Help with pre-employment questions!!!

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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 :grumpy:

Oh ok! Thank you! Yes it's private duty.

What about the sodium though? Would that be incorrect?

Specializes in Med/Surg, Ortho, ASC.
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.

I have serious issues with Internet folks giving answers to pre-employment test questions.

I mean, really?? Would any one of us want to have a caregiver on duty for our child who cannot pass a basic test?

Shame on those responders who participate in this deception. You have no idea who you're aiding & abetting. So far, OP has not answered the simple question "are you a nurse?"

I did answer you right after you asked me (look under your question). Yes, I am a new nurse. I'm just asking for help. You don't have to be mean to me.

Specializes in Med/Surg, Ortho, ASC.
Yea I knew the hand washing but I always second guess myself on everything.

Can anyone else help me out?

Congrats on your knowledge of hand washing. I repeat: Are you a nurse?

I've answered you twice now. Please don't comment anymore. I don't wish to be treated like a dog. I'm kindly asking you to leave my thread.

Specializes in Med/Surg, Ortho, ASC.
I did answer you right after you asked me (look under your question). Yes, I am a new nurse. I'm just asking for help. You don't have to be mean to me.

Trust me, I am not being mean. My concerns for your license due to lack of knowledge are ALMOST as serious as my concerns for your potential patients.

You have me in tears. I'm not sure why you would treat someone you've never met this way.

I am dealing with cancer. I don't need someone making me feel worse.

Please just leave me alone.

Specializes in Med/Surg, Ortho, ASC.
Please just leave me alone.

I hope that you can find some help with your personal issues. It's hard to be a caregiver when you have needs of your own.

Specializes in SICU, trauma, neuro.
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?

Well no, because it's a fact that the mother can give her child Tylenol if she wants to. She doesn't need an Rx from a provider. However, YOU can't give it w/o an order because you're in the capacity of a nurse--not the parent. For you to give a client meds w/o a provider order is 1) prescribing and 2) dispensing--both of which are outside the scopes of RNs/LPNs.

I hope that you can find some help with your personal issues. It's hard to be a caregiver when you have needs of your own.

Thanks for being so sympathetic to someone who is potentially dieing. I could never treat another being like that.

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