CCE CPCE Exam Test Questions and Answers 2024, Exams of Public Health

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CCE CPCE Exam Test Questions With Correct

Answers 20 24.

what are 3 major classes of fires - Correct answer-Electrical, Combustible, and Flammable liquids What is P.A.S.S. - Correct answer-How to operate a fire extinguisher. PULL ring from handle AIM nozzle at base of fire SQUEEZE handle SWEEP from side to side at base of fire What are 3 things needed for a fire to burn? - Correct answer-Oxygen, heat, fuel What does R.A.C.E.E. stand for? - Correct answer-How to respond in case of an emergency. Rescue those patient in danger Activate the alarm Close all doors Extinguish fire if possible Evacuate are if neccessary What does code orange represent? - Correct answer-Hazardous Material Spill Biohazard

• Dial 6 and provide name/location
• Do not attempt to clean up manually
• Attempt to block off area What does code yellow represent? - Correct answer-Bomb Threat
• try to get as much information as possible in regards to where it is located, look like, is it set to go off...

• Look for suspicious situations What does code purple represent? - Correct answer-Child Abduction
• dial 6, provide name and location, and report to security/public safety
• Look for suspicious situations Code Silver - Correct answer-Person with weapon or a hostage situation
• Dial 6, provide name and location
• DO NOT go to the location, and follow instructions from nurse/hospital employee Code Pink - Correct answer-Infant abduction
• Dial 6, and provide name/location
• Guard entrance/exit; look for suspicious activity Code White - Correct answer-Child/Pediatric CPR (3months-8years)
• Dial 6 Code Blue - Correct answer-Adult Medical Emergency
• Dial 6, provide name/location Code Gray - Correct answer-combative or disruptive person is confronting hospital staff
• dial 6, and provide name/location
• GO to the location in the area What are the steps for discharging a patient? - Correct answer-1.) Carefully wheel the patient to their pick up location 2.) Wait with the patient until their transportation arrives 3.) Once the patient has been picked up, return the wheelchair to the same department What are some important points when discharging patients - Correct answer-1.) Verify with an RN that the patient is ready to be discharged and transportation arrangements have been confirmed

2.) Patients MUST be discharged via wheelchair to pick up location 3.) Use TWO patient ID's to confirm the correct patient and ensure she/he has all their belongings in a plastic discharge bag What to do if a patient falls? - Correct answer-* Try to shift the patient back to the bed, if possible

• if not able to, bend knee and help patient fall
• protect their head and neck
• do not leave patient alone
• call nurse immediately
• Page pipeline manager What are five ways to ID a patient - Correct answer-1.) The patient's nurse 2.) White board 3.) Open-ended question 4.) Wristband 5.) Chart (outside cover for name/room #) What are the names of the five groups of vertebrae? - Correct answer- 7 cervical vertebrae in the neck. 12 thoracic vertebrae in the upper back corresponding to each pair of ribs. 5 lumbar vertebrae in the lower back. 5 sacral vertebrae which are fused together to form 1 bone called the sacrum. 4 coccygeal vertebrae that are fused together to form the coccyx or tailbone Tips to for safe back care - Correct answer-1. ) Keep nose in between toes 2.) Keep load close to body 3.) Assess the task and then use the proper equipment or ask for assistance if necessary When assisting to clean a patient, you began to feel dizzy and nauseous. All of the sudden you wake up in the ED. What could you have done to try and prevent this from happening - Correct answer-1.) Perform internal checks before going into the room

2.) Remain hydrated 3.) Eat prior to shift 4.) Get plenty of rest What is the phone number of COPE manager? - Correct answer- 888 - 248 - 2914 What to do in if you suffer and injury? - Correct answer-1.) Tell Charge Nurse immediately 2.) Go to Employee Health or ED 3.) Page COPE and provide name/location/phone number What are 3 Accrediting Agencies? - Correct answer-1.) The Joint Commission 2.) DNV (Det Norske Veritas) 3.) Healthcare Facilities Accrediting Program What is the TJC? - Correct answer-An US based, not-for-profit, accreditation agencies. Hospitals must have a certification from TJC to receive reimbursement for fed govt programs so it is critical for the hospitals financial well being.

• Every 3 years What are the NPSG of the TJC? - Correct answer-1.) ID patients correctly! using two patient ID's 2.) Improve Staff communication! Get important test results to the right staff person on time 3.) Use medicine safely! Record and pass along correct info about a patients medicine 4.) Prevent infection! Set goals for improving hand cleaning 5.) What is it that TJC does? - Correct answer-1.) Accreditation standards 2.) National Patient Safety Goals (NPSG) 3.) Reporting of Sentinel Events 4.) Surveys: Scheduled and nonscheduled Are the interns subject to surveys? - Correct answer-Yes

What is DNV? - Correct answer-1.) National Integrated Accreditation for Health Care Organizations (NIAHO) 2.) Compliance with the ISO 9001 Quality Management System

• A newer organization since 2008; gives a new perspective What is ISO - Correct answer-International Organization for Standardization for Center of Medicaid and Medicare Services compliance
• Provides a framework for analyzing processes and assuring that those processes are carried out effectively and improved when possible What is HFAP? - Correct answer-Healthcare Facilities Accreditation Program (HFAP) ** A key player in shaping health policy since inception
• Focuses on evidence-based practice and selected patient safety initiatives that are realistic and measurable Culture - Correct answer-Traditions, beliefs, values, customs, and rules that characterize a group of people; helps define views on life, death and alternative therapies; perception of excellence/expectations of doctor-patient relationship Cultural Diversity - Correct answer-Quality of diverse or different cultures; racial, ethnic, religious, and individual characteristics; differences that are recognized, acknowledged and respected Cultural Awareness - Correct answer-Conscious and informed recognition of differences and similarities among ethnic groups; knowing, utilizing, and appreciating the culture of another in assisting with the resolutions of a problem What are the steps to cultural competence? - Correct answer-1.) Be authentic 2.) Use culturally sensitive language 3.) Give extra time for language barrier 4.) Do NOT make assumptions 5.) Respect 6.) Develop trust

7.) Use translation services if available What are some important things to consider when working with preschool/school age children 4 - 12 years old? - Correct answer-* can follow direction

• encourage the child to verbalize thoughts/feeligs
• hi risk for injuries to falls/bodily damage
• asthma
• fluid/electrolyte imbalance related to gastroenteritis
• trauma due to abuse Over 55% of acute care hospital population is.... - Correct answer-over 65 years old and in the last 2 years of life What are older adults high risk for? - Correct answer-1.) Decreased skin integrity 2.) Aspiration 3.) Sleep pattern disturbances 4.) Risk for falls 5.) Sensory ad perceptual alterations (visual/auditory) What are some interventions for older adults? - Correct answer-1.) Help to change position, turning frequently 2.) Provide for frequent small meals and have them sit up 3.) Monitor environmental temperature 4.) Take patient to the restroom regularly 5.) Use chairs with arms to facilitate getting up and down 6.) Consider hearing and vision loss in communicaiton What are changes that older adults may experience - Correct answer-1.) Decreased skin integrity; dry skin 2.) Decreased lung capacity 3.) Atrophy of gum tissue 4.) Delayed emptying time of stomach, reduced motility of the intestines

5.) Decreased muscle size and strength and fine motor coordination 6.) Decreased sense of balance 7.) Loss of self respect or self worth 8.) Loss of short term memory 9.) Decreased awareness of temperature changes and smells What does DNR stand for - Correct answer-Do Not Resuscitate What are advanced directives? - Correct answer-The patient has signed a health care directive for staff to determine if she will live or die; It is a requirement that all patients admitted to the hospital be asked it they signed an AD or if they want information about it; if a patient expresses interest in one tell the nurse Upon leaving a patients room you notice you were in a contact isolation room. What do you do? - Correct answer-1.) Notify the Charge Nurse that you did not wear the appropriate PPE while in the room 2.) Throughly wash hands 3.) Examine clothing to make sure there was no contact with patients body fluids 4.) Notify pipeline manager Which bacteria is round chain and an example of what it causes - Correct answer- Streptococcus (strep throat) What bacteria is a round grape-like clusters - Correct answer-Staphylococcus (pneumonia) What is MRSA - Correct answer-Methicillin-resistant staphylococcus Aureus Genetic Drift - Correct answer-Minor changes caused by random mutations; causes yearly epidemics Genetic Swift - Correct answer-Major re-assortment in DNA; can lead to major pandemics Are interns allowed to transport blood for transfusions and blood from the blood bank? - Correct answer-No, but they are allowed to take blood samples to the lab

What steps to take if exposed to patients blood - Correct answer-1.) Wash needle sticks and cuts with soap and water 2.) Flush splashes to the nose, mouth, or skin with water 3.) Irrigate eyes with clean water, saline or sterile irrigants 4.) Report exposure to the Charge Nurse 5.) Report exposure to Pipeline Manager What is Tier I, II, and III in infection prevention in hospitals? - Correct answer-I. Standard (universal) precautions: For all patients regardless of diagnosis II. Transmission based precautions: When disease is known and infectious and workers require protection from the disease III. Patient-protective precautions: When patient is hi risk with lo resistance and requires protection from the environment "Presumed infection" - Correct answer-Is the primary strategy for successful nosocomial infection prevention TierII:What are 3 common ways that organisms are passed along in a hospital setting? - Correct answer-Contact, droplet, and airborne What examples of infections that are contact - Correct answer-Influenza virus and M Pneumoniae TierII: Patients with an airborne disease are kept in a special type of room - Correct answer-Negative Pressure TierIII: List patients in the hospital with low resistance - Correct answer-newborns, elderly, surgical patients, seriously ill, physically/nutritionally depleted, immune compromised. Neutropenic patients require special precautions due to depressed immunity - Correct answer-1.) Need protection from normal germs of staff, visitors, and even self 2.) Must wear mask when out of room 3.) Can not have fresh fruit or flowers 4.) Clean environment

When should you wash your hands - Correct answer-1.) Before touching patient 2.) Before clean procedure 3.) After body fluid risk 4.) After touching patient 5.) After touching patient surroundings Order of putting on PPE - Correct answer-1.) Gown 2.) Mask or respirator 3.) Goggles/face shield 4.) Gloves Order for taking off PPE - Correct answer-1.) Gloves 2.) Googles 3.) Gown 4.) Mask Definition of infectious disease - Correct answer-Illness that results from the infection, presence, and growth of one or more pathogenic microbial agents in a host organism Transmission of an infectious disease can be - Correct answer-1.) water 2.) food 3.) airborne inhalation 4.) vector-borne spread What is HIPAA? - Correct answer-Health Insurance Portability and Accountability Act; makes it illegal for information to be released to inappropriate parties; establishes a standard formate for health care organizations to share medical information What is PHI? - Correct answer-Protected Health Information; considered confidential under the HIPAA; includes info about person's physical, health,etc

What are some general ways to protect a patients privacy? - Correct answer-1.) Close doors and draw curtains during patient care and discussions 2.) Make sure discussions about patient conditions cannot be overheard 3.) Knock before entering rooms 4.) Keep patient records locked and away from public areas 5.) Do not give names or information when visitors ask about patients What is the normal range of systolic pressure in a healthy adult? - Correct answer- 100 - 140mmHG What is the normal range of diastolic pressure - Correct answer- 60 - 90mmHG What can increase blood pressure - Correct answer-. Lack of exercise

. Obesity . Illness . Stress . Ethnic background . Family history . High sodium intake What can decrease blood pressure - Correct answer-.Fasting . Shock .Hemorrhage . Rest . Low sodium intake What is the definition of blood pressure - Correct answer-The pressure exerted by the BLOOD against the walls of the ARTERIES as the heart pumps and then relaxes What is respiration - Correct answer-Is the act of breathing air into the lungs (inspiration) and expelling air from the lungs (expiration)

During inspiration of respiration, what occurs - Correct answer-Air rushes into the lungs; oxygen is inhaled; and the diaphragm contracts What factors may decrease respiration? - Correct answer-Sleep, rest, inactivity, opioids What factors my increase respiration - Correct answer-Dec O2 levels, increase CO2 levels in blood, Fever, cold, illness Strenuous exercise How many breaths/min for adult? - Correct answer- 12 - 20 How many breaths/min for children? - Correct answer- 15 - 30 How many breaths/min for infant? - Correct answer- 30 - 60 What are normal O2 saturation for a healthy individual - Correct answer- 97 - 99% ; 97 - 99: of the hemoglobin binding sites are occupied What is the longest and least accurate method for measuring body temperature? - Correct answer-Axillary What is normal rectal temp - Correct answer-37.6C or 99.6F What factors decrease body temp? - Correct answer-.fainting .illness

. dehydration . drinking a cold beverage . high levels of estrogen BEFORE ovulation . fasting . sleep/rest Factors that may increase body temp? - Correct answer-.Strenuous exercise . digestion of food

. illness . stress . high levels of progesterone after ovulation Where would you normally palpate the pulse on an infant? - Correct answer-Brachial which is just above the bend in the elbow What are factors that increase or decrease heart rate? - Correct answer-Body temp Emotional state Activity level Drugs Health of heart Hemorrhage What is the normal resting heart rate for an adult? for a child? for a toddler? for an infant? - Correct answer- 60 - 100 80 - 100beats/min 100 - 120 120 - 160 beats/min What are vital signs - Correct answer-Temperature Oxygen Saturation Pulse (heart rate) Blood Pressure Respiration Rate AIDET for Service Excellence - Correct answer-Acknowledge Introduction Duration (procedure, any delays) Explanation Thank You

What is HCAHPS? - Correct answer-Hospital Comprehensive Assessment of Healthcare Providers and Systems What are the 8 domains of HCAHPS? - Correct answer-1.) Nurse communication 2.) Physician communication 3.) Cleanliness and quietness 4.) Responsiveness of hospital staff 5.) Pain management 6.) Communications about medication 7.) Discharge info 8.) Overall rating Which hospital departments and/or situations require assertive communication? - Correct answer-ER Emergency Codes Delivery Disaster What are five aspects to communication? - Correct answer-1.) Gestures 2.) Facial expressions 3.) Pace 4.) Degree of formality 5.) Touch CCE are NOT allowed to - Correct answer-DO NOT chart vital signs DO NOT read patient charts DO NOT enter restricted isolation rooms

DO NOT transport pregnant women Do NOT handle medications or narcotics What are the various patient care team members? - Correct answer-Allied Health Nurses Physicians Other Health Care Careers Volunteer Patient What is Allied Health? - Correct answer-Mid-level health care professionals who support, complement, or supplement the work done by physicians and nurses; represent 60% of our nations health care providers EMT PA CNA A leave extending more than 180 days requires - Correct answer-re-application A leave extending more than 3 months requires - Correct answer-re-training