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INP 100 INPATIENT FUNDAMENTALS EXAM QUESTIONS AND
CORRECT ANSWERS
What does Epic call the first screen a user sees when they log in? - (answers)Startup activity What is a My List? - (answers)A list of patients that I am following during my shift. I control the columns, the default report, and I manage the list of patients. What is a system list, and how can it be used to organize patients? - (answers)A list of patients that is automatically updated by the system. You can make a shortcut to these lists in a My List. How can a surgeon quickly sort her list of patients by unit? - (answers)Click the Unit column in Patient Lists. What types of information can a surgeon gather from reports at the bottom of the startup activities? - (answers)Vitals, I/O, Current Meds, and more How can a clinician open a patient's chart? - (answers)Double-click the patient from Patient Lists. What are the tabs along the left of the screen in a patient's chart called? - (answers)Activities
How can you tell there is an abnormal value within a specified time interval in accordion reports? - (answers)There is a red exclamation point next to the value. How is an abnormal value denoted in accordion reports? - (answers)The abnormal value appears in red. How can you tell if there are values hidden within a time interval in accordion reports? - (answers)A plus sign appears next to the value displaying in a given column. How do you know which notes are new? - (answers)A clock icon appears in a column next to the note. How can you quickly find a patient's H&P within the Notes activity? - (answers)Click the H&P tab to see only H&Ps. Or, from the All Notes tab, click the Type column header to sort by note type. You want to Time Mark the new notes for your patient. Will that action Time Mark your patient's notes for anyone else who opens her chart? - (answers)No. Clicking Time Mark automatically marks ALL notes as no longer new for the user who Time Marks, but nobody else. True or False? Time Mark means that you have actually read all of the notes in the patient's chart. - (answers)False. Time Mark serves as a bookmark and organization tool for you. It simply marks the notes as no longer new.
What happens behind the scenes when you modify the rate of a medication? - (answers)The original order is just modified. As a result only one row appears on the MAR for nurses. Dr. Asparagus would like to order an acetaminophen-codeine (TYLENOL #3) tablet for his patient. In the search field he types "T3" and finds the order. Why did Dr. Asparagus find the order after typing, "T3"? - (answers)T3 is a synonym for the acetaminophen-codeine (TYLENOL #3) tablet order. Where should a physician go to order a patient's home medication if it wasn't originally ordered during the admission process. - (answers)Home Meds tab of the Orders activity Reorder Home Meds What does the pushpin mean if it is next to a problem in the problem list? - (answers)The pushpin indicates that the problem is a chronic problem (an ongoing problem for the patient). What is the Principal problem? - (answers)The Principal problem is the main reason for the patient's hospitalization. When documenting with a positive/negative button in the NoteWriter, how can you quickly indicate that the specific condition is present or positive? - (answers)Left-click or click the plus sign.
When documenting with a positive/negative button, how can you quickly indicate that the specific condition is absent or negative? - (answers)Right-click or click the minus sign. When documenting with a positive/negative button, how can you quickly add a comment? - (answers)Hover your mouse cursor over the positive/negative button and start typing. Or, double click the positive/negative button to open the comments window and then start typing. How can you tell if a comment has already been added to a positive/negative button? - (answers)The positive/negative button is underlined. True or False? You can add free text to a note in the Note form. - (answers)True. You can add additional information to your note by using SmartPhrases or free text in the white space within the note. How do you add yourself to the treatment team for a patient? - (answers)Click Sign In and select your patients from the department list. How do you remove yourself from the treatment team for a patient? - (answers)Find the patient in the My Patients lists. Right-click on the patient's name and select End My Assignment.
When first opened, for what time frame does the Work List display tasks? - (answers)A) All Shifts for a Day B) Current Shift C) Next Shift D) Previous Shift True or False? The Work List includes all tasks that a nurse might have to complete throughout a shift. - (answers)False. There are things a nurse is responsible for that are not listed as discrete tasks on the Work List. Give two advantages of using the Work List instead of the Due Meds report to review your patients' medications. Then give two advantages of using the Due Meds report instead of the Work List. - (answers)Work List: Can see ALL medications for ALL patients; can see other tasks at the same time; can document without opening a patient's chart. Due Meds: Can see ALL of one patient's medications due within the current shift; can see last administration time of all meds; can easily see administration instructions. What does an "!!" icon next to a medication on the MAR mean? How is the administration workflow different for that medication? - (answers)The medication requires dual sign-off. Another nurse will need to review and verify the administration and enter his user ID & password when documenting the administration.
You're about to give a pain medication to a patient. You know the patient hasn't received any doses of this medication, but you'd like to see the last time he received any pain medications over the last 24 hours. How can you do that without having to scroll through multiple shifts of the MAR? - (answers)Use the MAR Report in the MAR activity. How do medications that are discontinued appear on the MAR? - (answers)The medication row appears with all the cells highlighted in yellow. What is the main difference between documenting a PRN medication compared to a scheduled medication? - (answers)PRN medications do not have scheduled times that appear on the MAR. To document giving the medication, the nurse clicks anywhere in the cell and documents administering the medication. Scheduled medications appear with a due time in the cell at the time the medication is scheduled to be given. To document administering the medication, click the due time on the MAR. Can a nurse document giving a medication that has NOT been verified by pharmacy? - (answers)Yes. He sees warnings that the medication has not been verified but can continue with the administration. What are two reasons why a nurse might need to pull a medication from an ADS cabinet on override? - (answers)- No one has entered an order for the medication into Epic
defined limits, except...) Then enter the abnormal information in the appropriate rows. Where can a nurse look to find information on the "defined" values for a given row? - (answers)A nurse can view the Row Information in the Details report on the right side of the screen. This gives him information about normal values, possible choices, and the last filed data. If the Details report is hidden, click the left facing arrow in the middle of the right side of the screen to expand the report. When a nurse goes into a flowsheet and wants to enter new values, what should be done before documenting any information to ensure the data is entered under the correct date and time? - (answers)The nurse should click the Add Col button or the Now hyperlink. This drops a new column with the current date and time. If charting values taken in the past, the Insert Col button should be used. In the Problem List section of the navigator, how can you mark a problem as the principal problem? What must this problem be marked as first? - (answers)You select the check box in the Principal column after indicating that the problem is a hospital problem. What is a SmartText and how can it be pulled in to a note? - (answers)A SmartText is a template for writing a note. It can be pulled in from the Insert SmartText field.
Embedded within a SmartText are SmartLists. How can you start filling out a SmartList? Make a selection? Accept your selection? - (answers)To start filling out a SmartList using the keyboard, press F2. To make a selection, use the SPACEBAR. To accept your selection, press ENTER. To start filling out a SmartList using the mouse, use the Next Field option (under the All Other Tools menu). To make a selection, left-click, and to accept your selection, right-click. True or False? A note can be signed even if all of the SmartLists have not been completed. - (answers)False. All SmartLists and wildcards must be completed before the note can be signed. What the purpose of a wildcard? - (answers)A wildcard, denoted by ***, is intended to provide the clinician with a place to enter free text. True or False? When creating a User SmartPhrase that includes a SmartText, a physician should insert the SmartText into the note before clicking the green plus sign. - (answers)False. If you are creating a User SmartPhrase that contains a SmartText, click the green plus sign first. Then, pull your SmartText in to your note window. This prevents any patient-specific information from being saved in your template. After creating a User SmartPhrase that includes a SmartText using the green plus sign, how can you pull the new text into a note to use it for patient documentation? - (answers)You have created a SmartPhrase, so you can summon it into your note by typing a 'dot' and the SmartPhrase name or by clicking the List My Phrases (.my?) button.
What does it mean to Sign & Hold an order? - (answers)It means that the order has been authorized, but it is not released or active until the patient arrives to another location or stage of care. Why are orders signed & held when written for a patient being admitted from the ED? - (answers)Orders are held so they are not sent to the ED. They need to be held until the patient arrives in the inpatient unit. What can you type in the search field if the patient tells you they are taking a medication but they do not know the medication name? - (answers)Type "Help" in the search field to add Unknown to Patient to the med list. (You can also just type "Unknown.") You might need to click the Database Lookup tab to find it. Before a nurse releases signed and held orders for a new patient who just arrived on the floor from the ED, what other step needs to be done first? What will happen if this step is not done? - (answers)Before releasing signed and held orders, the patient's arrival on the unit must be confirmed in Epic using the Unit Manager activity. If this is not done, the system will think the patient is still in their original unit and orders might be affected (medications might be dispensed to the wrong place, etc). What does it mean to release signed and held orders? - (answers)Releasing orders means you are making them active. Other clinicians will be notified of the orders and can start acting on them.
True or False? Documenting the patient's vitals in the navigator will also populate the Vital Signs flowsheet template in the Flowsheets activity. - (answers)True. All documentation that you complete in a navigator will automatically populate the appropriate places throughout the patient's chart. True or False? BestPractice Advisories (BPAs) notify clinicians of tasks that they must perform for the patient. - (answers)False. BPAs present clinicians with suggestions to do things like add to the patient's care plan or place orders. If clinicians don't agree with the BPA suggestion, they can clear the check box in the BPA before clicking Accept. What are two ways templates can be added to the Care Plan activity? - (answers)Care Plan templates can be added automatically by accepting a recommendation in a BestPractice Advisory or they can be added manually by clicking Apply Template. What are two ways Education titles can be added to the Education activity? - (answers)Education titles can be added automatically if a Care Plan goal or intervention requires teaching, or they can be added manually by clicking Add Title. When documenting intake/output totals for a patient at the end of your shift (0701-1900), which of the following is the best choice for the column you should document in? Why? - (answers)a) 1900, because technically the next shift starts at 1901. You need to document in a column during the current shift so that I/O totals are not skewed in the I/O activity and accordion reports.
answer. - (answers)False. Just because an IV is started doesn't mean the entire volume is infused. The nurse needs to manually enter the volume for an IV on the intake/output flowsheet. True or False? When you document starting a new bag of an IV piggyback, the rate and linked line documented on the MAR automatically appear on the Intake/Output flowsheet, but you must enter the volume infused. Explain your answer. - (answers)True. You don't want to document an entire 1000 mL bag as having been infused just because you started it. The rate & linked line from the MAR appear on the Intake/Output flowsheet to help calculate the volume at the end of the shift or when the bag is done infusing. Which of the following best describes how these groups were added to this flowsheet? a) This patient's nurse clicked Add Group to add them b) This patient's nurse clicked Add LDA to add them c) These groups are present on every patient's I&O flowsheet d) These groups were automatically added by orders on this patient - (answers)d) These groups were automatically added by orders on this patient Which of the following is the most likely explanation for how the "75" in the 0130 column (#1 in the screen shot) got there? a) The order was scheduled to start at 0130 with a rate of 75 mL/hr b) This patient's nurse manually entered 75 in that cell
c) This patient's nurse documented a New Bag on the MAR at 0130 - (answers)c) This patient's nurse documented a New Bag on the MAR at 0130 If you clicked the calculator button shown in the screen shot (#2), what volume would it suggest? mL - (answers)(75 mL/hr x 4hr) + (75mL/hr x .5 hr) = 300 mL + 37.5 mL = 337.5 mL Which of the following statements about the cefOXItin dose (#3) and volume (#4) are mostly likely TRUE? (Choose ALL that apply). a) The 890 mg dose was documented on the MAR b) The 8.9 mL was documented on the MAR c) The 8.9 mL was suggested when the user clicked the calculator d) The dose took 30 minutes to infuse - (answers)A, C, and D are true. Which section of the Transfer Navigator must the physician use in order to reconcile all the orders for a patient? - (answers)Transfer Orders (remember this 'section' of the Transfer Navigator is a navigator unto itself). Within the Transfer Orders Navigator, which section would a physician use to reconcile the orders that are currently active? - (answers)Review Current Orders What happens if a physician forgets to click either Continue, Discontinue, or Modify for an order in the Review Current Orders section? - (answers)The order is automatically continued, but it appears to other clinicians as not reconciled. If the order is a medication, it will be on MAR hold.
What is the difference between a discharge summary and patient instructions? - (answers)A discharge summary is a clinical summary of the patient's encounter. They are typically read by other clinicians and remain part of the patient's chart. Patient instructions include a list of the patient's take home medications and information about how to continue care after discharge. These instructions are printed and given to the patient upon discharge. Can the physician see a list of the resolved problems for a patient? If so, how? - (answers)Yes, go to the Problem List navigator section, click the Options button, and select the Resolved check box. Can a nurse resolve multiple Care Plan problems at the same time? If so, how? - (answers)Yes, within the Care Plan activity, click the Resolve Problems button. What is the difference between operational and analytical reports? - (answers)Operational reports are real-time reports needed by end users to do their jobs. Analytical reports are over-time reports that show long-term trends and data. A report can be used to (choose the best answer): a. Retrieve data b. Organize information c. Display information
d. All of the above - (answers)D) All of the above True or False: After running a report, a physician can hide some of the results so she can focus on a particular area of the results. - (answers)True. The physician can filter the results. True or False? End users must always indicate how long they want the results of their reports saved. - (answers)False. Users only need to save the results of a report if they want to view the results after the report's expiration time has passed. Where can clinicians go to search for other reports not found under the Favorites section of their reporting home? - (answers)The Reporting Workbench Library, accessed by clicking the My Reports hyperlink from the reporting home and selecting the Library. What is the purpose of an analytical report? - (answers)Analytical reports are used to look at trends in data and help you make decisions related to your department, specialty, or hospital. They often analyze data over an extended period of time. What are the three main characteristics that describe analytical reports? - (answers)Comprehensive, Summarized, Standardized
