HUC Mock Certification Exam 120 Questions with Correct Answers 2023-2024 Graded A+, Exams of Nursing

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HUC Mock Certification Exam 120

Questions with Correct Answers

2023 - 2024 Graded A+++

Which of the following is a common hospital-acquired infection? Correct Answer- Staphylococcus. A discrepancy report sent by the central services department (CSD) is a list of items that were: Correct Answer- used from a nursing unit supply closet but were not charged to any patient. Staphylococcus is a common hospital-acquired or nosocomial infection. A condition transmitted by body fluids that is more contagious than HIV is: Correct Answer- hepatitis B virus (HBV). HBV is a condition transmitted by body fluids that is more contagious than HIV. A well-dressed man approaches the nurses station and states that he is the attorney representing Mr. Ross Engelhart, who has NINP written on his chart (a written doctors order). The man asks whether Mr. Engelhart is a patient on the unit. The HUC s best response would be to: Correct Answer- deny having any knowledge of a Mr. Engelhart. The HUC s best response would be to deny having any knowledge of a Mr. Engelhart; if the man persists, refer him to the nurse manager. A friend of the HUC is a patient on the nursing unit. The patient's husband is also a friend of the HUC. The patient and her husband are having marital problems. The husband has visited his wife once since her hospitalization but calls the HUC at home to ask why his wife is in the hospital. The HUC's best response would be to: Correct Answer- advise the patient's husband that his wife's hospitalization cannot be discussed. The HUC's best response would be to advise the patient's husband that his wife's hospitalization cannot be discussed. pp. 90- 91

A patient who is admitted to the nursing unit asks the HUC to show him his chart. The HUC s best response would be to: Correct Answer- advise the patient that his nurse and doctor will be advised of his request. The HUC s best response would be to advise him that his nurse and doctor will be notified of his request. A restraining order prohibits the father of a pediatric patient from having any contact with the child or his mother. The HUC sees the father step off the elevator and walk toward the patient s room. The HUC s best response would be to: Correct Answer- call security immediately. A discrepancy report is a list of items used from a nursing unit supply closet but not charged to any patient. Which of the following items cannot be sent in the pneumatic tube system? Correct Answer- Cerebrospinal fluid (CSF) specimens CSF specimens are obtained by a painful procedure and cannot be sent through the pneumatic tube system. The system may break down, the specimen may be misdirected, or the tubes may leak or break. The printer in the nursing station is not functioning properly. The health unit coordinator (HUC) would notify the: Correct Answer- Information Technology (IT) Department. IT would be responsible for repairing electronic equipment. The HUC has been informed that a patient s telephone is not functioning properly. The department that the HUC would notify of the problem would be the: Correct Answer- Information Technology (IT) Department. The HUC would notify IT of the need to repair or replace the patient s telephone. When the electronic medical record (EMR) is implemented and a nurse requests that a telemetry strip be saved for a patient, the HUC would: Correct Answer- scan the strip into the patient s EMR. When the EMR is implemented and a telemetry strip is to be saved, the HUC would scan the strip into the patient s EMR.

When the EMR is implemented, documents faxed from an outside facility would be: Correct Answer- scanned into the patient s EMR. Faxed documents would be scanned into the patient s EMR The HUC notes that there are four labeled chart forms in a discharged patient s chart that have no documentation on them. The correct action for the HUC to take would be to: Correct Answer- shred the forms. Forms that do not have documentation on them and that contain patient ID labels are shredded to ensure patient confidentiality. The HUC has been asked to thin a patient s chart. The thinned-out records would be: Correct Answer- placed in an envelope, labeled with the patient s ID label, and kept on the nursing unit until the patient is discharged or moved. Thinned-out records would be placed in an envelope, labeled with the patient s ID label, and kept on the nursing unit until the patient is transferred or discharged. The HUC would also write the date that the chart was thinned and write their initials on the envelope. The abbreviation CPOE stands for: Correct Answer- computer physician order entry. CPOE stands for computerized physician order entry. Through a computerized program, physicians enter patient orders directly into the patient s EMR, replacing handwritten orders. Patient confidentiality laws, including a patient s right to not have his or her name listed in the hospital directory, are specified in the: Correct Answer- Health Insurance Portability and Accountability Act (HIPAA). The purpose of HIPAA is to protect private individual health information from being disclosed to anyone without the consent of the individual. Joan, an HUC with more than 20 years of experience, is hired for day shift at a busy orthopedic unit. Joan has good organizational skills and immediately notices that the nurses station is set up in a way that makes the HUC s job difficult. Joan should: Correct Answer- discuss the changes with the nurse manager.

Any changes to the organization of the nursing unit should be discussed with the nurse manager. The nurse manager may consult the nursing unit staff regarding the changes before making a decision. Which of the following would be important for the HUC to note on the patient census worksheet kept near the telephone? Correct Answer- A patient is on a temporary pass. A patient out on a temporary pass would be important information for the HUC to note on the patient census worksheet. A nurse on another unit has called three times regarding the transfer of a patient from the intensive care unit (ICU) to a floor nursing unit. The nurse who will be caring for the patient to be transferred states that he is too busy to receive another patient now. The nurse from ICU becomes abusive to the HUC, stating that she is just as busy and needs to bring the patient now. The best option for the HUC would be to: Correct Answer- ask the nurse to hold while a definite time is requested as to when the patient can be sent. Ask the nurse to hold while a definite time is obtained as to when the nurse in ICU will be able to send the patient. (Chapter 4 addresses telephone etiquette, and Chapter 5 addresses assertiveness.) Dave, the HUC, observes a co-worker who is copying the medical record of a patient whom the co-worker knows personally, without a doctors order to do so. The appropriate action for Dave to take would be to: Correct Answer- notify the nurse manager. The co-worker is committing an unlawful act, and the nurse manager should be notified. Which of the following departments would intervene if a patient had concerns regarding whether his insurance would pay for his hospital stay? Correct Answer- Case management A case manager acts as a liaison among the patient, doctor, and insurance company.

The go-to person when the unit elevators, pneumatic tube system, patient call lights, or televisions are not functioning or there is a problem with plumbing or temperature is the: Correct Answer- HUC. The HUC is the go-to person when the unit elevators, pneumatic tube system, patient call lights, or televisions are not functioning or there is a problem with plumbing or temperature. Which of the following actions could cause a serious error when the fax machine is used? Correct Answer- Using the redial button to fax pharmacy copies Using the redial button without checking the number to which the document is being sent could result in the document being sent to the wrong location. This could cause a breach in confidentiality. One of the benefits of the EMR with CPOE is that: Correct Answer- the doctors orders are automatically sent to the appropriate departments. The doctors orders are sent automatically to the appropriate departments when the EMR with CPOE is implemented. An employee s computer activity on the Internet: Correct Answer- may be tracked. Computer activity, including use of the Internet and looking up lab results of a personal friend on another unit, may be tracked. roommate is smoking in their bathroom and the smell bothers him. The appropriate response would be to: Correct Answer- tell him his nurse will be notifed. Advise the patient that his nurse will be notified. HUCs interactions with patients are discussed on. Surfing the Web means: Correct Answer- using different search engines on the Web to locate information. Surfing the Web means to use different search engines on the Web to locate information. Hospitals can account for equipment, patients, personnel, and processes throughout the

facility with the use of: Correct Answer- Global Positioning System (GPS) tracking systems. hospital personnel, and equipment; controlling temperatures; reducing or preventing hospital theft; and identifying people. A patient s wife confides in Monica, the HUC, that they have no food in the house and cannot afford the medications that her husband needs. The doctor has written a discharge order for the next day. The best option for Monica would be to: Correct Answer- notify the social service worker or case manager who has been arranging the patient s discharge. Notify the social worker of the case manager who has been arranging the patient s discharge. The HUC also would notify the patient s nurse. A respiratory therapist asks the HUC to make a new ID bracelet for 121 1. The best response that the HUC could make would be to: Correct Answer- ask for the patient s name. The best response for the HUC would be to ask for the patient s name. Patients should be referred to by name, not by room and bed number or by diagnosis. A Native American patient approaches the nurses station and tells the HUC that he feels disrespected because no one understands Native American culture and his requests are ignored. The HUC s best response would be to: Correct Answer- ask for more information and advise him that his concerns will be relayed to his nurse. The HUC s best response would be to ask for more information and advise him that his concerns will be relayed to his nurse. It is important to provide culturally sensitive care. A patient is admitted to the ICU in critical condition. A group of concerned family members is standing in the hall. The noise level is getting very loud, and it is disturbing to other patients. The best action for the HUC to take would be to: Correct Answer- show family members to the waiting area and advise them that the nurse will be notified of their presence. The best action for the HUC to take would be to show family members to the waiting area and advise them that the nurse will be told of their presence. Point out to them that they will be more comfortable in the waiting area, and suggest that

they could go to the cafeteria for coffee or a bite to eat. (Chapter 5 addresses communication and assertiveness skills.) The wife of an elderly patient angrily complains to the HUC that her husband has been lying in a wet bed for 2 hours. Which of the following responses would be appropriate? Correct Answer- "I can see that you are angry. I will tell his nurse that he needs attention immediately." Recognizing the anger and addressing the patient's concern would be the approriate response. Answers b, c, and d are aggressive. (Effective communication is discussed in Chapter 5.) The code or crash cart is stocked by the: Correct Answer- CSD and pharmacy departments. The code or crash cart is stocked by the CSD and pharmacy departments. An infant protective system, such as Hugs®, is a system that is designed to: Correct Answer- prevent infants from being removed from a health care facility without permission. Hugs® is an example of an alarm system that includes monitoring software and an ankle bracelet that contains a tiny radio transmitter, designed to prevent removal of infants from a health care facility without authorization. Dr. Smith s handwriting is very difficult to read. Often, the HUC has to take the chart to the patient s nurse to assist in reading the orders and still ends up having to call Dr. Smith for verification. The best solution for this problem would be to: Correct Answer- ask Dr. Smith to wait until the orders are read before leaving, in case there are questions. The best solution would be to ask Dr. Smith to wait until the orders are read before leaving, in case there are questions. Doctors usually appreciate this approach, and it saves time for the HUC and the doctor. The purpose of a résumé is to: Correct Answer- get an interview. The purpose of a résumé is to get an interview. The résumé is a marketing tool intended to create interest in one s abilities and potential.

Cindi, an HUC, has floated to the neonatal intensive care unit (NICU) and has never worked there before. One of the nurses who is routinely assigned to that unit tells Cindi that she is incompetent and does not know what she is doing when Cindi cannot find forms that she asked her to find. Cindi's best response would be to: Correct Answer- reply, "It must seem that I'm incompetent. I have not worked on this unit before. Can you tell me where those forms are stored?" "It must seem that I'm incompetent. I have not worked on this unit before. Can you tell me where those forms are stored?" This response acknowledges that there is some validity to the nurse's comment, although the HUC is not internalizing the comment. (Chapter 5 discusses assertiveness skills.) Dr. Williams asks the HUC how her patient, Manny Gomez, is doing. The HUC s best response would be: Correct Answer- I will find Mr. Gomez s nurse, Sue, and will ask her to speak to you. I will find Mr. Gomez s nurse, Sue, for you. This response shows the HUC s willingness to be helpful. (See telephone etiquette.) Dr. Cohen throws a report in front of the HUC and states that it was filed in the wrong patient's chart. The HUC's best response would be: Correct Answer- "I can see that you're upset, but please don't throw misfiled reports at me again. I'll file it in the correct patient chart." "I can see that you're upset, but please don't throw misfiled reports at me again. I'll file it in the correct patient chart." (Chapter 5 addresses assertiveness techniques.) A student HUC is assigned to work with John, an experienced HUC. John has worked with this student once before for a week and noticed that she is not retaining anything she has been told. She takes long breaks and becomes defensive when it is pointed out what she is doing wrong. John s best option would be to: Correct Answer- talk to the student s instructor and the nurse manager. Talk to the student s instructor and the nurse manager; the HUC would not be doing the student, the hospital, or the instructor justice by not bringing the matter to their attention. A new employee has been placed with an experienced HUC for 2 weeks of orientation. The HUC continuously leaves the new employee alone and is not spending time to orient her to the nursing unit. The new employee feels that the

HUC is taking advantage of the situation. The new employee s best response would be to: Correct Answer- tell the HUC how she feels and ask that more time be spent showing her what she needs to know. Tell the HUC how she feels, and ask that more time be spent showing her what she needs to know. One guideline to remember when preparing for either an in-person or telephone interview is to: Correct Answer- think in advance of work situations and how you would handle them. One guideline to remember when preparing for either an in-person or telephone interview is to think in advance of work situations and how you would handle them. National guidelines that serve as a model of performance by which HUCs should conduct their actions are known as a: Correct Answer- standard of practice. Standard of practice is used as a model of performance by which HUCs shall conduct their actions. A newly hired nurse has been assigned to sit with and observe the HUC for a day. The nurse acts bored and resentful while the HUC demonstrates use of the computer system. The HUC's best response would be to: Correct Answer- remind the nurse that there are times when the HUC will be away from the desk when he will want to locate lab results or order a stat lab. Remind the nurse that there are times when the HUC will be away from the desk, and he may wish to locate lab results or order a stat lab. (Chapter 5 addresses communication and assertiveness techniques.) When a copy of a patient s current records is requested in a doctors order and the HUC is not sure of the proper procedure, the best option for the HUC would be to: Correct Answer- follow the procedure for copying patient records as outlined in the policy and procedure manual. The best option for the HUC would be to follow the procedure for copying patient records as outlined in the policy and procedure manual.

Which of the following tasks would be outside the HUC s scope of practice? Correct Answer- Answering all visitor questions regarding patient care, treatment, and progress Answering all visitor questions related to patient care, treatment, and progress would be outside the HUC s scope of practice. When the EMR with CPOE is implemented, the HUC would be notified of an HUC task by: Correct Answer- an icon (usually a telephone) that would appear next to the patient s name on the patient census on the computer screen. When the EMR with CPOE is implemented, the HUC would be notified of an HUC task by an icon (usually a telephone) that would appear next to the patient s name on the patient census on the computer screen. Interventional radiology procedures are: Correct Answer- minimally invasive image-guided procedures. Interventional radiology procedures are minimally invasive image-guided procedures to diagnose and treat diseases in nearly every organ system. The interventional radiologist combines expertise in performing procedures with knowledge of routine diagnostic imaging. A locator device may be used to: Correct Answer- locate and communicate with nursing personnel. A locator device may be used to locate and communicate with nursing personnel who are wearing a locator device. An effective method of preparing for a yearly evaluation would be to: Correct Answer- keep a record of in-services, educational classes, professional association involvement, and any extra contributions that you have made in your work, to take with you to your evaluation. An effective method of preparing for a yearly evaluation would be to keep a record of in-services, educational classes, professional association involvement, and any extra contributions that you have made in your work. A fire has been reported and the fire code announced. The HUC s next action may be to: Correct Answer- close all patient room doors.

The HUC s next action may be to close all patient room doors. When a patient s code arrest is occurring on the nursing unit, the HUC s responsibility would be to: Correct Answer- remain on the unit and carry out orders as necessary. The HUC s responsibility during a patient s code arrest is to remain on the unit and carry out orders as necessary. Nursing personnel are at low risk of contracting the human immunodeficiency virus (HIV) from a patient who is HIV positive because: Correct Answer- universal, also called standard, precautions are used with all patients. Universal, also called standard, precautions are used with all patients. The abbreviation PPE stands for: Correct Answer- personal protective equipment. PPE includes goggles, gloves, masks, and so forth. The best protection from infection is: Correct Answer- good handwashing habits. The best protection from infection is to develop good handwashing habits. An example of a situation in which the hospital would institute a disaster procedure would be: Correct Answer- an airplane crash. An airplane crash is an example of a disaster that could involve multiple patients. Infectious diseases usually are not transmitted by: Correct Answer- inanimate objects. Infectious diseases usually are not transmitted by inanimate objects. p. 419 The HUC s best response would be to call security immediately. An informed consent means that: Correct Answer- the surgical procedure, risks, alternatives, and expected outcomes have been explained to the patient.

An informed consent means that the surgical procedure, risks, alternatives, and expected outcomes have been explained to the patient. The Joint Commission (TJC) requires that all hospitals provide a copy of the following to patients upon admission: Correct Answer- a copy of the patients bill of rights. TJC requires that all hospitals provide a copy of the Patients Bill of Rights to each patient upon their admission. A patient approaches the nurses station and states that she is very unhappy with the care and with her doctor s treatment. The patient tells the HUC that she is leaving the hospital. The HUC s best response would be to: Correct Answer- ask the patient to please wait until her nurse comes to talk to her. The HUC s best response would be to ask the patient to please wait until her nurse comes to talk to her. A friend of the HUC is admitted to the hospital with a diagnosis of pneumonia. The friend has confided in the HUC that she may have acquired immunodeficiency syndrome (AIDS). The HUC would share this information with: Correct Answer- no one. The HUC should share this information with no one. A nurse from another unit approaches the HUC in the cafeteria and states that there is a rumor that a patient admitted to the unit where the HUC works was involved in a shooting that morning. The HUC s best response would be to: Correct Answer- remind the nurse that patient information cannot be discussed. The HUC s best response would be to remind the nurse that patient information cannot be discussed. A patient approaches the nurses' station and tells the HUC that she is having second thoughts about a procedure that is scheduled for that morning. The HUC's best response would be to: Correct Answer- tell the patient that her nurse will be asked to come in and discuss it with her.

The HUC's best reponse would be to tell the patient that her nurse will be asked to come in to discuss it with her. (Chapter 5 addresses Maslow's Hierarchy of Needs and communication skills, and Chapter 6 addresses informed consent.) How could an HUC working at a hospital transitioning to EMR with CPOE prepare for the changes this will cause in their responsibilities? Correct Answer- Take additional computer classes Completing computer classes to become efficient in or to acquire a working knowledge of advanced word processing, databases, spreadsheets, and e-mail will prepare the HUC for changes that will come with implementation of the EMR with CPOE. A patient tells the HUC that his doctor talks over his head and he is concerned about his condition. He tells the HUC that the doctor stops into his room to tell him the test results and then leaves without asking if he understands what they mean. The HUC s best response would be to: Correct Answer- advise the patient that his concerns will be relayed and his nurse will come talk to him. The HUC s best response would be to advise the patient that his concerns will be relayed and his nurse will come to talk to him. (Chapter 5 addresses Maslow s Hierarchy of Needs and communication skills.) A consult with Dr. John Silverman has been ordered for a patient who was admitted to the orthopedic unit with a fractured femur. When looking through the doctors roster for Dr. Silverman s telephone number, the HUC finds that two Dr. John Silvermans are listed. The best option for the HUC would be to: Correct Answer- check the doctor specialties and call Dr. John Silverman the orthopedist. The best option for the HUC would be to call the Dr. John Silverman who is an orthopedist. The HUC is working on the surgical ICU. A consulting specialist writes an order that a patient may be transferred to a floor unit. The HUC would: Correct Answer- call the attending doctor to obtain an order to transfer the patient. The EMR with CPOE has been implemented. A doctor hands the HUC a handwritten progress note to scan into a patient s EMR. The appropriate response by the HUC would be to: Correct Answer- scan the progress notes as requested.

The appropriate response by the HUC would be to scan the progress notes as requested. The HUC observes a man who is becoming increasingly angry as he is speaking to a nurse on the nursing unit. The HUC can see that the nurse is becoming anxious. The best action that the HUC could take would be to: Correct Answer- call security immediately. The best action for the HUC to take would be to call security immediately. A nurse asks the HUC to call a code, a doctor is waiting for the HUC to assist him in locating a patient s chart, a visitor is standing at the desk to ask a question, and the telephone is ringing. What would be the appropriate sequence by which the HUC should handle these tasks? Correct Answer- (1) Call the code, (2) answer the telephone, (3) answer the visitor s question, and (4) assist the doctor in finding his patient s chart. The appropriate sequence by which the HUC should handle these tasks would be: (1) call the code, (2) answer the telephone, (3) answer the visitor s question, and (4) assist the doctor in finding his patient s chart. The HUC can acknowledge the presence of the doctor and visitor to let them know that she will be with them shortly while placing the call for the code and then answering the ringing telephone. Which of the following is an advantage of being a member of NAHUC? Correct Answer- Professional representation Professional representation is an advantage of membership in NAHUC. When transcribing a patient s orders, the HUC notes that the hospitalist has ordered ampicillin for Mary Jackson. Ms. Jackson s chart is labeled that she is allergic to penicillin. The best option for the HUC would be to: Correct Answer- notify the hospitalist of the patient s allergy to penicillin. The best option for the HUC would be to notify the hospitalist of the patient s allergy to penicillin. The Clinical Decision Support System (CDSS) reminds the doctor of any allergies the patient may have that are in conflict with orders entered. If this software is not in place, the HUC should be vigilant in notifying health care providers of any patient allergies that may have been overlooked.

It is 2:00 PM, and the HUC discovers an order written for a patient that reads, PCXR this AM. The HUC did not see this earlier. The best option for the HUC would be to: Correct Answer- order the PCXR, call the diagnostic imaging department to explain the situation, and notify the patient s nurse. The best option for the HUC would be to order the portable chest x-ray (PCXR), call the diagnostic imaging department to explain the situation, and notify the patient s nurse. (Honesty and not covering errors are discussed on.) A HUC preceptor takes long break. The HUC clinical student should: Correct Answer- take appropriate breaks. The HUC student should take appropriate breaks often a facility will hire an HUC student before or after their clinical experience. Vompleting a clinical experience should be treated as an extended interview. Which of the following orders is a standing order? Correct Answer- Regular diet An order for a regular diet would stay in effect until the doctor changes or discontinues the order, and therefore would be a standing order. Which of the following orders is a prn order? Correct Answer- Tylenol 500 mg PO q4 6h for H/A Tylenol 500 mg PO 4 6 hr for H/A would be administered to the patient every 4 to 6 hours when he complains of a headache; this is a prn order. Lomotil tab 1 PO qid until diarrhea subsides is which of the following types of orders? Correct Answer- Short-series order Lomotil tab 1 PO qid until diarrhea subsides would be administered four times a day until the patient s diarrhea goes away; this order would be a short-series order. Parenteral therapy is accomplished by: Correct Answer- administering fluids, medications, nutritional substances, and blood transfusions through peripheral and central veins. IV therapy includes the parenteral administration of fluids, medications, nutritional substances, and blood transfusions through peripheral veins and central veins.

The laboratory study performed to determine the type and compatibility of blood is: Correct Answer- type and crossmatch. A type and crossmatch is a laboratory study that is performed to determine the type and compatibility of blood. It must be done before the patient receives blood or certain blood components. If an elastic abdominal binder is ordered, which of the following patient measurements will be required? Correct Answer- Waist and hips Measurements of the patient s waist and hips usually are required on the requisition to obtain the correctly sized binder. The patient is diabetic, and the doctor has ordered Accu-Chek ac and hs. The patient s nurse will: Correct Answer- check the patient s level of blood glucose before meals and at bedtime. Accu-Chek ac and hs would require the nurse to check the patient s blood glucose before meals (ac) and at bedtime (hs). Which of the following medications would be important to note when an arterial blood gases (ABG) is ordered? Correct Answer- Warfarin Warfarin is the generic name for Coumadin, and this would be important to note when an ABG is ordered. When there is a doctor s order for adv DAT, one of the diet options the patient s nurse would have to order for the patient would be a: Correct Answer- mech soft. Mech soft is a consistency diet that may be ordered by the patient s nurse when the doctor writes an order for DAT (diet as tolerated). Which of the following is a brand name for a feeding pump? Correct Answer- Kangaroo A Kangaroo pump is a brand name for a feeding pump.

Nutrition given through a tube in the abdominal wall into the stomach is called a: Correct Answer- gastrostomy feeding. A feeding tube that is inserted into the abdominal wall and extends into the stomach is called a gastrostomy feeding. Gastr- is a word root that means stomach, and - stomy is a suffix that means creation of an artificial opening. An order for knee-high TEDs would require the HUC to: Correct Answer- ask the patient s nurse to measure the patient for TEDs. When ordering TED hose, the HUC would have to ask the patient s nurse to measure the patient for the TEDs. A patient who is admitted with a diagnosis of a pneumothorax most likely would have an order written for which of the following equipment? Correct Answer- Pleur-evac® A Pleur-evac® would be used for a patient admitted with a pneumothorax to release air from the pleural cavity and reexpand the lung. Which of the following laboratory tests would likely be ordered on a daily basis when a patient is receiving total parenteral nutrition (TPN)? Correct Answer- Electrolyte and lipid levels Electrolyte and lipid levels would be ordered for a patient who receives TPN. A 2-hour postprandial blood sugar (PPBS) test would be ordered from which of the following laboratory divisions? Correct Answer- Chemistry A 2-hour PPBS would be ordered from the chemistry department to be drawn 2 hours after the patient finishes eating a meal. A blood urea nitrogen (BUN) test is performed to diagnose a problem with which of the following organs? Correct Answer- Kidney A BUN is a blood test that is performed in the chemistry division of the laboratory to diagnose a problem with the kidney. Which of the following diagnostic imaging procedures would require the patient to receive a bowel prep (cathartic)? Correct Answer- Barium enema (BE)

A BE would require the patient to receive a bowel prep (cathartic) so the view of the colon is not obscured by fecal material. Which of the following diagnostic procedures would the HUC schedule to be performed last? Correct Answer- BE A BE would be scheduled last because this test uses barium, a medium that would obscure the view during other procedures. An individual who acts as a liaison between the patient, the doctor, and the insurance company, and who coordinates care for the hospitalized patient is called a: Correct Answer- case manager. A case manager acts as a liaison between the patient, the doctor, and the insurance company and coordinates patient care during hospitalization. Before a discharged patient leaves the hospital, the HUC should: Correct Answer- read the entire discharge order to make sure it does not include an order to be carried out before discharge. The HUC should read the entire discharge order to make sure it does not include an order to be carried out before discharge. Often the doctor will also leave a written prescription in the chart for the patient to take home. A doctors order for respiratory isolation would require the HUC to order a(n): Correct Answer- isolation pack from CSD. An isolation pack, including gowns and masks, is required when a respiratory isolation order is written by the doctor. A patient who is admitted with osteogenic carcinoma most likely would be admitted to which of the following nursing units? Correct Answer- Oncology A patient admitted with osteogenic carcinoma (cancerous tumor originating in the bone) most likely would be admitted to the oncology unit. Death of body tissue caused by lack of blood supply to an area of the body is called: Correct Answer- gangrene.

Gangrene occurs when there is a lack of blood supply to an area of the body, causing death of body tissue. Another name for a cerebrovascular accident (CVA) is a: Correct Answer- stroke. A CVA is commonly known as a stroke. Which of the following indicates proper telephone etiquette when a caller is placed on hold? Correct Answer- May I place you on hold? Asking prior to placing the caller on hold and waiting for an answer is the best customer relations approach. An instrument used to view the eye is called a/an: Correct Answer- ophthalmoscope. An ophthalmoscope is an instrument that is used to view the eye. Ophthalmoscope is often misspelled. A needle puncture into the pleural space in the chest cavity to remove pleural fluid for diagnostic or therapeutic reasons would require the HUC to prepare a consent for a(n): Correct Answer- thoracentesis. A thoracentesis is a procedure that is performed by a needle puncture into the pleural space in the chest cavity to remove pleural fluid. This procedure does require a signed consent form. A patient who is admitted to the hospital with meningitis would have inflammation of the: Correct Answer- covering of the spinal cord or brain. A patient who is admitted with meningitis would have inflammation of the covering of the spinal cord or brain. A patient who is admitted to the hospital with a diagnosis of Alzheimer disease would be admitted to which of the following hospital units? Correct Answer- Neurology A patient admitted with Alzheimer disease would be admitted to the neurology department.

Visual examination of the sigmoid colon would be performed in which of the following hospital departments? Correct Answer- Endoscopy A sigmoidoscopy (visual examination of the sigmoid colon) would be performed in the endoscopy department. A patient s biopsy report states that the specimen is malignant. This means that the patient has: Correct Answer- cancer that will become progressively worse. Malignant cancer is cancer that will become progressively worse. The cancer may be treated with chemotherapy, radiation, or surgery. When confronted with an angry telephone caller, the HUC s best action would be to: Correct Answer- listen to the caller, acknowledge the anger, and document what the caller is saying. Listen to the caller, acknowledge the anger, and document what is being said. Do not become defensive. If the caller persists, refer him or her to the nurse manager. In the order, Call hospitalist if temp >101°, the symbol > indicates: Correct Answer- greater than. The symbol > means greater than. A patient who is scheduled for a surgical procedure called a CABG would have a diagnosis of: Correct Answer- occlusion or narrowing of the coronary arteries. The patient would have an occlusion or narrowing of the coronary arteries called coronary artery disease (CAD). The procedure is called a coronary artery bypass graft (CABG). Which of the following doctors orders would instruct the occupational therapy department to assist the patient in returning to the greatest possible functional independence? Correct Answer- ADL ADL (activities of daily living) is an order that would instruct the occupational therapy department in assisting the patient to return to the greatest possible functional independence.

A doctor s order for a complete metabolic profile (CMP) would be sent to which of tAn order for an esophagogastroduodenoscopy (EGD) would be sent to which of the following hospital departments?he following hospital departments? Correct Answer- laboratory CMP is a blood test that consists of a series of chemistries performed in the chemistry division of the laboratory. An order for an esophagogastroduodenoscopy (EGD) would be sent to which of the following hospital departments? Correct Answer- Endoscopy An order for an EGD is an order for a visual examination of the esophagus, stomach, and duodenum and would be performed in the endoscopy department. An order for the patient to receive small volume nebulizer (SVN) treatments would be sent to which of the following departments? Correct Answer- Cardiopulmonary (respiratory care) An SVN would be sent to the cardiopulmonary (respiratory care) department. Which of the following orders would require the HUC to prepare a consent form? Correct Answer- Peripherally inserted central catheter (PICC) A PICC would require the HUC to prepare a consent form. The HUC received a poor yearly evaluation. The nurse manager said that the HUC s performance was unsatisfactory. The HUC s best response would be to: Correct Answer- ask for specifics regarding the unsatisfactory performance and for suggestions for improvement. The HUC s best response would be to ask for specifics regarding the unsatisfactory performance and suggestions for improvement. The process should provide positive feedback along with suggestions on how to improve in areas where improvement is needed. The HUC feels that the health unit coordinating job is not challenging and would like to apply for a management job that soon will become available on the nursing unit. The best way for the HUC to ensure being considered for the position is to: Correct Answer- perform usual tasks to the best of her ability and volunteer to work on committees when possible.

The best way for the HUC to ensure being considered for the position is to perform usual tasks to the best of her ability and volunteer to work on committees when possible. (Chapters 5 and 7 offer information regarding communication and management skills.) A computer terminal on the nursing unit may be made available for use by: Correct Answer- entering a personal identification code and password. A computer terminal on the nursing unit may be made available or used by entering a personal identification code and password. To correct a series of errors on the graphic record, the HUC would: Correct Answer- recopy the graphic record, using the correct data. To correct a series of errors on a patient s graphic record, the HUC would recopy the graphic record using the correct data. A line would be marked across the incorrect graphic record, and a notation stating recopied with the date and the HUC s initials would be placed on both graphic records. Both graphic records would be placed in the patient s chart. The HUC realizes after the test was performed that a laboratory test was ordered on the wrong patient. The best option for the HUC would be to: Correct Answer- order the test on the correct patient, notify the nurses of both patients, and complete an incident report. The best response for the HUC would be to order the test on the correct patient, notify both patients nurses, and complete an incident report. The HUC has placed a caller on hold. To notify the person for whom the caller is holding to speak to, the HUC should state the: Correct Answer- name of the caller, nature of the call, and incoming line. Giving complete information promotes efficiency and good public relations.