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C E T E S T

Emergency Nurses’ Experience With Violence: Does It AffectNursing Care of Battered Women? (pp 199-204)

1. The results of this study reveal that what percentage ofemergency nurse participants had been hit by a patient?

A. 15%

B. 38%

C. 56%

D. 70%

2. What percentage of emergency nurse participants report-ed being hit by a partner?

A. 12%

B. 28%

C. 40%

D. 67%

3. What percentage of the emergency nurses who partici-pated in this study reported using force against their inti-mate partners?

A. 6%

B. 19%

C. 31%

D. 52%

4. When evaluating the entire sample for an associationbetween prior patient or partner assaults and proposednursing care, it was discovered that:

A. no association existed between prior assault experi-ences and proposed nursing care.

B. nurses who reported experiencing patient assault pro-posed less nursing care than those who did not.

C. nurses who reported experiencing intimate partner as-sault proposed less nursing care than those who did not.

D. nurses who reported no prior assault experiences pro-posed less nursing care than those who had experi-enced assaults.

*In accordance with Iowa Board of Nursing administrative rules govern-ing grievances, a copy of your evaluation of this CE offering may be sub-mitted directly to the Iowa Board of Nursing.

TO RECEIVE CONTINUING EDUCATION (CE) CREDIT, FOLLOW THESE INSTRUCTIONS:

1. After reading the articles, darken the appropriate circles (numbers1-35) on the answer sheet on page 276 (or a photocopy). Eachquestion has only 1 correct answer.

2. Review learning objectives on page 275 and complete the regis-tration information and program evaluation* on the answersheet.

3. Send the answer sheet with your registration fee to: ContinuingEducation Department, Lippincott Williams & Wilkins, 345Hudson St, 16th Fl, New York, NY 10014.

4. Your registration fee for this offering is $42.25.

Within 6 weeks after Lippincott Williams & Wilkins receives youranswer sheet, you will be notified of your test results. A passing scorefor this test is 26 correct answers (74%). If you pass, LippincottWilliams & Wilkins will send you a CE certificate indicating thenumber of contact hours you have earned. If you fail, LippincottWilliams & Wilkins gives you the option of taking the test again atno additional cost. All answer sheets for this test must be received byJune 30, 2004.

This continuing nursing education (CNE) activity for 6.5 con-tact hours is provided by Lippincott Williams & Wilkins, which isaccredited as a provider of continuing education in nursing by theAmerican Nurses Credentialing Center’s Commission on Accredi-tation and by the American Association of Critical-Care Nurses(AACN 9722, category O). This activity is also provider approved bythe California Board of Registered Nursing, Provider NumberCEP11749, for 6.5 contact hours. Lippincott, Williams & Wilkins isalso an approved provider of CNE in Alabama, Florida, and Iowa*and holds the following provider numbers: AL#ABNP0114,FL#FBN2454, and IA#75. All of its home study activities are classi-fied for Texas nursing continuing education requirements as Type I.

GENERAL PURPOSE

To provide registered professional nurses with information to increasetheir knowledge about current issues affecting emergency nursingpractice.

CE Earn 6.5 Contact Hours

by Reading the Journal and Taking

This Post Test

T E S T Q U E S T I O N S

272 JOURNAL OF EMERGENCY NURSING 28:3 June 2002

CE TEST

5. When considering the association between nurse genderand the vignette in which the woman received minorinjuries, it was discovered that nurses who were:

A. female and used force against their intimate partnerproposed more care than did female nurses who didnot report this type of violence.

B. male and used force against their intimate partnerproposed more care than did female nurses who didnot report this type of violence.

C. female and used force against their intimate partnerproposed less care than did female nurses who did notreport this type of violence.

D. male and used force against their intimate partnerproposed less care than did male nurses who did notreport this type of violence.

6. When considering both vignettes, nurses who proposedmore nursing care for patients were those who were:

A. male and reported experiencing both intimate partnerand patient assault.

B. female and reported experiencing both intimate part-ner and patient assault.

C. male and reported patient assault as the only type ofviolence experienced.

D. female and reported patient assault as the only type ofviolence experienced.

Follow-Up Program: An Essential Component of ED Care (pp223-8)

7. An outcome of this 1-year grant to test dedicated staffingfor follow-up of ED patients was that within a year ofprogram implementation:

A. the number of patients who were unable to be con-tacted for follow-up was unchanged.

B. the number of patients who received follow-up with-in 3 days of ED discharge was unchanged.

C. the number of patients who received “delayed” fol-low-up was reduced from 20% to 4%.

D. the number of patients who received follow-up with-in 24 hours was increased from 50% to 98%.

8. Of the documented follow-up telephone calls to patients,the largest percentage of these calls were related to:

A. laboratory results.

B. imaging study results.

C. postprocedure complication inquiry.

D. new medication compliance inquiry.

9. Which type of imaging study most frequently requiredtelephone follow-up?

A. CAT scan

B. Chest radiograph

C. Ultrasound

D. Ventilation-perfusion scan

10. A breakdown of the laboratory follow-up data revealedthat the largest number of test results pertained to:

A. blood culture results.

B. urine culture results.

C. wound culture results.

D. throat culture results.

Faxed Report to the Floors for Admitted ED Patients: A PilotProject (pp 231-4)

11. Of the following, the most frequent reason for report notbeing given on the first attempt between emergency nurs-es and the receiving unit was:

A. the receiving nurse was on meal break.

B. the receiving nurse was busy with another patient.

C. the receiving nurse was involved in the change of shiftreport.

D the receiving unit did not have an available bed readyfor the patient.

12. Results of this study revealed:

A. emergency nurses frequently did call report duringthe change of shift.

B. a time lapse of almost 1 hour occurred if 3 attemptsto call report were required.

C. an average time lapse of 15 minutes occurred if reportwas received on the first attempt.

D. receiving unit nurses complained that emergencynurses were frequently rude while giving report.

13. This study showed that an outcome of faxing report tothe receiving unit was:

A. it prevented patients from being transported to thewrong unit.

B. floor nurses reported that the information providedwas unpredictable.

C. emergency nurses liked the time saved by faxingreport.

D. floor nurses interrupted patient care to take report.

June 2002 28:3 JOURNAL OF EMERGENCY NURSING 273

CE TEST

Clinical Nurses Forum (pp. 235-6)

14. When assessing the carotid artery of a patient with acarotid bruit, you would expect to hear a:

A. buzzing sound.

B. continuous low-pitched hum.

C. clicking sound during systole.

D. high-pitched crackling sound during diastole.

15. Which of these statements about a carotid bruit is true?

A. It is a late indication of impaired circulation.

B. It is loudest when the artery is completely occluded.

C. Its absence indicates that stenosis is not present.

D. It is not audible until the artery is stenosed by morethan 50%.

16. When assessing a patient’s carotid artery for the presenceof a bruit, you should:

A. use the diaphragm of the stethoscope.

B. apply firm pressure during auscultation.

C. ask the patient to hold his breath during auscultation.

D. lightly palpate the artery with the pads of the fingertips.

17. You are assessing a patient with right carotid artery steno-sis who has a known carotid bruit. When examining thispatient, it would be most important for you to report thatthe bruit is:

A. no longer present.

B. difficult to hear when the patient exhales.

C. heard loudest just below the angle of the jaw.

D. unchanged despite the patient taking a prescribedplatelet aggregate inhibitor.

From the Feds: Research, Programs, and Products (pp 237-40)

18. According to this article, a shortage of which of these vac-cines currently exists?

A. Diphtheria and tetanus toxoids and acellular pertussis(DTaP) vaccine

B. Measles, mumps and rubella (MMR) vaccine

C. Hepatitis B (Recombivax HB) vaccine

D. Pneumococcal (Pneumovax 23) vaccine

19. Which of the following statements regarding safety andhealth issues at work is true?

A. The leading cause of death for women in the work-place is homicide.

B. The incidence of stress-related illness is nearly twice ashigh for men as for women.

C. Each year, approximately 8000 health care workersexperience a needlestick injury.

D. Fifty percent of health care workers who experiencefrequent latex exposure develop sensitivity to latex.

20. Which of these common household products will requirechild-resistant packaging effective October 2002?

A. Deodorant

B. Sunscreens

C. Steel wool pads

D. Dishwasher detergent

Water Safety (pp 241-3)

21. The child most likely to drown in a bathtub, bucket, ortoilet is the child who:

A. attends preschool.

B. is younger than 1 year of age.

C. has a developmental delay.

D. is white or Hispanic.

22. When teaching drowning prevention safety tips, youshould instruct adults to:

A. store pool toys near the edge of the pool.

B. install a fence that is 3 ft tall around any backyardpool.

C. ensure that no one dives or jumps into water that isless than 9 ft deep.

D. place air-filled swim aids (water wings) on all childrenyounger than 3 years.

23. Which of the following statements regarding drowning istrue?

A. Teak/drag surfing is the leading cause of drowning inadolescents.

B. Approximately 2000 children have drowned in 5-gal-lon buckets since 1999.

C. Adolescents who are drinking alcohol supervise mosttoddlers who drown.

D. Young children don’t splash when they get into trou-ble in the water and therefore drown soundlessly.

274 JOURNAL OF EMERGENCY NURSING 28:3 June 2002

CE TEST

Pedestrian Trauma: What Types of Injury Can We Expect to SeeWhen an Injured Child Arrives? (pp 259-61)

24. Which of the following statements regarding pedestrianinjuries is true?

A. Most injuries among younger pedestrians happen tothose between the ages of 11 and 15 years.

B. There were 4739 fatal injuries among pedestrians whowere younger than 16 years old in 2000.

C. Pedestrian injuries account for approximately 75% ofall pediatric trauma admissions to US hospitals.

D. Younger pedestrians sustain a large percentage of non-fatal injuries and are less likely to die.

25. A retrospective study by Calhoun and colleagues (1998)revealed that the most common diagnosis of injuredpedestrians ages newborn to 15 years was:

A. fracture.

B. head laceration.

C. multiple trauma.

D. traumatic brain injury.

26. A study of 1512 traffic injuries in children younger than17 years in Manhattan, New York, showed that:

A. these children were twice as likely to sustain fatalinjuries.

B. the majority of these children did not speak English.

C. most of these children were struck by taxis.

D. head trauma was the most common diagnosis.

27. A 1999 study by Peng et al indicated that pediatric pedes-trians younger than age 15 years who were injured:

A. were most likely to sustain a fracture of the clavicle.

B. were most likely to have a major diagnosis of pneumothorax.

C. had a lower mortality rate than older pedestrians.

D. had an average length of hospital stay of 10 days.

28. Based on the information presented in this article, emer-gency nurses should expect that injured pediatric pedes-trians who present to the emergency department are:

A. very likely to require CPR while in the emergencydepartment.

B. likely to require surgical interventions.

C. unlikely to require hospital admission.

D. very unlikely to have health insurance.

Tracheobronchial Injuries (pp 265-6)

29. Approximately what percentage of patients who sustain atracheobronchial injury die before reaching the hospital?

A. 15%

B. 45%

C. 60%

D. 80%

30. What is the most common mechanism of injury for tra-cheobronchial injury?

A. Deep sea diving

B. Teak/drag surfing

C. High-speed motor vehicle crash

D. Prolonged endotracheal intubation

31. Approximately what percentage of tracheobronchialinjuries are detected on a delayed basis?

A. 20%

B. 35%

C. 50%

D. 65%

32. Which of the following findings is suggestive of a tracheo-bronchial injury?

A. Flail chest

B. Left tracheal deviation

C. A persistent air leak after chest tube placement

D. Inability to fully inflate the endotracheal tube cuff

33. All of the following are late sequelae of a missed tracheo-bronchial injury except:

A. empyema.

B. hyperemesis.

C. mediastinitis.

D. bronchiectasis.

34. Nursing care of a patient with a nonoperative tracheo-bronchial injury includes:

A. frequent suctioning.

B. coughing and deep breathing.

C. postural drainage every 4 hours.

D. incentive spirometry every 2 hours.

35. A diagnosis of tracheobronchial injury is made via:

A. thoracentesis.

B. bronchoscopy.

C. chest radiograph.

D. ventilation-perfusion scan.

June 2002 28:3 JOURNAL OF EMERGENCY NURSING 275

CE TEST

LEARNING OBJECTIVES

After reading the designated articles and completing thetest, the reader will be able to:1. discuss the results of a survey that investigated the relationship

between emergency nurses’ personal experiences with violenceand their proposed care of battered women.

2. describe the follow-up program of an emergency department at alarge, tertiary care, teaching hospital.

3. explain the results of a pilot study that used faxed reports to theunits for patients being admitted from the emergency department.

4. explain how to correctly assess for the presence of a carotid bruit.

5. discuss the most recent research, programs, and products fromfederal agencies.

6. delineate essential aspects of water safety.

7. outline the implications for emergency nursing practice pertain-ing to injured pediatric pedestrians.

8. describe the mechanism of injury, diagnosis, and nursing care fora patient with tracheobronchial injury.