practical NursingDirections:

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 Signs 75Scenario#2 Medication and Communication 75Scenario #3 Dressing Change 75Scenario #4 Intravenous Station 75Scenario #5 CPR Adult & Child 75Scenario #6 Admission Assessment 75Scenario #7 Insertion of Nasogastic Tube 75Scenario #8 Urinary Drainage nspection 75Scenario #9 Preoperative Teaching 75Scenario #10 Patient Safety 75Scenario # 11 HOTS 75Scenario #12 Job Interview 75Scenario #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*****


Practical Nursing

Scenario #1Vital Signs

Assessment and evaluation of student performing vital signs on patient with CVA.

4. Obtain baseline vital signs5. Scenario: Assessment of patient with acute episode of CVA6. Chart both findings

Supplies: Stethoscope, BP cuff, thermometer, watch, pen pencil, patients chart/nurses notes.





Practical Nursing

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.





Practical Nursing

Scenario #3Dressing Change

Assessment 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 procedure

Supplies: Doctors order, dressing supplies, tape, cleansing solution, sterile field, pen.





Practical Nursing

Scenario #4Intravenous Station

Assessment and evaluation of student performing IV insertion and fluid administration.

2. Start an IVa. Assemble Equipment:

i. Prime a primary lineii. Choose siteiii. Cleanse siteiv. Apply Tourniquetv. Cannulate the veinvi. Attach Main linevii. Secure the siteviii. Adjust the flowix. Chart the procedure

Supplies: IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s chart, Doctors order.





Practical Nursing

CPR Adult & ChildScenario #5

Assessment and evaluation of student performing CPR in and Adult and Child.

5. Perform CPR on and Adult Patient6. Perform CPR on a Child7. Perform CPR on and infant8. Use AED on Adult Patient

Supplies: CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart





Practical Nursing

Scenario #6Admission Assessment

Assessment and evaluation of student performing an Admission Assessment.

9. Introduce yourself to the Patient10.Explain procedure11.Obtain the admission forms12.Fill out forms completely13.Perform a head to toe assessment/Or a modified Assessment:

a. Neuro Examb. Lung Assessmentc. Skin Assessmentd. Extremity assessmente. Bowel Soundsf. Heart Assessment

Supplies: Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter, Admission Forms.





Practical Nursing


(Page 1 of 3)

Assessment and evaluation of student performing NG Tube insertion and maintenance.

7. Read the scenario8. Check Doctors Order9. Explain Procedure to the patient10.Assemble Equipment11.Perform the Procedure12.Chart the procedure

Supplies:Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape, nose secure, pen. Suction machine, suction tubing, and Doctors order





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Situation # 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 Intubation18. check the doctors order19. explain the procedure to the patient20. check the airflow through the nares, choose a side21. gather all equipment needed22. position the patient 30-90 degrees23. raise the bed, good body mechanics24. hand the patient a small cup of water25. have on hand an emesis basin and tissue in case the patient vomits26. agree on a hand signal that will instruct you to stop if patient experiences too much discomfort27. Put on Gloves28. Measure the distance the tube is to be inserted, Nose ear xiphoid process. Mark the tubing

with tape.29. Lubricate the tip30. have patient put chin on chest and have them swallow sips of water as the tube is inserted past the

gag reflex.31. check mouth with tongue depressor to check position of tube. check placement of the tube, making

sure it is in the stomach.a. By using a 60ml syringe and aspirating gastric contentsb. Inject 10-20 ml of air into tube listening in the epigastric area for swooshing sound.

32. Secure the tube in place with tape33. attach NG tube to suction Machine and put on low intermittent suction setting. 34. 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 pin



Practical Nursing


(Page 3 of 3)

Time: 15 minutes

Situation# ____________


SCORE









Time penalty -5



Practical Nursing


(Page 1 of 4)

Assessment and evaluation of student performing urinary catheterization.


Supplies: Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of gloves, Blue Chux Pad, Patients chart.





Practical Nursing


Contestant Information(Page 2 of 4)

Time: 20 minutes

You 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.

.


Practical Nursing


(Page 3 of 4)

Time: 20 minutes

Demonstrate proper technique for taking insertion of a Foley catheter.

n. Introduce self to patient and check name bando. check doctors orders and check allergiesp. explain the procedureq. close door for privacyr. assemble Equipment:s. wash handst. position and drape the patientu. assure good lightingv. Open the kit: use outer covering as trash bagw. maintain sterile fieldx. put sterile under pad under patienty. don sterile glovesz. open completely the package

x. loosen the cotton balls and prepare with antiseptic solutionxi. open lubricant for catheterxii. remove sterile sleeve from catheterxiii. attach sterile water to balloon port of catheterxiv. pre check the balloonxv. with non-dominant hand open labia to view meatusxvi. Cleanse meatus with forceps and cotton balls, and discardxvii. Pick 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 ½ inch (*per Fundamental’s textbook)

xviii. Hold catheter in place and fill balloon xix. Do not obtain specimenxx. Secure the catheter to the bed xxi. Clean up your used kit. Make sure patient is comfortable, return bed to low

position xxii. Chart the procedure

If 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 ___________2012 – Florida State Contest

Page 56 of 74

Practical Nursing


(Page 4 of 4)


SCORE









Does contestant calculate the infusion rate correctly 15

Time penalty -5



Practical Nursing


(Page 1 of 3)

Assessment and evaluation of student performing preoperative teaching.

7. Read the scenario8. Check Surgery Order9. Explain Procedure to the patient10.Assemble Equipment11.Perform the Procedure12.Chart the procedure

Supplies: Surgery order, incentive spirometer, Patients chart.





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Situation # 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 Breathing

14. instruct the patient to deep breath to inflate the whole lung15. inspiration should last about 3 seconds16. 10 deep breaths per hour while awake

Coughing4. instruct the patient to cough, deeply to clear lung secretions in the bottom of the lungs5. Should do coughing along with deep breathing, the breathing loosens secretions and

coughing them up helps rid the body of possible bacteria.6. 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 Teaching

Supplies:Incentive Spirometer,



Practical Nursing


(Page 3 of 3)

Time: 15 minutes

Situation# ____________


SCORE









Time penalty -5



Practical Nursing


(Page 1 of 3)

Assessment and evaluation of student evaluating a safe environment.


Supplies: Isolation equipment, pen, pencil &paper.





Practical Nursing


(Page 2 of 3)

Time: 15 minutes

Subject: Patient Safety

Mrs. 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 each



Practical Nursing


(Page 3 of 3)

Scenario # 12 Patient Safety

Time: 15 minutes


SCORE



Does contestant Wash hands after removing attire 8

Does contestant Dress in appropriate Isolation attire

15

Does contestant find the hazards 10

Does contestant write corrective action 10


Does the contestant communicate to the patient what is occurring

8

Time penalty -5



Practical Nursing

Scenario #11HOTS (Higher Order Thinking Station )

Assessment and evaluation of student performing multiple tasks in an emergency situation.


Supplies: Isolation equipment, pen, pencil &paper. Equipment needed to perform higher

level procedures.





Practical Nursing

Scenario #12Job Interview

Assessment and evaluation of student performing a job interview

1. Obtain application from the receptionist2. Fill out the application3. Interview with the Director of Nursing

Supplies: Job application, Pen.

Sample Questions1. What is your greatest strength/weakness or deficiency?

2. How do you define doing a good job?

3. What makes a job enjoyable for you?

4. Under what conditions do you work best?

5. Tell me what "success" means to you.

6. What was more important on your job, written or oral communication?

7. In what areas do you typically have the least amount of patience at work?

8. Describe the best manager you ever had. The worst. What qualities did each of them have?





Practical Nursing

Scenario #13Written Test

DO NOT write in this test. Mark your answers on the sheet provided

Multiple 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:a. organs c. cellsb. tissues d. systems

2. The thoracic and abdominal cavities are separated by the:

a. peritoneum c. spinal columnb. pleura d. diaphragm

3. 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. acute c. chronicb. remission d. functional

4. 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. planning c. communicationb. evaluation d. documentation

5. Although they are three of the six classes of essential nutrients, vitamins, minerals, and water do not:

a. build protein c. provide energyb. fight infection d. provide heat

6. Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique in that it also contains:

a. nitrogen c. sodiumb. calcium d. potassium

7. 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. negligence


Practical Nursing8. 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. adrenals c. pituitaryb. pancreas d. thyroid

9. A group of several different kinds of tissues arranged so that together they can performa more complex function than any tissue alone is called:a. organs c. cellsb. endoplasmic reticulum d. systems

10. Failure on the part of the nurse or the employer to perform the duties listed in the contract results in a/an:

a. unlawful performance c. law suitb. termination d. 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. 100 c. 85b. 90 d. 70

12. 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 nutrients d. important nutrients

13. 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 listening c. interestb. support d. caring

14. The nurse recognizes that the information record for a patient must be guarded. This assures the patient the right to:

a. protected medical record c. unauthorized disclosureb. privacy d. 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 care c. prudent practiceb. advocacy d. scope of practice

16. When a cell engulfs or surrounds foreign material, this process is called:a. diffusion c. phagocytosisb. absorption d. pinocytosis


Practical Nursing17. 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. resume c. compositeb. introduction d. review

18. The muscle tissue cells that are nonstriated and appear in the viscera or internal organs, such as the walls of the intestines, are:

a. glial c. skeletalb. smooth d. fibrous

19. 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. incongruentb. 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. observation d. sign

21. 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. symptoms c. observationsb. signs d. assessments

22. Protein, minerals, iron, and fat combine together to:

a. provide energy c. regulate body processesb. restore body function d. build and repair tissue

23. Select the document in which the role and responsibilities of the vocational nurse is identified.a. NLN accreditationb. NAPNE codec. 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 Dix c. Clara Bartonb. Florence Nightingale d. Linda Richards


Practical Nursing25. 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 Rightsc. JCAHO rights and responsibilities of patientsd. American Hospital Association’s Standard of Care

26. 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. advocacyb. standard of care d. accountability

27. When comparing nursing programs, the one certified by a state agency is: a. approved c. exemplifiedb. provisional d. accredited

28. 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 minutes c. 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 act c. state practice actb. nurse regulation act d. 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. depositionb. complaint d. answer

31. 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. withdrawing c. argumentb. agreement d. communication

32. 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 code c. Nurse Practice Actb. standards of care d. regulation of practice

33. When reviewing for the NCLEX/CAT examination for licensure, the new graduate will discover the maximum time for taking the test is:

a. 2 hours c. 5 hoursb. 4 hours d. 6 hours


Practical Nursing34. 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. disregard c. negligenceb. malpractice d. neglect

35. 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 illness

36. The largest organelle that is responsible for cell reproduction and control of other organelles is the:

a. ribosome c. mitochondrionb. Golgi apparatus d. nucleus

37. 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. quality d. long lived

38. 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 relationship

39. 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/g c. 3 kcal/gb. 9 kcal /g d. 7 kcal/g

40. A type of tissue that stores fat is called:a. muscle tissue c. adipose tissueb. peripheral tissue d. osseous tissue

41. Calculate the importance of an interdisciplinary approach to patient treatment.a. prevents the fragmentation of patient careb. reduces the number of care giversc. shortens hospital stayd. improves efficient care


Practical Nursing42. 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. auxiliary d. reciprocal

43. In order to identify individual needs of a patient and meet those needs, which is required?a. individualized care plan c. the cardexb. nurses notes d. doctors’ order sheet

44. The nurse is preparing the patient for a thoracentesis. She recognizes that which of the following is required before the procedure may be performed?

a. informed consent c. interviewb. physical assessment d. surgical check list

45. When several organs and parts are grouped together for certain functions, they form:a. cells c. membranesb. tissue d. systems

46. When the nurse assesses a person in proximal-to-distal order, the assessment is performed:a. from head to toe c. from the center of the body

outwardb. from the fingers toward the body d. from front to back

47. 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. lungs c. blood vesselsb. small intestine d. heart

48. 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. sugar c. glycogenb. lipids d. glucose

49. In anatomical terminology, posterior means:a. below the trunk c. toward the headb. toward the back d. toward the tail

50. Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower colon, rectum, urinary, and reproductive system located?

a. pelvic c. pleuralb. mediastinum d. abdominal

End Of Test

Turn in this test along with your answer sheet to the judge.


Practical Nursing

Station #13Written Test

1. _____

2. _____

3. _____

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50._____



Practical Nursing

Instructors Packet



All instruments, equipment and materials required for the contest. All necessary information and furnishings for judges and technical committee.

Contest 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 contestants

Provided 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 hand A pen with black ink Stethoscope Scissors for removing bandages one-page, typewritten résumé

Observers:

Provide an observation area, if possible.


Documents

Web view42.The NCLEX-PN makes it possible to practice nursing in another state ... You just placed a Nasogastric tube on and have now received word that your