- Email: [email protected]
CE Test
CE Test
CONTINUING EDUCATION TEST INSTRUCTIONS
General Purpose
CE
6 CONTACT HOURS
The general purpose of this CE activity is to provide registered professional nurses with information to increase their knowledge about current practice and issues in emergency nursing.
Learning objectives After reading the designated articles and taking the test, the reader will be able to: 1. discuss how using bicycle helmets affects safety; 2. discuss appropriate interventions for patients exposed to anthrax; 3. describe the physiologic consequences of hyperglycemia; 4. outline parameters important for assessing a patient with diabetic ketoacidosis; 5. discuss current treatment priorities for patients with diabetic ketoacidosis; 6. describe the requirements for and the role of flight nurses; 7. list trauma resources that can be found on the Internet; 8. discuss the education and role of an emergency nurse practitioner; 9. outline how to submit a nursing scholarship application; 10. set a plan for increasing the use of research in daily nursing practice; 11. describe how to treat patients who incur eye injuries caused by air bag deployment; and 12. identify triage priorities for patients with serum sickness. To receive continuing education (CE) credit, follow these instructions: 1. After reading the articles, darken the appropriate circles (numbers 1-40) on the answer sheet on page 582 (or a photocopy). Each question has only 1 correct answer. 2. Complete the registration information on the answer sheet and help us evaluate this offering. 3. Send the answer sheet with your registration fee to: Continuing Education Department, Lippincott Williams & Wilkins, 345 Hudson St, 16th Fl, New York, NY 10014. 4. Your registration fee for this offering is $36.
578 Volume 25, Number 6
Within 6 weeks after Lippincott Williams & Wilkins receives your answer sheet, you will be notified of your test results. A passing score for this test is 30 correct answers (75%). If you pass, Lippincott Williams & Wilkins will send you a CE certificate indicating the number of contact hours you have earned. If you fail, Lippincott Williams & Wilkins gives you the option of taking the test again at no additional cost. All answer sheets for this test must be received by December 31, 2001. This CE offering for 6 contact hours is provided by Lippincott Williams & Wilkins, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation. Lippincott Williams & Wilkins is also an approved provider of nursing continuing education in Alabama, California, Florida, and Iowa and holds the following provider numbers: AL, #ABNP0114; CA, #CEP11749; FL, #27F0002; and IA, #75. All of its home study offerings are classified for Texas nursing continuing education requirements as Type I. In accordance with Iowa Board of Nursing administrative rules governing grievances, a copy of your evaluation of this CE offering may be submitted directly to the Iowa Board of Nursing.
TEST QUESTIONS
Florida’s Bicycle Helmet Law and a Bicycle Safety Educational Program: Did They Help? (pp 496-500) 1. According to research data, what percentage of traumatic brain injury deaths might have been prevented had bicycle riders worn helmets? a. 26% b. 51% c. 74% d. 99% 2. According to this article, the primary cause of bicycle-related injuries is collisions with: a. automobiles. b. pedestrians. c. walls. d. other cyclists.
JOURNAL OF EMERGENCY NURSING
3. In Broward County, Fla, the percentage of nonhelmeted children admitted for bicycle crash injuries despite a mandatory helmet law was: a. 20%. b. 40%. c. 60%. d. 80%.
One Urban Hospital’s Experience With False Anthrax Exposure Disaster Response (pp 501-4) 4. Which of the following statements about Bacillus anthracis (anthrax) is true? a. It is transmitted via person-to-person contact. b. The most common symptom is a macular rash of the chest. c. It is a fungus that primarily reaches the population via the water supply. d. The most dangerous way to be infected is through inhalation. 5. Which of the following medications would you expect to be prescribed to a patient with possible anthrax exposure? a. Ciprofloxacin b. Fluorouracil c. Epinephrine d. Protamine sulfate
Management of Diabetic Ketoacidosis (pp 514-9) 6. A 43-year-old man comes to the emergency department with flu-like symptoms. Which of the following clinical findings should prompt the nurse to check his blood glucose level? a. An oral temperature of 101.2°F b. A fruity odor of the breath c. Decreased bowel sounds d. Generalized nonpitting edema 7. When reviewing the arterial blood gas results of a patient with diabetic ketoacidosis, you would expect to note the presence of: a. respiratory alkalosis. b. metabolic alkalosis. c. respiratory acidosis. d. metabolic acidosis. 8. The onset of diabetic ketoacidosis is most frequently precipitated by: a. infection. b. hyperthyroidism. c. alcohol ingestion. d. pregnancy.
9. For a patient admitted to the emergency department with suspected diabetic ketoacidosis, it would be important for the nurse to question the use of which of the following medications? a. Ciprofloxacin b. Pentamidine c. Metamucil d. Zyban 10. In patients with diabetic ketoacidosis, the ED nurse should recognize that a higher risk of mortality exists if: a. body temperature is greater than 102°F. b. heart rate is greater than 120 beats per minute. c. blood pressure is below 70/40 mm Hg. d. they are confused and lethargic. 11. It is thought that abdominal pain and vomiting develop in patients with diabetic ketoacidosis because of: a. gastric bleeding. b. metabolic alkalosis. c. gastric stasis. d. hypermagnesemia. 12. Approximately what percentage of patients with diabetic ketoacidosis present without any changes in mental status? a. 10% b. 20% c. 50% d. 70% 13. Which of the following laboratory results are most consistent with a diagnosis of diabetic ketoacidosis? a. Blood glucose level, 202 mg/dL; pH, 7.49; HCO3–, 27 mmol/L b. Blood glucose level, 225 mg/dL; pH, 7.44; HCO3–, 20 mmol/L c. Blood glucose level, 333 mg/dL; pH, 7.36; HCO3–, 17 mmol/L d. Blood glucose level, 345 mg/dL; pH, 7.25; HCO3–, 13 mmol/L 14. What is the normal range of serum osmolality? a. 280 to 295 mOsm/kg b. 180 to 195 mOsm/kg c. 230 to 245 mOsm/kg d. 330 to 345 mOsm/kg 15. It is important to determine the corrected serum sodium level of a patient with diabetic ketoacidosis because it: a. determines how much sodium bicarbonate the patient should receive. b. indicates how well the kidneys are clearing sodium. c. assists in the estimation of free water deficits. d. helps determine if carbohydrate metabolism has been severely altered.
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16. A normal anion gap is: a. 2 to 6 mEq/L. b. 8 to 16 mEq/L. c. 18 to 24 mEq/L. d. 28 to 36 mEq/L. 17. Which of the following laboratory results best indicate that a patient with diabetic ketoacidosis is appropriately responding to therapy? a. A decrease in the serum ketone level b. A decrease in the anion gap c. An increase in the serum sodium level d. An increase in the sodium bicarbonate level 18. Which of the following laboratory results would be most consistent for a patient with diabetic ketoacidosis who came to the emergency department with an altered mental status? a. An anion gap of 8 mEq/L b. A serum pH of 7.33 c. A serum osmolality of 305 mOsm/kg d. A corrected serum sodium level of 136 mEq/L 19. When caring for a patient with diabetic ketoacidosis, the most important initial intervention is: a. identifying the underlying precipitating factor. b. correcting electrolyte imbalances. c. reversing ketosis. d. replacing fluid loss. Questions 20, 21, and 22 are based on the following patient history: A 32-year-old woman with diabetes mellitus was admitted to the emergency department. Her laboratory results were as follows: blood glucose level, 479 mg/dL; serum pH, 7.20; serum potassium level, 3.5 mEq/L; and serum phosphorus level, 1.5 mmol/L. Her cardiac monitor shows normal sinus rhythm, and she has no EKG changes. She weighs 65 kg. 20. Which of the following is a correct medication order for this patient? a. Sodium bicarbonate, 1 ampule intravenous bolus b. Regular Humulin insulin, 6.5 units per hour, continuous intravenous infusion c. Potassium, 20 mEq/hour, continuous intravenous infusion d. Phosphorus, .50 mmol/L over 4 hours 21. Four hours after initial treatment, the patient’s blood glucose level is 225 mg/dL. The nurse should anticipate which of the following changes? a. Decrease .9 sodium chloride intravenous rate to 500 mL/hr b. Discontinue regular Humulin insulin intravenous infusion c. Administer regular Humulin insulin, 5 units subcutaneously d. Change intravenous fluid to D5% in .45 sodium chloride
580 Volume 25, Number 6
22. Which of the following laboratory results indicate that the patient’s insulin can be discontinued? a. Serum blood glucose level, 201 mg/dL; pH 7.34 b. Serum potassium level, 4.0 mEq/L; corrected serum sodium level, 145 mEq/L c. Anion gap, 14 mEq/L; serum HCO3–, 20 mEq/L d. Serum osmolality, 285 mOsm/kg; negative urine ketones
So You Want to Be a Flight Nurse (pp 531-2) 23. Nurses interested in becoming flight nurses: a. should have 2 to 3 years of ED or critical care experience. b. should have at a minimum a BSN degree. c. must be certified in emergency or critical care nursing. d. must have completed the Nurse Advanced Trauma Course. 24. According to this article, flight nurses are expected to perform all of the following procedures except: a. endotracheal intubation. b. surgical cricothyrotomy. c. central line placement. d. internal cardiac massage. 25. Which of the following statements about flight nursing is true? a. Institutions are developing flight nurse internships to attract applicants. b. Most programs have crew member weight restrictions. c. Most frequently, each flight includes a nurse and a physician’s assistant. d. ENA is the governing body of flight nursing.
Bookmarks for Trauma Web Resources (pp 538-40) 26. What is the domain of ENA’s Web site http://www. ena.org? a. http: b. www c. .ena d. .org 27. Which of the following statements about trauma Web resources is true? a. Government sites are the most credible sites. b. Web pages should list the date of creation and when they were last updated. c. Commercial Web sites are specifically used for entertainment and advertising purposes. d. Trauma Web resources are solely created by health care professionals.
JOURNAL OF EMERGENCY NURSING
Evaluating an Emergency Nurse Practitioner Educational Program for Its Relevance to the Role (pp 547-50) 28. According to this article, what diagnostic procedure do emergency nurse practitioners most frequently order? a. Radiographs b. Laboratory studies c. Arterial blood gases d. EKGs
Preparing Your Application for a Nursing Scholarship: Practical Tips From the “Other Side” (pp 559-63) 29. According to this article, one of the most frequent mistakes people make when applying for scholarships is: a. submitting an unpolished application. b. including too much professional information in the application. c. listing unique financial circumstances. d. failing to explain a lack of professional involvement. 30. When writing a goal statement, it is important for nursing applicants to: a. emphasize specific financial needs. b. discuss the importance of obtaining a degree. c. specifically state the outcome desired as a result of the degree. d. clarify personal feelings about the changes in the health care environment.
Staff Nurses: Using Research in Everyday Practice (pp 564-8) 31. One of the first steps nurses should take when considering research is to: a. critique library research articles. b. seek funding sources. c. talk to colleagues. d. alter practice standards.
Air Bags and Eye Injuries: Assessment and Treatment for ED Patients (pp 572-4)
34. Which of the following clinical findings would confirm the diagnosis of alkaline chemical keratitis? a. The presence of nystagmus b. The absence of the red reflex c. Pupil size 8 mm bilaterally d. Ocular secretion pH of >8.0 35. Initial treatment of a patient with an alkaline injury to the eye consists of: a. administering Garamycin ophthalmic solution, 2 drops both eyes together. b. irrigating with 1 to 2 L of normal saline solution over 30 to 60 minutes. c. preparing the patient for emergency keratoplasty. d. patching both eyes with sterile eye shields. 36. An indication that a patient is responding to emergency treatment for alkaline chemical keratitis is: a. the absence of tearing in the eyes. b. an intraocular pressure of 28 mm Hg. c. a decrease in the number of “floaters” present. d. an ocular secretion pH of 7.3 to 7.7. 37. Emergency care for a patient with a ruptured globe includes: a. gently irrigating the eyes with normal saline solution. b. patching both of the eyes. c. placing the patient in a supine position. d. preparing the patient for a slit-lamp examination.
A 30-year-old Woman With a Generalized Rash (pp 575-6) 38. Which of the following statements about serum sickness is true? a. It is an inflammatory response that induces the production of IgA. b. A multiform rash typically appears 7 to 12 days after exposure to the causative agent. c. Human immunodeficiency virus should be suspected in patients diagnosed with serum sickness. d. It is most frequently caused by exposure to snake venom.
32. On an average, how fast do air bags deploy? a. 50 mph in less than 100 ms b. 103 mph in less than 1 second c. 144 mph in less than 40 ms d. 217 mph in less than .50 second
39. Common clinical manifestations seen in patients with serum sickness include: a. hemolytic anemia. b. pulmonary edema. c. polyarthritis and periarticular edema. d. hyperkalemia and metabolic acidosis.
33. When caring for a patient with alkaline chemical keratitis, the major goal of treatment is aimed at: a. preserving sight. b. decreasing intraocular pressure. c. protecting the lacrimal glands. d. re-attaching the retina.
40. According to this article, serum sickness is treated with all of the following medications except: a. bupropion. b. diphenhydramine. c. cetirizine. d. ibuprofen.
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Journal of Emergency Nursing Answer/Enrollment Form December 1999 issue—Journal of Emergency Nursing
Expiration date: December 31, 2001 CEN-RO Category: Clinical CE credit: 6 contact hours Fee: $36 (payable by US check or money order) 3. Mail the completed answer form and enrollment coupon, with check or money order for $36 per test. Payment must be included. Please do not send cash. The deadline for submitting your enrollment/answer form is December 31, 2001.
To receive continuing education credit for this issue, simply do the following: 1. Read the articles. 2. Take the test and record your answers on the form below. (You may send photocopies of the answer form.)
Instructions: Darken only one circle for your answer to each question. 1.❍ a ❍b ❍c ❍d
2.❍ a ❍b ❍c ❍d
3.❍ a ❍b ❍c ❍d
4.❍ a ❍b ❍c ❍d
5.❍ a ❍b ❍c ❍d
6.❍ a ❍b ❍c ❍d
7.❍ a ❍b ❍c ❍d
8.❍ a ❍b ❍c ❍d
9.❍ a ❍b ❍c ❍d
10.❍ a 11.❍ a 12.❍ a 13.❍ a 14.❍ a 15.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d
16.❍ a 17.❍ a 18.❍ a 19.❍ a 20.❍ a 21.❍ a 22.❍ a 23.❍ a 24.❍ a 25.❍ a 26.❍ a 27.❍ a 28.❍ a 29.❍ a 30.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d 31.❍ a 32.❍ a 33.❍ a 34.❍ a 35.❍ a 36.❍ a 37.❍ a 38.❍ a 39.❍ a 40.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d Program evaluation: Please rate this CE material by darkening the appropriate circles below: 1. Did this CE activity’s learning objectives relate to its general purpose? ❍ Yes ❍ No 2. Was the Journal home study format an effective way to present the material? ❍ Yes ❍ No 3. Was the content current to nursing practice? ❍ Yes ❍ No 4. How long did it take you to complete each CE activity? Hours _________ 5. Suggestions for future topics ______________________________________________________________________________. Please print clearly Last name _____________________________________ First name _____________________ Middle name _______________ Address __________________________________________________________________________________________________ City ________________________________________________________ State ___________________ Zip ________________ Phone (____)_____________________________________ Social Security number _____________________________________ State(s) of licensure and license no(s). _________________________________________________________________________ Position/title ____________________________________________________________________ ❍ RN
❍ LPN
❍ Other
Clinical specialty — where you work most often ________________________________________________________________ Make check or money order payable to: Lippincott Williams & Wilkins Questions? Call (212) 886-1331
582 Volume 25, Number 6
Mail to: Continuing Education Department Lippincott Williams & Wilkins 345 Hudson St, 16th Floor New York, NY 10014
CONTINUING EDUCATION TEST INSTRUCTIONS
General Purpose
CE
6 CONTACT HOURS
The general purpose of this CE activity is to provide registered professional nurses with information to increase their knowledge about current practice and issues in emergency nursing.
Learning objectives After reading the designated articles and taking the test, the reader will be able to: 1. discuss how using bicycle helmets affects safety; 2. discuss appropriate interventions for patients exposed to anthrax; 3. describe the physiologic consequences of hyperglycemia; 4. outline parameters important for assessing a patient with diabetic ketoacidosis; 5. discuss current treatment priorities for patients with diabetic ketoacidosis; 6. describe the requirements for and the role of flight nurses; 7. list trauma resources that can be found on the Internet; 8. discuss the education and role of an emergency nurse practitioner; 9. outline how to submit a nursing scholarship application; 10. set a plan for increasing the use of research in daily nursing practice; 11. describe how to treat patients who incur eye injuries caused by air bag deployment; and 12. identify triage priorities for patients with serum sickness. To receive continuing education (CE) credit, follow these instructions: 1. After reading the articles, darken the appropriate circles (numbers 1-40) on the answer sheet on page 582 (or a photocopy). Each question has only 1 correct answer. 2. Complete the registration information on the answer sheet and help us evaluate this offering. 3. Send the answer sheet with your registration fee to: Continuing Education Department, Lippincott Williams & Wilkins, 345 Hudson St, 16th Fl, New York, NY 10014. 4. Your registration fee for this offering is $36.
578 Volume 25, Number 6
Within 6 weeks after Lippincott Williams & Wilkins receives your answer sheet, you will be notified of your test results. A passing score for this test is 30 correct answers (75%). If you pass, Lippincott Williams & Wilkins will send you a CE certificate indicating the number of contact hours you have earned. If you fail, Lippincott Williams & Wilkins gives you the option of taking the test again at no additional cost. All answer sheets for this test must be received by December 31, 2001. This CE offering for 6 contact hours is provided by Lippincott Williams & Wilkins, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation. Lippincott Williams & Wilkins is also an approved provider of nursing continuing education in Alabama, California, Florida, and Iowa and holds the following provider numbers: AL, #ABNP0114; CA, #CEP11749; FL, #27F0002; and IA, #75. All of its home study offerings are classified for Texas nursing continuing education requirements as Type I. In accordance with Iowa Board of Nursing administrative rules governing grievances, a copy of your evaluation of this CE offering may be submitted directly to the Iowa Board of Nursing.
TEST QUESTIONS
Florida’s Bicycle Helmet Law and a Bicycle Safety Educational Program: Did They Help? (pp 496-500) 1. According to research data, what percentage of traumatic brain injury deaths might have been prevented had bicycle riders worn helmets? a. 26% b. 51% c. 74% d. 99% 2. According to this article, the primary cause of bicycle-related injuries is collisions with: a. automobiles. b. pedestrians. c. walls. d. other cyclists.
JOURNAL OF EMERGENCY NURSING
3. In Broward County, Fla, the percentage of nonhelmeted children admitted for bicycle crash injuries despite a mandatory helmet law was: a. 20%. b. 40%. c. 60%. d. 80%.
One Urban Hospital’s Experience With False Anthrax Exposure Disaster Response (pp 501-4) 4. Which of the following statements about Bacillus anthracis (anthrax) is true? a. It is transmitted via person-to-person contact. b. The most common symptom is a macular rash of the chest. c. It is a fungus that primarily reaches the population via the water supply. d. The most dangerous way to be infected is through inhalation. 5. Which of the following medications would you expect to be prescribed to a patient with possible anthrax exposure? a. Ciprofloxacin b. Fluorouracil c. Epinephrine d. Protamine sulfate
Management of Diabetic Ketoacidosis (pp 514-9) 6. A 43-year-old man comes to the emergency department with flu-like symptoms. Which of the following clinical findings should prompt the nurse to check his blood glucose level? a. An oral temperature of 101.2°F b. A fruity odor of the breath c. Decreased bowel sounds d. Generalized nonpitting edema 7. When reviewing the arterial blood gas results of a patient with diabetic ketoacidosis, you would expect to note the presence of: a. respiratory alkalosis. b. metabolic alkalosis. c. respiratory acidosis. d. metabolic acidosis. 8. The onset of diabetic ketoacidosis is most frequently precipitated by: a. infection. b. hyperthyroidism. c. alcohol ingestion. d. pregnancy.
9. For a patient admitted to the emergency department with suspected diabetic ketoacidosis, it would be important for the nurse to question the use of which of the following medications? a. Ciprofloxacin b. Pentamidine c. Metamucil d. Zyban 10. In patients with diabetic ketoacidosis, the ED nurse should recognize that a higher risk of mortality exists if: a. body temperature is greater than 102°F. b. heart rate is greater than 120 beats per minute. c. blood pressure is below 70/40 mm Hg. d. they are confused and lethargic. 11. It is thought that abdominal pain and vomiting develop in patients with diabetic ketoacidosis because of: a. gastric bleeding. b. metabolic alkalosis. c. gastric stasis. d. hypermagnesemia. 12. Approximately what percentage of patients with diabetic ketoacidosis present without any changes in mental status? a. 10% b. 20% c. 50% d. 70% 13. Which of the following laboratory results are most consistent with a diagnosis of diabetic ketoacidosis? a. Blood glucose level, 202 mg/dL; pH, 7.49; HCO3–, 27 mmol/L b. Blood glucose level, 225 mg/dL; pH, 7.44; HCO3–, 20 mmol/L c. Blood glucose level, 333 mg/dL; pH, 7.36; HCO3–, 17 mmol/L d. Blood glucose level, 345 mg/dL; pH, 7.25; HCO3–, 13 mmol/L 14. What is the normal range of serum osmolality? a. 280 to 295 mOsm/kg b. 180 to 195 mOsm/kg c. 230 to 245 mOsm/kg d. 330 to 345 mOsm/kg 15. It is important to determine the corrected serum sodium level of a patient with diabetic ketoacidosis because it: a. determines how much sodium bicarbonate the patient should receive. b. indicates how well the kidneys are clearing sodium. c. assists in the estimation of free water deficits. d. helps determine if carbohydrate metabolism has been severely altered.
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16. A normal anion gap is: a. 2 to 6 mEq/L. b. 8 to 16 mEq/L. c. 18 to 24 mEq/L. d. 28 to 36 mEq/L. 17. Which of the following laboratory results best indicate that a patient with diabetic ketoacidosis is appropriately responding to therapy? a. A decrease in the serum ketone level b. A decrease in the anion gap c. An increase in the serum sodium level d. An increase in the sodium bicarbonate level 18. Which of the following laboratory results would be most consistent for a patient with diabetic ketoacidosis who came to the emergency department with an altered mental status? a. An anion gap of 8 mEq/L b. A serum pH of 7.33 c. A serum osmolality of 305 mOsm/kg d. A corrected serum sodium level of 136 mEq/L 19. When caring for a patient with diabetic ketoacidosis, the most important initial intervention is: a. identifying the underlying precipitating factor. b. correcting electrolyte imbalances. c. reversing ketosis. d. replacing fluid loss. Questions 20, 21, and 22 are based on the following patient history: A 32-year-old woman with diabetes mellitus was admitted to the emergency department. Her laboratory results were as follows: blood glucose level, 479 mg/dL; serum pH, 7.20; serum potassium level, 3.5 mEq/L; and serum phosphorus level, 1.5 mmol/L. Her cardiac monitor shows normal sinus rhythm, and she has no EKG changes. She weighs 65 kg. 20. Which of the following is a correct medication order for this patient? a. Sodium bicarbonate, 1 ampule intravenous bolus b. Regular Humulin insulin, 6.5 units per hour, continuous intravenous infusion c. Potassium, 20 mEq/hour, continuous intravenous infusion d. Phosphorus, .50 mmol/L over 4 hours 21. Four hours after initial treatment, the patient’s blood glucose level is 225 mg/dL. The nurse should anticipate which of the following changes? a. Decrease .9 sodium chloride intravenous rate to 500 mL/hr b. Discontinue regular Humulin insulin intravenous infusion c. Administer regular Humulin insulin, 5 units subcutaneously d. Change intravenous fluid to D5% in .45 sodium chloride
580 Volume 25, Number 6
22. Which of the following laboratory results indicate that the patient’s insulin can be discontinued? a. Serum blood glucose level, 201 mg/dL; pH 7.34 b. Serum potassium level, 4.0 mEq/L; corrected serum sodium level, 145 mEq/L c. Anion gap, 14 mEq/L; serum HCO3–, 20 mEq/L d. Serum osmolality, 285 mOsm/kg; negative urine ketones
So You Want to Be a Flight Nurse (pp 531-2) 23. Nurses interested in becoming flight nurses: a. should have 2 to 3 years of ED or critical care experience. b. should have at a minimum a BSN degree. c. must be certified in emergency or critical care nursing. d. must have completed the Nurse Advanced Trauma Course. 24. According to this article, flight nurses are expected to perform all of the following procedures except: a. endotracheal intubation. b. surgical cricothyrotomy. c. central line placement. d. internal cardiac massage. 25. Which of the following statements about flight nursing is true? a. Institutions are developing flight nurse internships to attract applicants. b. Most programs have crew member weight restrictions. c. Most frequently, each flight includes a nurse and a physician’s assistant. d. ENA is the governing body of flight nursing.
Bookmarks for Trauma Web Resources (pp 538-40) 26. What is the domain of ENA’s Web site http://www. ena.org? a. http: b. www c. .ena d. .org 27. Which of the following statements about trauma Web resources is true? a. Government sites are the most credible sites. b. Web pages should list the date of creation and when they were last updated. c. Commercial Web sites are specifically used for entertainment and advertising purposes. d. Trauma Web resources are solely created by health care professionals.
JOURNAL OF EMERGENCY NURSING
Evaluating an Emergency Nurse Practitioner Educational Program for Its Relevance to the Role (pp 547-50) 28. According to this article, what diagnostic procedure do emergency nurse practitioners most frequently order? a. Radiographs b. Laboratory studies c. Arterial blood gases d. EKGs
Preparing Your Application for a Nursing Scholarship: Practical Tips From the “Other Side” (pp 559-63) 29. According to this article, one of the most frequent mistakes people make when applying for scholarships is: a. submitting an unpolished application. b. including too much professional information in the application. c. listing unique financial circumstances. d. failing to explain a lack of professional involvement. 30. When writing a goal statement, it is important for nursing applicants to: a. emphasize specific financial needs. b. discuss the importance of obtaining a degree. c. specifically state the outcome desired as a result of the degree. d. clarify personal feelings about the changes in the health care environment.
Staff Nurses: Using Research in Everyday Practice (pp 564-8) 31. One of the first steps nurses should take when considering research is to: a. critique library research articles. b. seek funding sources. c. talk to colleagues. d. alter practice standards.
Air Bags and Eye Injuries: Assessment and Treatment for ED Patients (pp 572-4)
34. Which of the following clinical findings would confirm the diagnosis of alkaline chemical keratitis? a. The presence of nystagmus b. The absence of the red reflex c. Pupil size 8 mm bilaterally d. Ocular secretion pH of >8.0 35. Initial treatment of a patient with an alkaline injury to the eye consists of: a. administering Garamycin ophthalmic solution, 2 drops both eyes together. b. irrigating with 1 to 2 L of normal saline solution over 30 to 60 minutes. c. preparing the patient for emergency keratoplasty. d. patching both eyes with sterile eye shields. 36. An indication that a patient is responding to emergency treatment for alkaline chemical keratitis is: a. the absence of tearing in the eyes. b. an intraocular pressure of 28 mm Hg. c. a decrease in the number of “floaters” present. d. an ocular secretion pH of 7.3 to 7.7. 37. Emergency care for a patient with a ruptured globe includes: a. gently irrigating the eyes with normal saline solution. b. patching both of the eyes. c. placing the patient in a supine position. d. preparing the patient for a slit-lamp examination.
A 30-year-old Woman With a Generalized Rash (pp 575-6) 38. Which of the following statements about serum sickness is true? a. It is an inflammatory response that induces the production of IgA. b. A multiform rash typically appears 7 to 12 days after exposure to the causative agent. c. Human immunodeficiency virus should be suspected in patients diagnosed with serum sickness. d. It is most frequently caused by exposure to snake venom.
32. On an average, how fast do air bags deploy? a. 50 mph in less than 100 ms b. 103 mph in less than 1 second c. 144 mph in less than 40 ms d. 217 mph in less than .50 second
39. Common clinical manifestations seen in patients with serum sickness include: a. hemolytic anemia. b. pulmonary edema. c. polyarthritis and periarticular edema. d. hyperkalemia and metabolic acidosis.
33. When caring for a patient with alkaline chemical keratitis, the major goal of treatment is aimed at: a. preserving sight. b. decreasing intraocular pressure. c. protecting the lacrimal glands. d. re-attaching the retina.
40. According to this article, serum sickness is treated with all of the following medications except: a. bupropion. b. diphenhydramine. c. cetirizine. d. ibuprofen.
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Journal of Emergency Nursing Answer/Enrollment Form December 1999 issue—Journal of Emergency Nursing
Expiration date: December 31, 2001 CEN-RO Category: Clinical CE credit: 6 contact hours Fee: $36 (payable by US check or money order) 3. Mail the completed answer form and enrollment coupon, with check or money order for $36 per test. Payment must be included. Please do not send cash. The deadline for submitting your enrollment/answer form is December 31, 2001.
To receive continuing education credit for this issue, simply do the following: 1. Read the articles. 2. Take the test and record your answers on the form below. (You may send photocopies of the answer form.)
Instructions: Darken only one circle for your answer to each question. 1.❍ a ❍b ❍c ❍d
2.❍ a ❍b ❍c ❍d
3.❍ a ❍b ❍c ❍d
4.❍ a ❍b ❍c ❍d
5.❍ a ❍b ❍c ❍d
6.❍ a ❍b ❍c ❍d
7.❍ a ❍b ❍c ❍d
8.❍ a ❍b ❍c ❍d
9.❍ a ❍b ❍c ❍d
10.❍ a 11.❍ a 12.❍ a 13.❍ a 14.❍ a 15.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d
16.❍ a 17.❍ a 18.❍ a 19.❍ a 20.❍ a 21.❍ a 22.❍ a 23.❍ a 24.❍ a 25.❍ a 26.❍ a 27.❍ a 28.❍ a 29.❍ a 30.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d 31.❍ a 32.❍ a 33.❍ a 34.❍ a 35.❍ a 36.❍ a 37.❍ a 38.❍ a 39.❍ a 40.❍ a ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍b ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍c ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d ❍d Program evaluation: Please rate this CE material by darkening the appropriate circles below: 1. Did this CE activity’s learning objectives relate to its general purpose? ❍ Yes ❍ No 2. Was the Journal home study format an effective way to present the material? ❍ Yes ❍ No 3. Was the content current to nursing practice? ❍ Yes ❍ No 4. How long did it take you to complete each CE activity? Hours _________ 5. Suggestions for future topics ______________________________________________________________________________. Please print clearly Last name _____________________________________ First name _____________________ Middle name _______________ Address __________________________________________________________________________________________________ City ________________________________________________________ State ___________________ Zip ________________ Phone (____)_____________________________________ Social Security number _____________________________________ State(s) of licensure and license no(s). _________________________________________________________________________ Position/title ____________________________________________________________________ ❍ RN
❍ LPN
❍ Other
Clinical specialty — where you work most often ________________________________________________________________ Make check or money order payable to: Lippincott Williams & Wilkins Questions? Call (212) 886-1331
582 Volume 25, Number 6
Mail to: Continuing Education Department Lippincott Williams & Wilkins 345 Hudson St, 16th Floor New York, NY 10014