CE TESTS
22. In the case presented, the ED staff A. used medications with off-label indications for analgesia.
2. The recommended method of blood dr...
22. In the case presented, the ED staff A. used medications with off-label indications for analgesia.
2. The recommended method of blood draw to minimize hemolysis of blood samples is
B. gave larger than usual pediatric doses.
A. arterial puncture.
C. failed to recognize inadequate pain relief.
B. through a large-bore IV catheter.
D. failed to monitor for adverse medication effects.
C. venipuncture. D. through an IV catheter with extension tubing.
23. The gold standard for pediatric pain assessment at Children’s Hospital Boston is A. trained clinician assessment. B. self-report through pain assessment tools. C. behavioral measures and physiologic responses. D. report of a child’s pain from family members. 24. In the study by Silka et al. (2004), patients received more analgesia if they A. had more documentation of pain scores. B. had long bone fractures. C. arrived via ambulance. D. were accompanied by one or both parents. 25. Tanabe et al. (2002) found pain ratings improved in children with musculoskeletal trauma who received A. standard care plus ibuprofen. B. higher than recommended doses of analgesics. C. distraction techniques. D. rapid initiation of sedation.
RESEARCH TEST QUESTIONS
Hemolysis of Coagulation Specimens: A Comparative Study of Intravenous Draw Methods (pp. 15-21)
1. Hemolysis of red blood cells during the coagulation specimen collection process leads to A. a falsely high test result.
3. Studies cited in the article report higher hemolysis rates in all of the following cases except A. in specimens obtained from smaller-sized catheters or needles. B. when blood is drawn directly into a Vacutainer tube. C. with multiple attempts at IV insertion. D. in patients with reproductive disorders. 4. The results of the study described in the article demonstrate A. lower hemolysis rates in samples rated as having no difficulty during collection. B. that blood drawn through extension tubing was the most likely to be hemolyzed. C. that nurses were able to determine accurately when a sample was hemolyzed. D. lower hemolysis rates in samples with blood flow problems during collection. Perceptions of Participating Emergency Nurses Regarding an ED Seasonal Influenza Vaccination Program (pp. 22-29)
5. The Centers for Disease Control and Prevention estimate that annual influenza cases in the U.S. cause A. 26,000 deaths. B. 36,000 deaths. C. 374,000 hospitalizations. D. 474,000 hospitalizations. 6. The improvement in influenza vaccination screening suggested most often was to
B. a test result indicating hemolytic disease.
A. improve vaccine supply in the emergency department.
C. a falsely low test result.
B. simplify vaccination documentation requirements.
D. no test result possible.
C. improve staffing patterns. D. allow more options to explain why patients refused vaccination.
January 2012
VOLUME 38 • ISSUE 1
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109
CE TESTS
7. The majority of nurses in the study believed A. the emergency department is not the appropriate place to provide influenza vaccine. B. automation of the vaccine order process should be improved.
3. A study by Rudd et al. (2009) found higher tissue donation consent rates when families were A. approached in the emergency department. B. approached after leaving the emergency department.
C. patient targeting should be improved.
C. spoken to by the physician who cared for the deceased patient.
D. vaccination documentation requirements should be simplified.
D. spoken to by a tissue donation representative the day after the death.
8. The clearest perceived significant source of time consumption was
4. The primary role of the advocate in the program described was to
A. having to obtain vaccine from the pharmacy.
A. notify the patient’s family that the patient had died.
B. screening patients for contraindication to vaccination or reason for refusal.
B. notify the patient’s family that their loved one was potentially eligible for tissue donation.
C. not having refrigerated automated dispensing cabinets for stocking vaccine.
C. participate in the tissue procurement process.
D. documenting vaccine administration.
PROFESSIONAL/ADMINISTRATIVE TEST QUESTIONS
Developing a Tissue Donation Advocacy Program in a Rural Emergency Department (pp. 63-68)
D. follow up with the family by telephone the day after the death. Do Nurses Eat Their Young? Truth and Consequences (pp. 43-46)
5. Which statement is true regarding bullying? A. The action of the perpetrator is planned. B. It must include a differentiation in power.
1. Approximately how many persons can benefit from one tissue donor?
C. It must be perpetuated by at least 2 persons. D. It involves repeated actions.
A. 5 B. 10 C. 20 D. 40 2. Tissue donation involves the transplantation of all of the following except A. kidneys. B. heart valves. C. sclera. D. cartilage.
6. All of the following are most vulnerable to bullying behaviors except A. students. B. new nurses. C. nurses close to retirement age. D. nurses new to the workplace. 7. An organizational factor that can increase or promote bullying is A. empowering employees. B. increasing staffing. C. restructuring the organization. D. developing a zero-tolerance policy.