TSBVI Health Center Nursing Competency Project Quiz
TSBVI Health Center Nursing Competency Quiz
Welcome to the TSBVI Health Center Nursing Competency Project Quiz! This quiz is designed to assess your knowledge and understanding of nursing procedures, protocols, and care strategies specific to the Texas School for the Blind and Visually Impaired Health Center.
Prepare yourself to demonstrate your competency through a variety of questions that cover essential topics such as medication administration, health assessments, and emergency responses. Highlights of the quiz include:
- 41 multiple choice questions
- Immediate feedback on your answers
- Focus on real-life scenarios common in healthcare settings
When a student is admitted to the health center, nurses will document in SNAP the reason the student presented to the Health Center, assessment findings, treatments provided, communication with school staff and parents or legal guardians, and evaluation of the student's disposition or recovery.
True
False
Self-harm or Threat or Attempt to hurt self or others - Is 1:1 observation is required?
Yes
No
If a student is admitted to the Health Center overnight, send out a temporary update using the SCS, alerting staff that the student will remain in the Health Center until further notice.
True
False
Where should the Suicide Risk Assessment Tool be completed?
In the students dorm
In the Health Center
In the classroom
In the gym
Once the Suicide Risk Assessment Tool is completed, the follow up response is determined by low, moderate, or high risk.
True
False
If a student is suspected of a drug/substance overdose, what is a helpful number to call for instructions?
Texas Department of Health and Human Services
Security
Poison Control
CDC
A student may be released from the Health Center once their fever is controlled with an antipyretic medication like ibuprofen or tylenol.
True
False
How many episodes of Vomiting and/or Diarrhea require a student to be admitted to the Health Center?
1
2
3
4
Students must be admitted to the Health Center with a fever of ____ degrees fahrenheit or higher.
99.6
100.4
98.9
101
Students with positive strep throat can be released from the Health Center 24 hours after initiating antibiotics.
True
False
Nurses pack Short Term Program students’ medication in
Rainbow colored bags
Yellow Bags
Wildcat colored (gold and maroon) bags
Blue bags
Select the medications that do NOT get packed on Thursday night packing prep
Creams/Ointments
Eye drops
Birth control pills
Emergency medications
Controlled medications
All of the above
What is preparation for packing Growth Hormone injections?
Shove it in an uninsulated bag with a heat pack
Put the pen with an ice pack in the student's cooler bag, ensuring that the needle is not on the pen.
What is NOT one of the final steps for Friday Medication Packing?
The packing nurse will ensure that a first aid kit is present inside the bin
Pack medication without referring to the google student medication checklist.
If all the medications listed for each student are correct, the nurse and med sponsor both initial under each student in the appropriate box.
A color 2-sided copy of the Bus Medication Roster is given to the medication sponsor, and the original is placed in the Weekends Home binder that corresponds to the bus route.
What does NOT happen on the day STP Students return home from TSBVI?
A medication list should be printed for each student from the SCS system.
The bus medication sponsor will pick up all medications of bus riders before leaving campus at 0900. A medication sponsor will pick up all medications for students traveling home by airplane prior to their departure.
The nurse and the medication sponsor will check that each medication is packed in the blue bag and check it off on the medication list.
The medication list will be copied. The original will be placed in the student’s chart, and the copy will go in the blue medication bag.
Empty rainbow colored bags should be returned to the Health Center.
What is NOT a required documentation step for health assessments?
Document the assessment in SNAP
Document communication with parents, treatment, and findings in SNAP
Document in talkbook or pass on to charge nurse for change of shift report
Call Sally after every assessment
If the nurse does not understand the students' complaints or symptoms, it is okay to just take a guess.
True
False
Which of the following does NOT apply when completing physical assessments?
Discuss chief complaint
Get vital signs
Assess pain scale
Complete physical assessment
Do not refer to the SCS or standing orders
When deciding if a student needs to see the physician or go to Urgent Care, there is NO need to consult the charge nurse.
True
False
When taking routine vitals signs which set of data is most appropriate?
Blood pressure, Oxygen saturation, Temperature, Respiratory rate
Diagnosis, behavior patterns, demeanor
Class, schedule, allergies, dorm number
Height, weight, BMI, Hip to waist ratio
A student has been getting ibuprofen twice a day for 10 days for “headaches” What should the nurse tell the student after the last dose of the 10th day?
Wow you must really have a bad headache.”
We will need to contact your family again and obtain an MD order before we keep giving you this medication to make sure there is nothing that we are missing in regards to your headaches.”
Just start taking double the dose and see if the headaches go away”
Medications like Onfi, Concerta and Focalin can be stored in the students’ medication bin instead of locked in the narcotic cart.
True
False
Which medication order is most complete?
Hydrocortisone cream
Hydrocortisone 0.5 PRN
Hydrocortisone 5mg PO Q AM
Hydrocortisone PO PRN emergency
When signing out diastat to a staff member for a student going on a class trip to HEB, the staff states that they are not a med sponsor. You should...
Tell them they can review the med sponsor slides presentation quickly and take the medication off campus with the student.
Tell them to have the student carry the diastat at all times instead, since they probably know how to use it.
Tell the teacher to cancel the HEB trip.
Tell them only trained med sponsors can accept responsibility for carrying the medication and offer to wait while they find a med sponsor to carry it instead.
When administering liquid medications...
Use your favorite spoon from the break room kitchen
Use only disposable syringes or disposable measuring cups labeled with the student’s name and name of medication
Use paper cups and eyeball the amount
If you notice a student is low on a medication you should…
Find a student with the same medication and borrow some.
Notify your charge nurse.
Hope the student survives when he runs out.
When a medication error occurs you should…
Call the police.
Document on the MAR what should have been administered.
Ensure the safety of the student.
When documenting the medications administered on the MAR, you should wait all day and just enter your initials at the end of your shift instead of right after administering a medication.
True
False
If a medication’s pharmacy label is different from what is printed on the MAR you should…
Check the orders in the chart, compare it with the MAR and pharmacy label for discrepancies.
Administer what is printed on the MAR
Ask another nurse what she administered yesterday.
A student complains of a stomach ache and TUMS are administered from the standing orders. Later that day the student returns to the health center after vomiting twice. The nurse should administer additional TUMS.
True
False
What items should be found in the emergency medication pouch?
Emergency Action Plan
PPE supplies
Emergency medication
All the above
Where can emergency action plans be found?
Doctor’s orders in the student’s chart
SCS
Student’s emergency medication pouch
All of the above
The emergency action plan from the provider is valid for how long?
Forever
1 year
6 months
2 years
What should you take to an emergency?
Student’s chart
Student’s emergency medication
Emergency response bag
Two-way radio
All of the above
What do you do if the emergency phone rings?
Ignore the call
Call security to go check it out
Tell the dorm staff to evaluate and call you back later
Pick up the phone, write student’s name, location and time in the log book and send 2 nurses to the emergency location
When do you call 911?
First time seizure
Emergency medication like Diastat or Solu-Cortef was given
Seizure in the water
All of the above
The emergency response bag check is done how often?
Once a year
Once every six months
Every month
Every other month
Which section of the SCS will you find the emergency action plan uploaded?
Vision section
Diet/Eating section
Behavior section
Medications section
What papers should be included in the envelope in the front of the student’s chart to use for an emergency?
SCS
Current MAR
Parent/guardian permissions to treat
Insurance/medicaid information
All the above
What is the best way to reach security during an emergency?
Tell the dorm staff to call them
2-way radio
Don’t bother them, they are very busy
Take the cart and go look for them
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