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Systems Solutions and Deployment Nursing Students Training Knowledge Check Answer Key Introduction and Directions: After each topic is covered, the Trainer will stop and read the questions with you. The trainer will also show the screens that will help you answer the questions. Read each question carefully and circle the letter that corresponds to your answer. Do not move to the next topic until you are told to do so. If you are NOT ATTENDING the IV Medications/Fluids portion of this training, please submit your Knowledge Check to your Instructor after completing questions 1 to 43. If you ARE ATTENDING the IV Medications/Fluids portion of this training, please submit your Knowledge Check to your Instructor after completing questions 1 to 50. ACCESS AND SECURITY 1. What does PHI refer to? (1 point) a. b. c. d. Protected Health Information Personal Health Infection Permanente Health Index Permanente Health Insurance 2. KP HealthConnect has access and security features. What is required of the Student Nurse in order to access KP HealthConnect from your unit's computer? (1 point) a. b. c. d. 6-4-08 confidential password and retina scan confidential password and KP PIN confidential user log in and password NUID and confidential password 1 3. When leaving your computer workstation, what is the recommended method for ensuring the Security and Confidentiality of patient information in KP HealthConnect? (1 point) a. b. c. d. Double click the power button Close the patient chart Place computer into sleep mode Click on the Log Out button Stop here! PATIENT LIST 4. Student Betty has her Home Workspace open. In the Folders directory, where will she find her list of patients? (1 point) a. b. c. d. Under the Shared Patient Lists folder Under the System List folder Under the Pre-Admission folder Under the My Patient Lists folder 5. After receiving her patient assignment from her instructor and creating her My List, which activity button will Student Betty use to place her patients on her My List? (1 point) a. b. c. d. Add Patient Create Properties Copy 6. How will Student Betty open a patient’s chart from her home page? (1 point) a. b. c. d. Right click on the patient’s name under My List Single click on the patient’s name on the Patient List on right side of the screen Double click on the patient’s name on the Patient List on the right side of the screen Select the patient’s name in the System List Stop here! 6-4-08 2 CHART VIEW 7. When Student Betty opens an Inpatient chart, which activity is automatically displayed? (1 point) a. b. c. d. Snapshot Activity Patient Summary Activity Order Review Activity Professional Exchange Activity 8. Within an opened patient hospital chart, where can Student Betty find the Professional Exchange Report (PER)? (1 point) a. b. c. d. Notes Activity Snapshot Activity Patient Summary Activity Reports on the Main Menu bar 9. In which activity tab can Student Betty view all of her patient's encounter reports within KP HealthConnect? (1 point) a. b. c. d. Notes Activity Chart Review Activity Patient Education Activity History Activity 10. Student Betty has the Results review Activity open. What would indicate that a lab result is new since her last Time Mark action? (1 point) a. b. c. d. 6-4-08 The cell values are bold and italicized The cell values are bold and red The cell values are bold and have flags The cell values are bold with a page icon 3 11. Student Betty has reviewed her patient's new lab results. What button will she click to indicate that she reviewed the results? (1 point) a. b. c. d. Refresh button View button Time Mark button Options button 12. In which Activity will Student Betty find her patient's documented past medical and procedure diagnoses information? (1 point) a. b. c. d. Demographics Activity History Activity Notes Activity MAR Activity 13. In an open Hospital chart, which Activity tab can Student Betty view the active orders for her patient? (1 point) a. b. c. d. Chart Review Activity Order Entry Activity Order Review Activity History Activity 14. In which Activity tab can Student Betty find if her patient had Flu shot? (1 point) a. b. c. d. Medications Activity MAR Activity Imm/Injection Activity History Activity Stop here! 6-4-08 4 FLOWSHEETS 15. Student Betty is just now entering a data, one hour after she took the patient's temperature. To accurately reflect the time when the data was taken, she would ____ (1 point) a. b. c. d. Click on the Add Col activity button and enter the time Click on the Insert Col activity button and enter the time Change the time on the column header Select a new flowsheet and enter the time 16. Identify the scale group that Student Betty could use when completing the Neurological Assessment of her recent stroke patient found on the Shift Assessment Flowsheet. (1 point) a. b. c. d. PASS scale SCHMID RISK FALL scale BED scale GLASGOW COMA scale 17. Which Activity tab would Student Betty see her patient's I & O totals? (1 point) a. b. c. d. Doc Flowsheet Activity Patient Summary Activity Intake and Output Activity Any of the Intake and Output Flowsheets 18. Student Betty wants to display a graph of her patient’s Intake & Output. What is the maximum number of days the I & O totals can be graphically displayed? (1 point) a. b. c. d. 6-4-08 3 days 4 days 5 days 7 days 5 19. To display a Bar Graph Summary of her patient's I & O, Student Betty would go to which activity tab? (1 point) a. b. c. d. Intake and Output Activity Doc Flowsheet Activity Results Review Activity Chart Review Activity 20. Student Betty’s patient has a wound on his left heel. She has the Doc Flowsheet activity tab open. Student Betty can find the Wound IP SCAL flowsheet by doing which of the following? (1 point) a. Click on the Add Group icon b. Click on the More down arrow c. Click on the open extended entry icon d. Click on the Refresh icon Stop here! MAR 21. Student Betty can view information for each medication, scheduled medication times, and the status of each medication administration by clicking on which Activity tab button in the MAR Activity? (1 point) a. b. c. d. Refresh Activity button MAR note Activity button Medication Activity button Report Activity button 22. How can Student Betty find out what the colors, symbols, and hyperlinks mean when in the MAR Activity? (1 point) a. b. c. d. 6-4-08 Click Refresh Activity button Click MAR note Activity button Click Legend Activity button Click Report Activity button 6 23. Student Betty wants to document an oral medication she has just administered to a patient. It was scheduled to be given at 1000. Which tab within the MAR would she open? (1 point) a. b. c. d. Pyxis tab Scheduled Tab PRN tab Continuous tab 24. In the MAR if the time is displayed in RED lettering, what does this mean? (1 point) a. b. c. d. Cancelled Entry Scheduled one time only Refused or Not Given MAR Hold 25. In the MAR if the time is displayed in Green lettering for an oral medication, what does this mean? (1 point) a. b. c. d. Cancelled Entry Scheduled one time only Given as Scheduled MAR Hold 26. In the MAR if the time is displayed in black lettering and struck through, what does this mean? (1 point) a. b. c. d. Cancelled Entry Scheduled one time only Given as Scheduled MAR Hold 27. Student Betty administered Digoxin 0.25 mg p.o. on her patient. Where will she document that her instructor verified the medication? (1 point) a. b. c. d. 6-4-08 In the Notes activity tab In the order Review activity tab In the Flowsheet activity tab In the Comment box in the MAR activity tab 7 Stop here! NOTES 28. In an open patient's chart, where can Student Betty view all the progress notes that have been entered and filed / saved for this inpatient encounter? (1 point) a. b. c. d. History Activity Patient Summary Activity Notes Activity Snapshot Activity 29. In the Notes window, you will see a red symbol in the type field What does the red symbol means? (1 point) a. b. c. d. It is required that you enter the note type It is not necessary to enter a note type Only licensed clinicians can enter the note Only your Instructor can fill this in 30. In the Notes Activity, which activity button can Student Betty use to find a specific word documented within a note(s)? (1 point) a. b. c. d. My last Note Activity button Search Activity button Filter by Procedure Activity button Refresh activity button 31. Student Betty wants to see the note Dr. Jones wrote for her patient. Which is the best way to do this within the Notes Activity? (1 point) a. b. c. d. 6-4-08 My last Note Activity button Search Activity button Sort by Author Refresh activity button 8 32. Student Betty realized that she entered the wrong information in her patient's new note after she had filed theProgress Note. What is the first step she can do to correct the error? (1 point) a. b. c. d. Click on the Addend button Click on the Share button Click on the Copy Prev button Click on the Cancel button 33. Student Betty is documenting her notes for her patient. She needs to indicate that her Instructor has to co-sign her notes. What will she do? (1 point) a. Click the Share button b. Click Copy Prev button c. Click the Pend button d. Click the Cosign Required box 34. Student Betty started to type her notes and realize that she is entering it on the wrong patient. She has not clicked the Accept button yet. What will she do so the not will not be saved? (1 point) a. Click the Share button b. Click the Strike through c. Click the Pend button d. Click the Cancel button Stop here! 6-4-08 9 INITIAL ASSESSMENT 35. Student Betty wants to see if any Alerts were triggered and messages sent automatically to other departments. She may see them listed under what print group on what report? (1 point) a. b. c. d. Medical problems on the Condensed Nurse Snapshot Report Initial Assessments Alerts on the Professional Exchange Report Synopsis print group on the Snapshot Report Medication Alerts on the Med Recon Report 36. Student Betty completed an Initial Assessment on a newly admitted patient. After completing and accepting the assessment, where will see find this documentation in the patient’s chart? (1 point) a. b. c. d. In the Flowsheet activity tab In the Notes activity tab In the SnapShot activity tab In the Patient Plan activity tab Stop here! PATIENT PLAN 37. When in the Patient Plan Activity, what is the recommended method for a Nurse to add a care plan template? (1 point) a. b. c. d. Click on the Apply Template Activity button Click on New problem Activity button Click on the Back Activity button Click on the Legend Activity button 38. Student Betty wants to write a Progress Note regarding a goal. She has the Patient Plan Activity open and has selected the goal. What action should she take to open the Care Plan Documentation window? (1 point) a. b. c. d. 6-4-08 Click on the Goals button Click on the Document Activity button Click on the Reviewed Activity button Click on the Problems button 10 Stop here! PATIENT EDUCATION 39. Student Betty wants to write a general Assessment Comment in the Learning Assessment. What is the correct action she should take to add this comment? (1 point) a. b. c. d. Click on any of the "Yes, please add comment" buttons Click on any of the "Blue color hyperlinks" Click on the "Assessment Comment" hyperlink Click on the "Comments" buttons at the bottom of the page 40. What are the 3 buttons at the bottom of the Learning Assessment window? (1 point) a. b. c. d. Accept, Hold, Cancel File, File Incomplete, Cancel Hold, File Incomplete, Cancel Accept, File, Send 41. Student Betty has discussed a teaching point with her patient. Under which tab within the Patient Education Activity can she document the teaching of this point? (1 point) a. b. c. d. Manage Education tab Assessment tab Education Review tab Unresolved Education tab 42. Which tab within the Patient Education Activity would Student Betty go to in order to Re-activate a previously Resolved topic? (1 point) a. b. c. d. 6-4-08 Education Review tab Assessment tab Manage Education tab Unresolved Education tab 11 43. Which tab within the Patient Education Activity would Student Betty to find education materials such as those found in the National Member Education Weblink? (1 point) a. b. c. d. Education Review tab Unresolved Education tab Manage Education tab Assessment tab Stop here! If you are not attending the IV Medication portion of this training, please submit your test to your Instructor now. IV MEDICATIONS 44. Which Flowsheet would Student Betty use to document the start of a continuous IV infusion? (1 point) a. b. c. d. Initial Assessment Flowsheet IV Assessment Flowsheet IO Adult Flowsheet Shift Assessment Flowsheet 45. What Activity button in the Doc Flowsheet Activity would Student Betty use to document the time and date that she started a continuous IV infusion? (1 point) a. b. c. d. Add Col Activity button Add Group Activity button Insert Col Activity button Add LDA Activity button 46. What is the name of the group Student Betty should add to the IO Flowsheet to document the continuous IV infusion volume? (1 point) a. b. c. d. 6-4-08 Peripheral IV Infused Maintenance Primary 12 47. When Student Betty is adding the “Maintenance” Group to the IO Flowsheet which field must be changed to the name of the IV solution? (1 point) a. b. c. d. IV solution name Display name Divide field Medication field 48. What group must be added to the IO Flowsheet for an IV piggy-back medication? (1 point) a. b. c. d. Maintenance IV group IV Piggyback/Bolus Peripheral IV group Primary IV group 49. Student Betty has just administered an IVPB medication. Where does she document the administration of this medication? (1 point) a. b. c. d. I & O Totals MAR I & O Flowsheet Vital Signs Flowsheet 50. An IVPB medication is being given to Student Betty’s patient. To which flowsheet will the associated fluid volume be documented? (1 point) a. b. c. d. I & O Flowsheet Bolus Flowsheet Vital Signs Flowsheet IV Assessment Flowsheet Congratulations! You’ve completed the Knowledge Check. Please submit this to your Instructor. 6-4-08 13