Help with pre-employment questions!!!

[Val1023]

I took a pre-employment quiz a few days ago and failed it

I'm eligible to go back and re-take the test, but I still don't know the correct answers to some of the questions. Please help! I'll try to remember them as much as I can.

-You have a private duty patient who is in pain. Tylenol is not ordered, but the mother says that the patient has taken it many times. Do you

A. Tell the mother you can not give the tylenol because it isn't ordered

B. Tell the mother you can't give the tylenol but she can

-If a patient says to you, "I feel bad and my heart is pounding". Do you chart it as:

A. Pt c/o feeling bad with heart palpitations

B. Pt states, "I feel bad and my heart is pounding"

-If a patient has pain with cloudy urine. Should you

A. Call the doctor

B. Tell the pt to drink more water then check them tomorrow

What should you take into account when getting a subQ injections ready..

Weight?

Frequency given?

Amount?

Anything else?

Pt taking Coumadin what do they need to be concerned about with diet?

A pt on a diabetic diet what should they refrain from?

What is the BEST way for a nurse to prevent transmission of infectious diseases?

A.Gloves

B.Wash hands

C.Mask

D.All of the above

I can't remember anymore

[CTnewgrad826]

What do you think the answers are and why?

[roser13, ASN, RN]

Are you a nurse?

[Val1023]

1- I put A

2-A

3-call doc

4-weight, frequency, amount, site

5-Limit vit K

6- limit carbs and sodium

7- I can't remember if all of the above was an option. I either put that or gloves.

I know I've messed these up.

I am a new nurse.

[toomuchbaloney]

So you don't know which of your answers were correct and which were incorrect? You received no feedback other than you failed the test?

Personally, I would contact the employer to discover the complete results and the correct answers and then decide if I wanted to retest.

[Val1023]

Nope she just said I missed 10. I doubt they'll tell me the answers since I can retake the test.

[CTnewgrad826]

I won't answer all of them seems you have some brushing up to do but for number 2. I would choose B because you're documenting something subjective, "feeling bad." Feeling bad is not an objective, medical term you should chart unless it's quoted such as choice A. Subjective = in quotation.

As for number 7, I'm not sure if you're a nurse or aide or what not, but if there's one thing you should've learned or remember from now on, it's that hand washing is always the answer! The BEST way to prevent spread of infection is ALWAYS hand washing. It may not be the ONLY way but always is the BEST way.

Study up and retake. Good luck!

[Val1023]

Yea I knew the hand washing but I always second guess myself on everything.

Can anyone else help me out?

[Val1023]

The first one I'm really confused about... If I tell the mother it's ok to give the tylenol then some sort of reaction happens wouldn't it be my fault?

[enuf_already]

I agree that number 2 should be B. Pain is subjective. Quoting what the patient reports. You can then chart that you asked the patient to describe how they didn't feel well and quote their reply.

Curious why you included sodium in the answer about diabetes.

The Tylenol question--the parent can give the medication--or could where I worked. If the child is having frequent pain, it would be a good idea to notify the MD and get an order. Also note if you get an order for Tylenol for pain, you should not give it for fever unless the order also states for fever.

[Val1023]

sodium answer because I've read that they should cut back on sodium. Like in the following article. Is that not true?

5 Common Food Myths for People with Diabetes Debunked | Joslin Diabetes Center

For the Tylenol questions my only 2 options were to either tell the mother I can't give it or to tell the mother I can't give it, but tell her that she can. I just wasn't sure if I could tell her she could give it. I guess I'm being too cautious and second guessing myself.

[enuf_already]

The first one I'm really confused about... If I tell the mother it's ok to give the tylenol then some sort of reaction happens wouldn't it be my fault?

If this is home care, the rules are very different than in a hospital or LTC setting. The parents can do whatever they want with their child (within reason) and you can't without an MD order.

Think of it this way: Joe's mom takes him to the pediatrician and he's diagnosed with an ear infection and given antibiotics. You come on for night shift and mom tells you Joe is now on Penicillin and hands you the bottle to give a 2AM dose. There is no order because mom forgot to take the paperwork to the MD. What do you do?

Joe needs the antibiotic. You don't have an order. Your agency policy states you cannot give meds without an order. Mom argues that the label is the order because she doesn't want to get up at 2AM.

Do not give the medication until you have a written order! Mom can give it. You can also tell mom that you can't give it because you don't have an order. (The label is not an order and could have been printed wrong or missing verbal instructions given in the office). If mom doesn't get up to give the med, it's on her, not you.