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Droperidol and Ondansetron Induced

Life-Threatening Arrhythmias (pp. 393-394)

1. Arrhythmias such as TdP usually are a concern when theQTc interval is NA. 360 ms.B. 400 ms.C. 440 ms.D. 500 ms.

2. Risk factors for long QT syndrome includeA. hypermagnesemia.B. tachycardia.C. hypokalemia.

D. male gender.

3. Before receiving droperidol, the FDA recommends that allpatients have a(n)A. echocardiogram.B. stress test.C. chest computed tomogram.D. electrocardiogram.

4. The risk of QT prolongation from ondansetron is greaterwithA. concurrent hypocalcemia.B. doses > 16 mg.C. concurrent hyponatremia.D. doses 8 mg.

5. The agent of choice for the immediate treatment of TdP isA. magnesium sulfate.B. diltiazem.C. adenosine.D. procainamide.

Constipation and the Geriatric Patient-Treatment in

the Emergency Department (pp. 372-375)

6. As noted in the article, constipation should be considered ifan older adult presents withA. unexplained back pain.B. a sudden change in mental status.C. an unexpected fall.D. hypokalemia unrelated to diuretic use.

7. The most common reason for constipation isA. long transit time in the bowel.B. faulty coordination of pelvic oor muscles.C. hard stool that is difcult to pass.D. a bowel disease.

8. A dysrhythmia that may be caused by digital rectalmanipulation isA. bradycardia.B. atrial brillation.C. ventricular tachycardia.D. complete heart block.

9. All of the following are known to cause constipation exceptA. anticonvulsants.B. caffeine.

C. aluminum hydroxide.D. magnesium citrate.

10. According to the authors, the best enema solution isA. hot tap water.B. soapy water.C. warm tap water.D. baking soda and water.

11. An oral medication that treats narcotic-relatedconstipation by displacing the opioid from the receptorsites that affect bowel motility is

A. naloxone.B. alvimopan.C. methylnaltrexone.D. lactulose.

A Home-Birthed Neonate in Cardiogenic Shock

(pp. 353-354)

12. In an infant with transposition of the great arteries, oncethe umbilical cord is severed the infant can only survive as

long as theA. heart rate is > 120 beats/minute.B. blood volume is increased with intravenous

crystalloids.C. ductus arteriosus is patent.D. infant is intubated and ventilated.

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13. The absence of what assessment nding suggests theinfant's foramen ovale is closing?

A. an S3 gallopB. a heart murmur

C. tachycardiaD. a carotid bruit

14. An infant with transposition of the great arteries requiresan immediate infusion of

A. surfactant.B. albumin.C. prostaglandin E1.D. fat emulsions.

15. Which of the following is a common side effect of thedrug used to maintain ductus patency?

A. seizuresB. renal failureC. increased intracranial pressureD. mydriasis

16. A classic nding in ductal dependent lesions after anoxygen challenge is

A. cherry red mucous membranes.B. a dramatic decrease in SpCO2.C. loss of consciousness.D. lack of improvement in SpO2.

Pediatric Emergencies: Preparing at Triage Using

Height and Weight (pp. 409-411)

17. The primary reason for inaccuracies in measuring weightusing a length-based system for children is

A. blood volume loss.B. lower extremity fractures.C. obesity.D. patient movement.

18. In the facility described in the article, what procedure

was instituted to deal with pediatric weights?A. The pediatrician's ofce is contacted for an accurateweight.

B. A record of the weight is entered in the computer foruse at subsequent visits.

C. Each parent is asked the child's weight at triage.D. Each non-emergency patient is weighed at rst contact.

19. The patient's length or height are indicated on theED record

A. in ink and highlighted in yellow.B. with a colored dot sticker.

C. on the triage screen in the computer.D. with a red, rubber stamp.

How Did I Miss That? The Safety Challenges of

Inattentional Blindness (pp. 358-359)

20. Inattentional blindness can be negatively impacted by allof the following factors except

A. mental workload.B. color coding.C. expectations.

D. capacity.

21. When addressing inattentional blindness, the problem ofconspicuity can be minimized by

A. using brightness, and contrast.B. providing low ambient light levels.C. using out of reach storage locations.D. diverting attention to another task.

22. Seeing what we think we should see instead of what isactually there is known as

A. focal blindness.

B. delusional sight.C. conrmation bias.D. illusional reality.

Journey to a Safe Environment: Fall Prevention in an

Emergency Department at a Level I Trauma Center

(pp. 346-352)

23. Fall prevention devices used by the facility described inthis article include all of the following except

A. hip protectors.

B. reminder belts.C. distraction items.D. restraint jackets.

24. Of the 40 fall risk patients who fell in that facility in 2009,50% stated they were trying to

A. go to the bathroom.B. reach for something.C. nd a nurse.D. go home.

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25. As noted in the article, additional ED measures added toa fall risk assessment tool include all of the followingexcept

A. intoxication with ataxia.

B. not accompanied by family or friends.C. Glasgow Coma Scale score b 14.D. brought to the emergency department by ambulance.

26. When one risk factor is identied on the KINDER 1 tool,the nurse can

A. stop the assessment and apply a fall risk bracelet.B. continue to screen for the next 3 risk factors on the

tool.C. bring the patient to a close observation room with

security observation.D. apply the least restrictive physical restraints possible

for the situation.

27. The most prevalent risk factor for ED patients who fall inthis facility is

A. a history of falls.B. altered elimination.C. impaired mobility.D. altered mental status.

28. Volunteers at this facility round on fall risk patientsbetween 8 AM and midnight every

A. 15 minutes.B. 30 minutes.C. 1 hour.D. 2 hours.

Searching the Literature: What Is Known (and Not

Known) About Your Topic? (pp. 395-397)

1. The rst step in a literature search is to

A. develop a clinical question.B. enlist the assistance of a research librarian.C. determine how to evaluate the evidence.D. narrow the focus of inquiry.

2. To nd information that is the most useful and reliable, thesearch should focus onA. secondary sources.B. literature published within the last 15 years.C. state of the science papers and research studies.D. information obtained in Wikipedia.

3. A criterion that lets the researcher have a sense of whenthe search is sufcient is when he or she hasA. rened the problem statement.B. identied the gaps in the literature.

C. found at least 20 scientic papers on the topic.D. exhausted all the relevant literature on the problem.

Abuse Experiences, Substance Use, and Reproductive

Health in Women Seeking Care at an Emergency

Department (pp. 326-333)

4. In the study described in this article, women whoexperienced child sexual assault (CSA) were signicantlymore likely to report having ever used

A. alcohol.

B. sedatives.C. inhalants.D. hallucinogens.

5. Women who experienced CSA were signicantly more likelyto report use of what substance in the past 3 months?A. cocaineB. cannabisC. amphetaminesD. tobacco

6. Women with a history of CSA reported

A. a lower incidence of treatment for gonorrhea.B. fewer lifetime sexual partners.C. younger age at rst intercourse.D. a signicantly higher incidence of urinary tract

infections.

7. Regarding reproductive health outcomes, women with nohistory of CSA were signicantlyA. less likely to have been treated for bacterial vaginosis.B. more likely to report pain with sexual intercourse.C. more likely to have a history of abnormal Papanicolaou

smear.D. less likely to use birth control regularly.

8. As noted in the article, CSA is one of the strongestpredictors ofA. suicide before the age of 30 years.B. lethal violence against the sex offender.C. withdrawal from social contacts in adulthood.D. revictimization in adulthood.

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