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Research Test Questions
CE TESTS
14. As noted in the article, once a final concentration of intravenous medication has been selected but before the medication can be prepared, the ED nurse must first check the A. diluent that is recommended. B. size of the intravenous catheter. C. patient’s vital signs. 15. Filters are required for infusions of A. esmolol. B. cefazolin sodium. C. phenytoin. 16. In the event of an extravasation, the ED nurse should stop the infusion immediately and A. flush the line with saline solution. B. aspirate any fluid from the cannula and tissue. C. immediately remove the intravenous catheter.
RESEARCH TEST QUESTIONS
Medical Mondays: ED Utilization for Medicaid Recipients Depends on the Day of the Week, Season, and Holidays (pp. 317-324)
1. Results of the study described in this article reveal that ED volume of low-income persons was highest on A. weekends B. Mondays. C. Fridays. 2. Volume of low-income persons in this study was higher in A. winter. B. spring. C. summer. 3. In this study, the highest volume of visits by low-income persons was on A. April 29. B. July 4. C. October 30. 4. The authors suggest the seasonal variation in volume may be because A. winter is the season with the most falls. B. spring is a time of exacerbations of breathing difficulties. C. summer is a prime vacation time for providers.
July 2016
VOLUME 42 • ISSUE 4
Accuracy in ED Triage for Symptoms of Acute Myocardial Infarction (pp. 331-337)
5. To meet the American Heart Association’s goals for ED patients presenting with symptoms suggestive of AMI, patients must be triaged at least to Emergency Severity Index A. Level 1. B. Level 2. C. Level 3. 6. The association of patient characteristics and triage accuracy noted in the literature reveals which patients were more often triaged incorrectly? A. white patients B. females C. older patients 7. Which patient characteristic was a significant predictor of triage accuracy in the study described in this article? A. symptom presentation B. gender C. age 8. Patients of which ethnicity were more likely to be triaged accurately in this study? A. White B. Hispanic/Latino C. African American 9. What characteristic of the ED nurses in this study was a significant predictor of accuracy in triage level designation? A. older age B. years of experience C. education
Ultrasound-guided Peripheral Venous Catheterization in Emergency Services (pp. 338-343)
10. The total success of ultrasound-guided peripheral venous catheterization in this study was A. 84.2%. B. 95.1%. C. 98.7%.
WWW.JENONLINE.ORG
367
CE TESTS
11. Which statement is true regarding the use of ultrasoundguided peripheral venous catheterization in this study? A. No accidental arterial or nerve puncture resulted from the use of the ultrasound. B. Ultrasound-guided catheterization was found to be more difficult in males than females. C. At 1 hour after catheterization, a total of 87% of catheters remained patent. 12. Regarding perceived pain and patient satisfaction with ultrasound-guided peripheral venous catheterization in this study, A. there was no significant relationship between patient satisfaction and this technique. B. there was less perceived pain if the catheterization was successful. C. patient satisfaction was lower with catheterizations that were rated as “difficult.”
4. To ensure that doses are not missed or delayed, when the infusion is started the nurse should visually confirm that drops are falling in A. the primary drip chamber and not in the secondary drip chamber. B. the secondary drip chamber and not in the primary drip chamber. C. both the primary and secondary drip chambers. 5. As a result of the education intervention, what was the total increase in nurses reporting that they used secondary tubing and a smart pump for antibiotic administration? A. 46% B. 67% C. 88%
Reducing Blood Culture Contaminations in the Emergency Department: It Takes a Team (pp. 306-311) PRACTICE IMPROVEMENT TEST QUESTIONS
Improved Administration of Antibiotics in the Emergency Department: A Practice Improvement Project (pp. 312-316)
1. When 50 mL of antibiotics are administered with primary pump tubing and an infusion pump, a total of how much medication remains in the tubing at the end of the infusion? A. 20% B. 40% C. 60% 2. The education on the new antibiotic administration technique that the nurses received in this study included A. reinforcement of the procedure at the patient’s bedside. B. a poster presentation on each nursing unit. C. an online video presentation.
6. Current guidelines from the Clinical and Laboratory Standards Institute recommend maintaining blood culture contamination rates at less than a maximum of A. 1%. B. 2%. C. 3%.
7. Which of the following staff practices, observed in the study described in this article, has the potential to contaminate blood cultures? A. cleaning the tops of blood culture tubes with chlorhexidine B. removing a fingertip from a glove to re-palpate the disinfected site C. using procedure gloves rather than sterile gloves when preparing the site
3. Which statement is true regarding the set up of a secondary administration set, as noted in the article? A. The secondary set is attached to the lower injection port on the primary tubing. B. The secondary container is hung higher than the primary bag. C. The top of the fluid in the primary container must be at least 9 1/2 inches higher than the bottom of the secondary container.
368
JOURNAL OF EMERGENCY NURSING
8. When preparing the site with a chlorhexidine and alcohol swab, the researchers determined the ideal time for scrubbing and drying was A. 15 seconds for each. B. 30 seconds for each. C. 1 minute for each.
VOLUME 42 • ISSUE 4
July 2016
14. As noted in the article, once a final concentration of intravenous medication has been selected but before the medication can be prepared, the ED nurse must first check the A. diluent that is recommended. B. size of the intravenous catheter. C. patient’s vital signs. 15. Filters are required for infusions of A. esmolol. B. cefazolin sodium. C. phenytoin. 16. In the event of an extravasation, the ED nurse should stop the infusion immediately and A. flush the line with saline solution. B. aspirate any fluid from the cannula and tissue. C. immediately remove the intravenous catheter.
RESEARCH TEST QUESTIONS
Medical Mondays: ED Utilization for Medicaid Recipients Depends on the Day of the Week, Season, and Holidays (pp. 317-324)
1. Results of the study described in this article reveal that ED volume of low-income persons was highest on A. weekends B. Mondays. C. Fridays. 2. Volume of low-income persons in this study was higher in A. winter. B. spring. C. summer. 3. In this study, the highest volume of visits by low-income persons was on A. April 29. B. July 4. C. October 30. 4. The authors suggest the seasonal variation in volume may be because A. winter is the season with the most falls. B. spring is a time of exacerbations of breathing difficulties. C. summer is a prime vacation time for providers.
July 2016
VOLUME 42 • ISSUE 4
Accuracy in ED Triage for Symptoms of Acute Myocardial Infarction (pp. 331-337)
5. To meet the American Heart Association’s goals for ED patients presenting with symptoms suggestive of AMI, patients must be triaged at least to Emergency Severity Index A. Level 1. B. Level 2. C. Level 3. 6. The association of patient characteristics and triage accuracy noted in the literature reveals which patients were more often triaged incorrectly? A. white patients B. females C. older patients 7. Which patient characteristic was a significant predictor of triage accuracy in the study described in this article? A. symptom presentation B. gender C. age 8. Patients of which ethnicity were more likely to be triaged accurately in this study? A. White B. Hispanic/Latino C. African American 9. What characteristic of the ED nurses in this study was a significant predictor of accuracy in triage level designation? A. older age B. years of experience C. education
Ultrasound-guided Peripheral Venous Catheterization in Emergency Services (pp. 338-343)
10. The total success of ultrasound-guided peripheral venous catheterization in this study was A. 84.2%. B. 95.1%. C. 98.7%.
WWW.JENONLINE.ORG
367
CE TESTS
11. Which statement is true regarding the use of ultrasoundguided peripheral venous catheterization in this study? A. No accidental arterial or nerve puncture resulted from the use of the ultrasound. B. Ultrasound-guided catheterization was found to be more difficult in males than females. C. At 1 hour after catheterization, a total of 87% of catheters remained patent. 12. Regarding perceived pain and patient satisfaction with ultrasound-guided peripheral venous catheterization in this study, A. there was no significant relationship between patient satisfaction and this technique. B. there was less perceived pain if the catheterization was successful. C. patient satisfaction was lower with catheterizations that were rated as “difficult.”
4. To ensure that doses are not missed or delayed, when the infusion is started the nurse should visually confirm that drops are falling in A. the primary drip chamber and not in the secondary drip chamber. B. the secondary drip chamber and not in the primary drip chamber. C. both the primary and secondary drip chambers. 5. As a result of the education intervention, what was the total increase in nurses reporting that they used secondary tubing and a smart pump for antibiotic administration? A. 46% B. 67% C. 88%
Reducing Blood Culture Contaminations in the Emergency Department: It Takes a Team (pp. 306-311) PRACTICE IMPROVEMENT TEST QUESTIONS
Improved Administration of Antibiotics in the Emergency Department: A Practice Improvement Project (pp. 312-316)
1. When 50 mL of antibiotics are administered with primary pump tubing and an infusion pump, a total of how much medication remains in the tubing at the end of the infusion? A. 20% B. 40% C. 60% 2. The education on the new antibiotic administration technique that the nurses received in this study included A. reinforcement of the procedure at the patient’s bedside. B. a poster presentation on each nursing unit. C. an online video presentation.
6. Current guidelines from the Clinical and Laboratory Standards Institute recommend maintaining blood culture contamination rates at less than a maximum of A. 1%. B. 2%. C. 3%.
7. Which of the following staff practices, observed in the study described in this article, has the potential to contaminate blood cultures? A. cleaning the tops of blood culture tubes with chlorhexidine B. removing a fingertip from a glove to re-palpate the disinfected site C. using procedure gloves rather than sterile gloves when preparing the site
3. Which statement is true regarding the set up of a secondary administration set, as noted in the article? A. The secondary set is attached to the lower injection port on the primary tubing. B. The secondary container is hung higher than the primary bag. C. The top of the fluid in the primary container must be at least 9 1/2 inches higher than the bottom of the secondary container.
368
JOURNAL OF EMERGENCY NURSING
8. When preparing the site with a chlorhexidine and alcohol swab, the researchers determined the ideal time for scrubbing and drying was A. 15 seconds for each. B. 30 seconds for each. C. 1 minute for each.
VOLUME 42 • ISSUE 4
July 2016