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Core Measures - AMI
Test Description: Review and re-enforcement of the nurse's role in meeting Core Measure guidelines for his/her patients.
Instructions: Answer all questions to get your test result.
1) When should an AMI patient receive aspirin?
A
Within 24 hours prior to arrival and at discharge
B
Within 24 hours after arrival and at discharge
C
Within 24 hours prior to or after arrival and at discharge
D
Never - Aspirin is OTC and has no impact on the patient's outcome
2) Which of the following indicates a patient should be discharged on an ACE Inhibitor or an ARB (Angiotensin Receptor Blocker)?
A
Ejection Fraction less than 40%
B
EF less than 40% and/or moderate/severe LVSD (left ventricular systolic dysfunction)
C
Moderate or severe LVSD (left ventricular systolic dysfunction)
D
EF greater than 40% and/or moderate/severe LVSD (left ventricular systolic dysfunction)
3) In addition to an aspirin & ACE Inhibitor or ARB (Angiotensin Receptor Blocker) (if indicated), what other medication(s) should be prescribed at discharge?
A
Beta blocker & statin
B
Beta blocker
C
Statin
D
Beta blocker, anti-coagulant & statin
4) Fibrinolytic therapy should be administered within how many minutes after the patient's arrival to hospital?
A
90
B
30
C
120
D
60
5) PCI (Percutaneous Coronary Interventions) such as PTCA and Stents should be performed within how many minutes after the patient's arrival to hospital?
A
60
B
120
C
90
D
30
6) Which disciplines may provide contraindications to Core Measure medications?
A
Physician only
B
Pharmacist, nurse practitioner or physician
C
Nurse or physician
D
Nurse, pharmacist, nurse practitioner or physician
7) Contraindications for an ACE Inhibitor and ARB (Angiotensin Receptor Blocker) must address which of the following?
A
Either ACE Inhibitor or ARB (Angiotensin Receptor Blocker)
B
Both ACE Inhibitor and ARB (Angiotensin Receptor Blocker)
C
ARB (Angiotensin Receptor Blocker) only
D
ACE Inhibitor only
8) A contraindication for a medication that is recorded by the nurse should be recorded in which location?
A
Nurse's notes
B
Physician orders
C
Progress notes
D
Any of these choices
9) Which of the following approaches would be best when asking a physician about starting a Core Measure medication?
A
Ruth said Mr. X needs to be on aspirin.
B
Would Mr. X be a candidate for aspirin therapy?
C
Core Measures requires that Mr. X be placed on aspirin.
D
If you don't order aspirin for Mr. X, he will fail Core Measures & I'll receive a counseling point.
10) The Hard Stop for AMI should be completed by how many nurses?
A
3 - Hard Stops are Mandatory
B
0 - Hard Stops are Optional
C
1 - Hard Stops are Mandatory
D
2 - Hard Stops are Mandatory
*select an answer for all questions
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