CE TESTS

CLINICAL TEST QUESTIONS Droperidol and Ondansetron Induced Life-Threatening Arrhythmias (pp. 393-394)

7. The most common reason for constipation is A. long transit time in the bowel. B. faulty coordination of pelvic oor muscles. C. hard stool that is difcult to pass. D. a bowel disease. 8. A dysrhythmia that may be caused by digital rectal manipulation is A. bradycardia. B. atrial brillation. C. ventricular tachycardia. D. complete heart block. 9. All of the following are known to cause constipation except A. anticonvulsants. B. caffeine. C. aluminum hydroxide. D. magnesium citrate. 10. According to the authors, the best enema solution is A. hot tap water. B. soapy water. C. warm tap water. D. baking soda and water. 11. An oral medication that treats narcotic-related constipation by displacing the opioid from the receptor sites that affect bowel motility is A. naloxone. B. alvimopan. C. methylnaltrexone. D. lactulose.

1. Arrhythmias such as TdP usually are a concern when the QTc interval is N A. 360 ms. B. 400 ms. C. 440 ms. D. 500 ms. 2. Risk factors for long QT syndrome include A. hypermagnesemia. B. tachycardia. C. hypokalemia. D. male gender. 3. Before receiving droperidol, the FDA recommends that all patients have a(n) A. echocardiogram. B. stress test. C. chest computed tomogram. D. electrocardiogram. 4. The risk of QT prolongation from ondansetron is greater with A. concurrent hypocalcemia. B. doses > 16 mg. C. concurrent hyponatremia. D. doses 8 mg. 5. The agent of choice for the immediate treatment of TdP is A. magnesium sulfate. B. diltiazem. C. adenosine. D. procainamide.
Constipation and the Geriatric Patient-Treatment in the Emergency Department (pp. 372-375)

A Home-Birthed Neonate in Cardiogenic Shock (pp. 353-354)

6. As noted in the article, constipation should be considered if an older adult presents with A. unexplained back pain. B. a sudden change in mental status. C. an unexpected fall. D. hypokalemia unrelated to diuretic use.

12. In an infant with transposition of the great arteries, once the umbilical cord is severed the infant can only survive as long as the A. heart rate is > 120 beats/minute. B. blood volume is increased with intravenous crystalloids. C. ductus arteriosus is patent. D. infant is intubated and ventilated.

July 2013

VOLUME 39 ISSUE 4

WWW.JENONLINE.ORG

413

CE TESTS

13. The absence of what assessment nding suggests the infant's foramen ovale is closing? A. an S3 gallop B. a heart murmur C. tachycardia D. a carotid bruit 14. An infant with transposition of the great arteries requires an immediate infusion of A. surfactant. B. albumin. C. prostaglandin E1. D. fat emulsions. 15. Which of the following is a common side effect of the drug used to maintain ductus patency? A. seizures B. renal failure C. increased intracranial pressure D. mydriasis 16. A classic nding in ductal dependent lesions after an oxygen challenge is A. cherry red mucous membranes. B. a dramatic decrease in SpCO2. C. loss of consciousness. D. lack of improvement in SpO2.
Pediatric Emergencies: Preparing at Triage Using Height and Weight (pp. 409-411)

19. The patient's length or height are indicated on the ED record A. in ink and highlighted in yellow. B. with a colored dot sticker. C. on the triage screen in the computer. D. with a red, rubber stamp.
How Did I Miss That? The Safety Challenges of Inattentional Blindness (pp. 358-359)

20. Inattentional blindness can be negatively impacted by all of the following factors except A. mental workload. B. color coding. C. expectations. D. capacity. 21. When addressing inattentional blindness, the problem of conspicuity can be minimized by A. using brightness, and contrast. B. providing low ambient light levels. C. using out of reach storage locations. D. diverting attention to another task. 22. Seeing what we think we should see instead of what is actually there is known as A. focal blindness. B. delusional sight. C. conrmation bias. D. illusional reality.

17. The primary reason for inaccuracies in measuring weight using a length-based system for children is A. blood volume loss. B. lower extremity fractures. C. obesity. D. patient movement. 18. In the facility described in the article, what procedure was instituted to deal with pediatric weights? A. The pediatrician's ofce is contacted for an accurate weight. B. A record of the weight is entered in the computer for use at subsequent visits. C. Each parent is asked the child's weight at triage. D. Each non-emergency patient is weighed at rst contact.

Journey to a Safe Environment: Fall Prevention in an Emergency Department at a Level I Trauma Center (pp. 346-352)

23. Fall prevention devices used by the facility described in this article include all of the following except A. hip protectors. B. reminder belts. C. distraction items. D. restraint jackets. 24. Of the 40 fall risk patients who fell in that facility in 2009, 50% stated they were trying to A. go to the bathroom. B. reach for something. C. nd a nurse. D. go home.

414

JOURNAL OF EMERGENCY NURSING

VOLUME 39 ISSUE 4

July 2013

CE TESTS

25. As noted in the article, additional ED measures added to a fall risk assessment tool include all of the following except A. intoxication with ataxia. B. not accompanied by family or friends. C. Glasgow Coma Scale score b 14. D. brought to the emergency department by ambulance. 26. When one risk factor is identied on the KINDER 1 tool, the nurse can A. stop the assessment and apply a fall risk bracelet. B. continue to screen for the next 3 risk factors on the tool. C. bring the patient to a close observation room with security observation. D. apply the least restrictive physical restraints possible for the situation. 27. The most prevalent risk factor for ED patients who fall in this facility is A. a history of falls. B. altered elimination. C. impaired mobility. D. altered mental status.

3. A criterion that lets the researcher have a sense of when the search is sufcient is when he or she has A. rened the problem statement. B. identied the gaps in the literature. C. found at least 20 scientic papers on the topic. D. exhausted all the relevant literature on the problem.
Abuse Experiences, Substance Use, and Reproductive Health in Women Seeking Care at an Emergency Department (pp. 326-333)

4. In the study described in this article, women who experienced child sexual assault (CSA) were signicantly more likely to report having ever used A. alcohol. B. sedatives. C. inhalants. D. hallucinogens. 5. Women who experienced CSA were signicantly more likely to report use of what substance in the past 3 months? A. cocaine B. cannabis C. amphetamines D. tobacco 6. Women with a history of CSA reported A. a lower incidence of treatment for gonorrhea. B. fewer lifetime sexual partners. C. younger age at rst intercourse. D. a signicantly higher incidence of urinary tract infections. 7. Regarding reproductive health outcomes, women with no history of CSA were signicantly A. less likely to have been treated for bacterial vaginosis. B. more likely to report pain with sexual intercourse. C. more likely to have a history of abnormal Papanicolaou smear. D. less likely to use birth control regularly. 8. As noted in the article, CSA is one of the strongest predictors of A. suicide before the age of 30 years. B. lethal violence against the sex offender. C. withdrawal from social contacts in adulthood. D. revictimization in adulthood.

28. Volunteers at this facility round on fall risk patients between 8 AM and midnight every A. 15 minutes. B. 30 minutes. C. 1 hour. D. 2 hours.
RESEARCH TEST QUESTIONS Searching the Literature: What Is Known (and Not Known) About Your Topic? (pp. 395-397)

1. The rst step in a literature search is to A. develop a clinical question. B. enlist the assistance of a research librarian. C. determine how to evaluate the evidence. D. narrow the focus of inquiry. 2. To nd information that is the most useful and reliable, the search should focus on A. secondary sources. B. literature published within the last 15 years. C. state of the science papers and research studies. D. information obtained in Wikipedia.

July 2013

VOLUME 39 ISSUE 4

WWW.JENONLINE.ORG

415