Certification Review
Jill Johnson, DNP, APRN, FNP-BC, CCRN, CEN, CFRN
1. When testing for medial nerve function in a patient with a hand injury, you should have the patient: A. Abduct the index finger against resistance B. Spread all fingers apart C. Bring the thumb and little finger together in opposition D. Hold a piece of paper between adjacent fingers that are fully extended Answer: C. To test medial nerve function, have the patient bring the thumb and little finger together in opposition. To test the ulna nerve, have the patient do options A and D. Option B tests the radial nerve. Holleran R, editor. ASTNA patient transport: principles and practice. 4th ed. St. Louis: Mosby; 2010: 362. 2. Which one of the following terms is a deformity that causes an outward turning of the foot or toe? A. Eversion B. Inversion C. Varus D. Valgus Answer: D. A deformity that causes an outward turning of the foot or toe is a valgus that is seen in genu valgus or knocked knee. Option C is a deformity that causes an inward turning of the foot or toe. Option A is movement of the ankle outward, and option B is movement of the ankle inward. Holleran R, editor. ASTNA patient transport: principles and practice. 4th ed. St. Louis: Mosby; 2010: 358. 3. Which type of fracture is caused by compression forces in a long axis bone? A. Avulsion B. Greenstick C. Oblique D. Transverse Answer: B. Greenstick fractures are caused by compression forces in a long axis bone and often seen in children younger than 10. Holleran R, editor. ASTNA patient transport: principles and practice. 4th ed. St. Louis: Mosby; 2010: 357.
May–June 2014
4. Which of the following assessment findings is a hallmark of compartment syndrome? A. Decreased sensation in affected extremity with active stretching B. Increased sensation in affected extremity with passive stretching C. Decreased pain in affected extremity with active stretching D. Increased pain in affected extremity with passive stretching Answer: D. Increased pain in affected extremity with passive stretching is the hallmark of compartment syndrome Holleran R, editor. ASTNA patient transport: principles and practice. 4th ed. St. Louis: Mosby; 2010: 365. 5. Respiratory distress and shock are clinical signs of fat emboli along with which lab value? A. Elevated serum lipase B. Decreased serum lipase C. Elevated lipids D. Decreased lipids Answer: A. Clinical signs of fat emboli include respiratory distress, shock, and elevated serum lipase. Circulating fat levels do not correlate with the severity of the syndrome and are not diagnostic of fat emboli. Holleran R, editor. ASTNA patient transport: principles and practice. 4th ed. St. Louis: Mosby; 2010: 365. To request future themes or topics, please email Section Editor Jill Johnson at
[email protected]. For information about the CFRN® (Certified Flight Registered Nurse) and CTRN® (Certified Transport Registered Nurse) examinations, please visit the Board of Certification for Emergency Nursing website at www.ena.org/bcen. For information on the FP-C (Flight Paramedic-Certified) and CCP-C (Critical Care Paramedic-Certified) examinations, please visit the Board for Critical Care Transport Certification website at bcctpc.org. 1067-991X/$36.00 Copyright 2014 Air Medical Journal Associates doi:10.1016/j.amj.2014.02.009
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