University Nursing questions with correct answers
What does ACLS stand for? Correct Answer-- Advanced Cardiac Life
Support
What is the difference between a Rapid Response Team and a Code?
Correct Answer-- Rapid Response still has a PULSE and
RESPIRATORY RATE and is still alive but DECLINING
- Code is no pulse, no respiratory rate, needing resuscitation
What occurs to the LOC that is a criterion for calling the Rapid
Response Team? Correct Answer-- A change in LOC w/o any reason
why
What occurs to the HR that is a criterion for calling the Rapid Response
Team? Correct Answer-- A change in the HR w/o any reason why (but
still has a pulse)
What occurs to the RR that is a criterion for calling the Rapid Response
Team? Correct Answer-- A change in the RR w/o any reason why (but
still breathing)
What might a nurse be asked first when a rapid response team arrives?
Correct Answer-- What is going on or what the situation is
,What should a Rapid Response Team assess for? Correct Answer-- IF
the nurse started a new medication or a new medication was given
What should a rapid response acquire after asking about the patients
situation? Correct Answer-- A fresh set of vital signs
- ABG
If the Rapid Response Team is called to the scene for a LOC change,
what should be assessed? Correct Answer-- Blood Glucose levels
(Especially on insulin)
What procedure or machine might be utilized by the rapid response team
to further assess the patient? Correct Answer-- CT Scan
What might a Rapid Response Team utilize a CT machine to assess for?
Correct Answer-- A hemorrhagic Bleed
What type of units should not call the Rapid Response Team? Correct
Answer-- ICU
- ED or ER
Why should a ICU or ED/ER not call a Rapid Response team? Correct
Answer-- B/c they have ACLS certified nurses and certified docs
What type of doctors can be on a Rapid Response Team? Correct
Answer-- Hospitalists
,- Critical care docs
What type of certifications must a nurse have to be on the rapid response
team? Correct Answer-- ACLS
What two criterion must me met with the patient in order for a code to
be called? Correct Answer-- Apneic
- No pulse (Pulseless) or irregular pulses
What type of pulses can a code be called for? Correct Answer--
Pulseless
- Too Fast that it cannot be counted
- Too Slow that it can not be determined
If a nurse walks into the room and notices a patient that is unconscious
what should the nurse do? Correct Answer-- Wake the patient up
- Yell their name
- Vigorously shake their shoulders
If a nurse cannot wake a patient up, what should the nurse do after
attempting to wake the patient has failed? Correct Answer-- Check the
pulse of the patient if the nurse cannot wake the patient up
What pulses should a nurse check on an unresponsive and unconscious
patient? Correct Answer-- Carotid pulse is the golden standard
, If the Carotid pulse cannot be detected by the nurse, what other location
is acceptable to check the pulse? Correct Answer-- Femoral pulse
What are the two types of central pulse locations? Correct Answer--
Carotid pulse
- Femoral pulse
If a nurse cannot detect a pulse on the patient at both central locations,
what should the nurse do initially? Correct Answer-- CALL A CODE /
YELL FOR HELP!
After a nurse calls a code, what nursing action should the nurse take?
Correct Answer-- Begin compressions
What position must a patient be in for a compressions to begin? Correct
Answer-- A flat or supine position
How does a nurse get a patient to lay in a flat/ supine position? Correct
Answer-- Lower the bed
What should occur to the side rails in order to start compressions on a
patient during a code? Correct Answer-- Lower side rails
Where should the nurse be while performing compressions? Correct
Answer-- On top of the bed